The case study series, Challenges Faced by Dual Eligibles, is designed to help policymakers, advocates, beneficiaries, and their families better understand the challenges faced by people with Medicare. Each case study tells the story of a client who called the Medicare Rights Center’s National Helpline seeking assistance. The cases highlight common obstacles and suggest possible solutions.

This case study explores common issues with Medicare Savings Program (MSP) recertification. MSPs are assistance programs for Medicare beneficiaries with lower incomes and resources. They are made possible through a combination of federal and state funding and are administered by states. Some people who are eligible for MSPs also have “full” Medicaid, while those with slightly higher incomes/resources may only be eligible for Medicare and an MSP. Under federal law, individuals enrolled in an MSP must recertify their eligibility once every 12 months.