Fair Square Medicare Wordmark

How Often Can I Change Medicare Plans?

Cover image
By Daniel Petkevich
May 5, 2023

You Can Change Plans only During Specific Enrollment Periods

As you grow older, your healthcare needs may change, and it's not uncommon to find that your current Medicare plan no longer provides the coverage you require. It can be frustrating to realize that the plan that worked for you in the past no longer meets your needs.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.
Fortunately, Medicare understands this and allows you to change your plan if you're unsatisfied with it.
But can you change plans anytime?
While it's not always possible to change plans whenever you want, there are specific periods when you can make changes.
Let's explore the various enrollment periods to understand when you can join Medicare and make changes to your plan.

When Can I Enroll in Medicare?

Your Initial Enrollment Period (IEP), commonly known as your first opportunity to enroll in Medicare, typically occurs when you are approaching the age of 65. Nevertheless, if you have a disability, end-stage renal disease (

ESRD

) or

ALS

(also called Lou Gehrig’s disease), you may be eligible for Medicare even before you turn 65.
The Initial Enrollment period lasts for seven months, starting three months before your 65th birthday and ending three months after your birthday. But, if your birthday falls on the first of the month, it begins four months before your birth month and extends until two months after.
For example, if your birthday is in February, your IEP will start in November and end in May. But if your birthday is on the 1st of February, your IEP will begin in October and end in April.
Visual asset.
Initial Enrollment Period
During your IEP, you can:
  • Enroll in Original Medicare — Medicare

    Part A

    and

    Part B

    , which covers hospital stays, doctor visits, and other medical services
  • Enroll in Medicare Part D (Medicare prescription drug plan)
  • Enroll in Medicare Part C (Medicare Advantage Plan)
  • Enroll in Medicare Supplement (

    Medigap

    )

When Will My Medicare Coverage Start If I Enroll During My IEP?

Your Medicare coverage start date depends on when you sign-up for Medicare, as follows:
  • If you sign-up before the month of your 65th birthday, your Medicare coverage will begin the month you turn 65.
  • If your birthday falls on the first of the month and you sign-up during the first three months of your IEP, your coverage will begin the month before your 65th birthday.
  • If you sign-up the month you turn 65 or during the three months after, your coverage will start the following month after you sign-up.
Visual asset.
Medicare Coverage Start Date

When Will My Medicare Coverage Start If I Have a Disability, ESRD or ALS?
If you have a disability, end-stage renal disease (ESRD) or

ALS

(also called Lou Gehrig’s disease), your Medicare coverage start date will depend on your particular situation as follows.
1. For individuals with a disability
If you have a disability and have been collecting

Social Security

benefits, you'll be automatically enrolled in Medicare at the beginning of the 25th month. Your coverage will start the same month.
2. For individuals with ESRD
If you have been diagnosed with ESRD and have enough work credits to qualify for retirement benefits, your Medicare coverage start date will depend on your specific circumstances.
  • If you are undergoing dialysis treatment, you will be eligible for Medicare coverage starting from the first day of the fourth month of dialysis treatment.
  • If you are starting a self-dialysis training program, you can immediately become eligible for Medicare coverage.
  • If you are undergoing a kidney transplant, your Medicare coverage will begin the month you are admitted to the hospital. Alternatively, if you have been admitted to the hospital for more than two months before your transplant, your Medicare coverage will begin two months before your transplant.
3. For individuals with ALS
If you have been diagnosed with ALS, your Medicare coverage will start as soon as you receive your disability benefits. 

Can I Switch Medicare Plans Anytime?

No. You cannot switch Medicare Plans at any time.
If you're not satisfied with your current plan, you can make changes to your current plan during specific periods each year. Depending on your need, you can drop, switch, or join a new plan during these periods.

When Can I Switch Medicare Plans?

