Medicare Questions & Answers: Enrollment Periods

Enrollment Periods Q&A

Showing 56 questions

Answered by Chad Cason Medicare Insurance Agent

Chad Cason

Lifelong Insurance Agency • Madison, GA

If a senior is turning 65 but still working, should they enroll in Medicare or delay it?

If you have employer-based health insurance through your or a spouse's current employment, where there are more than 20 employees, and you're happy with the costs, such as monthly deductions/premiums and coverage, like potential out-of-pocket costs, you can delay Medicare enrollment without accruing penalties. If this is you, it's best to schedule a quick call so we can discuss your situation. Chad
Answered by Leslie Kaz Medicare Insurance Agent

Leslie Kaz

Syndicated Insurance Agency LLC • Sherman Oaks, CA

I am on disability insurance Medicare now I will be 65 in October do I have to to sign up for Medicare again?

Since you’re already on Medicare due to disability insurance and will turn 65 in October 2025, you do not need to sign up for Medicare again. When you turn 65, your Medicare coverage will continue seamlessly, but your eligibility reason shifts from disability to age. This happens automatically—no need to reapply.
Answered by Maureen McKenna Medicare Insurance Agent

Maureen McKenna

McKenna Medicare Solutions, a Bridlewood affiliate • San Diego, CA

I just moved to a new state. Do I need to do anything with my Medicare coverage?

Yes, you will have 60 days to make a change upon arrival into your new state. This will vary by the type of plan you are enrolled in. Consult with an agent to avoid any penalties and missing deadlines.
Answered by Michael Pyers Medicare Insurance Agent

Michael Pyers

Health Insurance Options LLC • Mansfield, OH

I'm turning 65 soon, when can I enroll in Medicare?

3 months before your 65th birthday. And up to 3 months after. You may delay enrollment if you have a job that gives you creditable coverage if you want to delay signing up for Medicare. Normally if you are receiving Social Security you will be signed up automatically.
Answered by Gregg Matheny Medicare Insurance Agent

Gregg Matheny

Matheny Insurance Group • Prescott Valley, AZ

I'm turning 65 in three months but still working with employer coverage. Do I need to sign up for Medicare right now or can I wait?

You can wait as long as you are maintaining employer coverage. Medicare part A will still get assigned to you but (as long as you are not receiving SS benefits) not part B. When you do choose to leave employer coverage make sure you visit SSA.gov and “apply for Medicare part B only”. Keep in mind this may take at least a few weeks and you may have to collect some signatures from your employers HR dept so start this process at least a month before you plan on quitting/ leaving employer coverage.
Answered by William Gray Medicare Insurance Agent

William Gray

The Medicare Dude Independent Broker • Daytona Beach, FL

I'm planning to delay Social Security until age 70, but I'm turning 65 soon. How does this affect my Medicare enrollment?

You can still enroll at 65. You will need to do this from the SSA website or by visitin your SSA office.

If you don't enroll at 65 and don't have coverage through a group plan you will be penalized 1% per month for each month you don't have coverage.

You will be billed by Medicare for your part B premium 3 months at a time.
Answered by Steven Bleicher Medicare Insurance Agent

Steven Bleicher

Independent Representative • Oro Valley, AZ

I thought I signed up for both Part A and B when I got my Social Security, but now I'm getting bills for Part B. Did I miss something during the enrollment period?

Yup. If you don't speak to an experienced and honest agent, you won't know what your monthly payments will be. For example, there is a premium for the Part B, for the Part B one-time per year deductible, possibly a Medigap plan along with a Part D(rug) plan. If you want better coverage for the more expensive Dental, Vision & Hearing procedures, that can also be an extra cost per month. Sounds like you tried to get around using an agent whereas YOU are not paying for the agent's commission since the firm you chose pay the agents!
Answered by Diana Garner Medicare Insurance Agent

Diana Garner

American Senior Benefits • Hartford, KY

I'm confused about when I can change my Medicare plan. Can you clarify the different enrollment periods for me?

Medicare Advantage Plans (Part C) can be changed during the Annual Enrollment Period - October 15th to December 7th, or during the Open Enrollment Period - January 1st to March 31st. There are also some Special Election Periods that can be used, such as:

* You change where you live

* You lose your current coverage

* You have a chance to get other coverage

* Your plan changes its contract with Medicare

* Other special situations

Medicare Supplement plans can be changed at any time throughout the year if you qualify medically. Some states even have guaranteed issue periods such as 60 days following your birthday, loss of creditable coverage through employer or another plan, or if the plan exits the market.

