- Market Transitions to Integrated D-SNPs – AmeriHealth Caritas is moving from coordinated-only D-SNPs to Integrated (FIDE-SNP) or Highly Integrated (HIDE-SNP) models in several states:
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- Delaware – Transitioning to a HIDE-SNP model with more care coordination, particularly with long-term supports and behavioral health.
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- Michigan – Launching HIDE-SNP in targeted areas with Medicare and Medicaid benefits now managed under one plan that’s easier for members and stronger messaging for agents.
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- South Carolina – Beginning shift to HIDE-SNP with enhanced SSBCI opportunities and room for growth in rural, underpenetrated markets.
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- North Carolina and Louisiana – New plan options for 2026, entering into North Carolina and Louisiana in select counties.
- New CHC Alignment Opportunities in Pennsylvania – CHC Alignment continues, so if you’re writing business in Pennsylvania, this is your moment to double down. AmeriHealth Caritas will continue to align with the state’s Community HealthChoices (CHC) program in 2026, offering a seamless transition between Medicaid and Medicare benefits for dual-eligible members.
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- What this means for brokers – Members in CHC who choose an AmeriHealth Caritas D-SNP plan can experience better care coordination, fewer service gaps, and more consistent support. You can play a critical role in guiding CHC members to select a D-SNP plan that maximizes continuity and value.
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- The PA D-SNP offerings remain competitive with robust SSBCI options, local provider networks, and dedicated care managers.
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- Target Areas for Growth – Philadelphia metro, Lehigh Valley, Central PA, and select western counties. Contact your Broker Manager for region-specific CHC talking points, co-branded materials, and a localized events calendar.
The Agility Advantage
- Call Scott Meeks at 706-534-1763 for Medicare coverage options.
- Chris Gaston offers guidance on ancillary and supplemental products.
- Reach Producer Support at (866) 590-9771 or support@enrollinsurance.com for any insurance questions, answers, and weekly email tips.
Many independent agents overlook a major year-round revenue opportunity in the Medicare market that can grow their book of business and increase commissions. Around 20% of Medicare beneficiaries, about 8 million people, qualify for both Medicare and Medicaid, offering significant sales potential for agents.
There are several million Medicare-Medicaid beneficiaries enrolled in Original Medicare and traditional Medicaid plans, which are separate programs that don’t coordinate care for these individuals. By helping clients transition to Highly Integrated Dual Eligible (HIDE) and Fully Integrated Dual Eligible (FIDE) plans, agents can add value, build client loyalty, and increase their own earnings throughout the year.
Agents should seize this opportunity by helping dual-eligible beneficiaries transition to these coordinated care options to improve outcomes and sustain year-round business growth. Agility is providing a list of all FIDE and HIDE plans nationwide for agents to access.
Millions of people need your help to find these plans to live their best lives with integrated health care and services between Medicare and Medicaid.
The Agility Advantage
Agility delivers insights and training on FIDE and HIDE plans to help clients and providers understand how they work. We do this to help you stay ahead in the evolving Medicare market, offering regional market support and dedicated resources for agents and new agents to use instantly for success.
- Contact Scott Meeks at 706-534-1763 for Medicare coverage options.
- Chris Gaston offers guidance on ancillary and supplemental products.
- Reach Producer Support at (866) 590-9771 or support@enrollinsurance.com for any insurance questions, answers, and weekly email tips.
Let Agility help you grow and adapt this MA OEP, and throughout 2026.
