Am I eligible for a Special Enrollment Period if I lose employer coverage?
Answered by 121 licensed agents
Answered by Sean Davis on March 26, 2025
Broker Licensed in NY, LA, MD & 6 other states
Answered by Gary Church on June 2, 2026
Broker Licensed in Ca, AZ, NV & TX
So the question is, are you eligible for a special enrollment period if you lose employer coverage? The answer to that is yes. But here's the thing, and it's very, very strange the way they work this. When you lose your employer coverage, you have up to six months to get into Medicare, to sign up for Medicare. But here's the catch. You only have 60 days to sign up for the drug coverage part of Medicare. Why is it different? Who knows? Nobody knows. What I tell people is you try to coordinate when you leave your employer or lose your coverage, try to make it seamless. Figure out when the last day that you're going to lose coverage is and coordinate it to where your Medicare coverage picks it up the day after you lose coverage. So that’s seamless, you have no lapse in coverage.
Answered by Steve and Sue Brauer on July 30, 2025
Broker Licensed in AZ & CA
Answered by Mike Alexander on October 20, 2025
Broker Licensed in TX, AL, AR & 16 other states
Answered by Mark Bilgere on September 23, 2025
Broker Licensed in TX, AR, IN & LA, MN, NE & OK
Answered by William Lawler on March 26, 2025
Broker Licensed in MO, FL, IA & 12 other states
Answered by Larry Dalton on March 26, 2025
Broker Licensed in OK & TX
Answered by Christopher Boyd on March 4, 2025
Agent Licensed in IN, KY, MI, OH, PA & TN
Answered by Mark Maliwauki on March 4, 2025
Broker Licensed in ID, AZ, CA & 13 other states
Voss Speros, Greek god of Medicare, talking about Medicare. So the question is, am I eligible for a special enrollment period if I lose my employer coverage? If you're over 65 and you've opted not to go on Medicare and that coverage drops, yes, you can go on. You get a special election period to go on Medicare due to loss of coverage. If you are retiring and you're going on Part B for the first time, your retirement SEP or loss of coverage is if you're dropping the plan. So yes, if you have an employer plan and you're dropping it, yes. If you move out of your plan area and you're on an Advantage plan, you get an SEP to pick a new plan. If your Advantage plan drops entirely, you can go on a supplement plan. You get an SEP for loss of coverage. So yes, there is a loss of coverage SEP, a special election period to help you pick plans. Give us a call if you have any questions. We'll be more than happy to help.
Answered by Voss Speros on June 4, 2025
Broker Licensed in AZ, CA, CO & 19 other states
Answered by Ann Sanfelippo on October 8, 2025
Broker Licensed in FL, AL, AZ & 14 other states
Answered by Bill Wheeler on September 26, 2025
Broker Licensed in KY & IN
Answered by Charise Karjala on March 31, 2025
Broker Licensed in CA, AZ, CO, PA & WA
Answered by Lynn C Shurtleff on September 28, 2025
Broker Licensed in TN, AR, CO & 6 other states
Answered by Gregg Matheny on March 26, 2025
Agent Licensed in AZ & UT
Hi, Medicare Minutes are back with Medicare Misty. Good question we got today from a client: Am I eligible for a special enrollment period if I lose employer coverage? Great news! You are eligible for a special enrollment period if you lose your employer coverage. This means you can enroll in Medicare Part A and B and also get an Advantage plan.
Answered by Misty Bolt on May 12, 2025
Agent Licensed in TN, AL, AR & 46 other states
If you lose health coverage through your employer and you are eligible for Medicare, it warrants a Special Enrollment Period(SEP) and you can elect to enroll in your Medicare benefits.
If you have questions regarding SEPs, you can contact your Licensed Medicare Agent for answers and support, or visit the Medicare website for answers related to Enrollment and Special Enrollment Periods.