Prescription Drug Plans (Part D) can only be changed during the Annual Enrollment Period - October 15th to December 7th, unless there is a Special Election Period that would allow you to change.
Answered by Tony Capraro III Medicare Insurance Agent

Tony Capraro III

State Farm • Manchester, NH

I'm worried about choosing the wrong plan and being stuck with it. How often can I change my Medicare coverage?

Ah, great question! I'm worried about choosing the wrong plan and being stuck with it for Medicare. How often can I change my Medicare coverage? Well, are we talking Medicare Supplement, Medicare Advantage Plan, or a Prescription Part D plan? These are all important questions and answers that you need to know before you make your choice. So, work with a professional like myself who deals with Medicare planning every single day. I helped three clients today and gave them great information so they can make good decisions.

What makes more sense? Do I do Medicare A and B, which is Original Medicare? Do I add a Medicare Supplement, which supplements A and B in my out-of-pocket costs? Or do I go for a Medicare Advantage Plan, which I can change every year, and they change every year?

So, do yourself a favor. Before you make any decisions, sit down with someone who knows this stuff inside and out so that you can make a great decision. Age 65 and Medicare decisions are hugely important. Let us help you!
Answered by Bruce Kern Medicare Insurance Agent

Bruce Kern

Premier Benefit Services • Wayne, NJ

I changed my plan during Open Enrollment and now I can't see my regular specialist. Isn't this what the whole review period is supposed to prevent?

The agent should have checked all of her doctors before they switched their policy. The client should of been aware of all of the benefits the new policy afforded her.
Answered by Terri Reagin Medicare Insurance Agent

Terri Reagin

HealthMarkets - Terri Reagin • Tulsa, OK

I want to switch to Medicare Advantage this year. How do I do this?

During the Annual Election Period (Oct 15-Dec 7) contact your local agent to enroll and your new plan will become effective January 1, 2026. If you are switching from a medicare supplement, its important to note that you'll have to call and cancel the supplement yourself it will not automatically happen.
Answered by Derrick Clevenger Medicare Insurance Agent

Derrick Clevenger

MidPlains Advisors • Kearney, NE

When is the best time of the year to start looking at Medicare options?

For seniors turning 65 - its best to start reviewing options 3 month prior to your birthday month. For Senior already receiving Medicare Benefits, it's important to review your Part D Prescription drug plans during Annual Enrollment Period, October 15 - December 7th. I encourage clients to review their Medicare Supplement rate annually after the first of the year.
Answered by Sandra Teel Medicare Insurance Agent

Sandra Teel

STeel Health Insurance Agent Specializing in Medicare • Martinsburg, WV

What should I do if I miss the Medicare Open Enrollment period, and I want to change my plan?

If you have a Medicare Advantage plan and you have missed your opportunity to make a change in the Open Enrollment Period, then perhaps you might have the ability to make a change using one of the several Special Enrollment Periods (SEP) that are allowed by Medicare.

Some of the SEP's include things like the following:

1) Have you moved to another county or state? Have you recently moved back to the United States after living abroad? Have you moved into or out of a skilled nursing facility?

2) Have you lost Medicaid? Or lost the Extra Help for prescription drugs? Did you lose the PACE program?

3) Have you recently been granted Medicaid or Extra Help with prescriptions? Do you have a Chronic condition like diabetes or heart disease?

4) You could join a 5-star rated plan

5) Were you affected by a FEMA disaster?

There are many other SEP's that you might possibly qualify for. So, talk to a local Medicare Insurance Broker to know all your options.
Answered by Steven Bleicher Medicare Insurance Agent

Steven Bleicher

Independent Representative • Oro Valley, AZ

I missed my Medigap window by a few months and now no one will cover me without underwriting. Why isn't this rule more well known?

The first thing that comes to mind is that you probably did not meet with a long-time Medicare professional agent who knows the ins & outs of its very quirky rules. In my opinion, enrolling with Medicare yourself online means that you may be bypassing the rules concerning the different periods during the year when one can enroll AND make changes.

The only thing for you to do at this point is to enroll with a Medicare Advantage plan temporarily (you HAVE the right to do this at anytime since you've never enrolled before by picking up Medicare Part B with a monthly premium). Then, when the Open Enrollment begins on October 15th thru Dec. 7th (to become effective on Jan. 1st of the following year), you have what is known as "a trial right", meaning since you have your very 1st Medicare plan for less that 12 months, you will be able to apply for a Medigap (a.k.a., Med. Supp.) without having to answer any medical questions concerning pre-existing conditions.

