You mark every important date in your life on the calendar: a grandchild’s birthday, your wedding anniversary, summer vacation, even doctor appointments. But there are other critical moments you’ll want to make sure to remember, too — like when you can sign up for a Medicare plan.
The timeframe for enrolling in a Medicare plan is called an enrollment period.
You have a seven-month window around the month you turn 65 to first sign up for a Medicare plan.
If you miss the right time to enroll, your coverage may be delayed, or you could face penalties later on. And that may end up costing you more.
Here are the key enrollment periods you need to know:
Congratulations, you’re turning 65! Now you can enroll in a Medicare plan. You have a seven-month window to join during this period — from three months before the month you turn 65, through your birthday month and three months after the month you turn 65. During this time, you can:
If you don’t sign up for Medicare Parts A and B or Part D when you’re first eligible, you could face penalties in the form of higher premiums. Read more about avoiding penalties.
Tip: If you’re already receiving Social Security when you turn 65, you will be automatically enrolled in Original Medicare (Parts A and B).
If you’re looking to supplement your Original Medicare coverage to help with additional costs, the best time to buy a Medicare Supplement plan is during the six-month enrollment period that starts the first day of the month you turn 65 — as long as you have signed up for Medicare Part B.
If you don’t sign up for a Medicare Supplement plan during this Open Enrollment Period, you may not be able to buy a Medicare Supplement plan. Unless you have a guaranteed issue right, you may be required to answer medical questions in order to qualify for coverage.
You can also sign up for Part A and/or Part B between January 1 and March 31 each year if both of these conditions apply:
Your coverage will start July 1. And you may be subject to penalties.
Anyone can make changes to their coverage and enroll in a Medicare plan each year, from October 15 to December 7.
If you choose to make a change during the Annual Enrollment Period, your new coverage won’t begin until January 1.
Tip: If you’re happy with your current coverage, you’re not required to make a change. In most cases, your current Medicare plan will automatically renew on January 1.
This period takes place from January 1 through March 31 annually. It allows individuals enrolled in a Medicare Advantage plan to make a one-time election to go to either another Medicare Advantage plan or Original Medicare.
In either case, your new coverage will start on the first day of the month following the month you make a change.
Tip: If you go back to Original Medicare, you can also add a Medicare Supplement plan. However, unless you’re still within the six-month Medicare Supplement Enrollment Period, the insurance companies are no longer required to accept your Medicare Supplement plan application.
Medicare Advantage plans can only be purchased from private insurers, such as Aetna. Medicare Advantage plans may also include prescription drug coverage. Learn more about Medicare Advantage here.
In situations like the ones below, you may be able to join, switch or drop a Medicare Advantage or prescription drug plan outside the basic enrollment periods.
Moving out of your plan’s service area
Losing your current health care or prescription drug coverage
For example, you may lose your current coverage when you leave your job. You have two months after you lose your coverage to sign up for a new plan. Your coverage will begin the first day of the month after you sign up.
You can sign up once per calendar quarter during the first nine months of the year. Your coverage will begin the first day of the month after you qualify or ask to join a new plan. Learn more about how to qualify for financial assistance.
You can also switch to a 5-star Medicare Advantage plan or 5-star Medicare prescription drug plan once a year, from December 8 to November 30 of the next year.
The Medicare Star Ratings is an independent ratings system that allows consumers to evaluate plan performance on a number of factors. The Centers for Medicare and Medicaid Services created these star ratings for consumers.
Health insurance companies strive to make sure their Medicare plans are high quality and achieve at least four stars. Learn more about Medicare Star Ratings.
Once you’ve picked the enrollment period that fits your situation, you can sign up for a plan that’s right for you. Read on for a checklist of the items you’ll need to proceed.
Christina Joseph Robinson is a veteran editor and writer from New Jersey who still loves to read the old-fashioned newspaper. She’s raising two fruit-and-veggie loving daughters to balance all the treats Grandma sends their way. Christina’s health goal is to resume her workout routine after being sidelined by injuries.
Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal.
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