Medicare education · Enrollment periods

Medicare's enrollment periods, explained

Medicare doesn't have one sign-up season — it has several windows, each with its own job, its own dates, and its own consequences. Here's the whole map.

The whole map

Five windows, five different jobs

Initial Enrollment Period (IEP)

When: the 7 months around your 65th birthday.
Who it's for: people new to Medicare.
What it does: your first chance to sign up for Part A and Part B.

Annual Enrollment Period (AEP)

When: October 15 – December 7, every year.
Who it's for: everyone with Medicare.
What it does: review and change coverage; changes take effect January 1.

Medicare Advantage Open Enrollment Period

When: January 1 – March 31, every year.
Who it's for: people already in a Medicare Advantage plan.
What it does: make one change — switch Advantage plans or return to Original Medicare.

General Enrollment Period (GEP)

When: January 1 – March 31, every year.
Who it's for: people who missed their IEP.
What it does: sign up for Part A and Part B; coverage starts the month after you enroll — and late penalties may apply.

Special Enrollment Periods (SEPs)

When: triggered by life events.
Who it's for: people whose circumstances changed.
What it does: opens your own window — losing employer coverage, moving, and similar events.

The fall review

The Annual Enrollment Period (AEP): your fall review

October 15 through December 7, every year. Anyone with Medicare can use it to join, switch, or drop a Medicare Advantage plan or a Part D drug plan, or to move between Original Medicare and Medicare Advantage. Anything you change takes effect January 1.

Why review at all? Because plans change even when you don't. Each fall, your plan sends an Annual Notice of Change (it should arrive by the end of September) describing what's different next year — costs, covered drugs, networks. Before December 7, three questions are worth five minutes:

  1. Did your prescriptions change? Your plan's covered-drug list may have changed too.
  2. Are your doctors and pharmacy still in the plan next year? Networks change.
  3. What did your plan change for next year? Compare the premium, copays, and maximum out-of-pocket in the notice against how you actually used your care.

If you do nothing, you generally stay in your current plan — even if its costs or coverage changed. "No change" is a decision too; make it on purpose.

A second look

The Medicare Advantage Open Enrollment Period

January 1 through March 31. If you're enrolled in a Medicare Advantage plan, this window lets you make one change: switch to a different Advantage plan, or leave Advantage and return to Original Medicare (adding a standalone Part D plan if you return). It isn't open to people on Original Medicare, and it can't be used to join Advantage for the first time — that happens during AEP or when you're first eligible.

Windows life opens

Special Enrollment Periods

Some windows aren't on the calendar — they're triggered. Losing job-based coverage, retiring, or moving out of your plan's service area can open a Special Enrollment Period with its own deadline. The most common: when employer coverage ends, you generally get 8 months to sign up for Part B without a penalty. These clocks run whether or not anyone reminds you — if a big change is coming, learn your date before the change, not after.

Find yours

Which window are you in?

  • Turning 65 this year: your IEP. Turning 65, explained →
  • On Medicare and it's fall: AEP — run the three questions above.
  • In an Advantage plan and unhappy in the new year: the January–March Advantage window.
  • Missed your first window: the GEP, January–March — and ask about penalties before you enroll, not after.
  • Retiring, losing coverage, or moving: you likely have a Special Enrollment Period — with a deadline attached.

New to the basics? Start with the ABCD of Medicare →

Get the free one-page Medicare breakdown

One page: Parts A through D, the Medigap vs. Medicare Advantage tradeoffs, and the enrollment timeline — in plain English, to keep.

Educational information about how Medicare works — not a plan recommendation or enrollment guidance. Reserve Investment Group, Inc. is a private insurance agency and is not affiliated with the federal government or the federal Medicare program. Medicare plan availability, costs, and coverage vary by state and county and can change over time. For official information, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227).