Using any online information only yields the more well-known tenets of Medicare. The best advice I could ever give anyone regarding THE most important aspect of your life: HEALTH, is to be certain to get a 2nd & even 3rd opinion from an independent rep who is also known as a broker. However, in using a "Captive Agent": one who only has allegiance to one insurance firm, is foolhardy since all companies who offer Medicare-compliant Advantage plans can vary the rules to a certain extent. Though I truly hope that most agents are honest/reliable and can cover the gamut of the regulations, as an instructor myself, I will deliberately "over"-emphasize the more important areas/rules to all of my clients. Good luck and if needed, call 1-800-MEDICARE so that the person on the other end who's trained for this, confirms what a trial right means.
Answered by Cody Hebden, MBA, CLU, FLMI Medicare Insurance Agent

Cody Hebden, MBA, CLU, FLMI

Insurance of the Carolinas • Mount Holly, NC

I have Medicare Part A and B since 06/01/2006 because of disability. My husband retired on 4/1/2024, and I now have no other coverage except for Medicare Parts A and B because I missed open enrollment for insurance coverage. Note: SS dropped SSI and changed it to straight SS. Please help.

I assume you are still under age 65 and that you implied that you had Medicare Part A&B PLUS your husband's employer provided healthcare (as additional coverage). Since he's now retired, and you've lost his coverage, you may have "guaranteed rights" to purchase additional private medicare supplemental insurance (like a medicare supplement), as long as you can prove that you had creditable coverage from his employer all this time. Any insurance company is going to want additional written evidence to prove this information. I suggest you reach out to a local medicare agent directly for more details and instruction.
Answered by Curtis Stoner Medicare Insurance Agent

Curtis Stoner

Senior Health and Wealth Solutions, LLC • Dickson, TN

Can I enroll in Medicare if I've never paid into Social Security due to working overseas?

Yes, you can enroll in Medicare even if you've never paid into Social Security due to working overseas. However, your eligibility and costs will depend on your residency status and work history.

Medicare Eligibility Without U.S. Work History

To qualify for Medicare, you must be either a U.S. citizen or a lawful permanent resident who has lived in the U.S. for at least five continuous years before applying.

While most people receive Medicare Part A (hospital insurance) premium-free by earning 40 work credits (approximately 10 years of work paying into Social Security), you can still enroll in Medicare by paying premiums if you haven't met this requirement

Costs Without Work Credits

Part A (Hospital Insurance): If you have fewer than 30 work credits, you'll pay the full premium for Part A. For 2025, this premium is up to $505 per month.

Social Security

Part B (Medical Insurance): Part B requires a monthly premium for all enrollees, regardless of work history. In 2025, the standard Part B premium is $185 per month
Answered by Terri Reagin Medicare Insurance Agent

Terri Reagin

HealthMarkets - Terri Reagin • Tulsa, OK

When will my provider send my Annual Notice of Change?

Usually the last few days in September or the first week in October. Be sure to ask your agent for any recent updates to your plan too!
Answered by Cynthia Nakaya Medicare Insurance Agent

Cynthia Nakaya

Licensed Agent • Jurupa Valley, CA

How does moving to a new state affect my Medicare enrollment timeline?

When you move out of a service area, whether from one county to another, or a different state, you must change plans if you have a Medicare Advantage (MA) or Prescription drug plan (PDP). The ability to change plans after a move falls under a Special Enrollment Period (SEP).

If you don't notify your plan before you move, you have the month you move and 2 months after (3 months total) to change plans. If you notify your plan before you move, you have the month before, the month of, and 2 months after (4 months total) to make a change.

Plans vary greatly by service area, so don't be surprised if you have different benefits, including maximum out-of-pocket, deductibles, co-pays, and co-insurance. Extra benefits may also differ from area to area.

Be advised that some counties with low populations don't have MA plans, so adding a supplement and a PDP may be your only option. Medicare Supplement SEPs are similar but exclude the month before a move. You can join a Medicare Supplement plan the month you move and up to 2 months after. Guaranteed issue is available ONLY if there is no MA plan available in your new service area.

Sound complicated? Contact me and I'll walk you through it.
Answered by Travis Harmon Medicare Insurance Agent

Travis Harmon

LaPorte Insurance, LLC • Portland, OR

When can I change my Medicare Advantage Plan?

When are you eligible to change your Medicare Advantage plan? There are three main times in the year that you're eligible to change your Medicare Advantage plan. One being in your enrollment period, which is October 15th through December 7th of every year. That's your opportunity to shop plans for the upcoming year and make your selection. The next is the Medicare open enrollment period, which is January 1st through March 31st of each year. This gives you a one-time opportunity to change plans if you weren't able to make a selection during the annual enrollment period or to say that you needed to make a change in those first three months of the year.

