Additional Information
If you are newly eligible for both Medicare Part A and Part B, you can join a Medicare Advantage Plan during the 7-month period, which starts 3 months before the month you are eligible for Medicare Part A and Part B and ends 3 months after your Medicare Part A and Part B becomes effective. This is true if you are eligible for Medicare because of age or disability. If you already have Part A and are now adding Part B, you may enroll in a Medicare Advantage plan during the 3 months prior to the month your Part B coverage begins.
If you apply before your Medicare starts, the Medicare Advantage coverage will start on the same day as your Medicare. If you apply after your Medicare starts, your Medicare Advantage coverage will start on the first day of the month after your plan receives the application for enrollment.
Additional Information
If you are enrolled in a Medicare Advantage plan as of January 1, 2019, you can make one (1) election during the first three (3) months of the calendar year (January1 - March 31) to switch MA plans or to disenroll from an MA plan and obtain coverage through Original Medicare with or without Part D coverage.
Newly eligible beneficiaries who enrolled in a Medicare Advantage plan during their Inital Coordinated Election Period (ICEP) can also make one election to switch or drop MA coverage during the first three (3) months they have Medicare Parts A and B.
Additional Information
I can use this SEP only one time a year.
Effective dates are the 1st of the month from Jan.1-Dec.1, during the year of the plan's 5-Star Rating designation.
Additional Information
You must notify your current plan that you are moving. Be sure to check that they do not offer service in the area where you are moving.
Your new coverage will be effective as early as the first day of the month after the new plan receives your request to enroll and may be effective as late as up to two months after you move. When you apply for the new plan, be sure to give them your new address. Please keep in mind that it is up to the plan to verify your information and work with Medicare to confirm your enrollment or disenrollment. Your plan may contact you for more information. This opportunity to enroll applies in the following situations:
1. You are no longer eligible for your drug plan because you permanently moved out of the plan's service area.
2. You were not eligible to join a Medicare drug plan because you were incarcerated, but you have recently been released.
3. You will have new Medicare health or drug plan options available to you because you are permanently moving to a different area. You can join a plan in your new area even if you were not in a plan in your old area. Please keep in mind that if you want to switch plans, you should simply join another one. This will automatically disenroll you from your old plan.
Additional Information
Since your period of incarceration ended, your new coverage will be effective as early as the first day of the month after the new plan receives your request to enroll and may be effective as late as up to two months after you move.
When you apply for the new plan, be sure to give them your new address. Please keep in mind that it is up to the plan to verify your information and work with Medicare to confirm your enrollment. Your plan may contact you for more information.
Additional Information
Your new coverage will be effective as early as the first day of the month after the new plan receives your request to enroll and may be effective as late as up to two months after you move.
When you apply for the new plan, be sure to give them your new address. Please keep in mind that it is up to the plan to verify your information and work with Medicare to confirm your enrollment or disenrollment. Your plan may contact you for more information.
Additional Information
If you recently gained lawful presence status in the U.S., you may enroll in any Medicare Advantage or Prescription Drug Plan for which you are eligible.
The special enrollment period begins the month you gain lawful presence status and ends when you enroll in a plan, or 2 months after the month you become lawfully present, whichever occurs first.
Additional Information
You can make one election within three months of any of the changes noted below, or once you are notified of such changes, whichever is later:
- You become eligible for Medicaid
- Lose Medicaid; or
- Have a change in the level of Medicaid assistance.
Your coverage will be effective the first day of the month after the plan receives your request to enroll.
Additional Information
You can make one election within three months of any of the changes noted below, or once you are notified of such changes, whichever is later:
1. You become eligible for Extra Help;
2. Lose Extra Help; and
3. Have a change in the level of Extra Help (e.g. stop receiving Medicaid benefits, but still qualify for LIS, those who have a change in cost sharing).
Your coverage will be effective the first day of the month after the plan receives your request to enroll.
Additional Information
This SEP begins the month the individual becomes dually-eligible and exists as long as he or she receives Medicaid benefits; or the month the individual receives Extra Help in paying for Medicare prescription drug coverage, with no change in level of assistance; however there are limits in how often it can be used. This enrollment period allows you to enroll in, or disenroll from, a plan once per calendar quarter during the first nine months of the year. This SEP can be used once during each of the following time periods:
January - March
April - June, and
July - September
It may not be used in the 4th quarter of the year (October - December).
You may not use this special enrollment period if you're notified of being "potentially-at-risk" or "at-risk" of misusing or abusing frequently abused drugs.
The SEP is considered "used" based on the month in which you make the enrollment request.
The effective date of your enrollment is the first of the month after the plan receives your request.
Additional Information
If you are moving into or already live in a long term care facility, you may enroll, switch or disenroll at any time while you're in the facility. Once you leave, this opportunity lasts up to 2 months after you leave the facility.
A long term care (LTC) facility provides care for residents who require some form of medical care. These include a skilled nursing facility (SNF), a nursing facility (NF), an intermediate care facility for the mentally retarded (ICF/MR), a psychiatric hospital, a long-term care hospital, and a swing-bed hospital.
Please keep in mind that if you want to switch plans, you should simply join another one. This will automatically disenroll you from your old plan.
Additional Information
If you disenroll from a Program of All-inclusive Care for the Elderly (PACE), you have 2 months to join a Medicare Advantage Plan.
Please keep in mind that if you want to switch plans, you should simply join another one. This will automatically disenroll you from your old plan.
Additional Information
The special enrollment period begins the month that you're told of the loss of creditable coverage and either ends 2 months after the loss or 2 months after you're told, whichever is later. If the coverage is lost because you didn't pay your premiums, you won't get a special enrollment period.
The effective date of your enrollment into a drug plan can be the first day of the next month, or you can choose an effective date in the future, but the date may be no more than 2 months from the end of the special enrollment period.
Additional Information
The special enrollment period begins the month that you've left or disenrolled from your employer or union coverage to enroll in to a Medicare health or drug plan and ends 2 months after the month the employer or union coverage ends.
The effective date of your enrollment into a Medicare health or drug plan can be the first day of the next month, or you can choose an effective date in the future, but the date may be no more than 2 months from the end of the special enrollment period.
Additional Information
You get one chance per calendar year to join, switch or disenroll drug plans if you are in a qualified State Pharmacy Assistance Program (SPAP).
Please keep in mind that if you want to switch plans, you should simply join another one. This will automatically disenroll you from your old plan.
Additional Information
You have the opportunity to make an election into a new Medicare Advantage Plan or Medicare Prescription Drug plan.
The opportunity to make this election starts 2 months before and ends one full month after this contract ends.
Additional Information
You have an opportunity to make an election before the CMS or State-initiated enrollment is effective in the receiving plan or after the coverage in the receiving plan starts.
The opportunity to make an election is within three months after notification of a CMS or State-initiated enrollment action or the enrollment effective date, whichever is later.
Additional Information
If you are no longer eligible for the special needs plan because you no longer meet the specific special needs status, you can request enrollment in a Medicare Advantage or Medicare prescription drug plan beginning the month your special needs status changes and ending either when you make an election or three months after your plan's grace period ends, whichever is earlier.