Medicare Blog

moving from a different state and change medicare what enrollment period applies

by Gudrun Corwin Published 2 years ago Updated 1 year ago

Join a Medicare Advantage Plan or Medicare Prescription Drug Plan. When? Your chance to join lasts for 2 full months after the month you move back to the U.S. I just moved into, currently live in, or just moved out of an institution (like a skilled nursing facility or long-term care hospital).

Does Medicare follow you when you move to a different state?

 · If you’re enrolled in a Medicare Advantage plan or a Medicare Part D Prescription Drug Plan, a change in residence, such as moving to another state, could qualify you for a Special Election Period (SEP). During your SEP, you’re allowed to enroll into a new plan that is offered in your new service area.

How do I disenroll from Medicare when I move?

 · You May Qualify for a Medicare Special Enrollment Period. Typically, you are only able to make changes to your Medicare coverage during Medicare’s fall Open Enrollment Period, which runs from October 15 to December 7 each year. But certain life events, such as moving, may qualify you for a Medicare Special Enrollment Period (SEP).

What happens to my Medicare supplement if I move States?

You can’t use this Special Enrollment Period October – December. However, all people with Medicare can make changes to their coverage October 15 – December 7. The changes will begin on January 1. I'm enrolled in a State Pharmaceutical Assistance Program (SPAP) or …

When can I make changes to my Medicare coverage?

If you have Medicare Advantage (MA), or Plan C, in place of Original Medicare, You will be able to switch Medicare Advantage plans or return to Original Medicare outside of the Annual Enrollment Period (AEP) under the Special Enrollment Periods (SEP). This applies whenever you move out of your plan’s service area. You can also make changes to your Medicare Prescription Drug Plan …

How does moving to a different state affect Medicare?

Because it's a federal program, Medicare provides services in every part of the country. It doesn't matter which state you live in — your basic Medicare coverage will stay the same.

How do I switch Medicare if I move?

Before moving, make sure you update your new address with both Social Security and Medicare. You can go the Profile tab on the My Social Security website to update your address. You can also update your information with Medicare by calling the Social Security Administration at 1-800-772-1213.

Do I need to notify Medicare if I move?

You need to notify the Social Security Administration of your new address no matter what type of Medicare you have. If you won't be able to keep your healthcare provider, you need to choose a new healthcare provider in your new area.

Does Medicare follow you from state to state?

As a beneficiary, you can use your Medicare throughout the United States. If you're traveling, make sure that the doctors you're planning on seeing accept Medicare. You can always call the front desk before a doctor's visit to make sure you won't be in for any surprises.

How long do I have to change my Medicare plan after I move?

2 full monthsIf you tell your plan before you move, your chance to switch plans begins the month before the month you move and continues for 2 full months after you move. If you tell your plan after you move, your chance to switch plans begins the month you tell your plan, plus 2 more full months.

Can you have Medicare in two states?

You can have Medicare while living in two states, but you'll choose one location as your primary residence. There will be some Medicare plans that benefit you more than others when you have multiple homes. Some retired people choose to reside in two different locations.

What are the Medicare enrollment periods?

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....When your coverage starts.If you sign up:Coverage starts:Before the month you turn 65The month you turn 65The month you turn 65The next month2 more rows

Is Medicare valid in all states?

Travel within the U.S. If you have Original Medicare, you have coverage anywhere in the U.S. and its territories. This includes all 50 states, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands. Most doctors and hospitals take Original Medicare.

Does address change affect Medicare?

If you've recently moved or the address on your Medicare card is incorrect for any reason, then you need to notify the Social Security Administration (SSA) and request a change to prevent any potential service interruptions, billing issues, or complications.

Do you lose Medicare if you move out of the country?

Remember, you can have Medicare while you live abroad, but it will usually not cover the care you receive. Most people qualify for premium-free Part A, meaning you will pay nothing for coverage. If you must pay a premium for Part A, be aware of the high monthly cost for maintaining Part A coverage.

What states allow you to change Medicare supplement plans without underwriting?