The next are special enrollment periods that can vary throughout the year. Maybe you lost employer group coverage, or you got Medicaid or extra help for your prescription drug costs. There are many different reasons. I would check with your broker or your agent, and they can help you figure out if you're eligible to change plans at that time. I hope this helps.
Answered by Michael Andrews Medicare Insurance Agent

Michael Andrews

Lifetime Insurance Solutions LLC • Wethersfield, CT

What is the Medicare Advantage 5-Star Special Enrollment Period? Is this different from '"OEP'" and "AEP"?

Hi, the question is: what is the Medicare Advantage 5 Star Special Enrollment Period, and is this different from OEP and AEP? Yes, the 5 Star Enrollment Period is basically if there's a Medicare Advantage plan in your area that's a 5 Star, meaning it has a rating of 5 stars, you can enroll in that plan at any time of the year. Here in Connecticut, we currently do not have any 5 Star plans that most people can enroll into, but if we ever get one, then you'd be able to enroll in that one at any time of the year. Thanks again!
Answered by Michael Andrews Medicare Insurance Agent

Michael Andrews

Lifetime Insurance Solutions LLC • Wethersfield, CT

When is a good time to start preparing for AEP?

The new Medicare plans become available for general public knowledge October 1st but no applications can be submitted until October 15th. I think a great time to start preparing for AEP would be in September just to make sure plans are in place, however, at the very least start October 1st.
Answered by Harold Randolph Medicare Insurance Agent

Harold Randolph

Licensed Broker • Charlotte, MI

Can I switch from a Medicare Advantage plan to Original Medicare with a Medigap plan mid-year if I’m diagnosed with a serious illness?

The short answer is no. Medicare advantage changes are generally only allowed during (AEP) annual enrollment period (Oct 15 - Dec 7). Then you get another chance to make one more change during (OEP) open enrollment period (Jan 1 - Mar 31). Any changes outside these dates need a special enrollment period (SEP) and a diagnosis of an illness isn’t necessarily a reason for one.

Medigaps are underwritten. If you have a serious illness you may not qualify. If you are still in your initial enrollment period (3 months before your birthdate, the month of, and 3 months after) of 7 months.

Harold Randolph

MI KY IN OH
Answered by David Silver Medicare Insurance Agent

David Silver

Dave Silver Insurance • Lakewood Ranch, FL

Why do so many seniors wait until the last minute to enroll in Medicare, and how can agents help prevent bad decisions?

Why Seniors Delay Enrollment:

1. Lack of Awareness or Understanding

Many seniors aren’t fully aware of their Medicare Initial Enrollment Period (IEP), the penalties for late enrollment, or the options they have. They might assume they’ll automatically be enrolled or think they don’t need to worry until a later time.

2. Fear or Overwhelm

The Medicare system can feel overwhelming with its various parts (A, B, C, D, Medigap). The fear of making the wrong choice often leads to procrastination.

3. Health or Work Factors

If seniors are still working or have employer-provided health insurance, they may think they can delay Medicare enrollment without consequences. However, this can be risky if their employer insurance isn’t considered "creditable" (as good as Medicare).

4. Waiting for a "Perfect" Plan

Some seniors wait until they are sure about which plan is best, hoping to get more information or thinking they’ll figure it out later. However, waiting can often result in missed opportunities or more limited choices.
Answered by Tracy Davis Medicare Insurance Agent

Tracy Davis

Tracy Davis Insurance Solutions • Frankfort, IN

What happens if I am unable to provide creditable coverage?

If you are unable to provide credible coverage after 63 days then you will begin to accrue a late enrollment penalty. This penalty will be attached to your part d plan for the remainder of your lifetime unless you receive Medicaid or LIS for lower earners.
Answered by Mike Alexander Medicare Insurance Agent

Mike Alexander

Abm Insurance & Benefit Services Inc • Houston, TX

I am moving to a different county in my same state, should I look at getting a new Medicare plan?

If you are on an Advantage you should check with them to be sure they are in your new county

If not you will need to change plans, also be sure to notify SSA with your new address
Answered by Brian Moore Medicare Insurance Agent

Brian Moore

Ohio Medicare Plan • Dayton, OH

Can I backdate my Medicare enrollment if I missed my initial window due to a medical emergency?

