Medicare Blog

how does intial enrollment period work for medicare

by Kylie Bartell Published 2 years ago Updated 1 year ago
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Your Medicare Initial Enrollment Period begins three months before you turn 65, the month of your 65th birthday, and continues for three months after your birthday month. Totaling seven months in which you can actively sign up for Part A and Part B unless you qualify for automatic enrollment. When Medicare starts depends on your situation.

Your first chance to sign up (Initial Enrollment Period)
This is called your Initial Enrollment Period. It lasts for 7 months, starting 3 months before you turn 65, and ending 3 months after the month you turn 65. My birthday is on the first of the month.

Full Answer

How to enroll in Medicare for the first time?

  • Join the plan - Select “Enroll” for the plan you want to join.
  • Contact the plan to join. You can call them or visit their website. ...
  • Call us at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.

How to time your Medicare enrollment?

You can enrol in Medicare if you live in Australia and you’re any of these:

  • an Australian citizen
  • a New Zealand citizen
  • an Australian permanent resident
  • applying for permanent residency
  • a temporary resident covered by a ministerial order.

When does Medicare enrollment begin?

Usually, a person is eligible to enroll with Medicare when they turn 65. The Initial Enrollment Period (IEP) begins 3 months before a person’s birth month, continues through this month, and ends 3 months after it. Individuals are eligible for Medicare during the IEP, even if they continue working.

Will I be automatically enrolled in Medicare?

Enrollment will happen automatically. For example, if you took retirement benefits at 62 instead of full retirement age, you’ll be enrolled in Medicare three months before your 65th birthday. You could also be automatically enrolled if you’ve been receiving Social Security Disability Insurance (SSDI) for 24 months.

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What is initial enrollment period?

Initial Enrollment Period – a 7-month period when someone is first eligible for Medicare. For those eligible due to age, this period begins 3 months before they turn 65, includes the month they turn 65, and ends 3 months after they turn 65.

How does Medicare determine eligibility date?

You will have a Medicare initial enrollment period. If you sign up for Medicare Part A and Part B during the first three months of your initial enrollment period, your coverage will start on the first day of the month you turn 65. For example, say your birthday is August 31.

How many months are included in an initial enrollment for a Medicare Advantage plan?

Sign up for a Medicare Advantage Plan (with or without drug coverage) or a Medicare drug plan. During the 7‑month period that starts 3 months before the month you turn 65, includes the month you turn 65, and ends 3 months after the month you turn 65.

Can you choose your Medicare start date?

Initial Enrollment Period Part C has its own enrollment period, called an "Initial Coverage Election Period." You can enroll in a Medicare Advantage plan starting three months before your Medicare Part B enrollment is due to take effect (this date can vary) up until three months after your 65th birthday.

Does Medicare start the month of your birthday?

If you qualify for Premium-free Part A: Your Part A coverage starts the month you turn 65. (If your birthday is on the first of the month, coverage starts the month before you turn 65.)

Do I automatically get Medicare when I turn 65?

You automatically get Medicare when you turn 65 Part A covers inpatient hospital stays, skilled nursing facility care, hospice care, and some home health care. Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services.

What are the negatives of a Medicare Advantage plan?

Medicare Advantage can become expensive if you're sick, due to uncovered copays. Additionally, a plan may offer only a limited network of doctors, which can interfere with a patient's choice. It's not easy to change to another plan. If you decide to switch to a Medigap policy, there often are lifetime penalties.

What are the three enrollment periods for Medicare?

When you turn 65, you have a seven month window to enroll in Medicare. This includes three months before the month you turn 65, your birth month, and three months after the month you turn 65.

Can you switch back to Medicare from Medicare Advantage?

Yes, you can elect to switch to traditional Medicare from your Medicare Advantage plan during the Medicare Open Enrollment period, which runs from October 15 to December 7 each year. Your coverage under traditional Medicare will begin January 1 of the following year.

How many months before I turn 65 should I apply for Medicare?

3 monthsGenerally, we advise people to file for Medicare benefits 3 months before age 65. Remember, Medicare benefits can begin no earlier than age 65. If you are already receiving Social Security, you will automatically be enrolled in Medicare Parts A and B without an additional application.

How long is Medicare open enrollment period?

When's the Medicare Open Enrollment Period? Every year, Medicare's open enrollment period is October 15 - December 7.

What day of the month does Medicare start when you turn 65?

For example, if your 65th birthday is in June, your enrollment period will extend from March 1 through September 30. If you join during one of the 3 months before you turn 65, coverage will begin the first day of the month you turn 65.

Your first chance to sign up (Initial Enrollment Period)

Generally, when you turn 65. This is called your Initial Enrollment Period. It lasts for 7 months, starting 3 months before you turn 65, and ending 3 months after the month you turn 65.

Between January 1-March 31 each year (General Enrollment Period)

You can sign up between January 1-March 31 each year. This is called the General Enrollment Period. Your coverage starts July 1. You might pay a monthly late enrollment penalty, if you don’t qualify for a Special Enrollment Period.

