If you or a parent has Medicare, the State Health Insurance Assistance Program, or SHIP, gives you free Medicare counseling from people with no stake in which plan you pick. Federal law requires its counselors, volunteers included, to have no conflict of interest. Your state may not call it SHIP, so searching your state plus "SHIP" may turn up nothing.Centers for Medicare & Medicaid Services. (n.d.). Filing an appeal. medicare.gov. Retrieved Sep 29, 2026, from https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals,U.S. Government Publishing Office. (2024). 42 U.S.C. § 1395b-4 — Health insurance information, counseling, and assistance grants (United States Code, 2024 Edition, GPO govinfo). govinfo.gov. Retrieved Oct 15, 2026, from https://www.govinfo.gov/content/pkg/USCODE-2024-title42/html/USCODE-2024-title42-chap7-subchapXVIII-sec1395b-4.htm,Administration for Community Living. (n.d.). State Health Insurance Assistance Program (SHIP). acl.gov. Retrieved Jul 15, 2026, from https://acl.gov/programs/connecting-people-services/state-health-insurance-assistance-program-ship,Centers for Medicare & Medicaid Services. (2026). Medicare & You 2026 (CMS publication 10050, medicare.gov). medicare.gov. Retrieved Jul 15, 2026, from https://www.medicare.gov/publications/10050-medicare-and-you.pdf
In This Guide
- Key Takeaways
- What Free Medicare Counseling From SHIP Actually Is
- Why It's Free, and What Makes It Unbiased
- What SHIP Can Help You With
- Who Runs SHIP, and Who Pays for It?
- How to Find Free Medicare Counseling in Your State
- When a Broker Is the Better Call
- Free Medicare Counseling by State
- Learn More
What Free Medicare Counseling From SHIP Actually Is
SHIP gives free, personalized, and unbiased health insurance counseling to people with Medicare, their families, and their caregivers. Medicare itself sends you there. Medicare.gov tells beneficiaries to "Visit shiphelp.org to get the phone number for your local SHIP and get free, personalized health insurance counseling," and separately says SHIPs "provide free, personalized counseling to you and your family".Centers for Medicare & Medicaid Services. (n.d.). Filing an appeal. medicare.gov. Retrieved Sep 29, 2026, from https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals,Administration for Community Living. (n.d.). State Health Insurance Assistance Program (SHIP). acl.gov. Retrieved Jul 15, 2026, from https://acl.gov/programs/connecting-people-services/state-health-insurance-assistance-program-ship
The counseling is personalized. You bring your situation, your drug list, and whatever coverage you already have. Before you call, pull together your Medicare card, your current plan's name if you have one, and a list of your medications and doctors. A trained counselor works through it with you.
SHIPs are state programs that get money from the federal government to give local health insurance counseling to people with Medicare. Medicare & You 2026 states it flatly: SHIPs aren't connected to any insurance company or health plan.Centers for Medicare & Medicaid Services. (2026). Medicare & You 2026 (CMS publication 10050, medicare.gov). medicare.gov. Retrieved Jul 15, 2026, from https://www.medicare.gov/publications/10050-medicare-and-you.pdf
ACL, which runs SHIP, describes the job the same way. ACL puts the SHIP mission as educating and assisting Medicare-eligible people through objective outreach and counseling, and says SHIP team members are tasked with providing unbiased, objective information on health insurance options.Centers for Medicare & Medicaid Services. (n.d.). Filing an appeal. medicare.gov. Retrieved Sep 29, 2026, from https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals
Why It's Free, and What Makes It Unbiased
Free is the easy half. ACL funds the state SHIP programs through grants, so there's no bill to send you.Administration for Community Living. (n.d.). State Health Insurance Assistance Program (SHIP). acl.gov. Retrieved Jul 15, 2026, from https://acl.gov/programs/connecting-people-services/state-health-insurance-assistance-program-ship
Unbiased is the half that deserves proof.
What does federal law actually require?
Federal law sets a condition on SHIP grant money. A state applying for it has to submit a plan. That plan's program has to give assurances that staff members, including volunteer staff members, have no conflict of interest in providing the counseling. The SHIP no-conflict-of-interest assurance sits at 42 U.S.C. 1395b-4(b)(2)(D), enacted as Section 4360(b)(2)(D) of the Omnibus Budget Reconciliation Act of 1990.U.S. Government Publishing Office. (2024). 42 U.S.C. § 1395b-4 — Health insurance information, counseling, and assistance grants (United States Code, 2024 Edition, GPO govinfo). govinfo.gov. Retrieved Oct 15, 2026, from https://www.govinfo.gov/content/pkg/USCODE-2024-title42/html/USCODE-2024-title42-chap7-subchapXVIII-sec1395b-4.htm
Two details matter. The SHIP assurance names volunteers explicitly, so it doesn't stop at paid staff. And the assurance isn't optional garnish: a state has to put it in the SHIP grant application to get the money at all.U.S. Government Publishing Office. (2024). 42 U.S.C. § 1395b-4 — Health insurance information, counseling, and assistance grants (United States Code, 2024 Edition, GPO govinfo). govinfo.gov. Retrieved Oct 15, 2026, from https://www.govinfo.gov/content/pkg/USCODE-2024-title42/html/USCODE-2024-title42-chap7-subchapXVIII-sec1395b-4.htm
Can an insurance agent be a SHIP counselor?