If you missed your initial Medicare enrollment window because of a medical emergency, I’m sorry you had to go through that—unfortunately, Medicare doesn’t typically allow backdating for missed deadlines unless you qualify for a Special Enrollment Period (SEP), like if you were hospitalized or incapacitated during your sign-up time. The rules are strict, but if you can show proof—like hospital records or a doctor’s note—explaining how the emergency prevented you from enrolling, you might appeal to CMS for a retroactive adjustment, though approvals are rare and case-by-case. Without that, you’d face a late penalty on Part B premiums—10% per year missed, added for life.
Answered by Tracy Davis Medicare Insurance Agent

Tracy Davis

Tracy Davis Insurance Solutions • Frankfort, IN

Do I qualify for SEP if my health dramatically gets worse out of nowhere?

You might be able to switch your plan to a chronic condition advantage plan if your health concerns are upon those qualified. These are allowed to switch 1x per year (for each chronic condition) and might actually reduce the copayments and medication costs of the specific chronic condition. You would want to check with your local independent broker to see what is available and how it would cover.
Answered by John Lopez Medicare Insurance Agent

John Lopez

Select Financial Group • Lewes, DE

Is Guaranteed Issue available after the Medicare Open Enrollment period ends?

Guaranteed Issue is available for up to 6 months after your Part B becomes effective, and it doesn't have to coincide with with the Medicare Open Enrollment Period. There are also other situations in which Guaranteed Issue applies, but consult with a local independent health broker to determine if your situation applies.
Answered by Dawn Young Medicare Insurance Agent

Dawn Young

HealthMarkets Insurance Agency, Inc • Jenks, OK

If someone enrolls in a MAPD C-SNP and gets disenrolled for not providing a CCV form within 60 days, is there a SEP to enroll in another MAPD plan?

Yes, if someone is disenrolled from a Medicare Advantage C-SNP for failing to provide a required Chronic Condition Verification (CCV) form, they generally have a Special Enrollment Period (SEP) to enroll in another MAPD plan. This SEP typically begins when the individual is notified of their disenrollment and lasts for two months.

Thanks for reaching out.

Dawn Young

HealthMarkets Insurance Agency
Answered by Sarah Rollins Medicare Insurance Agent

Sarah Rollins

Sarah Rollins Insurance Agency • Frederick, CO

Do I need to do anything for Annual Enrollment Period (AEP)?

I always advise my clients to review their doctors and medications against their plan if they want to verify coverage. If you have any questions, contact your Broker/Agent.

As a courtesy to your Broker/Agent (they are processing 100s or 1000s of clients during AEP), if you are happy with your current plan for next year, drop them a line and let them know. They also will probably want you to update your Scope of Appointment with you so they can legally reach out to you during the year.
Answered by Joanna Finnegan Medicare Insurance Agent

Joanna Finnegan

Senior Health Markets • Coeur d'Alene, ID

How often can I change my Medicare Plan?

It depends on the type of Medicare plan that you have. If you have a Medicare advantage plan or prescription drug plan, you can change that plan between October 15 and December 7. This is the annual enrollment period. Between January 1 and March 31 you can change your Medicare advantage plan one more time, but you must already be enrolled in a Medicare advantage plan to make that change. If you have a Medicare supplement plan, you can change that plan anytime however, with few exceptions, you will have to answer medical questions and could be denied if you do not pass underwriting.
Answered by Mike Cooper Medicare Insurance Agent

Mike Cooper

Help Not Sell (Agency) / Compass Insurance Advisors (Brokerage) • Phoenix, AZ

I started taking a new prescription this year. Do I need to change my Medicare plan?

Did you know? Prescription formularies (i.e., the list of medications your plan does/does not cover) can change year over year? What's covered this year... might not be covered next year. If it is covered, the price you're used to paying... could change.

It's always best to have your agent verify your latest list of prescriptions during the Annual Enrollment Period (AEP). This takes place 10/1 - 12/7 each year.

NOTE: A growing trend with carriers is refusing to pay agents commissions on Prescription Drug Plans (PDPs)... That said, make sure your agent cares more about your best interests than the commissions.
Answered by Mike Alexander Medicare Insurance Agent

Mike Alexander

Abm Insurance & Benefit Services Inc • Houston, TX

Are Medicare agents paid by specific insurance to sign up clients to their plans only

The insurance companies pay the agents for enrolling you in certain plans. Almost all agents are paid a commission on each enrollment
Answered by Mike Alexander Medicare Insurance Agent

Mike Alexander

Abm Insurance & Benefit Services Inc • Houston, TX

What Medicare penalties are most common?

