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Initial Enrollment Period

The Medicare rules give you certain windows of time to sign up for, change or drop the different parts of Medicare. Initial enrollment is the period during which you are first eligible to sign up for Medicare. Choosing your coverage options during this period is very important because certain rules only apply at this time. For instance, applicants cannot be turned down for health reasons when applying. When you first become eligible for hospital insurance (Part A), you have a seven-month period (your initial enrollment period) in which to sign up for medical insurance (Part B). A delay on your part will cause a delay in coverage and result in higher premiums.

If you are eligible at age 65, your initial enrollment period begins three months before your 65th birthday, includes the month you turn age 65 and ends three months after that birthday. As an example of how this window works: assume that you become eligible, or turn 65, in May 2010. In that situation, your initial enrollment period would run from February 2010 to August 2010.

If you are eligible for Medicare based on disability or permanent kidney failure, your initial enrollment period depends on the date your disability or treatment began. Specifically, you become eligible at the 25th month of your receiving SSDI (Social Security Disability Insurance.) As with applicants who are turning 65, your initial enroll period runs from three months before the month of eligibility to three months.


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