Are you new to Medicare?

Turning 65 can come with a lot of questions about Medicare and how to enroll. Here is your simple guide to enrolling in Medicare when you turn 65.

How do I enroll in Medicare?

You may qualify for Medicare Part A and Medicare Part B when you turn 65. For some, you will be automatically enrolled. Visit Medicare.gov to see if you will be automatically enrolled.

VIDEO: Learn the ABC’s of Medicare

If you’re automatically enrolled, you’ll get your red, white, and blue Medicare card in the mail three months before your 65th birthday. Your Medicare Part A and Part B coverage will begin on the first day of the month that you turn 65. If your birthday is on the first day of the month, Part A and Part B will start on the first day of the prior month.

If you are not automatically enrolled, you can sign up for Medicare Part A and Part B during your seven-month Initial Enrollment Period. This period begins three months before the month you turn 65, includes the month you turn 65, and ends three months after the month you turn 65.


When can I enroll in a MedStar Medicare Choice Plan?

Your age and medical situation  When you can enroll in a Medicare Advantage or a Medicare Part D (Prescription Drug) plan
I am turning 65

From three months before your 65th birthday month through three months after your 65th birthday month you first become eligible for Medicare (your Initial Enrollment Period).

Example: If your 65th birthday is June 30, 2016, you will be able to apply and enroll in a Medicare Part C or Medicare Part D Plan from March 2016 – September 2016.
I am disabled and under 65 You may be eligible to enroll beginning 21 months after you receive Social Security or Railroad Retirement Board (RRB) benefits. Your Medicare Advantage coverage will take effect 24 months after you receive those benefits and your last opportunity to enroll is 27 months after you receive those benefits.
I am Medicare eligible, disabled, and turning 65 Three months prior to your 65th birthday month and three months after your 65th birthday month. During this 7-month period, you may be eligible to apply, change your current plan, or cancel your coverage altogether.
I have Medicare and Medicaid Eligible beneficiaries may enroll at any time in MedStar Medicare Choice Dual Advantage (HMO SNP).
I have chronic heart failure and/or diabetes Eligible beneficiaries may enroll at any time in MedStar Medicare Choice Care Advantage (HMO SNP).

 

When can I make changes to my Medicare Advantage Plan or Prescription Drug Plan?

You can make changes to your current Medicare Advantage Plan or Medicare Prescription Drug Plan each year during two separate time periods: October 15th through December 7th (Annual Open Enrollment) and January 1st through February 14. See below to learn what changes you can make during each annual time period.

Please note, MedStar Medicare Choice Dual Advantage (HMO SNP) or MedStar Medicare Choice Care Advantage (HMO SNP) eligible beneficiaries can enroll at any time.


Annual Open Enrollment Period: October 15 – December 7

During the Medicare Open Enrollment Period, you will be able to

  • Change from Original Medicare to a Medicare Advantage Plan
  • Change from a Medicare Advantage Plan back to Original Medicare
  • Change from one Medicare Advantage Plan to another Medicare Advantage Plan
  • Switch from a Medicare Advantage Plan that does not offer drug coverage to a Medicare Advantage Plan that does offer drug coverage
  • Switch from a Medicare Advantage Plan that offers drug coverage to a Medicare Advantage Plan that doesn’t offer drug coverage
  • Enroll in a Medicare Prescription Drug Plan
  • Change from your current Medicare Prescription Drug Plan to another Medicare Prescription Drug Plan
  • Cancel your current Medicare prescription drug coverage completely 


Medicare Advantage Disenrollment Period: January 1 – February 14

During this time you will be able to

  • Leave your current Medicare Advantage Plan and switch to Original Medicare. Your Original Medicare coverage will take effect beginning the first day of the following month.
  • If you change from your current Medicare Advantage plan to Original Medicare during this period, you will have until February 14th to also join a Medicare Prescription Drug Plan to add drug coverage. Your prescription drug coverage will start the first day of the month after the plan receives your enrollment form.

During this period, you cannot

  • Change from Original Medicare to a Medicare Advantage plan
  • Change from one Medicare Advantage plan to another
  • Change from one Medicare Prescription Drug plan to another
  • Join, change, or cancel a Medicare Medical Savings Account Plan


Additional Requirements and Enrollment Dates

Additionally, there may be other situations that will allow you to enroll in or make changes to your Medicare coverage at other times during the year. For example, if you move outside the plan’s service area, if you lose employer group coverage, or if you qualify for extra help with prescription drug costs, you may be eligible. There are other situations that qualify as well.

Please note, MedStar Medicare Choice Dual Advantage (HMO SNP) or MedStar Medicare Choice Care Advantage (HMO SNP) eligible beneficiaries can enroll at any time.


Service Area

Our 2015 service area includes Washington, DC, and the following Maryland counties: Anne Arundel, Baltimore, Baltimore City, Charles, Howard, Prince George’s, and St. Mary’s.


Click here to learn more about Medicare

 

H9915_17_3112 -  Pending CMS Approval

Last Updated Date: 11/8/2016