IRMMA, LATE ENROLLMENT PENALTIES FOR PART B & D are common, but you can appeal them if you have had a change in life status
Answered by Mike Alexander Medicare Insurance Agent

Mike Alexander

Abm Insurance & Benefit Services Inc • Houston, TX

When should my plan be reviewed?

You should review every year, before Dec 7th.

You should also make sure all your doctors take that plan
Answered by Richard Moreno Medicare Insurance Agent

Richard Moreno

GB Moreno and Associates • San Antonio, TX

I have Medicare A and B, which was secondary to my large group health plan. My spouse passed away in late June 2025, and his company is providing COBRA coverage for six months, through January. If I wait until then, will I still have guaranteed issue for a Medicare supplement, or do I have only 63 days from June 30 (until Sept 1) to enroll? I'm in CO

You must enroll within 63 days from the termination of your spouse's coverage to qualify for guaranteed issue. You lost your creditable coverage when the plan was terminated. you must Enroll within 63 says
Answered by Daniel Brechin Medicare Insurance Agent

Daniel Brechin

Daniel Brechin Agency • Daphne, AL

If I switch plans to cover a brand-name eye drop my current plan won’t cover, but my new doctor later takes me off that medication after open enrollment ends, do I have any way to change my plan again?

Yes you may change AEP decision in Jan, Feb and March. During oep. It runs from Jan 1-Mar 31. Might want to ck with your Dr as to why he took you off that Medicine.
Answered by Gary Church Medicare Insurance Agent

Gary Church

Bay Area Health Solutions • San Jose, CA

What’s the best time of year to change my Medicare plan if I develop a new diagnosis?

Those changes depend. The only time to make changes for the upcoming year is during AEP, from October 15 through December 7. There may be other opportunities to change. I recommend meeting with a licensed Medicare agent to review your options.
Answered by Clarence "Mark" Christiansen Medicare Insurance Agent

Clarence "Mark" Christiansen

Christiansen Insurance Services • Mequon, WI

Can I drop my employer health insurance and switch to Medicare instead?

Many 65+ers keep their employer plan but not all. Medicare is usually a better deal featuring an annual outpatient deductible of $ 283 in year 2026. Can your employer plan do that? It's doubtful. OK but the cost of Medicare must be factored in. Medicare Part A is typically $ 0 monthly but the standard Part B (outpatient) monthly cost is $ 202.90. Compare that with your employer plan's cost and see where you will come out ahead. There's more to it because original Medicare generally is not enough. Medicare members should consider a Medigap / supplment plan or Medicare Advantage insurance in addition to Medicare A and B. Age 65 Medicare supplement premiums can run close to $ 200 monthly depending on your zip code and plan design. Many Medicare Advantage plans typically have $ 0 monthly plan premium with the full understanding that there will be copays and / or coinsurance depending on unitilization. Now getting back to your question, "can you drop your employer health plan?" Check with the employer. Most of them don't want you on their plan. But if you stay, there might be considerable monthly plan premium costs, possibly higher than when you were a sprightly age 64. Your primary considerations should be, what are the coverages and benefits? Check with a licensed Medicare agent who should be able to review your employer plan and compare it with private insurance costs plus the cost of Medicare A and B. I don't know of any employer that will not allow you to drop their insurance. They really don't want you!
Answered by Voss Speros Medicare Insurance Agent

Voss Speros

Speros Financial Group • Mesa, AZ

What is the Medicare Advantage (Part C) Open Enrollment period?

Voss Speros here, Greek God of Medicare. That's all Greek to you. You're in luck, I'm Greek. So the question today is, what is the Medicare Advantage Part C open enrollment period?

So that period is, it's a real thing. It is a real thing. Medicare Advantage has its own open enrollment after AEP, the annual enrollment period. It's called open enrollment. I know it's crazy, but it's from January 1st to March 31st. If you're on an Advantage plan, you can change to another Advantage plan. If you're under an Advantage plan, you can go back to original Medicare and do a drug plan, so you can change. If you're on original Medicare and on a supplement, you can't change to it.

Also, January through March is the general election period. If you didn't go on Part A or B and you're already retired and just hanging out there, and you need to go on it, that's when you go on one of those parts. But January to March, so if you made a mistake during open enrollment, boom, you can correct it one time here, January to March. If you missed open enrollment, boom, you get another, you get a secondary chance for your Advantage to change your Advantage.

So that's Medicare Advantage open enrollment period, January 1st to March 31st. After that, it's a special election period. So you got to be cautious if you need to make a change. Make a change now. All right, hope that helps. If you have any questions, we'll send out an agent to help you out. Have a good day.
Answered by James Hale Medicare Insurance Agent

James Hale

Bullseye Benefits • Columbus, GA

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

If you’re currently in a Medicare Advantage (MA) or MAPD plan and you move permanently to a new area (or new state) where that plan does not operate, you qualify for a Special Enrollment Period.

