Medicare Enrollment Periods

There are a few different Medicare enrollment periods.

The Initial Enrollment Period (IEP) is the first time you can enroll in Medicare. It starts three months before your 65th birthday month and ends three months after your birthday month.

The Annual Enrollment Period (AEP) is the time when you can make changes to your Medicare coverage. It runs from October 15 to December 7 each year.

The Open Enrollment Period (OEP) is for people who have a Medicare Advantage plan. It runs from January 1 to March 31 each year and allows you to switch to a different Medicare Advantage plan or switch back to Original Medicare.

There are also Special Enrollment Periods (SEPs) for certain life events, such as moving to a new area or losing employer coverage.

Medicare Advantage

Medicare Advantage plans are private health insurance options that provide additional coverage beyond Original Medicare. They include benefits like prescription drugs, dental, vision, and may require using network providers. Enrollment is limited to those eligible for Medicare Parts A and B.

Medicare Supplements

Medicare Supplement plans, also known as Medigap, are private insurance policies that help cover the "gaps" in Original Medicare, such as deductibles, copayments, and coinsurance. They work alongside Medicare to provide added financial protection and allow you to see any doctor or specialist who accepts Medicare.

Medicare PDP

Medicare Part D Prescription Drug Plans (PDPs) are private insurance plans that help cover the cost of prescription medications. They work alongside Original Medicare and Medicare Supplement plans to provide access to a wide range of prescription drugs at affordable prices. These plans have a formulary, which is a list of covered medications, and may have different tiers with varying costs for each medication. Enrollment is done during specific periods and can help individuals manage their medication expenses.

Medicare D-SNP

Medicare D-SNPs (Dual Eligible Special Needs Plans) are specialized Medicare Advantage plans for individuals who are eligible for both Medicare and Medicaid. These plans provide comprehensive healthcare coverage, including medical, prescription drug, and additional benefits tailored to the unique needs of dual-eligible individuals. D-SNPs offer coordinated care and support services to help improve health outcomes and manage healthcare costs for this specific population.

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