SPECIAL ENROLLMENTS PERIODS Flashcards
YOU CHANGE WHERE YOU LIVE
I moved to a new address that isn’t in my plan’s service area.
What can I do?
Switch to a new Medicare Advantage Plan or Medicare drug plan.
Note: If you’re in a Medicare Advantage Plan and you move outside your plan’s service area, you can also choose to return to Original Medicare. If you don’t join a new Medicare Advantage Plan during the time explained below, you’ll be enrolled in Original Medicare when you’re disenrolled from your old Medicare Advantage Plan.
When?
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.
YOU CHANGE WHERE YOU LIVE
I moved to a new address that’s still in my plan’s service area, but I have new plan options in my new location?
What can I do?
Switch to a new Medicare Advantage Plan or Medicare drug plan.
When?
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.
YOU CHANGE WHERE YOU LIVE
I moved back to the U.S. after living outside the country. What can I do?
Join a Medicare Advantage Plan or Medicare drug plan.
When?
your chance to join lasts for 2 full months after the month you move back to the U.S.
YOU CHANGE WHERE YOU LIVE
I just moved into, currently live in, or just moved out of an institution (like a skilled nursing facility or long-term care hospital). What can I do?
–Join a Medicare Advantage Plan or Medicare 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.
When?
your chance to join, switch, or drop coverage lasts as long as you live in the institution and for 2 full months after the month you leave the institution.
YOU CHANGE WHERE YOU LIVE
I’m released from jail. what can I do?
Join a Medicare Advantage Plan or Medicare drug plan.
When?
If you kept paying for your Part A and Part B coverage while you were in jail, you have 2 full calendar months after you’re released from jail to join a plan. You have to sign up for Medicare before you can join a plan.
YOU LOSE YOUR CURRENT COVERAGE
I’m no longer eligible for Medicaid. What can I do?
–Join a Medicare Advantage Plan or Medicare drug plan.
–Switch from your current plan to another Medicare Advantage —–Plan or Medicare drug plan.
–Drop your Medicare Advantage Plan and return to Original Medicare.
–Drop your Medicare prescription drug coverage.
When?
your chance to change lasts for 3 full months from either the date you’re no longer eligible or notified, whichever is later.
YOU LOSE YOUR CURRENT COVERAGE
I left coverage from my employer or union (including COBRA coverage). What can I do?
–Join a Medicare Advantage Plan or Medicare drug plan.
When?
Your chance to join lasts for 2 full months after the month your coverage ends.
YOU LOSE YOUR CURRENT COVERAGE
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. What can I do?
Join a Medicare Advantage Plan with drug coverage or a Medicare drug plan.
When?
Your chance to join lasts 2 full months after the month you lose your creditable coverage, or for 2 full months after you’re notified that your current coverage is no longer creditable, whichever is later.
YOU LOSE YOUR CURRENT COVERAGE
I had drug coverage through a Medicare Cost Plan and I let the plan. What can I do?
Join a Medicare drug plan.
When?
Your chance to join for 2 full months after you drop your Medicare Cost Plan.
YOU LOSE YOUR CURRENT COVERAGE
I dropped my coverage in a Program of All-inclusive Care for the Elderly (PACE) plan. What can I do?
Join a Medicare Advantage Plan or Medicare drug plan.
When?
Your chance to join lasts for 2 full months after the month you drop your Program of All-inclusive Care for the Elderly (PACE) (tooltip) plan.
YOU HAVE A CHANCE TO GET OTHER COVERAGE
I have a chance to enroll in other coverage offered by my employer or union. What can I do?
Drop your current Medicare Advantage Plan or Medicare drug plan to enroll in the private plan offered by your employer or union.
When?
Whenever your employer or union allows you to make changes in your plan.
YOU HAVE A CHANCE TO GET OTHER COVERAGE
I have or am enrolling in other drug coverage as good as Medicare drug coverage (like TRICARE OR VA coverage). What can I do?
Drop your current Medicare Advantage Plan with drug coverage or your Medicare drug plan.
When?
Anytime.
YOU HAVE A CHANCE TO GET OTHER COVERAGE
I enrolled in a Program of All-inclusive Care for the Elderly (PACE) plan. What can I do?
Drop your current Medicare Advantage or Medicare drug plan.
When?
Anytime.
YOUR PLAN CHANGES ITS CONTRACT WITH MEDICARE
Medicare takes an official action (called a “sanction”) because of a problem with the plan that affects me. What can I do?
Switch from your Medicare Advantage Plan or Medicare drug plan to another plan.
When?
Your chance to switch is determined by Medicare on a case-by-case basis.
YOUR PLAN CHANGES ITS CONTRACT WITH MEDICARE
Medicare ends (terminates) my plan’s contract. What can I do?
Switch from your Medicare Advantage Plan or Medicare drug plan to another plan.
When?
Your chance to switch starts 2 months before and ends 1 full month after the contract ends.
YOUR PLAN CHANGES ITS CONTRACT WITH MEDICARE
My Medicare Advantage Plan, Medicare Prescription Drug Plan, or Medicare Cost Plan’s contract with Medicare isn’t renewed. What can I do?
Join another Medicare Advantage Plan or Medicare drug plan.
When?
December 8 - the last day in February.
OTHER SPECIAL SITUATIONS
I’m eligible for both Medicare and Medicaid. What can I do?
Join, switch, or drop you Medicare Advantage Plan or Medicare drug coverage.
When?
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.