Medicare Blog

what does initial medicare application mean

by Paul Weissnat Published 3 years ago Updated 2 years ago
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If you become eligible for Medicare because you turn 65, you have a window of time during which to apply for coverage. This is called the initial enrollment period: It begins three months before the month in which you turn 65 and ends three months after, for a total of seven months.

Full Answer

What is the Medicare initial enrollment period?

The Medicare Initial Enrollment Period begins three months before you turn 65, the month of your 65th birthday, and continues for 3 months after the birthday month. This totals 7 months in which beneficiaries can sign up for Part A and Part B during this Initial Medicare Enrollment Period unless you qualify for automatic enrollment.

When should I enroll in Medicare?

If you enroll during the month of your 65th birthday, your effective date is the first day of the month after your birthday. Should you enroll in the three months following your birthday, your effective date will be the first of the month either three, five, or six months after your birthday month. This number goes up for each month you wait.

When does my Medicare effective date start?

For example, if you were born on June 11 and you enrolled in Medicare during the month of August (two months after your birthday), your effective date will be November 1 (five months following your birthday month).

What is the difference between Medicare IEP and Medicare initial enrollment?

Your ICEP may overlap with your Medicare Initial Enrollment Period, but your ICEP applies specifically to Medicare Advantage enrollment. Your Medicare IEP begins three months before the month of your 65 th birthday, includes your birthday month and continues for the next three months, for a total of seven months.

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How long does it take for Medicare to go into effect after applying?

Is There a Waiting Period for Medicare? For those who are not automatically enrolled and need to manually sign up for Medicare, it will take between one and three months for your Medicare coverage to begin, depending on when you sign up.

How do you initially apply for Medicare?

Online (at Social Security) – It's the easiest and fastest way to sign up and get any financial help you may need. (You'll need to create your secure my Social Security account to sign up for Medicare or apply for benefits.) Call Social Security at 1-800-772-1213. TTY users can call 1-800-325-0778.

What does initial enrollment mean?

Initial Enrollment Period means the period of time during which an eligible person may enroll under this Plan.

What is Medicare initial election update?

The Initial Coverage Election Period is the 7-month period you have to sign up when you first become eligible for Medicare. The 7-month period begins 3 months immediately before you are entitled to Medicare Part A and Part B, which is 3 months before your 65th birthday.

Does Medicare coverage start the month you turn 65?

The date your coverage starts depends on which month you sign up during your Initial Enrollment Period. Coverage always starts on the first of the month. If you qualify for Premium-free Part A: Your Part A coverage starts the month you turn 65.

Will I automatically be enrolled in Medicare?

Yes. If you are receiving benefits, the Social Security Administration will automatically sign you up at age 65 for parts A and B of Medicare. (Medicare is operated by the federal Centers for Medicare & Medicaid Services, but Social Security handles enrollment.)

What is the initial enrollment period for Medicare Part B?

Initial Medicare Enrollment Period: 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.

What are the 3 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.

What is the difference between Medicare open enrollment and general enrollment?

“Medicare Open Enrollment” doesn't generally refer to Original Medicare. You generally can sign up for Medicare Part A and/or Part B: During your Medicare Initial Enrollment Period, when you're first eligible for Medicare. During the Medicare General Enrollment Period, which runs from January 1 – March 31 every year.

What is initial coverage election?

The ICEP, or the Initial Coverage Election Period, refers to the period during which people who are newly eligible for Medicare can enroll in a Medicare Advantage plan. During the ICEP, your clients can enroll in a Medicare Advantage health plan with or without prescription drug coverage.

Do you have to enroll in Medicare Part B every year?

Do You Need to Renew Medicare Part B every year? As long as you pay the Medicare Part B medical insurance premiums, you'll continue to have the coverage. The premium is subtracted monthly from most people's Social Security payments. If you don't get Social Security, you'll get a bill.

What is my Medicare eligibility date?

For Original Medicare, Part A and Part B, a simple way to determine your exact Medicare effective date is to refer to the lower right corner of your Medicare card or to refer to your letter from either the Social Security Administration or the Railroad Retirement Board.

What is Medicare initial enrollment period?

The Medicare Initial Enrollment Period is the first enrollment period beneficiaries will encounter. Below we’ll discuss what you need to know about YOUR Medicare Initial Enrollment Period.

When does Medicare Advantage start?

During this period, you can enroll in Medicare Advantage or a Part D prescription drug plan. Coverage will begin on July 1st of the following year.

How long does Medicare enrollment last?

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.

How long after your birthday can you enroll in Medicare?