Finding the right Medicare plan can be daunting, and even after careful consideration, you may still find that it doesn't meet your healthcare needs or has high out-of-pocket costs. The good news is that Medicare understands that life circumstances can change, and they offer three enrollment periods for you to change your plan. These are:
  • Annual Enrollment Period
  • Medicare Advantage Open Enrollment Period
  • Special Enrollment Period
Let's learn more about these enrollment periods.

1. Annual Enrollment Period

The Medicare Annual Enrollment Period, also known as Fall Open Enrollment Period, extends from October 15th to December 7th every year.
During this period, you can:
  • Switch from Original Medicare to a

    Medicare Advantage Plan

  • Join, drop, or switch to another Medicare Advantage Plan (or add or drop drug coverage)
  • Switch from one Prescription Drug Plan to another
  • Enroll in Medicare Part D
When Does My Coverage Begin?
Any changes you make during the AEP will take effect from January 1st of the following year.
However, if you're happy with your current plan, it will automatically renew on January 1st.

2. Medicare Advantage Open Enrollment Period

The Medicare Advantage Open Enrollment Period is a one-time opportunity during which Medicare beneficiaries already enrolled in a Medicare Advantage Plan can switch to another Medicare Advantage Plan or return to Original Medicare.
Medicare Advantage Open Enrollment Period runs from:
  • January 1st to March 31st each year
  • Within the first three months you get Medicare — if you enrolled in a Medicare Advantage plan during your IEP
During this period, you can:
  • Switch from one Medicare Advantage Plan to another (with or without drug coverage)
  • Drop your Medicare Advantage Plan and return to Original Medicare
  • Join a Medicare drug plan
When Does My Coverage Begin?
Any changes made during the Medicare Advantage Open Enrollment Period will take effect on the first day of the following month.

3. Special Enrollment Period

The Medicare Special Enrollment Period (SEP) is when you can change your Medicare coverage due to certain life events.
During this period, you can:
  • Join a Medicare plan
  • Switch to another plan
When Does My Coverage Begin?
It may vary depending on specific situations, but generally, the first of the month after the plan gets your request.
You may be eligible for the Special Enrollment Period if:
  • You move to a different location
  • You lose your current coverage
  • You have a chance to get other coverage
  • Your plan changes its contract with Medicare
  • The state you live in grants SEPs
  • Other special situations
Let's examine some specific scenarios in more detail and explore the steps you can take.
Your Move to a New Place
If you move to a new address that falls outside of your current plan's service area, or if your original service provider introduces new plan options in your new location, you can:
  • Switch to a new Medicare Advantage plan or Medicare drug plan.
  • Return to Original Medicare (if you are outside your plan's service area.)
Note: If you do not enroll in a new Medicare Advantage plan, you will automatically be enrolled in Original Medicare when you disenroll from your old Medicare Advantage plan.
Your SEP depends on when you inform your service provider:
  • If you inform your provider before you move, your SEP starts the month before you move and continues for two months after you move.
  • If you inform your provider after you move, your SEP starts the month you notify your provider and ends after two months.
You Moved Into, Currently Live In or Moved Out of an Institution
If you recently moved into, currently live in or moved out of a skilled nursing facility or long-term care hospital, you have the following options:
  • Join a Medicare Advantage plan or Medicare drug plan.
  • Switch from your current plan to another Medicare Advantage plan or Medicare drug plan.
  • Return to Original Medicare.
  • Drop your Medicare drug coverage.
Your SEP lasts as long as you live in the institution and ends two months after you move out.
You're No Longer Eligible for Medicaid
If you are no longer eligible for Medicaid, you can:
  • Join a Medicare Advantage plan or Medicare drug plan.
  • Switch from your current plan to another Medicare Advantage plan or Medicare drug plan.
  • Return to Original Medicare.
  • Drop your Medicare drug coverage.
Your SEP lasts for three months from whichever date is later:
  • The date you are no longer eligible, or
  • The date you find out you are no longer eligible.
You Lose Coverage With Your Employer
If your employer or union COBRA coverage ends after 18 months, you can join a Medicare Advantage or Medicare drug plan.
Your SEP lasts two months after your coverage ends or two months after you are notified, whichever is later.
Your Plan Terminates Its Contract with Medicare
If your plan is no longer part of Medicare, you can switch from your Medicare Advantage plan or Medicare drug plan to another plan.
Your SEP begins two months before the contract ends and extends until one month after.
Other Situations
Some other 