During this time, you can:

>Switch to a different Medicare Advantage plan that serves your new area, or

>Return to Original Medicare and buy a Medigap (Medicare Supplement) plan.

IMPORTANT: One of the biggest benefits is that you get GUARANTEED ISSUE rights. This means insurance companies cannot turn you down or charge you more for a Medigap plan because of your health or pre-existing conditions.

Important Details:

>You usually have about 63 days from the time your current plan stops covering you to make a change.

>During this Special Enrollment Period, you can buy most Medigap plans without having to answer medical questions.

>This protection only applies if you’re moving out of your Medicare Advantage plan’s service area. Simply wanting to switch plans does not give you these rights.
Answered by Edward MacConnell Medicare Insurance Agent

Edward MacConnell

Total Benefit Solutions, Inc • Feasterville, PA

Can you change Medicare Supplement plans at any time?

So your question is, can you change Medicare Supplement plans at any time? I'm assuming you mean any time of the year.

The answer is you can apply to change Medicare Supplement plans at any time. However, you have to keep in mind when you do this that the new Medicare Supplement company you are applying to outside of your open enrollment or special election periods will have the ability to ask you a number of medical questions. We'll call this medical underwriting, and they can deny you or change the price based upon your preexisting conditions or your current health situations.

That's not the same as Medicare Advantage plans, which have an open enrollment period every year. But that's the price of changing a Medicare Supplement plan. Good news is, if you're in great health, you can change Medicare Supplement plans at any time.

I hope that answers your question.
Answered by Mark Bilgere Medicare Insurance Agent

Mark Bilgere

Bilgere Insurance • Bedford, TX

Is there a penalty for switching from Medicare Advantage back to Original Medicare?

There is no penalty for switching from Medicare Advantage to Traditional Medicare. There are some things to be aware of though. Remember, if your Advantage plan had drug coverage, you now need to add a stand a lone Part D Drug plan. Also, you can only make the switch during one of the approved enrollment periods.
Answered by Steven Litzsinger Medicare Insurance Agent

Steven Litzsinger

Insurance Advisory Group • Kirkwood, MO

Can my Medicare Advantage plan drop me, and what happens if it does?

There are circumstances where a Medicare Advantage plan can you drop you as a member, but it is regulated and can't be due to your health or increased utilization. Typically it is due to non-payment of premium, moving outside of covered service area, you become no longer eligible and enrolled in Part A and Part B as required, or the plan exits the market that you are living in, or the plan no longer meets the requirements to offer the plan through Medicare.

If you are dropped it will trigger a Special Enrollment Period (SEP) and you will be able to enroll in a new plan without waiting for Annual Enrollment Period (AEP) or Open Enrollment Period (OEP).
Answered by Voss Speros Medicare Insurance Agent

Voss Speros

Speros Financial Group • Mesa, AZ

What is creditable coverage and why does it matter for Medicare?

Voss Speros here, the Greek god of Medicare. If Medicare is all Greek to you, you're in luck, I'm Greek.

Today's question is: what is creditable coverage and why does it matter for Medicare?

Creditable coverage is Part D drug coverage or health insurance that's not Medicare related. So like your employer coverage, union coverage, or VA veterans coverage. That coverage has to equal or be close to the standard coverage that Medicare has. If it doesn't, then it's not creditable coverage. So it has to equal whatever Medicare pays. It has to generally pay that on the drug plan side and on the health care side. That's what makes it creditable coverage.

Creditable coverage gives the beneficiary the opportunity to delay their Medicare so they can stay on their employer plan longer and keep working, if that's going to work best for them.

When you're looking at creditable coverage, where are those options? Is your coverage less expensive than Medicare Supplements or Medicare Advantage, whatever? So double check those options. But your creditable coverage has to be, you know, always talk to a broker about what that one is. Double check your current coverage to make sure it's creditable enough to cover it for creditable coverage.

Have a good day. Give us a call.
Answered by Michael Denniston Medicare Insurance Agent

Michael Denniston

Michaels Insurance Solutions • Lynn Haven, FL

Can I change my Medicare plan after open enrollment ends?

Yes, if you have LIS low income subsidy or extra help. If you moved to a new county or state. If you newly receive Medicaid. If you lose your Medicaid benefits, these all things that open you up to SEP Special Enrollment periods. If need help or advice call us today.
Answered by Denise Johnson Medicare Insurance Agent

Denise Johnson

Eastern Health and Life Ins. Services LLC • Winterville, NC

Do I need to notify Medicare or Social Security if I move to a new address?

