What if I missed my window to sign up?
Answered by 10 licensed agents
If you missed your Medicare sign-up window—typically the seven-month Initial Enrollment Period around your 65th birthday—you’re not alone, and I’ve seen this trip up plenty of folks over the years, but you’ve got options to fix it depending on your situation. Without qualifying coverage like an employer plan, you’ll enroll during the General Enrollment Period (January 1 to March 31), with coverage starting the first of the next month, though you’ll face lifelong penalties—10% per year missed for Part B and about 1% per month for Part D—unless a Special Enrollment Period applies, like if you just lost job-based insurance, giving you two months to sign up penalty-free. CMS has been pushing harder lately to educate future beneficiaries about these deadlines and consequences, which I think is a smart move, so fewer people end up blindsided by costs they could’ve avoided with better knowledge upfront.
Answered by Brian Moore on March 27, 2025
Broker Licensed in OH
There are various circumstances and specific conditions to consider before providing a final answer to this questionnaire. Most likely, penalties will apply if you miss your initial enrollment window for Medicare’s Parts A, B, or D. A Medicare health insurance agent can review your situation and provide you with the necessary details.
Answered by Larry Dalton on April 1, 2025
Broker Licensed in OK & TX
Medicare gives everyone 7 months to enroll in a plan. 3 Months before your 65th birthday, the month of & 3 months after. Should a member miss the 7 months, they need to wait until Annual Enrollment (AEP) to sign up & may have a penalty unless the person has an employer plan
Answered by Melonie Wood on April 2, 2025
Agent Licensed in FL & AL
If you miss your window to sign up for Medicare can result in a penalty if over 60-days. You can still sign up for a Medigap plan but may have to answer underwriting questions.
Answered by Joseph Bachmeier on March 25, 2025
Agent Licensed in PA, DE, FL & MD, NC, NJ & SC
You have 3 months before, birth month and 3 months after. You may be eligible for a Special Enrollment Period if you are coming off of employer coverage and/or spouses employer coverage.
There is also the General Enrollment period from January 1 through March 31
Medicare does run a pretty tight ship And it does happen where occasionally someone will miss their election window. There could potentially be a late enrollment penalty If you have gone 63 days or more without credible coverage when you are eligible. It’s the job of Agent/brokers To know the Medicare election periods very well. To avoid that penalty from becoming even bigger, you’ll need to enroll in something in your very next election period.
Answered by Gregg Matheny on March 25, 2025
Agent Licensed in AZ & UT
Should you miss the SEVEN-MONTH window of opportunity (before the birthday month when you're about to turn age 65) to enroll into Medicare, depending upon whether you are still working and receiving healthcare coverage from your employer, there are a number of aspects that you may encounter. So, it is imperative that you've picked up at least Part A but not necessarily Part B as yet. Call 1-800-MEDICARE to investigate your specific situation. But the longer you wait to do this, the worse it could be.
This is a complex question that is not specific enough. Did you delay or forget to enroll in Medicare Part B and missed your initial enrollment period? Did you not choose a Medicare Supplement or Medicare Advantage plan during your initial enrollment period?
Answered by Dana Dane on April 2, 2025
Agent Licensed in OR, AZ, CA & 6 other states
If the enrollment period is missed then the client must wait for the next Open Enrollment period, or qualify for a Special Election period if they meet certain conditions, for example, enrolling in a 5 Star plan, having moved to a new area, having a change in Medicaid assistance, or if they're leaving employer coverage to enroll in an Advantage plan.
Answered by Tony Hardwick on March 31, 2025
Agent Licensed in GA, AZ, CA & 15 other states
If you delayed enrolling in Medicare Part B at age 65 due to having employer coverage (still working) you can sign up if you are terminating your employer plan. This will give you a Special Enrollment Period (SEP). Your employer will be required to complete form CMS-L564 which you will submit with your application.
If you missed the window to sign up, you could enroll during the General Enrollment Period which runs from January 1 - March 31 of each year.
Answered by Lori Gobep on March 31, 2025
Broker Licensed in OH, PA, SC & WV
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