Medicare’s Special Enrollment Period (SEP) is a valuable opportunity for those who experience specific life events to make changes to their Medicare coverage outside of the regular enrollment periods. Knowing whether you qualify for an SEP can help you avoid coverage gaps and ensure you’re always on the right plan.
What is a Special Enrollment Period?
An SEP allows you to enroll in or make changes to your Medicare plan when certain circumstances arise, such as moving to a new area or losing employer-based health coverage. Unlike the standard Open Enrollment Period (Oct. 15–Dec. 7), SEPs are triggered by specific events and typically come with a limited timeframe to act.
Who Qualifies for an SEP?
You may qualify for an SEP if you experience events like:
Moving: Relocating to a new area where your current Medicare plan isn’t available.
Losing Coverage: Losing employer or union health insurance due to retirement or other reasons.
Medicaid Eligibility Changes: Gaining or losing eligibility for Medicaid.
Leaving a Care Facility: Transitioning out of a skilled nursing facility or long-term care hospital.
Plan Changes: If your Medicare Advantage or Part D plan is discontinued in your area.
Each SEP event has specific rules, so it’s essential to know what applies to your situation.
When Can You Enroll or Change Plans?
The timeframe for an SEP varies depending on the triggering event. For example:
If you move, you usually have two months from the date of your move to switch plans.
If you lose employer coverage, you typically have eight months to enroll in Medicare Part B without penalty.
In the case of these events, give us a call right away, 716-693-6800. Acting quickly ensures you avoid lapses in coverage and unnecessary penalties.
Need Help Navigating Your Options?
Understanding Medicare’s Special Enrollment Periods can be tricky, but we’re here to help. Health Resources Insurance is here to guide you through the process and find the best plan for your needs.
Contact us today to schedule a consultation—we’ll help you make the most of your Medicare options! ☎️ 716-693-6800