ACL draws a harder line. ACL's conflict-of-interest guidance states that no individual may be a licensed insurance agent and a SHIP team member at the same time, and identifies that combination as a violation of the SHIP statute.Administration for Community Living. (2020). Conflict of Interest: Identification, Remedy, and Removal (ACL Office of Healthcare Information and Counseling, updated July 2020). acl.gov. Retrieved Sep 3, 2026, from https://acl.gov/sites/default/files/programs/2020-07/OHIC%20COI%20Resource%20071720-%20Final.pdf
ACL's remedy is removal, one way or the other. Either the insurance license goes before the person is accepted as a SHIP team member, or team-member status goes. ACL's stated reason is that the program can't ensure a team member holding an active insurance license would perform their program duties in an unbiased manner.Administration for Community Living. (2020). Conflict of Interest: Identification, Remedy, and Removal (ACL Office of Healthcare Information and Counseling, updated July 2020). acl.gov. Retrieved Sep 3, 2026, from https://acl.gov/sites/default/files/programs/2020-07/OHIC%20COI%20Resource%20071720-%20Final.pdf
So the license is the line. A retired insurance agent who has given up the license can be accepted as a SHIP team member; someone holding an active insurance license cannot be a SHIP team member.Administration for Community Living. (2020). Conflict of Interest: Identification, Remedy, and Removal (ACL Office of Healthcare Information and Counseling, updated July 2020). acl.gov. Retrieved Sep 3, 2026, from https://acl.gov/sites/default/files/programs/2020-07/OHIC%20COI%20Resource%20071720-%20Final.pdf
One caution: ACL's conflict-of-interest document is guidance, not a regulation. But ACL attributes the prohibition to the SHIP statute, and the statute is right there in the U.S. Code.Administration for Community Living. (2020). Conflict of Interest: Identification, Remedy, and Removal (ACL Office of Healthcare Information and Counseling, updated July 2020). acl.gov. Retrieved Sep 3, 2026, from https://acl.gov/sites/default/files/programs/2020-07/OHIC%20COI%20Resource%20071720-%20Final.pdf,U.S. Government Publishing Office. (2024). 42 U.S.C. § 1395b-4 — Health insurance information, counseling, and assistance grants (United States Code, 2024 Edition, GPO govinfo). govinfo.gov. Retrieved Oct 15, 2026, from https://www.govinfo.gov/content/pkg/USCODE-2024-title42/html/USCODE-2024-title42-chap7-subchapXVIII-sec1395b-4.htm
What SHIP Can Help You With
Medicare.gov and CMS's Medicare Advantage booklet list the Medicare questions SHIP counseling helps with:Administration for Community Living. (n.d.). State Health Insurance Assistance Program (SHIP). acl.gov. Retrieved Jul 15, 2026, from https://acl.gov/programs/connecting-people-services/state-health-insurance-assistance-program-ship
- Your Medicare rights
- Billing problems
- Complaints about your medical care or treatment
- Plan choices
- How Medicare works with other insurance
- Finding help paying for health care costsAdministration for Community Living. (n.d.). State Health Insurance Assistance Program (SHIP). acl.gov. Retrieved Jul 15, 2026, from https://acl.gov/programs/connecting-people-services/state-health-insurance-assistance-program-ship
- Appeals, including help filing oneCenters for Medicare & Medicaid Services. (n.d.). Filing an appeal. medicare.gov. Retrieved Sep 29, 2026, from https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals
If your claim or coverage was denied, that last item is the one that matters. Medicare.gov's appeals page answers the question "Can someone help me file an appeal?" by pointing you to your SHIP, and its contact page says SHIPs help people with Medicare and their families choose a plan, review coverage, understand costs, apply for Extra Help, and file a complaint or an appeal.Centers for Medicare & Medicaid Services. (n.d.). Filing an appeal. medicare.gov. Retrieved Sep 29, 2026, from https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals Unbiased governs how a counselor behaves, not how much they will do for you: a counselor cannot steer you toward a particular insurer's plan, and can still sit with your denial notice and help you file.Centers for Medicare & Medicaid Services. (n.d.). Filing an appeal. medicare.gov. Retrieved Sep 29, 2026, from https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals
Choosing a plan is only half the job. SHIP is also meant to help you get coverage. ACL states that SHIP team members are highly trained and certified to assist people in obtaining coverage through Original Medicare (Parts A and B), Medicare Advantage (Part C), Part D drug coverage, and Medigap.Administration for Community Living. (n.d.). State Health Insurance Assistance Program (SHIP). acl.gov. Retrieved Jul 15, 2026, from https://acl.gov/programs/connecting-people-services/state-health-insurance-assistance-program-ship
SHIP also helps people with limited income apply for Medicaid, the Medicare Savings Programs, and Extra Help, the Part D low-income subsidy.Administration for Community Living. (n.d.). State Health Insurance Assistance Program (SHIP). acl.gov. Retrieved Jul 15, 2026, from https://acl.gov/programs/connecting-people-services/state-health-insurance-assistance-program-ship If you want the income and resource limits in front of you before you call, read our guides to Extra Help and the Medicare Savings Programs first.
