Medicare Eligibility

Medicare Part A & Part B

 

Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) are obtainable to those who are:

 

-Age 65 or older

-Disabled

-Diagnosed with End-Stage Renal Disease (ESRD) 

Most people have a zero dollar premium for Part A as long as they have worked and paid Medicare taxes for 10 years. If this requirement is not met, Part A is available for coverage with a monthly premium.

Part B coverage is usually available at the same time when a consumer is entitled to Part A, however if the consumer is paying for Part A there are certain times Part B is obtainable. Part B will have a month premium for coverage.

For More Information about Eligibility Click on the Link Below:

Centers for Medicare & Medicaid Services Website 

Enrollment Periods

  • Annual Enrollment

Annual Enrollment Period
(AEP)

October 15th - December 7th

-Set time of each year allowing Medicare consumers to enroll, change or renew coverage if needed.

-New coverage starts January 1st of the following year.

Initial Enrollment Period
(IEP)

7 Month Window

-3 months before your 65th birthday until 3 months after you birthday.

-Received your 25th disability check.

Special Enrollment Period
(SEP)

Depends on Special Events

-Moving to a new address.

-Moved out of your doctor's service network.

-Lose current coverage.

-Eligible for Medicare and Medicaid.

-Other Special Situations

Open Enrolment Period
(OEP)

January 1st - March 31st

-Can switch Medicare Advantage Plan to another Medicare Advantage Plan.

-Can switch from Medicare Advantage to Original Medicare (Part A & Part B).

General Enrollment Period
(GEP)

January 1st - March 31st

-Used if you missed your initial enrollment period.

-Most likely to pay a Part B late enrollment penalty. 

-PDP (Part D) and MA plans are available April 1st - June 30th.

-Coverage will begin July 1st.