Medicare SEp’s

… I moved to a new address that isn’t in my plan’s service area?
- Switch to a new Medicare Advantage Plan or Medicare Prescription Drug Plan. *If you’re in a Medicare Advantage (MA) Plan and you move outside your plan’s service area, you can also choose to return to Original Medicare. If you don’t enroll in a new MA Plan during the time explained below, you’ll be enrolled in Original Medicare when you’re disenrolled from your old Medicare Advantage Plan.
- If you tell your plan before you move, your chance to switch plans begins the month before the month you move and continues for 2 full months after you move. If you tell your plan after you move, your chance to switch plans begins the month you tell your plan, plus 2 more full months.

… I’m no longer eligible for Medicaid?
- Join a Medicare Advantage Plan or Medicare Prescription Drug Plan. Switch from your current plan to another Medicare Advantage Plan or Medicare Prescription Drug Plan. Drop your Medicare Advantage Plan and return to Original Medicare . Drop your Medicare prescription drug coverage.
- Your chance to change lasts for 3 full months from either the date you’re no longer eligible or notified, whichever is later.

… I left coverage from my employer or union (including COBRA coverage)?
- Join a Medicare Advantage Plan or Medicare Prescription Drug Plan.
- Your chance to join lasts for 2 full months after the month your coverage ends.

… I involuntarily lose other drug coverage that’s as good as Medicare drug coverage (creditable coverage), or my other coverage changes and is no longer credible?
- Join a Medicare Advantage Plan with drug coverage or a Medicare Prescription Drug Plan
- Your chance to join lasts 2 full months after the month you lose your creditable coverage or you’re notified that your current coverage is no longer creditable, whichever is later.

… I’m eligible for both Medicare and Medicaid?
- Join, switch, or drop your Medicare Advantage Plan or Medicare prescription drug coverage.
- One time during each of these periods: January–March / April–June / July–September
- If you make a change, it will take effect on the first day of the following month. You’ll have to wait for the next period to make another change. You can’t use this Special Enrollment Period from October–December. However, all people with Medicare can make changes to their coverage from October 15–December 7, and the changes will take effect on January 1.

… I qualify for Extra Help paying for Medicare prescription drug coverage?
- Join, switch, or drop Medicare prescription drug coverage.
- Most people with Medicare can only make changes to their drug coverage at certain times of the year. If you have Medicaid or receive Extra Help, you may be able to make changes to your coverage one time during each of these periods: January – March / April – June / July – September
- If you make a change, it will begin the first day of the following month. You’ll have to wait for the next period to make another change. You can’t use this Special Enrollment Period October – December. However, all people with Medicare can make changes to their coverage October 15 – December 7. The changes will begin on January 1.

… I’m enrolled in a State Pharmaceutical Assistance Program (SPAP) or lose SPAP eligibility?
- Join either a Medicare drug plan or a Medicare Advantage Plan with prescription drug coverage.
- Once during the calendar year.

… I dropped a Medigap policy the first time I joined a Medicare Advantage Plan?
- Drop your Medicare Advantage Plan and enroll in Original Medicare. You’ll have special rights to buy a Medigap Policy.
- Your chance to drop your Medicare Advantage Plan lasts for 12 months after you join the Medicare Advantage Plan for the first time.

Contact Us