Medicare Advantage Plans, Part D and Medi Gap Supplements all have

Specific dates when one can enroll – Open Enrollment,

check with us about special enrollment, like when you turn 65 or lose coverage at work.

Email us to discuss further and enroll.

There are six types of election periods during which individuals may make enrollment requests.

They  are:

  • The Annual Election Period (AEP);
    • During the AEP, MA eligible individuals may enroll in or disenroll from an MA plan. The last
      enrollment request made, determined by the application date, will be the enrollment request that takes
      effect (refer to §60.1 for information on multiple transactions).
    •  
    • Beginning in 2011, the AEP is from October 15 through December 7 of every year. The AEP is also
      referred to as the “Fall Open Enrollment” season and the “Open Enrollment Period for Medicare
      Advantage AND Medicare prescription drug coverage” in Medicare beneficiary publications and other
      tools. MA organizations may use these descriptions of the AEP in their member materials, as well as
      in materials for prospective members.
  • The Initial Coverage Election Period (ICEP);
    • The ICEP is the period during which an individual newly eligible for MA may make an initial
      enrollment request to enroll in an MA plan. This period begins three months immediately before the
      individual’s first entitlement to both Medicare Part A and Part B and ends on the later of:
    • 1. The last day of the month preceding entitlement to both Part A and Part B, or;
      2. The last day of the individual’s Part B initial enrollment period.
    • The initial enrollment period for Part B is the seven (7) month period that begins 3 months before the
      month an individual meets the eligibility requirements for Part B, and ends 3 months after the month
      of eligibility.   See 42 CFR 407.14 for additional information.
    • Once an ICEP enrollment request is made and enrollment takes effect, the ICEP election has been
      used.
      EXAMPLES
  • Initial Enrollment Period for Part D (IEP for Part D)
    • The Initial Enrollment Period for Part D (IEP for Part D) is the period during which an individual is
      first eligible to enroll in a Part D plan. In general, an individual is eligible to enroll in a Part D plan
      when he or she is entitled to Part A OR is enrolled in Part B, AND permanently resides in the service
      area of a Part D plan. Ultimately, CMS provides a part D eligibility effective date and maintains it in
      CMS systems.
    • At the beginning of the Medicare prescription drug coverage program, all current Part D eligible
      individuals had an IEP for Part D that began on November 15, 2005, and ended on May 15, 2006.
      During the IEP for Part D, individuals may make one Part D enrollment choice, including enrollment
      in an MA-PD plan.
    • Generally, individuals will have an IEP for Part D that is the same period as the Initial Enrollment
      Period for Medicare Part B. The initial enrollment period for Part B is the seven (7) month period that
      begins 3 months before the month an individual meets the eligibility requirements for Part B, and ends
      3 months after the month of eligibility. See 42 CFR 407.14 for additional information.
      EXAMPLE:
  • The Open Enrollment Period for Institutionalized Individuals (OEPI)
    • The OEPI is continuous for eligible individuals. For purposes of enrollment under the OEPI election
      period, an institutionalized individual is defined as an individual who moves into, resides in, or moves
      out of an institution, as defined in §10. The OEPI ends two months after the month the individual
      moves out of the institution.
  • All Special Election Periods (SEP);
    • Special election periods constitute periods outside of the usual IEP, AEP or MA OEP when an
      individual may elect a plan or change his or her current plan election. Click here for detail in official technical Medicare Marketing Manual or simple plan English, Understanding Medicare C & D enrollment periods Pub # 11219  or see our section on materials & guides below, there are 36 various types of SEPs, including SEPs for dual eligibles, and for individuals whose current plan terminates, who change residence and who meet “exceptional conditions” as CMS may provide, consistent with §1851(e)(4) of the Act and §422.62(b) of the MA regulations.
  • and
  • The Medicare Advantage Open Enrollment Period ( MA OEP)  Plain English 
    • During the MA OEP, MA plan enrollees may enroll in another MA plan or disenroll from their MA
      plan and return to Original Medicare. Individuals may make only one election during the MA OEP.
    • This chart outlines who can use the MA OEP and when:
    • Who can use the MA OEP: MA OEP occurs:
      Individuals enrolled in MA plans as of January 1 January 1 – March 31
      New Medicare beneficiaries who are enrolled in an MA plan during their ICEP The month of entitlement to Part A and Part B – the last day of the 3rd month of entitlement
    • Individuals may add or drop Part D coverage during the MA OEP. Individuals enrolled in either MAPD
      or MA-only plans can switch to:
      • • MA-PD (Medicare Advantage)
        • MA-only
        • Original Medicare (with or without a stand-alone Part D plan)
        The effective date for an MA OEP election is the first of the month following receipt of the enrollment
        request.
    • NOTE: The MA OEP does not provide an opportunity for an individual enrolled in Original Medicare
      to join a MA plan. It also does not allow for Part D changes for individuals enrolled in Original
      Medicare, including those enrolled in stand-alone Part D plans. The MA OEP is not available for
      those enrolled in Medicare Savings Accounts or other Medicare health plan types (such as cost plans
      or PACE).
  •  
  •   Medicare Managed Care Manual Chapter 2 *   Section 30 – Election Periods   CA Health Advocates.org  * 42 CFR §§ 422.62 & 422.68  * 

New for 2019! You can end your membership during the

Medicare Advantage
NEW Open Enrollment Period

You have the opportunity to make one change to your  health coverage during the annual Medicare Advantage Open Enrollment Period.

When is the annual Medicare Advantage Open Enrollment Period?

This happens every year from January 1 to March 31.

What type of plan can you switch to during the annual Medicare Advantage Open Enrollment Period?

During this time, you can:

Switch to another Medicare Advantage plan. (You choose a plan that covers prescription drugs or one that does not cover prescription drugs.)

Disenroll from our plan and obtain coverage through Original Medicare.  You can apply for Medi Gap, but it may not be guaranteed issue and require underwriting.  If that’s your plan, get approved for Medi Gap FIRST!!!  If you choose to switch to Original Medicare during this period, you have until March 31 to join a separate Medicare prescription drug plan to add drug coverage.

When will your membership end?

Your membership will end on the first day of the month after you enroll in a different Medicare Advantage plan or we get your request to switch to Original Medicare. If you also choose to enroll in a Medicare prescription drug plan, your membership in the drug plan will begin the first day of the month after the drug plan gets your enrollment request.    Evidence of Coverage  §2.2 page 240Page 52 Medicare Manual42 CFR 422.62(a)(3)  *  

6 comments on “Enrollment Dates for MAPD – Medicare Advantage

  1. Is there a guaranteed issue SEP for Medicare Advantage signup for 60 days after returning to the USA from having lived overseas?

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