What’s the Difference Between the Medicare AEP and the Medicare General Enrollment Period?

Did you know that there is more than one type of Medicare enrollment period? When you first enroll in Medicare, this can seem confusing: for example, there is a Medicare Annual Enrollment Period, or AEP, an annual event during which you can make changes to your Medicare plan, but there is also the Medicare General Enrollment Period, or GEP, which runs at a different time and has a different purpose. It is important to differentiate between the two, so you don’t make a mistake and miss out on making necessary changes to your plan, or on possible savings.

What Is The Medicare AEP?

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You have different options during the Medicare AEP, and can make a change to better suit your needs.

The Medicare Annual Enrollment Period runs every year from October 15th to December 7th. During this time, Medicare beneficiaries who are already enrolled in Medicare can make changes to their Medicare coverage. If you do decide to switch plans during the AEP, your new plan will go into effect on January 1st, but you don’t have to make any changes if you are satisfied with your current plan. 

During the AEP, you can make the following changes:

  • Switch from Original Medicare (Parts A and B) to a Medicare Advantage Plan
  • Switch from a Medicare Advantage Plan back to Original Medicare, as well as enroll in Part D or a Medicare Supplement Plan alongside Original Medicare when you switch
  • Switch your current Medicare Advantage Plan to a different one
  • Switch from a Medicare Advantage Plan that includes drug coverage to one that does not
  • Switch from a Medicare Advantage Plan that does not include drug coverage to one that does

What Is The Medicare GEP?

sign with 2 signs on the pole that say chance on each of them
The Medicare GEP offers you a second chance to enroll in Medicare in case you missed the opportunity to sign up for Medicare.

Now to take a look at the Medicare General Enrollment Period, or GEP, which runs every year from January 1st to March 31st. If you missed the opportunity to sign up for Medicare Parts A or B when you were first eligible to, this time of year is your chance to do so. Once you enroll in a plan, your coverage will begin on July 1st.

If you did not enroll in Medicare during your Initial Enrollment Period when you turned 65 years old, you should absolutely take advantage of this time. Keep in mind, though, that while the GEP is a second chance to enroll in Medicare, you will still have to pay a Part B late fee, which is based on how many years you went without enrolling after turning 65.

The Medicare Annual Enrollment Period is a very important time for you to look for a plan that better suits your needs, and save some money. Right before the AEP starts in October, you should take the time to review your Medicare Annual Notice of Change, which is a letter you will receive noting any changes to your coverage and benefits that will take effect next year. You should think about what you most need covered, as well as check your plan’s drug formulary to make sure your medications will still be covered, and if you find that your current plan will not meet your needs next year, you’ll need to begin searching for a new Medicare plan. If you need help comparing plans, EZ can help – we will provide you with an agent who will compare plans in your area for free. No obligation. To get free instant quotes for plans that cover your current doctors, simply enter your zip code in the bar on the side, or to speak to a local licensed agent, call 888-753-7207.

The 6 Medicare Enrollment Periods You NEED To Know

You probably mark all of the important dates in your life, such as your family’s birthdays and doctor appointments, in your calendar. But how about all of the Medicare enrollment period dates? If you’re 65 or older (or about to turn 65), these dates should be in your calendar, as well! For starters, the Medicare Annual Enrollment Period begins on October 15, so right now you should be reviewing your coverage and considering any changes you want to make – but there are other enrollment periods that you should be aware of. For example, if you missed the opportunity to sign up during your Initial Enrollment Period, you can still sign up during the General Enrollment Period. Don’t miss the following Medicare enrollment periods, because doing so could end up costing you money!

1. Initial Enrollment Period

the numbers 65 in gold floating in the air with balloons tied to it
Your Medicare Initial Enrollment Period begins 3 months before turning 65, the month you turn 65 and 3 months following.

If you’re about to turn 65, the time to enroll in Medicare is now! You have a 7-month window during which you can enroll: the 3 months before you turn 65, the month you turn 65, and the 3 months after you turn 65. During your Initial Enrollment Period, you can:

  • Enroll in Medicare Parts A and B
  • Enroll in a Medicare Part D Plan
  • Enroll in a Medicare Advantage Plan, also known as Part C

Unless you are exempt because you are still working, you will face a penalty fee if you don’t sign up during your Initial Enrollment Period: your monthly Part B premiums will be around 10% higher for each 12-month period you could’ve had Part B but weren’t enrolled.

2. Medicare Supplement Open Enrollment Period

Once you’ve enrolled in Medicare during your Initial Enrollment Period, the next thing you should look into is a Medicare Supplement Plan – these plans can help you save hundreds of dollars each year on the medical expenses that Original Medicare does not cover. While you can purchase a Medicare Supplement Plan at any time, the best time to buy one is during your Open Enrollment Period, which begins the month you turn 65 and extends for the next 5 months. Buying during this Open Enrollment Period will ensure that you have guaranteed issue, meaning you will not have to answer any medical questions to qualify for a plan.

There are 10 different plans to choose from, all with different levels of coverage and pricing, so you are sure to find one that meets your specific needs.  

3. General Enrollment Period

calendar with march 31 as the date and a pen clipped on it
If you missed the IEP, you can enroll in Medicare during the GEP, which runs from January 1 to March 31.

Did you miss the chance to enroll in Medicare when you turned 65? No worries, you have the opportunity to sign up for Parts A and/or B during the General Enrollment Period. This period begins January 1st and ends March 31st each year, with coverage beginning July 1st. Be aware that you still might have to pay the fees mentioned above if you enroll during General Enrollment, since you did not sign up during your Initial Enrollment Period. 

4. Annual Enrollment Period

The Medicare Annual Enrollment Period, which runs from  October 15 to December 7, is the time when you can make changes to your plan so that it better suits your needs. For example, if your income has changed, or if you need more coverage, this is the perfect time to change plans so you can get what’s best for you. During this time you can:

  • Switch to a Medicare Advantage Plan from Original Medicare, or vice versa.
  • Switch from a Medicare Advantage Plan with prescription drug coverage to one without, or vice versa. 
  • Join or drop a Medicare prescription (Part D) drug plan.
  • Switch to a new plan from your current insurer, or switch to a new insurer.

When you switch to Original Medicare during the AEP, you can also purchase a Medicare Supplement Plan. If you change plans during the Annual Enrollment Period, your new coverage will begin January 1st.

5. Special Enrollment Period

There are specific events that will open up a Special Enrollment Period for you, allowing you to enroll in Medicare or change plans outside of the typical enrollment periods. You can join, switch, or drop plans if:moving boxes on a red hand truck

  • You have moved outside of your plan’s service area
  • You lost your healthcare or prescription drug coverage because you left your job, or because your insurer went out of business or committed fraud

You will have 60 days to sign up for a new plan after the above instances occur; after 60 days, you will no longer be given guaranteed issue, and you will be subject to medical questions. 

6. Medicare Advantage Open Enrollment

The Medicare Advantage Open Enrollment Period occurs annually from January 1st through March 31st. During this time, you can switch from one Medicare Advantage Plan to another plan, or opt to drop your plan and enroll in Original Medicare. 

If you are looking to enroll in Medicare, purchase a Medicare Supplement Plan, or are just weighing your options before the AEP is over, EZ can help. Our agents work with the top-rated insurance companies in the country, and can compare all available plans in your area, at no cost to you. We will go over your medical and financial needs, and help you find a plan that checks all of the boxes. To get free instant quotes on plans that cover your current doctors, simply enter your zip code on the side, or to speak to a local licensed agent, call 888-753-7207.

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