Medicare Part D – Medicare Prescription Drug Plans (PDP)
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Special Enrollment Period
Special Enrollment Periods (SEPs) can allow you to enroll or make changes to your Medicare Advantage and Prescription Drug plan choices when certain events happen in your life. Below are some examples of SEPs. The rules about when and what type of changes you can make are different for each SEP. Visit with your Agent or review the SEP options to see if you qualify to enroll or make changes.
- You’ve moved and your current plan isn’t available in your new area.
- You have just moved into, out of or currently living in a long-term care hospital or skilled nursing facility.
- You have just been released from incarceration.
- You’ve moved back to the U.S. after living in another country.
- You are no longer eligible for Medicaid.
- You are eligible for both Medicare and Medicaid.
- You are enrolled in a State Pharmaceutical Assistance Program (SPAP)
- You’ve lost eligiblity for a State Pharmaceutical Assistance Program (SPAP)
- You qualify for Extra Help paying for Medicare prescripton drug coverage.
- You are leaving employer or union coverage (COBRA included)
- Your current Medicare plan terminates or ends its contract with Medicare.
There are other Special Enrollment Periods that you may qualify for to make changes to your policy. Visit with your local Medicare Agent, or go to Medicare.gov to see if your circumstances will qualify for a SEP.
Assistance for low-income Beneficiaries
If you have a low income and limited resources, your state may pay for your Medicare costs, including premiums, deductibles, and coinsurance. Please review detailed guidelines on the government website.
Up-to date information about Medicare is available at http://www.medicare.gov.
If you have questions about how to enroll in Medicare, call Social Security’s toll-free number, 1-800-772-1213, any business day from 7:00 a.m. to 7:00 p.m. The lines are busiest early in the week and early in the month, so it is best to call at other times. People who are deaf or hard of hearing my call a toll-free TTY number, 1-800-325-0778, between 7:00 a.m and 7:00 p.m. on business days.
When you call, have your Social Security number handy.
These calls are all treated confidentially. Some calls may be monitored by a second customer representative to make sure you are receiving accurate information and courteous service.
If you have any questions about what Medicare covers,
call the Medicare carrier that processes Medicare claims in your area. The name and number are listed in Medicare & You.
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