Should you enroll in the three months following your birthday, your effective date will be the first of the month either three, five, or six months after your birthday month. This number goes up for each month you wait. For example, if you were born on June 11 and you enrolled in Medicare during the month of August (two months after your birthday), ...

When do you have to enroll in Medicare if you are not on Social Security?

If you’re not collecting Social Security by the time you age into Medicare at 65, you’ll need to actively enroll yourself. If you have Social Security or Railroad Retirement Board disability for at least 24 months, you qualify for automatic enrollment as well. Your Medicare card is mailed out about three months before the 25th month ...

When does Medicare start if you missed the 7 month window?

Keep in mind, if you enroll during the annual GEP, your Medicare will not start until July 1st.

When does IEP start?

If your birthday falls on the first of the month, your IEP will begin the first day of the month four months prior to your birthday month.

When do you get Medicare if you have Social Security?

If you’ve been getting Social Security benefits or benefits from the Railroad Retirement Board for at least four months before your 65th birthday , you will be automatically enrolled in Medicare Parts A and B when you turn 65. 14

How long does it take to get Medicare at 65?

This is called the initial enrollment period: It begins three months before the month in which you turn 65 and ends three months after , for a total of seven months. If you miss the initial enrollment period, you may have to pay lifetime penalties if you enroll later. Here’s more information on the initial enrollment period and why it’s important.

What is Medicare Part C?

Medicare Part C is known as Medicare Advantage. It’s coverage offered by private companies that contract with Medicare to facilitate delivery of your Part A and Part B benefits—you’re required to be enrolled in both Medicare Parts A and B to get a Medicare Advantage plan. Many plans also offer prescription drug coverage, similar to Part D, as well as features not available with Original Medicare like hearing, vision, and dental benefits.

How long does Medicare enrollment last?

The Medicare initial enrollment period lasts for seven months. It begins three months before the month of your 65th birthday, and includes your birth month and the three months that follow your birth month.

What is the average Medicare premium for 2022?

The average monthly premium in 2022 for Medicare Advantage plans will be $19. 7

How long does it take to enroll in Medigap?

Once you’re enrolled in Part B, you have a six-month period to enroll in Medigap during the Medigap open enrollment period. During this time, insurance companies can’t deny coverage or charge you more for health issues or preexisting conditions.

How much will Medicare premiums be in 2021?

The amount you pay depends on how long you or your spouse worked and paid Medicare taxes. In 2021, the monthly premiums are either $259 (for those who paid Medicare taxes for 30-39 quarters) or $471 (if you paid Medicare taxes for less than 30 quarters). In 2022, Part A premiums are projected to be $274 and $499, again, depending on how long you paid Medicare taxes. 5

How to apply for medicare?

Signing up for Medicare 1 Apply on the Social Security website 2 Visit your local Social Security office 3 Call Social Security at 1-800-772-1213 (TTY: 1-800-325-0778) 4 If you worked for a railroad, call the Railroad Retirement Board at 1-877-772-5772 5 Complete an Application for Enrollment in Part B (CMS-40B)

What is Medicare Advantage?

Medicare Advantage is an alternative to Original Medicare. It allows you to receive Medicare benefits from a private insurance company. Many Medicare Advantage plans also provide additional benefits such as dental, vision and prescription drug coverage. You can enroll in a Medicare Advantage plan during your IEP or during ...

Do you have to pay a penalty for Medicare Part B?

However, if you decide later that you do want Medicare Part B, you may have to pay a penalty for as long as you have it. You may also be eligible to sign up during a Special Enrollment Period if you are eligible. If you don’t sign up during your Initial Enrollment Period and don’t qualify for special enrollment, ...

Do people automatically enroll in Medicare?

Many people are automatically enrolled in Medicare once they qualify.

Does Medicare Part D cover prescription drugs?

Medicare Part D prescription drug plans can cover many retail prescription drugs, which Original Medicare (Part A and Part B) doesn't typically cover. You can enroll in a Medicare Part D plan during your Initial Enrollment Period. If you don't sigh up for Medicare prescription drug coverage when you're first eligible, ...

Medicare basics

Start here. Learn the parts of Medicare, how it works, and what it costs.

Sign up

First, you’ll sign up for Parts A and B. Find out when and how to sign up, and when coverage starts.

When is Medicare open enrollment?

The Medicare Advantage Open Enrollment Period (MAOEP) runs from January 1 through March 31.

When do you turn 65 and get Medicare?

As before, let’s imagine you turn 65 on August 16 and are newly eligible for Medicare. However, because you’re still employed and have employer group health plan coverage, you decide to enroll in Part A during the IEP and delay joining Part B.

