Medicare Blog

when is open enrollment on ssi medicare

by Tara Turcotte PhD Published 2 years ago Updated 2 years ago

You can enroll during your IEP (as explained under the “Signing up for Medicare” section), the first time you're eligible for Medicare. You can also enroll during the annual Medicare open enrollment period from October 15 to December 7 each year. The effective date for the enrollment is January 1 of the following year.

Full Answer

What states have open enrollment?

The open enrollment period on Maryland Health Connection, the state’s healthcare insurance marketplace, will continue through February, Governor Larry Hogan announced this week. Enrollment, which began Nov. 1 and was set to end Jan. 15, will run until Feb. 28.

When does Medicare supplement open enrollment occur?

Medicare Supplement plans, also known as Medigap, have an Open Enrollment Period that runs concurrently with the Initial Election Period. This Open Enrollment Period, as it has long been known, lasts for 13 months. It begins 6 months before your 65 birthday, includes the month of your 65 birthday, and continues for 6 months after your 65 birthday.

When can you start applying for Medicare?

You’re first eligible to sign up for Medicare 3 months before you turn 65. You may be eligible to get Medicare earlier if you have a disability, End-Stage Renal Disease (ESRD), or ALS (also called Lou Gehrig’s disease). Follow these steps to learn about Medicare, how to sign up, and your coverage options. Learn about it at your own pace. Step 1

When is it too late to enroll in Medicare?

You may owe a late enrollment penalty if at any time after your Initial Enrollment Period is over, there's a period of 63 or more days in a row when you don't have Medicare drug coverage or other


Does Social Security automatically enroll you in Medicare Part A?

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.)

How does Medicare work with SSI?

It is possible to get both Medicare and Medicaid. States pay the Medicare premiums for people who receive SSI benefits if they are also eligible for Medicaid. If you get SSI and have Medicare, you will also be eligible for Extra Help with Medicare Prescription Drug Coverage without filing a separate application.

Can I apply for Medicare and SSI at the same time?

Ready To Start Medicare? If you'll turn 65 within three months, you can use our online application to apply for Medicare and Social Security retirement benefits at the same time, or you can use it to apply for just Medicare.

What is the initial open enrollment period for Medicare?

7 monthsYour 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.

Does Medicare automatically come with disability?

If you're on SSDI benefits, you won't have to pay a Medicare Part A premium. If you are eligible for Medi-Cal and Medicare, you will automatically be enrolled in Medicare Part D.

How much does Social Security take out for Medicare each month?

The standard Medicare Part B premium for medical insurance in 2021 is $148.50. Some people who collect Social Security benefits and have their Part B premiums deducted from their payment will pay less.

How many months in advance should you apply for Social Security benefits?

four monthsYou can apply up to four months before you want your retirement benefits to start. For example, if you turn 62 on December 2, you can start your benefits as early as December, and apply in August. Even if you are not ready to retire, you still should sign up for Medicare three months before your 65th birthday.

What is the best month to start Social Security?

Individuals first become eligible to receive a benefit during the month after the month of their 62nd birthday. So, someone born in May becomes eligible in June. Since Social Security pays individuals a month behind, the person will receive the June benefit in July.

Which do you apply for first Social Security or Medicare?

First, you'll file an application to receive your Social Security benefits. When you reach age 65, because you were already getting benefits from Social Security, Medicare will automatically enroll you in Part A hospital coverage and Part B medical coverage beginning on the first day of the month that you turn 65.

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.

What changes are coming to Medicare in 2022?

Changes to Medicare in 2022 include a historic rise in premiums, as well as expanded access to mental health services through telehealth and more affordable options for insulin through prescription drug plans. The average cost of Medicare Advantage plans dropped while access to plans grew.

What documents do I need to apply for Medicare?

What documents do I need to enroll in Medicare?your Social Security number.your date and place of birth.your citizenship status.the name and Social Security number of your current spouse and any former spouses.the date and place of any marriages or divorces you've had.More items...

