Eligibility and Enrollment
Learn about the eligibility criteria for enrolling in Medicare Advantage, including being enrolled in both Medicare Part A and Part B, and living in the plan's service area.

Enrollment and eligibility for Medicare parts A, B, C, and D vary based on certain factors, such as age, work history, and health conditions. Here's an overview of the enrollment and eligibility requirements for each part of Medicare:
Medicare Part A (Hospital Insurance) and Part B (Medical Insurance):
Eligibility:
Age: Most people become eligible for Medicare when they turn 65.
Disability: Individuals under 65 may be eligible if they have received Social Security disability benefits for 24 months or have End-Stage Renal Disease (ESRD) or Amyotrophic Lateral Sclerosis (ALS).
Citizenship and Residency: You must be a U.S. citizen or a legal resident who has lived in the U.S. for at least five consecutive years.
Enrollment:
Initial Enrollment Period (IEP): You can enroll in Part A and/or Part B during the 7-month period surrounding your 65th birthday (3 months before, the month of, and 3 months after your birthday). If you're receiving Social Security or Railroad Retirement Board (RRB) benefits before turning 65, you'll be automatically enrolled.
General Enrollment Period (GEP): If you miss your IEP, you can enroll in Part A and/or Part B during the GEP, which runs from January 1 to March 31 each year, with coverage starting on July 1. You may face a late enrollment penalty for Part B if you didn't sign up when you were first eligible.
Special Enrollment Period (SEP): You may qualify for an SEP to enroll in Part A and/or Part B without a penalty if you lose your current coverage, such as employer-sponsored insurance.
Medicare Part C (Medicare Advantage):
Eligibility:
Enrollment in Original Medicare: You must be enrolled in both Part A and Part B to join a Medicare Advantage plan.
Residency: You must live in the service area of the Medicare Advantage plan you want to join.
Enrollment:
Initial Coverage Election Period (ICEP): You can enroll in a Medicare Advantage plan when you first become eligible for Medicare (during your IEP).
Annual Election Period (AEP): You can enroll, switch, or disenroll from a Medicare Advantage plan during the AEP, which runs from October 15 to December 7 each year, with coverage starting on January 1.
Special Enrollment Period (SEP): You may qualify for an SEP to enroll in or change Medicare Advantage plans under certain circumstances, such as moving out of your plan's service area or losing other creditable coverage.
Medicare Part D (Prescription Drug Coverage):
Eligibility:
Enrollment in Original Medicare or Medicare Advantage: You must be enrolled in either Part A, Part B, or both, or have a Medicare Advantage plan that does not include drug coverage to join a standalone Part D plan. To enroll in a Medicare Advantage plan with drug coverage (MAPD), you must have both Part A and Part B.
Enrollment:
Initial Enrollment Period (IEP): You can enroll in a Part D plan when you first become eligible for Medicare (during your IEP).
Annual Election Period (AEP): You can enroll, switch, or disenroll from a Part D plan during the AEP, which runs from October 15 to December 7 each year, with coverage starting on January 1.
Special Enrollment Period (SEP): You may qualify for an SEP to enroll in or change Part D plans under certain circumstances, such as losing other creditable prescription drug coverage or moving out of your plan's service area.
Keep in mind that you may face a late enrollment penalty for Late Enrollment Penalty: If you do not enroll in a Part D plan when you are first eligible and do not have creditable prescription drug coverage elsewhere (such as from an employer or union), you may face a late enrollment penalty. This penalty is calculated as a percentage of the national base beneficiary premium and is added to your Part D premium for as long as you have Medicare drug coverage. The penalty increases the longer you go without creditable coverage.
When considering enrolling in Medicare parts A, B, C, and D, it is essential to understand the eligibility requirements, enrollment periods, and potential penalties for late enrollment. This information will help ensure you select the appropriate coverage and enroll at the right time to meet your healthcare needs.