Website:
www.medicare.gov
Answered by Steven Litzsinger on October 1, 2025
Broker Licensed in MO & IL
Answered by Kelsey Hentzen on December 22, 2025
Broker Licensed in KS & MO
Answered by Marsha Reiniers on July 1, 2025
Agent Licensed in FL, GA, MI & NC, PA, SC & VA
Please note that COBRA coverage is not considered credible coverage by Medicare, so you will still need to apply for Medicare if you are offered Cobra.
Once your employer coverage ends, or your COBRA coverage begins there is a limited time you have to get your Medicare coverage before you will be penalized.
Please reach out to a professional Medicare Broker so they can help navigate you through the process.
Answered by Sandra Teel on May 27, 2025
Broker Licensed in WV, AZ, CA & 13 other states
Answered by Joseph Bachmeier on March 25, 2025
Agent Licensed in PA, AZ, DE & 5 other states
Answered by Dutch VanHoesen on March 27, 2025
Broker Licensed in FL
This is also true if you move out of your local area or your Medicare plan is discontinued.
If plan to retire, and have not had Medicare before, then you can plan in advance and then you will have up to 6 months to sign up for a Medicare Supplement Plan or 7 months ( three months before your birthdate, the month of your birthdate ane three months after your birthdate to sign up for a Medicare Advantage Plan or Prescription Drug plan.
Answered by Esther Miller on January 19, 2026
Agent Licensed in WA
Answered by Lilyana Uzdenova-Gomez on March 23, 2026
Broker Licensed in FL
However, for enrolling in or changing a Medicare Advantage (Part C) plan or a stand-alone Part D prescription drug plan, you have only a two‑month SEP that begins immediately after the month your employer coverage ends
Answered by David Wynne on September 2, 2025
Broker Licensed in SC, MI, NC & PA
Answered by Amy Putrino on June 19, 2025
Agent Licensed in RI, AZ, CT & 12 other states
Answered by Mitch Anderson on March 25, 2025
Agent Licensed in MN, IA & WI
• For Original Medicare (Part A and/or Part B), you have 8 months from the date your group health plan ends or you stop working — whichever comes first—to enroll without penalty. This only applies if your coverage was through active employment (not COBRA or retiree coverage).
• For Medicare Advantage (Part C) and Part D (prescription drug coverage), the SEP is shorter: you have 2 months from the date your employer coverage ends to sign up.
Key points:
• The 2-month SEP for Part C and Part D starts when your employer coverage ends — not when employment ends.
• Missing this window may mean waiting until the next Annual Enrollment Period and possibly facing late enrollment penalties.
Answered by Rodney Powell on August 1, 2025
Broker Licensed in TX, AK, AL & 33 other states
8 months
Your Special Enrollment Period begins when you retire or lose your employer coverage, whichever happens first. You will have up to 8 months to enroll in Parts A and/or B, but only the first two months to enroll in Parts C and/or D.
Answered by Jeffrey Jon on June 30, 2025
Agent Licensed in TX
Answered by Jake Purvis - CMIP on February 9, 2026
Broker Licensed in FL, GA & TX
Answered by Joel Gregory Craven on August 5, 2025
Broker Licensed in MS, AL, AZ & 5 other states
Answered by Mark Sannes on March 5, 2026
Broker Licensed in WA, AK, AZ & 11 other states
In summary, when you end employment (voluntarily or not)after you're 65 and 3 months old, you can apply for Medicare through a Special Enrollment Period (SEP) and start the following month on the 1st of the month.
I recommend reaching our with any further questions to a Licensed Broker/Agent to guide you through the process.
Answered by Brenda Trejos on May 26, 2025
Broker Licensed in CA, AR, AZ & 28 other states
Most people also would not have a late enrollment penalty fee due to having employer coverage after 65 till getting on full Medicare.