When is Medicare open enrollment?

Medicare open enrollment – also known as Medicare’s annual election period – runs from October 15 through December 7 each year. (Although Medicare’...

What plan changes can I make during the Medicare open enrollment period?

During the Medicare open enrollment period, you can: Switch from Original Medicare to Medicare Advantage (as long as you’re enrolled in both Medica...

How do I enroll in Medicare Advantage?

To join a Medicare Advantage Plan, you will need to have Original Medicare (Part A and Part B) coverage and live in an area where an Advantage plan...

When can I enroll in Medicare Part D?

The first opportunity for Medicare Part D sign up is when you’re initially eligible for Medicare – during the seven-month period beginning three mo...

How do I enroll in a Medicare Supplement (Medigap) plan?

During your initial Medigap enrollment period (the six months starting with the month you’re at least 65 years old and enrolled in Medicare A and B...

When does Medicare change plans?

Medicare health and drug plans can make changes each year—things like cost, coverage, and what providers and pharmacies are in their networks. October 15 to December 7 is when all people with Medicare can change their Medicare health plans and prescription drug coverage for the following year to better meet their needs.

What is an ANOC in Medicare?

People in a Medicare health or prescription drug plan should always review the materials their plans send them, like the “Evidence of Coverage” (EOC) and “Annual Notice of Change” (ANOC). If their plans are changing, they should make sure their plans will still meet their needs for the following year.

When is open enrollment for Medicare?

If you have a Medicare health or prescription drug plan, you should review and compare coverage options. The Open Enrollment runs through December 7 and is the time you can make changes to your plan. Even if you’re happy with your current coverage, you might find a better fit for your budget or your health needs.

How to get started on Medicare Open Enrollment?

These are a few easy ways to get a jump-start on your Medicare Open Enrollment. For more information, call 1-800-MEDICARE (1-800-633-4227) and say “Agent.”. TTY users should call 1-877-486-2048. Help is available 24 hours a day, including weekends.

Why is it important to have a routine for Medicare?

Routines help keep us focused, organized, and even healthy. However, if your health routine doesn’t include preparing for Medicare’s Open Enrollment, now’s the time to kick-start a new healthy habit.

What does a star mean on Medicare?

Plans are rated for quality on a one- to five-star scale: one star represents poor performance and five stars represent excellent performance. Be sure to use the ratings to compare the quality of any health and drug plans you are considering. These are a few easy ways to get a jump-start on your Medicare Open Enrollment.

What Is a Medicare Supplement Plan?

Medicare consists of Part A which covers hospital, skilled nursing and hospice costs, and Part B which covers medically necessary services and supplies. Part A and Part B are often referred to as Original Medicare.

Who Is Eligible To Enroll in a Medicare Supplement Plan?

To be eligible for Medigap, you must first be eligible for Original Medicare and enrolled in Part A (hospital insurance) and Part B (medical insurance).

When Is Open Enrollment for Medicare Supplement Plans?

The six-month window (which is your initial Medigap Open Enrollment Period) is the best time to buy a Medigap policy. It begins on the first day of the month in which you’re both 65 or older and enrolled in Medicare Part B. Some states have additional Open Enrollment Periods, including ones for people under 65.

What Are Guaranteed Issue Rights?

Guaranteed Issue rights refer to, “your rights to buy certain Medigap policies in certain situations outside of your Medigap Open Enrollment Period,” according to the Centers for Medicare and Medicaid Services.

Can You Enroll in Medicare Supplement Plans at Other Times?

Medicare’s open enrollment period, which is Oct. 15 through Dec.7 annually, allows you to make changes to your health and drug coverage. But 57% of Medicare enrollees don’t take advantage of the potential money-saving option to compare their Medicare coverage choices, according to data from the Kaiser Family Foundation [5].