Who Runs SHIP, and Who Pays for It?
SHIP is administered by ACL, an operating division of the U.S. Department of Health and Human Services. ACL's Office of Healthcare Information and Counseling manages SHIP and funds the state programs through grants.Administration for Community Living. (n.d.). State Health Insurance Assistance Program (SHIP). acl.gov. Retrieved Jul 15, 2026, from https://acl.gov/programs/connecting-people-services/state-health-insurance-assistance-program-ship
SHIPs were created under the Omnibus Budget Reconciliation Act of 1990, which authorized the Centers for Medicare & Medicaid Services (CMS) to make the grants. Under the Consolidated Appropriations Act of 2014, SHIP moved from CMS to ACL in 2014, so anything calling SHIP CMS-funded describes the arrangement before then.Administration for Community Living. (n.d.). State Health Insurance Assistance Program (SHIP). acl.gov. Retrieved Jul 15, 2026, from https://acl.gov/programs/connecting-people-services/state-health-insurance-assistance-program-ship
Delivery is a state job. SHIP services are delivered by state units on aging or state departments of insurance, working with local area agencies on aging and other community-based partners.Administration for Community Living. (n.d.). State Health Insurance Assistance Program (SHIP). acl.gov. Retrieved Jul 15, 2026, from https://acl.gov/programs/connecting-people-services/state-health-insurance-assistance-program-ship That's why the program has a different address from state to state. Delaware's SHIP, the Delaware Medicare Assistance Bureau, runs out of the state Department of Insurance and is funded in part by an ACL grant.Administration for Community Living. (n.d.). State Health Insurance Assistance Program (SHIP) - Administration for Community Living. acl.gov. Retrieved Jul 30, 2026, from https://acl.gov/programs/connecting-people-services/state-health-insurance-assistance-program-ship
SHIP isn't staffed only by volunteers. ACL describes the national SHIP network's team members as staff, in-kind professionals, and volunteers, and says SHIP recruits and trains both volunteer and in-kind team members. ACL also states that SHIP team members are highly trained and certified.Administration for Community Living. (n.d.). State Health Insurance Assistance Program (SHIP). acl.gov. Retrieved Jul 15, 2026, from https://acl.gov/programs/connecting-people-services/state-health-insurance-assistance-program-ship
How to Find Free Medicare Counseling in Your State
Two routes, both official.