Answered by Annelies Van Schie on October 28, 2025
Broker Licensed in TX, AZ, FL, NC, OK & SD
Answered by Jennifer Sigman on November 24, 2025
Broker Licensed in OH, AL, IA & 12 other states
Answered by Nolan Popel on June 23, 2025
Agent Licensed in NY, AZ, CA & 15 other states
Answered by Travis Harmon on September 3, 2025
Broker Licensed in OR, AL, AZ & 6 other states
Answered by Derek Rogers on February 2, 2026
Broker Licensed in FL
Answered by Pamela Camey on March 28, 2025
Broker Licensed in IL, FL, IA & 6 other states
Answered by Thomas Ashton on March 29, 2025
Broker Licensed in FL, AL, AZ & 6 other states
Answered by Jason Hark, MBA, CMIP on June 4, 2025
Broker Licensed in IL, AL, AR & 17 other states
During this time, you can enroll in Medicare Part A, Part B, or both, depending on your situation. You’ll also have the opportunity to choose your coverage moving forward—either a Medicare Supplement with a Part D prescription drug plan or a Medicare Advantage (MAPD) plan.
Answered by Melissa Foster on March 23, 2026
Broker Licensed in OK, AL, AR & 9 other states
Answered by Justin Lucas on May 8, 2025
Broker Licensed in IN, FL, IA & 11 other states
Period if you move, lose your employer coverage.
Weather disaster,, etc.
Answered by Karen Boudreaux on March 13, 2025
Agent Licensed in TX, AZ, CA & 5 other states
Answered by Frank Buonomo on March 25, 2025
Agent Licensed in NV, CA, ID & IL, NM, OR & TX
Answered by William Kravit on March 25, 2025
Agent Licensed in WI, AZ, CO & 9 other states
Answered by Morris Johnson on April 20, 2025
Agent Licensed in KS
Answered by Sandy Swink on June 1, 2026
Broker Licensed in SC, GA, NC & TN
Answered by Steven Bleicher on May 25, 2025
Broker Licensed in AZ
Source: Medicare & You 2024.
Answered by Andrew Zurbuch, MBA on January 20, 2026
Broker Licensed in IN, FL, KY, MO, OH & TN
Answered by Steve Houchens on April 2, 2025
Agent Licensed in KY & TN
Answered by Jim Tretola on October 9, 2025
Broker Licensed in NJ, CA, CT & 6 other states
1) After losing employer coverage, you only have 63 days to enroll in either stand alone Medicare Part D a Medicare Advantage plan that includes prescription drug coverage. It’s important to apply/signup for Medicare Part & Part B as soon as possible.
Answered by Timothy Brown on June 20, 2025
Broker Licensed in PA, CT, DE & 15 other states
Answered by Ron Cronwell on October 20, 2025
Agent Licensed in TN
Answered by Michael Pyers on March 26, 2025
Broker Licensed in OH & MI
Answered by Kris Moen on April 20, 2026
Agent Licensed in ND
Answered by Hannah Skinner on July 14, 2025
Agent Licensed in SC, AL, AR & 44 other states
Answered by Cleo Martin on August 8, 2025
Agent Licensed in SC, FL, GA, MI & NC
Answered by Melanie Blackston on May 28, 2025
Broker Licensed in SC, GA & NC
Answered by Lea Vollmer on October 30, 2025
Broker Licensed in IL, AL, AZ & 7 other states
Hope this helps. Call if you need more information.
Dawn Young
HealthMarkets Insurance Agency
Answered by Dawn Young on September 2, 2025
Agent Licensed in OK & TX
Answered by Stephanie Yarberough on April 20, 2026
Broker Licensed in PA
Answered by Gretchen Morris on March 4, 2025
Broker Licensed in MN, AZ, FL & WI
Answered by Heidi Wotton on January 2, 2026
Agent Licensed in ME, FL, LA & 7 other states
Answered by Chris Vari on March 2, 2026
Agent Licensed in PA
It's important to note that if you are over 65 you will need a form from your employer that confirms you had coverage from age 65.
An experienced agent can guide you through the process!!!
Answered by Kathy Olejniczak on January 26, 2026
Agent Licensed in FL, GA, MI & 6 other states
Answered by Lea Ayres on March 12, 2025
Broker Licensed in PA, CT, MD & 8 other states
Answered by Robert Jones on September 4, 2025
Agent Licensed in CT
Answered by Diane Walker on November 13, 2025
Agent Licensed in IL & IN
losing health coverage,
moving,
getting married,
having a baby,
adopting a child,
if your household income is below a certain amount.