Special Situations (Special Enrollment Period)

There are certain situations when you can sign up for Part B (and Premium-Part A) during a Special Enrollment Period without paying a late enrollment penalty. A Special Enrollment Period is only available for a limited time.

Joining a plan

A type of Medicare-approved health plan from a private company that you can choose to cover most of your Part A and Part B benefits instead of Original Medicare. It usually also includes drug coverage (Part D).

When is Medicare enrollment period?

You will have a chance to review your coverage, and make changes each year during the Medicare Annual Enrollment Period, Oct. 15 – Dec. 7.

What happens if you miss your Medicare enrollment?

If you miss your Initial Enrollment Period, Medicare offers a General Enrollment Period (GEP) for those who did not sign up around their 65th birthday. You could face late enrollment penalties if you wait too long to sign up, and don't qualify for a Special Enrollment Period.

How long does it take to get Medicare if you have a disability?

The Medicare Initial Enrollment Period (IEP) Around your 65th birthday (or 25th disability check), you'll have a 7-month window of time when you can sign up for Medicare. It's called your Initial Enrollment Period – or IEP for short. Your IEP includes your 65th birthday month, the 3 months before and the 3 months after.

When do you turn 65 on an IEP?

Example: You turn 65 on June 7. Your IEP is March 1 – September 30. If, however, your birthday is on the 1st of the month, then your IEP is determined as though you were born the month before. Example: You turn 65 on June 1. Your IEP is February 1 – August 31.

Is dental insurance covered by Medicare?

Dental, vision & other health benefits. Dental, vision, hearing and fitness benefits are not covered by Medicare Parts A, B and D. Only Medicare Advantage plans offer these benefits and others, such as transportation for medical appointments and virtual doctor visits.

Does Medicare notify you of your IEP?

Medicare may not notify you about your eligibility, so be sure to get your Initial Enrollment Period (IEP) dates and put them in your calendar. It's best to sign up for Medicare toward the start of your IEP. That way your coverage will begin as soon as you're eligible.

How many enrollment periods are there for Medicare?

There are three enrollment periods for people signing up for benefits who are already enrolled in Original Medicare. During open enrollment, you can make changes to your Medicare plans and add additional coverage.

When does the initial enrollment period end?

Initial Enrollment Period (IEP) One Medicare enrollment period is the Initial Enrollment Period. The IEP allows you to sign up for Parts B and D when you turn 65. Your Initial Enrollment Period begins three months before the month you turn 65, includes your birthday month and ends three months after you turn 65.

What is the ICEP period?

The ICEP is your first opportunity to choose a Medicare Advantage plan instead of Original Medicare. During the ICEP, you can also sign up for prescription drug coverage. If you enroll in Part B when you turn 65, your ICEP is the same as your IEP.

What is a SEP in Medicare?

A SEP is when you can make changes to your Medicare Advantage and Prescription Drug coverage when certain events happen in your life. Events include situations such as if you move or lose other insurance coverage. An example is losing health insurance ...

Why is Medicare enrollment confusing?

Medicare Enrollment Periods can be confusing because different enrollment periods have different dates for various purposes. There are many enrollment periods for people signing up for benefits for the first time. If you’re receiving Social Security or Railroad Retirement benefits when you turn 65, you’ll automatically be enrolled in Medicare.

What is open enrollment for Medicare 2021?

These enrollment periods fall into two categories. First, open enrollment is available to anyone eligible for Medicare. Then, Special Enrollment Periods. If you want to change the coverage you currently have, you can do so during one ...

How long does an OEP last?

Your OEP lasts for six months; you’ll be granted Medicare Supplement Guaranteed Issue Rights. During this time, you can sign up for a Medicare Supplement Plan, also known as Medigap. If you didn’t sign up for a Medicare Advantage or a drug plan during your IEP, the AEP is your next chance to make changes.

Initial Enrollment for Medicare is also Initial Enrollment for Medigap, MA and Part D drugs

Once you enroll in Medicare Part A and B you get a 6-month-period in which you can enroll in a Medigap Plan that covers the 20% that Medicare doesn’t and pays for your deductibles, copays and coinsurance. The Initial Enrollment Period for Medicare Advantage and Part D Drug Plan is the same as for Medicare.

When will your coverage start?

If you want to know when will your coverage start please read our article When will my Medicare coverage start?.

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When to join a Medicare Advantage Plan or Medicare Prescription Drug Plan

Most people get Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) during this period. It starts 3 months before you turn 65 and ends 3 months after you turn 65.

When can I join, switch, or drop a plan?

If you’re not positive about the exact coverage you want during your IEP, you’ll have some chances to adjust afterward.

Disclaimer

BlueCross BlueShield of South Carolina is a Medicare Advantage PPO and HMO plan with a Medicare contract. BlueCross Essential, Rx Value and BlueCross Rx Plus are stand-alone prescription drug plans with a Medicare contract.

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