special circumstances

 also qualify you for a Special Enrollment Period. If you're in a situation not mentioned in this 

list

contact Medicare at 1-800-633-4227 (TTY users call 1-877-486-2048).
Visual asset.
Medicare Enrollment Periods to Switch Plans

Is It Time to Switch Your Medicare Plan?

As your healthcare needs change, it's possible that your current plan may not provide the coverage you need. Review your plan periodically and make necessary changes to ensure you get the best possible care.
If you're enrolled in Original Medicare, review the following year's "Medicare & You" handbook to understand your Medicare benefits and costs clearly. For those with a Medicare Advantage Plan or a Part D plan, review the Annual Notice of Change (ANOC) and/or Evidence of Coverage (EOC) from your plan. These documents will detail any changes to your plan's costs, benefits, and regulations for the upcoming year.
Additionally, it's also recommended to research other Medicare options in your area, even if you are satisfied with your current coverage. There might be another plan that better meets your healthcare needs and is more affordable. 
At

Fair Square Medicare

, we prioritize our client's satisfaction, so we review their coverage and costs yearly during the AEP. This ensures they are not overpaying and their plan meets their healthcare needs. If you have any questions about your plan coverage and costs or are unsure if your current plan is the best fit, please do not hesitate to contact us at 1-888-376-2028.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

Recommended Articles

Cover image
Does Medicare Cover RSV Vaccines?
Sep 13, 2023
Senior woman checking blood pressure/heart rate at home stock photo
Does Medicare Cover Home Heart Monitors?
Dec 1, 2022
Older woman during an eye exam
Does Medicare Cover Diabetic Eye Exams?
Jan 11, 2023
stair lift stock photo
Does Medicare Cover Stair Lifts?
Nov 18, 2022
senior man on a phone call stock image
What is a Medicare Beneficiary Ombudsman?
Apr 11, 2023
Plastic surgeon handles a silicon implant
Does Medicare Cover Breast Implant Removal?
Jan 5, 2023
Doctor showing patient bone anatomy of skeleton of nose and nasal cavity on skull. Preparing for rhinoplasty surgery, correcting deviated nasal septum, localization of rhinitis, sinusitis in nose stock photo
Does Medicare cover Deviated Septum Surgery?
Nov 18, 2022
woman sitting up in bed experiencing back pain stock photo
Does Medicare Cover a Spinal Cord Stimulator?
Nov 19, 2022
doctor consulting their patient stock image
Does Medicare Cover the Urolift Procedure?
Dec 6, 2022
a doctor tells her patient she doesn't accept medicare. the patient wonders what to do stock image
What to Do When Your Doctor Doesn't Take Medicare
Feb 24, 2023
Close up of a senior clutching their right wrist in pain stock photo
Does Medicare Cover Cala Trio?
Nov 23, 2022
Senior person holding tissue roll near a toilet bowl, using walker to walk to the bathroom stock photo
Does Medicare Cover Disposable Underwear?
Dec 8, 2022
Cover image
Can Medicare Advantage Plans be Used Out of State?
Jun 12, 2023
pros and cons stock image
Are Medicare Advantage Plans Bad?
May 5, 2022
Cover image
Welcome to Fair Square's First Newsletter
Feb 28, 2023
Unrecognizable doctor holding highlighted handrawn Kidneys in hands. Medical illustration, template, science mockup. stock photo
Does Medicare Cover Nexavar?
Nov 30, 2022
Human hands holding healthy lung shape made from paper on light blue background. stock photo
How Much Does Trelegy Cost with Medicare?
Jan 24, 2023
Model of the lungs with the diseased part stock photo
Does Medicare Cover Ofev?
Dec 2, 2022