Answered by Fred Manas on April 15, 2025
Agent Licensed in NY, CT, DC & 7 other states
Answered by Vachik Chakhbazian on June 1, 2025
Agent Licensed in CA, AL, AR & 22 other states
If you missed that 63-day. You will not be able to sign up for Medicare until the next January of the next year
Answered by Gary Henderson on June 4, 2025
Agent Licensed in TX, AK, AL & 46 other states
Answered by Andrew Kramer on June 6, 2025
Agent Licensed in FL
Answered by Carol Thompson on May 11, 2025
Broker Licensed in FL, LA, MI & NC, SC, VA & WI
Answered by Mark Boone on October 2, 2025
Agent Licensed in MN, FL, MI & NC, OH, SC & VA
Answered by Marcie Barnes on May 26, 2025
Agent Licensed in TX, AK, AL & 48 other states
Day window. Either Medicare Part A and B. Along with a Medicare supplement. Also a Part D for your medication. Or a Medicare advantage as long as your dr and hospital is on it
Answered by Mike Henry on July 14, 2025
Agent Licensed in TX
Answered by Deborah Webster on July 10, 2025
Broker Licensed in Ia & SC
Answered by Jennifer Kalbach on July 21, 2025
Agent Licensed in KY
Loss of Employer Coverage is definitely one. There are certain limits, so please contact your Agent to find the plan that works best for you.
Thank you
Answered by Pat Papson on December 22, 2025
Agent Licensed in NM
Answered by Carol Conner on March 10, 2026
Broker Licensed in TX
Answered by Eizel Mere on September 22, 2025
Broker Licensed in FL
The timing matters, so it’s important not to wait too long to avoid late penalties or gaps in coverage. If you want, I can help you walk through the next steps and make sure everything lines up correctly.
Answered by Antonio Rodriguez on December 18, 2025
Broker Licensed in OR
Answered by Adam Ernst on December 19, 2025
Agent Licensed in NC, SC & TN
Answered by Linda Davies on May 22, 2025
Agent Licensed in IL
Answered by John Motsinger on August 31, 2025
Agent Licensed in KY, CO, FL & 9 other states
Loss of employer coverage is one of the standard SEP‘s. You have to get signed up rather quickly, preferably within 30 days after losing your employer coverage.
Answered by Jim Willis on May 12, 2025
Broker Licensed in AZ, CA, CO & 12 other states
Answered by Amy Jones on April 6, 2026
Broker Licensed in WV, AL, AZ & 29 other states
Answered by John L Herman Jr on March 25, 2025
Broker Licensed in MD, DE & PA
Answered by Natalee Nimmo on January 12, 2026
Broker Licensed in SC, FL, GA & KY, MO, NC & TX
Answered by Claudia Englert on November 28, 2025
Broker Licensed in OH
Answered by Ashley King on October 17, 2025
Broker Licensed in MD, AL, AR & 9 other states
Answered by Lyle Affleck on March 9, 2026
Agent Licensed in UT, CO, FL & 8 other states
It is best to talk to a licensed agent to assist in fully understanding what you need to do and your available options.
Answered by Tonya Mowan on December 15, 2025
Agent Licensed in AR, MO & OK
Answered by Anthony Albano on February 9, 2026
Agent Licensed in FL
Answered by Alyssa Gonzales on August 9, 2025
Broker Licensed in Tx, CO, IA & 9 other states
Answered by Samantha Jones on September 29, 2025
Agent Licensed in Ky, AL, AR & 29 other states
**Please note that COBRA does not count as creditable coverage, as it is not considered employer coverage. That said, there is not an SEP if you have COBRA and it ends.
Answered by Elizabeth Henderson on March 2, 2026
Broker Licensed in TX, AZ, CA & 11 other states
Answered by Jessica Ellis on October 2, 2025
Broker Licensed in OK
Tags: Coverage Eligibility
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