Do You Qualify For The Special Enrollment Period?

Medicare April 27, 2017 0
Do You Qualify For A Special Enrollment Period? | Medicare Plan Finder

Special Enrollment Period Qualifications

Are you unhappy with your Medicare plan? Do you qualify for a Special Enrollment Period?

In most cases, you are not able to change your Medicare plan outside of your IEP (Initial Enrollment Period). Your IEP begins three months before you turn 65, continues throughout your birthday month, and ends three months after your birthday. If you already receive social security or railroad retirement benefits, your enrollment will happen automatically. Otherwise, you’ll need to enroll.

If you miss that period, you have another chance to apply during the GEP, or General Enrollment Period, from January 1st through March 31st, but you’ll need to pay a penalty fee for applying late. That’s why it’s important for you to apply during your Initial Enrollment Period!

Once you’ve enrolled, you are essentially stuck with your plan. Sometimes, though, extraordinary circumstances will require a change or an addition to your health care plan that will leave you eligible for SEP, or the Speical Enrollment Period. Those circumstances may include:

  • Moving outside of your coverage zone
  • Gaining or losing employment
  • Gaining or losing Medicaid eligibility
  • Gaining or losing Extra Help eligibility
  • Gaining or losing SNP (special needs plan) eligibility
  • Moving into our out of a skilled facility
  • Leaving imprisonment
  • Your plan stops working with Medicare

If any of the above events apply to you, you will have 60 days from the occurrence to alter your health care plan.

Medicaid is an exception – even if you do not relate to any of the above events, you can apply for Medicaid at any point throughout the calendar year.

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Anastasia Iliou
Anastasia Iliou
Content Marketing Manager at Medicare Plan Finder
Anastasia graduated from Belmont University with a Bachelor's degree in Songwriting. When she's not writing, she's on a mission to visit all 50 states in the U.S (and to date has reached 28). Anastasia loves writing music, hiking, and her pet hedgehog, Luna. She loves animals (but not so much bugs) and spends her free time volunteering for The Elephant Sanctuary in Tennesee.