Do I Qualify?

Do I Qualify for Medicare Advantage Coverage?

There are several ways you can qualify for Medicare Advantage enrollment.

• During the Annual Election Period, from October 15 to December 7, anyone with Medicare can enroll in or switch Medicare Advantage or Medicare Prescription Drug plans for coverage beginning January 1 the following year.
• During the Medicare Advantage Disenrollment Period, from January 1 through February 14, you may disenroll from a Medicare Advantage (MA) plan and return to Original Medicare Part A and Part B. Requests to disenroll in January, become effective February 1st. Requests made in February are effective March 1st.
• If you meet one of the following criteria, you can enroll in a Medicare Advantage plan outside of the Annual Election Period and the Medicare Advantage Disenrollment Period:
• You are new to Medicare.
• You've turned 65 and are now eligible for Medicare. You can enroll three months before you turn 65, during the month of your 65th birthday and three months afterward.
• You have recently moved outside of your current service area for Medicare Advantage plans or Medicare Prescription Drug plans.
• You have both Medicare and Medicaid*, or your state helps pay for your Medicare premiums.
• You were recently approved for Medicare's Extra Help program, which helps pay for your prescription drug coverage premiums.
• You no longer qualify for Extra Help paying for your Medicare prescription drugs.
• You recently moved into a long-term care facility (such as a nursing home).
• You recently left a PACE program.
• You involuntarily lost your prescription drug coverage, and your coverage was 'creditable' (meaning it was as good as Medicare coverage).
• You've recently lost your employer coverage, or are leaving employer coverage.
• You belong to a State Pharmacy Assistance Program (SPAP).
•  You recently returned to the United States after living outside of the country
• Your current Medicare Advantage plan is ending its contract with Medicare, or Medicare is ending its contract with your current Medicare Advantage plan.

*Note: If you are covered under Medicaid and Medicare, you are eligible to switch plans once per month.

If you have questions about enrollment, please call us toll free at 1-866-249-8668, 8:00 a.m. to 8:00 p.m. in your local time zone (TTY users call 1-800-975-8089) 7 days a week.