Yes, you should notify both Social Security Administration and Centers for Medicare Services when you move to a new address. Updating your address helps make sure you continue receiving important Medicare and Social Security notices, bills, and plan information without interruption.
Answered by George Ibanez Medicare Insurance Agent

George Ibanez

MedigapToday • Springdale, AR

How do I switch back to Original Medicare from a Medicare Advantage plan, and will I face any penalties or coverage gaps?

You can switch back to Original Medicare by disenrolling from your Medicare Advantage plan during designated federal enrollment windows. While you will not face financial penalties for switching back, you may experience significant gaps in supplemental coverage (Medigap) or face a Medicare Part D late-enrollment penalty if you do not orchestrate the transition correctly.
Answered by Sandra Bailey Medicare Insurance Agent

Sandra Bailey

Women Financial Power, LLC • Cordova, TN

How do I change my Medicare plan during open enrollment?

To change your Medicare plan during Open Enrollment, you can contact your current agent or broker or contact us.

If you call the company direct, they will enroll you in one of their plans.

If you call an agent who works for a company, they will enroll you in their specific company’s plan.

However, if you contact a Medicare Broker, we will shop the carriers to find the best plan for you.

Thanks for asking
Answered by Gary Church Medicare Insurance Agent

Gary Church

Bay Area Health Solutions • San Jose, CA

What is the CMS-L564 form and when do I need it for Medicare enrollment?

The CMS-L564 form is an employment document used to verify employment at the time of Medicare enrollment. It is specifically for individuals aged over 65 who need to demonstrate they had credible coverage to avoid a penalty.
Answered by Ann Sanfelippo Medicare Insurance Agent

Ann Sanfelippo

Pinnacle Life Group • Fort Myers, FL

Are Medicare Advantage plans guaranteed issue?

Yes — Medicare Advantage plans are generally guaranteed issue as long as you are enrolled in Medicare Part A and Part B and live in the plan’s service area. Unlike Medigap plans, Medicare Advantage plans typically do not use medical underwriting, so you cannot be denied because of health conditions.

However, you must enroll during a valid enrollment period, such as your Initial Enrollment Period, Annual Election Period, or a qualifying Special Enrollment Period.

The main exception is for people with End-Stage Renal Disease (ESRD), though most ESRD restrictions have been removed in recent years.
Answered by Mike Alexander Medicare Insurance Agent

Mike Alexander

Abm Insurance & Benefit Services Inc • Houston, TX

When can a Medicare agent sell a standalone Part D prescription drug plan?

When some one turns 65, or when a client loses employer covetage or during the Annual enrollment period from Oct 15 thru Dec 7 each year
Answered by Cheri Rogers Medicare Insurance Agent

Cheri Rogers

MedCare Senior Insurance Solutions • Roswell, NM

Can my employer force me to take Medicare when I turn 65?

If your employer has less than 20 employees it has the right to have you enroll in Medicare. Once you turn 65 the cost of insurance to a small group of employees can be unafordable for a small business.
Answered by Edward MacConnell Medicare Insurance Agent

Edward MacConnell

Total Benefit Solutions, Inc • Feasterville, PA

Do I need to enroll in Medicare if I already have VA health benefits?

Answered by Mark Bilgere Medicare Insurance Agent

Mark Bilgere

Bilgere Insurance • Bedford, TX

Can I change my Medicare Part D plan anytime, or only during certain enrollment periods?

You may only change your Part D plan during designated enrollment periods. The main enrollment period is AEP, October 15th through December 7th. During the open Enrollment Period, January 1st through March 31st, you may switch from a Medicare Advantage plan back to original Medicare. This would allow you to add a new Part D plan when you drop the MAPD.

There may be a few other opportunities to change using a Special Enrollment Period based on your specific situation. Contact a local Medicare broker and they can tell you if your situation falls into one of these categories.
Answered by Michael Gilman Medicare Insurance Agent

Michael Gilman

Bankers Life • Syracuse, NY

Can I drop Medicare Part B if I go back to work and get employer health coverage, then re-enroll later without a penalty?

Yes, you can drop Part B when you go back to work — but only if your employer has 20 or more employees. In that case, your employer plan is primary, Medicare is secondary, and you can re‑enroll later without any penalty.

If the employer has fewer than 20 employees, Medicare is primary, and dropping Part B would cause penalties and coverage problems.”

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