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Medicare Advantage 2017

Medicare Eligibility and Enrollment Periods

 

Medicare is a federal health insurance program for people ages 65 or older, but others younger than 65 may also be eligible if they have certain disabilities or diseases. The time during which you can enroll or make changes varies.

Read on to learn more about Medicare eligibility and enrollment requirements or call our licensed Medicare agents at (877) 258-9408 (TTY 711) who can help guide you through the entire enrollment process.

Medicare Eligibility

You qualify for Medicare at age 65 or older if:

  • You are a U.S. citizen or a permanent legal resident; and
  • You or your spouse has worked at least 10 years (40 credits) to be eligible for Social Security or Railroad Retirement benefits; or
  • You or your spouse is a government employee or retiree who has not paid into Social Security but has paid Medicare payroll taxes while working.

You qualify under age 65 if:

  • You are a U.S. citizen or a permanent legal resident; and
  • You have been entitled to Social Security disability benefits for at least 24 months (which need not be consecutive); or
  • You receive a disability pension from the Railroad Retirement Board and meet certain conditions; or
  • You have End-Stage Renal Disease (ESRD). Learn more about ESRD eligibility. (Please note that by clicking on this link, you will be leaving Memorial Hermann Advantage website.)
  • Amyotrophic Lateral Sclerosis (ALS), otherwise known as Lou Gehrig's disease, which qualifies you immediately.

Memorial Hermann Medicare Advantage Eligibility

In order to qualify for a Memorial Hermann Advantage plan, you must already be enrolled in Original Medicare (both Medicare Part A and Part B) and live in the Harris, Fort Bend, or Montgomery counties in Texas.

Medicare Enrollment Periods

There are various times when you can enroll in, make changes to, or disenroll from an existing Medicare Advantage plan. You can enroll when:

  • You first become eligible for Medicare, called your Initial Enrollment Period (IEP)
  • During the Annual Election Period (AEP), October 15 to December 7 of every year

Some additional times to enroll, make changes, or cancel may apply to you.

Read on to learn more or call our licensed Medicare support team at (877) 258-9408 (TTY 711) to see if and when you can enroll or make changes.

Initial Enrollment Period (IEP)

If you are turning 65 or fall into one of the under 65 qualifications listed above, you are eligible to enroll in Medicare as part of the Initial Enrollment Period.

Your IEP begins three months before and ends three months after the month you turn 65 or receive your 25th disability check (for a total of a 7 month period).

Most likely, if you are already receiving Social Security benefits, you will be automatically enrolled in Medicare Part A and Part B. You will receive your Original Medicare benefits starting the first day of the month you turned 65. You may also enroll in a Medicare Advantage or Medicare Part D plan during your IEP. There may be a late enrollment penalty (LEP) if you do not enroll in Part D during your IEP.

Enroll Now > (Online enrollment will be available on October 15)

Annual Election Period (AEP)

If you are eligible for Medicare and/or would like to enroll in, change or disenroll from a Medicare Advantage or Medicare Prescription Drug Plan, you may make such changes during the Annual Election Period, which runs from October 15 to December 7 of every year. Your benefits will begin on January 1 of the following year.

Special Enrollment Period

You may be able to enroll in, make changes to, or disenroll from your Medicare Advantage or Medicare Part D drug coverage if you qualify for a Special Enrollment Period. You can call our licensed Medicare insurance agents at (877) 258-9408 (TTY 711) to learn if you qualify to enroll during a special enrollment period. Below are some examples of Special Enrollment Periods, this is not a comprehensive list.

  • I moved to a new address that is not in my plan’s service area.
  • I just moved back to the U.S. after living outside the country.
  • I am no longer eligible for Medicaid.

You can call our licensed Medicare agents at (877) 258-9408 (TTY 711) to learn if you qualify for a special enrollment period.

Disenrollment Information


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