More of our articles

13 Best Ways for Seniors to Stay Active in Columbus

13 Best Ways for Seniors to Stay Active in Philadelphia

14 Best Ways for Seniors to Stay Active in Nashville

14 Best Ways for Seniors to Stay Active in Seattle

14 Best Ways for Seniors to Stay Active in Washington, D.C.

15 Best Ways for Seniors to Stay Active in Denver

2023 Medicare Annual Election Period (AEP)

2024 "Donut Hole" Updates

Can I Use Medicare Part D at Any Pharmacy?

Do You Need Medigap if You're Eligible for Both Medicare and Medicaid?

Does Medicare Cover Bladder Sling Surgery?

Does Medicare Cover Cardiac Ablation?

Does Medicare Cover Cartiva Implants?

Does Medicare Cover Cataract Surgery?

Does Medicare Cover Cosmetic Surgery?

Does Medicare Cover COVID Tests?

Does Medicare Cover ESRD Treatments?

Does Medicare Cover Geri Chairs?

Does Medicare cover Hyoscyamine?

Does Medicare Cover Ilumya?

Does Medicare Cover INR Machines?

Does Medicare Cover Inspire for Sleep Apnea?

Does Medicare Cover Kidney Stone Removal?

Does Medicare Cover Kyphoplasty?

Does Medicare Cover Mouth Guards for Sleep Apnea?

Does Medicare Cover Nuedexta?

Does Medicare Cover Orthodontic Care?

Does Medicare Cover Oxybutynin?

Does Medicare Cover Ozempic?

Does Medicare Cover Piqray?

Does Medicare Cover Scleral Lenses?

Does Medicare Cover Service Animals?

Does Medicare Cover SI Joint Fusion?

Does Medicare Cover TENS Units?

Does Medicare Cover the WATCHMAN Procedure?

Does Medicare Cover Wart Removal?

Does Medicare Pay for Allergy Shots?

Does Medicare Pay for Antivenom?

Does Medicare Pay for Varicose Vein Treatment?

Does Your Medicare Plan Cover B12 Shots?

Fair Square Client Newsletter: AEP Edition

Finding the Best Vision Plans for Seniors

How Can I Get a Replacement Medicare Card?

How Does the End of the COVID-19 Public Health Emergency Affect Your Medicare?

How Much Does a Medicare Coach Cost?

How Much Does Xeljanz Cost with Medicare?

How to Apply for Medicare?

How to Choose a Medigap Plan

Is Balloon Sinuplasty Covered by Medicare?

Is Botox Covered by Medicare?

Is PAE Covered by Medicare?

Medicare & Ozempic

Medicare 101

Medicare Consulting Services

Medicare Savings Programs in Kansas

Medicare Supplement Plans for Low-Income Seniors

The Easiest Call You'll Ever Make

The Fair Square Bulletin: August 2023

The Fair Square Bulletin: July 2023

The Fair Square Bulletin: June 2023

The Fair Square Bulletin: October 2023

The Fair Square Bulletin: The End of the COVID Emergency Declaration

What Are Medicare Part B Excess Charges?

What Does Medicare Cover for Stroke Patients?

What Is the Medicare Birthday Rule in Nevada?

What is the Medicare ICEP?

What People Don't Realize About Medicare

What You Need to Know About Creditable Coverage

What's the Deal with Flex Cards?

When Can You Change Medicare Supplement Plans?

Which Medigap Policies Provide Coverage for Long-Term Care?

Will Medicare Cover Dental Implants?

Your Medicare One-Stop-Shop

Your guide to Medicare Parts A & B, Medicare Advantage, and Medigap. 100% free.
Get the Fair Square Bulletin

Medicare savings tips, helpful guides, and more.

About

Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans

Fair Square 2023

Terms of Use
Notice of Privacy Practices

Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2022 Help Button Inc

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

MULTIPLAN_FairSquareMedicare_01062022_M