How to qualify for ICEP?

How Do I qualify for an ICEP? To trigger an ICEP and join a Medicare Advantage plan, you must have both Medicare Part A and Medicare Part B coverage . Also, your permanent residence must be within the service area of your chosen Medicare Advantage plan. If you don’t enroll in Part B during the IEP, you cannot enroll in a Medicare Advantage plan ...

What is ICEP in Medicare?

Your Medicare Initial Coverage Election Period (ICEP) provides your first opportunity to enroll in a Medicare Advantage (Part C) plan. This guide looks at what you can do during the ICEP and how it differs from other Medicare enrollment periods.

What is Medicare OEP?

What is the Medicare OEP? 1 The Medicare Advantage Open Enrollment Period (MAOEP) runs from January 1 through March 31. It allows people currently enrolled in a Medicare Advantage plan to make a one-time change. For example, you could switch to a different Medicare Advantage plan or disenroll from your Medicare Advantage plan and return to Original Medicare. You cannot change from one Part D plan to another. 2 There is also the fall Medicare Open Enrollment Period (OEP) mentioned earlier, which runs from October 15 through December 7 each year. During the OEP, you can join, switch or leave a plan, with changes to coverage beginning on January 1 of the following year.

What is Medicare Advantage?

Private insurance companies sell Medicare Advantage plans that replace your Original Medicare coverage. These options provide at least the same healthcare coverage as Original Medicare. Many people prefer them because they often offer additional benefits, such as prescription drug coverage and wellness benefits.

When is the AEP enrollment period?

The AEP (sometimes also called the fall Medicare Open Enrollment Period) runs from October 15 through December 7 , with coverage beginning January 1 the following year. If you wish to enroll in a Medicare Advantage plan, it’s essential to understand how the IECP works in your circumstances so as not to miss the enrollment window.

How long before Medicare card is sent out?

We’ll mail you a welcome package with your Medicare card 3 months before your Medicare coverage starts.

How long do you have to sign up for Part A?

You get Part A automatically. If you want Part B, you need to sign up for it. If you don’t sign up for Part B within 3 months of turning 65, you might have to wait to sign up and pay a monthly late enrollment penalty.

How long after you sign up for Part A do you have to sign up for Part B?

You get Part A automatically. If you want Part B, you need to sign up for it. If you don’t sign up for Part B within 3 months after your Part A starts, you might have to wait to sign up and pay a monthly late enrollment penalty.

When is Medicare open enrollment?

The Medicare Annual Enrollment Period (AEP), also known as the fall Medicare Open Enrollment period, occurs every fall, from Oct. 15 to Dec. 7. During this enrollment period, you can sign up for a Medicare Advantage plan, switch from one Medicare Advantage plan to another or disenroll from Medicare Advantage in order to return to Original Medicare

How long does it take to get Medicare Advantage after IEP?

If you enroll in Medicare Part B after your IEP, you then become eligible for an ICEP and Medicare Advantage enrollment. This eligibility period lasts three months.

What is a Medigap plan?

A Medigap plan helps pay for out-of-pocket Medicare costs such as deductibles, copays, coinsurance and more. You typically pay a monthly premium for your Medicare Supplement plan, and in exchange you have more predictable health care spending. Depending on which type of Medigap plan you apply for, you may not face many or any out-of-pocket costs when you use your Medicare coverage.

How long does Medicare IEP last?

Your Medicare IEP begins three months before the month of your 65 th birthday, includes your birthday month and continues for the next three months, for a total of seven months. You must be enrolled in both Part A and Part B in order to qualify for Part C coverage. If you enroll in both A and B during your Medicare IEP, ...

What is ICEP in Medicare?

The Initial Coverage Election Period (ICEP) is when you can enroll in a Medicare Advantage Part C plan for the first time. You first must have Original Medicare Part A and Part B before you can enroll in a Medicare Advantage plan. Medicare is broken up into a several parts, all carrying a letter: Parts A,B,C and D.

What is a Medicare SEP?

Another type of Medicare enrollment period is a Special Enrollment Period (SEP). A Medicare SEP may be allowed at any other time during year for certain people who experience a qualifying life event, such as: Moving to a new Medicare service area. Losing other health care coverage. An opportunity to get other coverage.

When does IEP start?

Your IEP begins three months before April and runs three months after that – January through July. You can choose to enroll in both Part A and Part B during this time. If you do, your ICEP runs concurrently, so you can choose to also enroll in a Medicare Advantage plan. However, you can choose to enroll only in Part A and not in Part B.

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