Empowering Beneficiaries and Modernizing Medicare Enrollment. Better Medicare Alliance. Accessed 09/22/2021.

Answer a few questions to find out

These questions don’t apply if you have End-Stage Renal Disease (ESRD).

Do you have health insurance now?

Are you or your spouse still working for the employer that provides your health insurance coverage?

How long do you have to wait to get Medicare if you have Social Security Disability?

Social Security Disability Insurance (SSDI) & Medicare coverage. If you get Social Security Disability Income (SSDI), you probably have Medicare or are in a 24-month waiting period before it starts. You have options in either case.

What is SSI disability?

Supplemental Security Income (SSI) Disability & Medicaid coverage. Waiting for a disability status decision and don’t have health insurance. No disability benefits, no health coverage. The Marketplace application and disabilities. More information about health care for people with disabilities.

Can I enroll in a Medicare Marketplace plan if I have Social Security Disability?

You’re considered covered under the health care law and don’t have to pay the penalty that people without coverage must pay. You can’t enroll in a Marketplace plan to replace or supplement your Medicare coverage.

Can I keep my Medicare Marketplace plan?

One exception: If you enrolled in a Marketplace plan before getting Medicare, you can keep your Marketplace plan as supplemental insurance when you enroll in Medicare. But if you do this, you’ll lose any premium tax credits and other savings for your Marketplace plan. Learn about other Medicare supplement options.

Can I get medicaid if I have SSDI?

You may be able to get Medicaid coverage while you wait. You can apply 2 ways: Create an account or log in to complete an application. Answeryes” when asked if you have a disability.

Can I get medicaid if I'm turned down?

If you’re turned down for Medicaid, you may be able to enroll in a private health plan through the Marketplace while waiting for your Medicare coverage to start.

When does Medicare start dialysis?

If you qualify with ESRD:8. For most people, Medicare coverage will start on the 1st day of the 4th month of dialysis treatment. If you have an employer group health plan, Medicare will begin on the fourth month of dialysis. Treatments if you have employer coverage.

How long does it take to get Medicare at 65?

Just like when you become eligible for Medicare at age 65, when you are eligible with disability, you have an Initial Enrollment Period of 7 months. Your Initial Enrollment Period will begin after you have received either disability benefits from Social Security for 24 months or certain disability benefits from the Rail Road Retirement Board ...

How to qualify for ESRD?

Note, according to Medicare in order to qualify with ESRD all of the below must apply:9 1 Your kidneys no longer work 2 You need dialysis regularly or have had a kidney transplant 3 One of the following must be true for you:#N#You’re already eligible for or are currently getting Social Security or Railroad Retirement Board (RRB) benefits#N#You have worked the required amount of time under Social Security, the RRB or as an employee of the government#N#You are either the spouse or dependent child of someone who meets either of the above requirements

What is Medicare Made Clear?

Medicare Made Clear is brought to you by UnitedHealthcare to help make understanding Medicare easier. Click here to take advantage of more helpful tools and resources from Medicare Made Clear including downloadable worksheets and guides.

How long can you keep Medicare if you are disabled?

If you get Medicare due to disability and then decide to go back to work, you can keep your Medicare coverage for as long as you’re medically disabled.3 And, if you do go back to work, you won’t have to pay the Part A premium for the first 8.5 years.

Do you qualify for Medicare if you have SSI?

It is also important to note that these benefits are different from Supplemental Security Income (SSI) benefits, and that SSI benefits do not qualify you for Medicare.

Does Medicare cover Lou Gehrig's disease?

Special Circumstances: Medicare with ALS (Lou Gehrig’s Disease) or End-Stage Renal Disease (ESRD) Medicare eligibility rules for people with ALS (Lou Gehrig’s disease) or end-stage renal disease (ESRD) are different. Individuals who qualify for Medicare with ALS or ESRD do not have to wait for your 25th month of disability to be eligible ...

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