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Do You Qualify for a Medicare Advantage Plan?

The list below outlines several ways you can qualify for enrollment in a Medicare Advantage (MA) plan:

  • Anyone with an existing Medicare plan can enroll in a new Medicare Advantage and/or a new Medicare Prescription Drug plan during the Annual Election Period, from October 15 through December 7, for coverage effective January 1 of the following year
  • 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 Original Medicare
    • You're turning 65:
      • You can enroll anytime during the three months before the month you turn 65
      • You can enroll anytime during the month you turn 65
      • You can enroll anytime during the three months after the month you turn 65
    • 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, moved out of or currently reside in a long-term care facility (such as a nursing home)
    • You recently left a Program of All-inclusive Care for the Elderly (PACE) program
    • You belong to a State Pharmacy Assistance Program (SPAP)
    • Your current Medicare Advantage plan is ending its contract with Medicare, or Medicare is ending its contract with your current Medicare Advantage plan
    • You qualify for Original Medicare and you involuntarily lost your prescription drug coverage, and your coverage was 'creditable' (meaning it was as good as Medicare coverage)
    • You qualify for Original Medicare and you have recently lost your employer coverage, or are leaving employer coverage
    • You qualify for Original Medicare and you recently returned to the United States after living outside of the country

*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 (TTY users call 711).

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