Understanding Medicare Enrollment Plans
IEP / Initial Enrollment Period : Starts 3 months before you turn 65, includes your birth month, and ends 3 months after you turn 65.
AEP / Annual Enrollment Period: Occurs each year from 10/15 – 12/7. You can make any type of plan changes you want to. New plans will be effective January 1st of the next year.
OEP/Open Enrollment Period: People with Medicare Advantage Plans are able to switch Advantage plans or return to Original Medicare. 1/1 - 3/31 each year
SEP / Special Enrollment Periods: Special times when people can make changes to their plans outside of IEP, AEP, and OEP. Some of the reasons are: Moving into a new area, Disaster strikes where you live during the normal enrollment periods, you become Medicaid eligible, become institutionalized or move into a Nursing Home, get on a State Prescription assistance program.
Not all information is necessary but helpful.
Medicare Number
Medicare Part A and B effective Dates, if applicable.
* If you do not know this information, I can assist you in obtaining it with your Social Security Number.
If you are already enrolled in a Medicare Plan, the name of the company you are enrolled with and what type of Plan you currently have.
Whether you receive Medicaid or not, if so your Medicaid Number
Are you on a State Pharmaceutical Assistance program?
Do you receive Extra Help from Medicare for your Part D Costs?
A form called a Scope of Appointment form must be filled out 48 hours ahead of a scheduled appointment in order to discuss Medicare Advantage Plans or Prescription Drug plans with a potential Client.
- If you are in the final four days of an election period, you’re allowed to have a same-day SOA.
- If you initiate the contact by calling your agent or visiting their office, the 48-hour rule doesn’t apply, but you still need to complete the SOA.
- Walk-ins or unplanned meetings are exempt from the 48-hour waiting period.