In some states, there are rules that allow you to change Medicare supplement plans without underwriting. This includes California, Washington, Oregon, Missouri and a couple others. Call us for details on when you can change your plan in that state to take advantage of the “no underwriting” rules.

Can I use my Medicaid in another state?

Can I Use My Medicaid Coverage In Any State? Generally, the answer is no — because each state has its own Medicaid eligibility requirements, coverage can't be transferred from one state to another, nor is coverage provided by one state available while you're temporarily visiting another state.

I Have Original Medicare and Am Moving Out of State

If you’re enrolled in Original Medicare, Part A and Part B, you don’t need to make changes to your coverage if you’re moving, either to a new addre...

I Have A Medicare Supplement (Medigap) Plan and Am Moving Out of State

In many cases, you can stay with your current Medicare Supplement (Medigap) plan even if you’re moving out of state as long as you stay enrolled in...

I Have A Medicare Advantage Plan Or Medicare Prescription Drug Plan and Am Moving

If you’re enrolled in a Medicare Advantage plan (Medicare Part C) or Medicare Prescription Drug Plan (Medicare Part D) and are moving outside your...

When does Medicare open enrollment end?

Typically, you are only able to make changes to your Medicare coverage during Medicare’s fall Open Enrollment Period, which runs from October 15 to December 7 each year. But certain life events, such as moving, may qualify you for a Medicare Special Enrollment Period (SEP).

How to change address on Medicare?

You can update your contact information online by visiting the Social Security Administration website, by phone via 1-800-772-1213 (TTY 1-800-325-0778) or by visiting your local Social Security office.

How to change Medicare Advantage plan?

During a Medicare Special Enrollment Period, you can typically: 1 Switch from one Medicare Advantage plan to another MA plan 2 Switch from a Medicare Advantage plan back to Original Medicare 3 Add or drop a Medicare Prescription Drug Plan (Medicare Part D)

Is Medicare Advantage available in every region?

1. Medicare Advantage plan availability varies by location. Not all Medicare Advantage plans are available in every region. If you’re planning to move or have recently moved, we recommend speaking with a licensed insurance agent who can help you find Medicare Advantage plans in your area.

What happens if a doctor doesn't accept Medicare?

If you go to a doctor that does not accept your Medicare Advantage plan, you could be responsible for 100 percent of the costs. Be sure your new doctor accepts your Medicare Advantage plan before scheduling your first visit.

How to speak to a licensed insurance agent about Medicare Advantage?

Some other situations include: To learn more about your Medicare Advantage options, including how to enroll in a new plan during your Special Enrollment Period, speak with a licensed insurance agent at 1-800-557-6059,TTY: 711. [1] According to Medicare.gov “Special circumstances (Special Enrollment Periods), Published May 18, 2018.

When does Medicare change coverage?

You can’t use this Special Enrollment Period from October–December. However, all people with Medicare can make changes to their coverage from October 15–December 7, and the changes will take effect on January 1.

What is a special enrollment period?

Special circumstances (Special Enrollment Periods) You can make changes to your Medicare Advantage and Medicare prescription drug coverage when certain events happen in your life, like if you move or you lose other insurance coverage. These chances to make changes are called Special Enrollment Periods (SEPs).

How long does it take to switch Medicare plans?

According to Medicare.gov: “If you tell your plan before you move, your chance to switch plans begins the month before the month you move and continues for 2 full months after you move. If you tell your plan after you move, your chance to switch plans begins the month you tell your plan, plus 2 more full months.”.

Does Medicare offer a special enrollment period?

Medicare offers a special enrollment period for beneficiaries to make changes to their Medicare Advantage or Part D coverage when moving to a new location that is outside of their current Medicare coverage area. According to Medicare.gov:

Is Medicare Part A or B?

Medicare Part A and Part B ( Original Medicare) are federal healthcare programs. They do not use specific provider networks. What this means for you is the benefits provided under these plans remains the same throughout the U.S., regardless of the state you live in.

What is a Medigap plan?

Medigap plans are standardized health plans that do not rely on a specific network of doctors or specialists making them available to use at any hospital or doctor’s office nationwide that accepts Medicare.