- Go to shiphelp.org and use the "Find Local Medicare Help" locator at the top of the page. shiphelp.org also tells consumers they can call the SHIP National Technical Assistance Center at 1-877-839-2675.Centers for Medicare & Medicaid Services. (2026). Medicare & You 2026 (CMS publication 10050, medicare.gov). medicare.gov. Retrieved Jul 15, 2026, from https://www.medicare.gov/publications/10050-medicare-and-you.pdf
- Open Medicare & You 2026 to pages 114-117. That's the handbook's per-state SHIP phone directory, and the handbook tells beneficiaries to go there for the phone number of their local SHIP.Centers for Medicare & Medicaid Services. (2026). Medicare & You 2026 (CMS publication 10050, medicare.gov). medicare.gov. Retrieved Jul 15, 2026, from https://www.medicare.gov/publications/10050-medicare-and-you.pdf
Use the locator rather than a search engine. There are 54 SHIPs, one for every state plus Puerto Rico, Guam, the District of Columbia, and the U.S. Virgin Islands, so one covers every state and territory.Centers for Medicare & Medicaid Services. (2026). Medicare & You 2026 (CMS publication 10050, medicare.gov). medicare.gov. Retrieved Jul 15, 2026, from https://www.medicare.gov/publications/10050-medicare-and-you.pdf But your state's may not use the name "SHIP." Search your state plus "SHIP" and you may turn up nothing, then reasonably conclude the program doesn't operate where you live. Check the locator before you conclude that. shiphelp.org notes your SHIP may go by a different name or acronym, and lists HICAP, SHICK, SHINE, and VICAP as examples of those state program names. Each is a state's own SHIP operating under a local name, not a separate program.Centers for Medicare & Medicaid Services. (2026). Medicare & You 2026 (CMS publication 10050, medicare.gov). medicare.gov. Retrieved Jul 15, 2026, from https://www.medicare.gov/publications/10050-medicare-and-you.pdf
shiphelp.org is the SHIP National Technical Assistance Center's site, and Medicare's own handbook points beneficiaries to it by name.Centers for Medicare & Medicaid Services. (2026). Medicare & You 2026 (CMS publication 10050, medicare.gov). medicare.gov. Retrieved Jul 15, 2026, from https://www.medicare.gov/publications/10050-medicare-and-you.pdf
When a Broker Is the Better Call
SHIP is the right first call when you want a neutral read on your options. It isn't the right call for everything.
Judge SHIP and a broker by what each is built to do.
| SHIP | Broker | |
|---|---|---|
| What it does | Advises and assists with Original Medicare, Medicare Advantage, Part D and Medigap | Sells policies |
| Can sell you a policy | No. Anyone holding an active insurance license cannot be a SHIP team member | Yes, if licensed |
| Tied to an insurer | No. SHIP isn't connected to any insurance company or health plan | Depends on the agent |
SHIP is built to advise and assist. SHIP team members are certified across Original Medicare, Medicare Advantage, Part D, and Medigap, and if money is tight they'll look at Medicaid, the Medicare Savings Programs, and Extra Help alongside the plans.Administration for Community Living. (n.d.). State Health Insurance Assistance Program (SHIP). acl.gov. Retrieved Jul 15, 2026, from https://acl.gov/programs/connecting-people-services/state-health-insurance-assistance-program-ship SHIP isn't connected to any insurance company or health plan. That's the point of it, and it's also the boundary: SHIP has no product to sell you.Centers for Medicare & Medicaid Services. (2026). Medicare & You 2026 (CMS publication 10050, medicare.gov). medicare.gov. Retrieved Jul 15, 2026, from https://www.medicare.gov/publications/10050-medicare-and-you.pdf
A broker is built to transact. A SHIP team member cannot sell you a policy, because ACL's conflict-of-interest guidance bars anyone holding an active insurance license from SHIP team-member status. SHIP's independence is exactly what stops SHIP from doing that work, and ACL's guidance keeps the two roles in separate people.Administration for Community Living. (2020). Conflict of Interest: Identification, Remedy, and Removal (ACL Office of Healthcare Information and Counseling, updated July 2020). acl.gov. Retrieved Sep 3, 2026, from https://acl.gov/sites/default/files/programs/2020-07/OHIC%20COI%20Resource%20071720-%20Final.pdf
Call SHIP first if you want your options laid out by someone with no stake in which one you pick, if money is tight and the assistance programs need weighing alongside the plans, or if you're deciding between Medigap and Medicare Advantage and don't want that conversation to be a sales conversation.
Call a broker when you know what you want and want to buy it through a licensed agent. SHIP team members can't sell you a policy.
Get the neutral read first. Then transact with whoever you like.
Frequently Asked Questions
Can I call SHIP about my parent's Medicare?
Yes. SHIP counseling is for people with Medicare, their families, and their caregivers, not the beneficiary alone. Medicare.gov says SHIPs help people with Medicare and their families, from choosing a plan to filing an appeal.Centers for Medicare & Medicaid Services. (n.d.). Filing an appeal. medicare.gov. Retrieved Sep 29, 2026, from https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals,Administration for Community Living. (n.d.). State Health Insurance Assistance Program (SHIP). acl.gov. Retrieved Jul 15, 2026, from https://acl.gov/programs/connecting-people-services/state-health-insurance-assistance-program-ship
Will a SHIP counselor fill in my enrollment application?
SHIP counseling covers enrollment, not just explaining your options. Whether a counselor will key the application in for you is a different question, so ask the counselor how far they go when you call.Administration for Community Living. (n.d.). State Health Insurance Assistance Program (SHIP). acl.gov. Retrieved Jul 15, 2026, from https://acl.gov/programs/connecting-people-services/state-health-insurance-assistance-program-ship
Free Medicare Counseling by State
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