Part D Enrollment

Enrollment Requirements

 

In order join a Medicare Part D plan you must:


  • Have Medicare Part A or Part B. You do not need both.
  • Live in the plan’s service area
  •  

You can only join, switch, or drop a Medicare drug plan (Part D) during certain times, called enrollment periods.

 

When to Enroll

 

There are specific times when you can join a Medicare drug plan (Part D) or make changes to you existing Medicare durg plan

  • Enrollment Requirements

 

In order to Join a Medicare Part D plan you must:

  • Have Medicare Parts A and/or B. 

        You do not need both.   

  • Live in the plan’s service area

 

You can only join, switch, or drop a Medicare drug plan (Part D) during certain times, called enrollment periods. 

 

When to Enroll 

 

There are specific times when you can join a Medicare drug plan (Part D) or make changes to your existing Medicare drug plan.  

Initial Enrollment Period: If you are newly eligible for Medicare because you turned 65 you can enroll in Part D during the Initial Enrollment Period. There is a 7-month window that begins 3 months before your 65th birthday, the month of your 65th birthday and 3 months after your 65th birthday. If you enroll during the first 3 months, coverage becomes effective the first day of the month you turn 65. If you enroll during the month you turn 65, or during the 3 months after you turn 65, coverage becomes effective the first of the following month. 

 

Annual Enrollment Period: This period runs from October 15 to December 7 of each year with coverage being effective January 1st of the following year. During this time, you can join a Medicare drug plan, drop a Medicare drug plan, return to original Medicare, or switch a Medicare drug plan. 

 

Special Enrollment Period: Under certain situations, you can enroll or make changes to a Medicare drug plan when certain events happen in your life. Examples consist of but are not limited to the following:

Initial Enrollment Period: If you are newly eligible for Medicare because you turned 65 you can enroll in Part D during the Initial Enrollment Period. There is a 7-month window that begins 3 months before your 65th birthday, the month of your 65th birthday and 3 months after your 65th birthday. If you enroll during the first 3 months, coverage becomes effective the first day of the month you turn 65. If you enroll during the month you turn 65, or during the 3 months after you turn 65, coverage becomes effective the first of the following month.


Annual Enrollment Period: This period runs from October 15 to December 7 of each year with coverage being effective January 1st of the following year. During this time, you can join a Medicare drug plan, drop a Medicare drug plan, return to original Medicare, or switch a Medicare drug plan.


Special Enrollment Period: Under certain situations, you can enroll or make changes to a Medicare drug plan when certain events happen in your life. Examples consist of but are not limited to the following:

  • Moving out of a service area
  • Losing group or union coverage
  • Moving back to the U.S. after living outside the country
  • Living in or moving out of an institution such as a nursing home or rehabilitation hospital
  • Were incarcerated and have been released
  • Are no longer eligible for Medicaid
  • Having a chance to enroll in other coverage offered by your employer or union
  • Your Medicare Advantage Plan ends
  • You’re eligible for both Medicare and Medicaid
  • You receive Extra Help paying for Medicare drug coverage
  • You’re in a state pharmaceutical program 
  • Moving out of a service area
  • Losing group or union coverage
  • Moving back to the U.S. after living outside the countryLiving in or moving out of an institution such as a nursing home or rehabilitation hospital 
  • Were incarcerated and have been released
  • Are no longer eligible for Medicaid
  • Having a chance to enroll in other coverage offered by your employer or union
  • Your Medicare Advantage Plan ends
  • You’re eligible for both Medicare and Medicaid 
  • You receive Extra Help paying for Medicare drug coverage 
  • You’re in a state pharmaceutical program

The coverage effective date for a special election period is the first of the month following the event.