After the six steps Step 6

Enrollment Guide

How do you actually get the plan?

You've seen how both routes work. This is the part nobody explains: when you're allowed to apply, what gets asked, and when your coverage starts. The two routes work in opposite ways, so start with the one you're leaning toward.

Nothing here signs you up for anything. Nobody calls you for reading it.

1

The two routes enroll in opposite ways

This surprises almost everyone.

Medicare Advantage
When you can applyOct 15 – Dec 7 each year, or any time you qualify for an exception
Health questionsNone. A condition can't disqualify you
When coverage startsUsually the 1st of the month
Medicare Supplement
When you can applyAny day of the year. No enrollment period needed
Health questionsNone in your first six months on Part B. After that, a few — and it varies by state
When coverage startsUsually the 1st; some companies can start mid-month
One is a calendar. The other is a door that's always open, with a question at it.
2

Your year at a glance

The same twelve months, seen from each route.

Medicare Advantage

Plus a Special Enrollment Period any time you qualify for one — see below.

Medicare Supplement

The health questions depend on when you apply, not on the month.

Everyone can change Try-out window Open all year

Now take the route you're leaning toward. Both are below, in full.

3

Getting a Medicare Advantage plan

A calendar, with more exceptions than people realize.

The main window

October 15 to December 7

This is the Annual Enrollment Period, when everyone can join a plan, change plans, or leave one. Whatever you pick starts January 1.

The part most people miss

You may be able to change outside that window

Certain life events open a Special Enrollment Period — an exception that lets you sign up or switch outside the main window. Moving, losing other coverage and several other situations can all qualify you.

Most people never find out they qualified.

Not sure if you can change right now?

Tell a licensed support agent your situation and they'll tell you straight away whether an exception applies to you.

No obligation. You can request help from one of our licensed support agents at any time.
No health questions

You can't be turned down for a health condition

Advantage plans don't ask health questions, so an existing condition can't keep you out.

There are also plans built around specific ongoing conditions, which do ask questions — but to qualify you for the plan, not to exclude you. They often come with lower copays. If you have an ongoing condition, it's worth asking whether one applies to you.

January to March

A window to try your plan out

After every Annual Enrollment Period, Medicare gives everyone on an Advantage plan from January 1 to March 31 to try it out. Happy with it? Do nothing.

Run into a problem — a doctor who isn't in the network, a medication that costs more than you expected — and you can use this window to look at other options and change.

It's a try-out period, not a second shopping season. Most people never need it.

Then what

Coverage usually starts the 1st of the month

Your plan sends a card and a welcome pack. Your Medicare stays exactly as it is — you're still in Medicare, the plan is just how you get it.

4

Getting a Medicare Supplement

No calendar at all — but timing still matters.

Worth knowing first

You can apply any day of the year

A lot of people believe Supplements work like Advantage plans and can only be bought between October and December. They can't. There's no enrollment period for these — you can apply in April, or in July, or any other week of the year.

Your Medigap open enrollment period

Six months from when your Part B starts

During those six months you can take any Supplement sold in your state. No health questions, and an existing condition doesn't count against you.

Your health can't be used to turn you down during it, which is why it's worth knowing your Part B start date.

Applying later

After that, there are a few health questions

Apply outside those six months and the company usually asks a short set of health questions — typically about major procedures in the last few years.

The rules aren't the same everywhere: some states give you a yearly chance to switch without questions at all.

Going deeper — how to find out where you stand, without applying

A licensed support agent runs a short prescreen with you before anything is submitted, so you know the answer before you apply rather than after.

Nothing on this website asks you health questions, and nothing you read here goes on an application.

The rules depend on your state

See what your state allows, or have a licensed support agent check your situation before you apply.

No obligation. You can request help from one of our licensed support agents at any time.
Then what

Coverage usually starts the 1st of the month

Some companies can start a policy mid-month, which helps when you're trying to line it up with the day your old coverage ends.

5

Your prescription drug plan

One more step if you go the Supplement route.

A Supplement covers your medical care, not your medications

So a separate prescription plan goes alongside it. An Advantage plan usually has this built in, which is one of the real differences between the two routes.

  • New to Medicare?Set the drug plan up at the same time as the Supplement, so both start together.
  • Already on Medicare?It's usually the next conversation rather than the same one — but don't leave it sitting.
  • Going without oneAdds a permanent late fee to your prescription coverage for as long as you have it, even if you take nothing today.
6

Before you apply

Five minutes of preparation saves the whole call.

What to have in front of you

  • Your Medicare card — your number, and the date your Part B started.
  • Your doctors — the ones you want to keep, and the hospital you'd use.
  • Your medications — names and doses. The bottles are fine.
  • Your ZIP code — plans and prices are set locally.

Four things worth doing first

  • Check your own doctors and medications against the plan, not the brochure. It's the single most common regret.
  • Read the notice your plan mails each fall. Advantage plans can change their copays, network and drug list each year — that letter is where it's spelled out.
  • Ask what needs approval in advance. Some care needs the plan's OK before it goes ahead.
  • Don't drop a Supplement assuming you can get it back. Going back may mean health questions, depending on when and where you are.

You're going to pay for your coverage one way or the other. Either more each month and you're covered when you use it, or less each month and more out of pocket if something major happens.

How Hunter puts it on a call
7

When you're ready

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