Medicare Eligibility

Unsure if you’re eligible? Let us help you figure out where you stand.

You are generally entitled to Medicare if you meet any of the following criteria:

You are age 65 or above.You are disabled and have received disability benefits from Social Security or Railroad Retirement Board (RRB) benefits. You have been diagnosed with end-stage renal disease (ESRD) or amyotrophic lateral sclerosis (ALS, “Lou Gehrig’s disease”).

Your Medicare Parts A and B are referred to as "Original Medicare" and include a defined set of benefits and services, including preventive services.

Enrolling in Medicare

Learn more about the timeframes for Medicare enrollment.

Initial Enrollment Period

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Medicare Annual Enrollment Period

October 15 through December 7

The Medicare Open Enrollment Period provides an annual opportunity to review and, if necessary, make enrollment changes to your Medicare coverage. During Open Enrollment, some examples of changes that you can make include:

Join a Medicare Advantage (Part C) plan.Discontinue your Medicare Advantage coverage and return to Original Medicare.Change from one Medicare Advantage plan to another.Change your Prescription Drug Coverage (Part D) plan if you are in Original Medicare.

Special Enrollment Periods

There are certain situations when you can enroll in the Medicare program or other Medicare options, outside of the Initial or annual Open Enrollment Periods. For example, if you have health coverage through your employer that is terminated, you may be eligible for a Special Enrollment Period where you could enroll in Part B, as well as other Medicare options, such as Medicare Advantage.

More information about Special Enrollment Periods is available on the Social Security website.

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