Does Medicare have a network?

Original Medicare doesn’t have provider networks; instead, you can use any hospital or doctor throughout the country that takes Medicare.If you need help finding a new doctor that accepts Medicare, you can use Medicare.gov’s Physician Compare tool for a list of providers participating in the Medicare program.

What is guaranteed issue rights?

Guaranteed-issue rights are special protections you have in certain situations to buy Medigap insurance; in these situations, Medigap insurance companies can’t deny you coverage or charge you higher premiums because of pre-existing conditions*. If you have a Medicare SELECT plan (a type of Medigap plan that uses provider networks), ...

Does moving to another state affect Medicare?

Medicare is a federal healthcare program, so moving from one state to another will not affect your basic benefits from original Medicare. Optional Medicare products, like Medicare Advantage plans, might change if you move out of state. If you have a plan from a private health insurance provider, contact the company before you move to prepare ...

Can you change your Medicare benefits if you move to another state?

If you move from one state to another and you have original Medicare, your benefits won’t change. However, you may need to find new healthcare providers who participate in Medicare.

Is Medicare a federal program?

Medicare is a federal healthcare program for people age 65 and over, as well as those who have certain health conditions or disabilities. Because it’s a federal program, Medicare provides services in every part of the country. It doesn’t matter which state you live in — your basic Medicare coverage will stay the same.

Does Medicare end when you move?

Although your Medicare coverage won’t end or change when you move, you’ll often need to find new healthcare professionals who participate in Medicare. Doctors must accept Medicare’s payment terms and meet certain requirements to participate in the program.

Do doctors have to accept Medicare?

Doctors must accept Medicare’s payment terms and meet certain requirements to participate in the program. Regardless of where you live, participating doctors and healthcare professionals will submit a bill to Medicare for the services they provide to you.

How to change address on Medicare?

Since the Social Security Administration (SSA) handles enrollment in Original Medicare, go online and log onto your account to update your address. You can also do this by calling 1-800-772-1213 or visiting your nearest SSA office. You'll generally get faster service if you make your address change online rather than over the phone or in person.

What is SEP in Medicare?

When you move to a different state and have Medicare Part C or Part D, you are eligible for a special enrollment period (SEP) to choose a new plan that will cover you after your move. The length of time you have varies depending on when you notify your insurance provider that you're moving.

How long does a SEP last?

Your SEP begins a month before the date of your move, and continues for 2 months after you move. If you don't notify your insurance provider until after you move, you have the remainder of that month plus an additional 2 months. ...

Who is Jennifer Mueller?

This article was written by Jennifer Mueller, JD. Jennifer Mueller is an in-house legal expert at wikiHow. Jennifer reviews, fact-checks, and evaluates wikiHow's legal content to ensure thoroughness and accuracy.

Is Medigap more expensive than Medicare?

But, Medigap is more expensive in certain states. Can I see a doctor in another state with Medicare? As a Medicare beneficiary, you can travel to any of the states and have coverage. But, those with an Advantage plan likely need to stay in the service area to maintain coverage.

Who is Lindsay Malzone?

https://www.medicarefaq.com/. Lindsay Malzone is the Medicare expert for MedicareFAQ. She has been working in the Medicare industry since 2017. She is featured in many publications as well as writes regularly for other expert columns regarding Medicare.

The basics

Original (or basic) Medicare consists of Part A (hospital coverage) and Part B (outpatient care and medical equipment).

Your Medigap policy

While a number of companies offer Medigap insurance, they can only offer policies from a list of about 10 standardized plans. Each is simply assigned a letter: A, B, C, D, F, G, K, L, M and N. Some states also offer high-deductible versions of Plan F and G.

Your Part D prescription drug plan

If you have a standalone Part D plan for prescription drug coverage, you’ll need to sign up for a new one in your new state of residence.

Your Advantage Plan

The availability of Advantage Plans — and the specifics of each plan — vary from state to state. This means that, as with standalone Part D prescription plans, you’ll still need to enroll in a new Advantage option even if it’s called the same thing.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9