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What is a Medicare Special Enrollment Period and do I have one?

A Special Enrollment Period is a window outside the usual dates when a life event lets you join, switch or drop a Medicare Advantage or Part D plan. You have one if an event on Medicare’s list has happened to you, most often a move, the end of other coverage, or a change in Medicaid or Extra Help.

Last reviewed

Each Special Enrollment Period has its own trigger, its own length and its own list of allowed changes. Most last 2 full months after the event. Some last 3 months, two can be used once a calendar month, and the 5-star one can be used once a year. None of them is the Annual Enrollment Period, which runs October 15 to December 7, 2026 for everyone with Medicare. These are the Medicare rules. The Health Insurance Marketplace has separate Special Enrollment Periods of its own, with different events and deadlines.

Common Medicare Special Enrollment Periods
What happenedWhat you can doHow long you have
You moved out of your plan’s service areaJoin a plan where you now live, or go back to Original MedicareUntil 2 full months after the move
Your employer or union coverage ended, including COBRAJoin a Medicare Advantage or Part D plan2 full months after the month it ends
You lost MedicaidJoin, switch or drop drug coverage3 full months
You have Medicaid or get Extra HelpSwitch drug plans, or leave Medicare Advantage for Original Medicare and a drug planOnce each calendar month
A 5-star plan serves your areaSwitch into that planOnce between December 8 and November 30
Your plan is not renewedChoose another planDecember 8 to the last day of February

How it works

You do not apply for a Special Enrollment Period in advance. You use it by enrolling in a new plan and saying which event qualifies you, and the plan may ask you to show it, so keep the paperwork: the letter that says your employer coverage ended, a lease or bill at your new address, or the Medicaid notice. Coverage usually starts the first day of the month after the plan gets your request.

The ones people miss

Three are easy to overlook. If you have Medicaid or Extra Help, you can change drug coverage once a month, with the change starting the first of the next month, unless your plan has flagged you as at risk under a drug management program. If you learn you will not get Extra Help next year, you get 3 months to change plans. And if a plan with a 5-star overall rating serves your area, you can switch into it once between December 8 and November 30, but moving from a plan with drug coverage to a 5-star plan without it can leave you with no drug coverage and a late enrollment penalty.

What to do next

Write down the date of the event and count forward, because most windows close 2 full months later and missing one usually means waiting for Annual Enrollment. If nothing on the list fits but you were given misleading information when you joined a plan, or your plan’s provider network changed significantly, Medicare decides those case by case, and we can help you put the request together. If you are leaving a job’s coverage, plan the switch before that coverage ends so there is no gap.

Read the full guide: Every Medicare enrollment period, explained

Related questions

Is a Special Enrollment Period the same as Annual Enrollment?

No. Annual Enrollment is open to everyone with Medicare from October 15 to December 7. A Special Enrollment Period is open only to people who had a qualifying event, and only for as long as that event allows.

Does moving within Broward County give me one?

Only if your new address is outside your plan’s service area or gives you plan options you did not have before. A move to a home where the same plans are offered does not open one.

Do Marketplace plans follow the same rules?

No. HealthCare.gov runs its own Special Enrollment Periods for Marketplace coverage, with different qualifying events and deadlines.

Sources

This page explains published rules and figures, with the source for each one. It is not advice about your own situation.

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