Medicare Part D: How To Enroll At The Best Time

Adrian Coto
Written byAdrian Coto
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Adrian CotoInsurance Writer

Originally from Los Angeles, California, Adrian Coto is a writer living in Brooklyn, New York. A graduate of the NYU Creative Writing MFA program, he's worked as a legal assistant, a law school administrator, and now as a copywriter and editor.

John Leach
Edited byJohn Leach
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John LeachInsurance Copy Editor
  • Licensed property and casualty insurance agent

  • 8+ years editing experience

John leads Insurify’s copy desk, helping ensure the accuracy and readability of Insurify’s content. He’s a licensed agent specializing in home and car insurance topics.

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Updated October 29, 2021 at 12:00 PM PDT

Reading time: 4 minutes

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Do you know when to enroll for Medicare Part D? Many people don’t, but you can!

Medicare Part D coverage (PDP) enrollment is hard to navigate. If you’re looking for some extra help to make sure you’re enrolling on time, look no further.

This article will help you understand some of the ins and outs of Medicare Part D enrollment. It will also show you how to confidently choose the right prescription plan. Let’s get started.

Trying to save money on Medicare prescription drug plans? Try the Insurify Medicare comparison tool. Use it to find the best price on prescription plans in your area. Shop, compare, and save now!

When Can I Sign Up for Medicare Part D: Initial Enrollment Period ( IEP ) or fall Open Enrollment Period (OEP)?

The two most common and clear-cut windows for enrolling in Medicare Part D are during the:

  • Initial Enrollment Period

  • Fall Open Enrollment Period

Each period serves different purposes. Knowing the difference helps you enroll in Medicare Part D at the right time. And without incurring a penalty.

Initial Enrollment Period

There are two windows to initially enroll in Medicare Part D.

The first occurs when you turn 65 years of age and are eligible for Medicare for the first time. If this is the case for you, the enrollment period lasts for seven months. It begins three months before the month that you turn 65. The enrollment period ends three months after the month you turn 65.

For example, if your 65th birthday is in April, your enrollment period begins in January and ends in July.

The second scenario occurs when you gain eligibility with a qualifying disability. The enrollment window begins the 22nd month you receive Social Security benefits. That goes for Railroad Retirement Board benefits. too. The enrollment period ends the 28th month of receiving those benefits.

If you enroll before the 25th month, your coverage will start on the 25th month. Should you enroll on or after the 25th month, your coverage begins on the first day of the month after you enroll.

Fall Open Enrollment Period

If you’re already enrolled in Medicare Part D, you get a chance to make changes to your plan once every year.

Enrolled in Original Medicare? Changes during the general enrollment period go into effect on January 1 of the following year.

Enrolled in a Medicare Advantage plan? You can also make changes during Medicare Advantage Open Enrollment Period. This occurs from January 1 to March 31 every year. During MAOEP you can switch from a Medicare Advantage Plan to another.

See Also: What Age Does Medicare Start?

What About Part D Special Enrollment Periods ( SEP )?

What if you want to enroll in a Part D prescription drug plan but are the standard enrollment periods? You’d need to qualify for a Medicare Part D Special Enrollment Period. Circumstances that may qualify you for a SEP include:

  • You’re enrolled in both Medicare.

  • Medicaid, your state helps pay for your Medicare premiums.

  • You get Extra Help paying for your Medicare prescription drug coverage.

  • You recently obtained Extra Help, had a change in the level of Extra Help, or lost Extra Help.

  • You involuntarily lost your creditable prescription drug coverage.

  • You recently obtained or lost Medicaid.

  • You had a change in the amount of Medicaid assistance you qualify for.

  • You’re leaving, losing, or joining an employer or union.

  • You belong to a Pharmacy Assistance Program provided by your state.

  • You moved outside of your plan’s service area.

  • You have a plan that is ending its contract with Medicare, or vice versa.

  • You recently left a PACE program (Program of All-Inclusive Care for the Elderly).

  • You live in, are moving into, or recently moved out of a nursing home or long-term care facility.

  • You would like to choose a different plan if you are already enrolled in a Medicare plan.

  • You’re affected by a weather-related emergency or major disaster (as declared by FEMA)

  • You qualified for special enrollment, but couldn’t enroll because of a natural disaster.

  • You were recently released from incarceration.

  • You recently obtained lawful presence status in the United States.

  • You recently returned to the United States after living abroad.

This list does not include every scenario that grants a special enrollment period. To see if you are eligible for special enrollment, please call Medicare at 1 (800) 633-4227. TTY users can call 1 (877) 486-2048.

Are There Any L ate Enrollment Penalties?

You may owe a late enrollment penalty if there’s a period of 63 or more consecutive days during which you:

  • Have no Part D coverage

  • Have no qualifying prescription drug coverage

Late enrollment penalties create higher monthly Part D premiums. You’ll also have to pay them for as long as you have a Medicare Part D plan. Plus, the more time that passes beyond the 63 days of late enrollment, the more expensive your penalty can be.

FAQ: Signing Up for Medicare Part D

Do I have to enroll in any other Medicare Parts to enroll in Part D?

To enroll in a Part D plan, you must have already enrolled in Medicare Part A and Medicare Part B health plans. Also, you must live in the Part D plan’s service area.

What is creditable prescription drug coverage?

Creditable prescription drug coverage is typically obtained through private insurance companies that provide coverage on behalf of employers or unions and is expected to pay, on average, at least as much as Medicare’s standard prescription drug coverage.

Will incurring a Medicare Plan D late enrollment penalty cause me to have higher prescription drug costs?

Not directly. Your prescription drug costs will not be affected by a late enrollment penalty. However, your monthly premium will be more expensive.

Can I join a Medicare prescription drug plan if I have a Medigap policy with drug coverage?

No. You cannot have a Medicare prescription drug plan if you already have a Medigap policy with drug coverage. If you have a Medigap policy with drug coverage and would like to adopt one of the Medicare prescription drug plan options, you will have to inform your Medigap provider and have them make sure your Medigap drug coverage ends.

Conclusion: Enroll During the Appropriate Enrollment Periods

It’s always better to sign up for Part D inside of the enrollment windows. Yes, many circumstances allow you to enroll outside of your enrollment window. But, there is no guarantee you’ll qualify!

Remember that, for the initial enrollment period, you can enroll anytime in the three months before or after the month that you turn 65. For the open enrollment period, you can enroll from October 15 to December 7.

And don’t forget that the Insurify Medicare comparison tool is always here to help! With it, you’ll find the best Medicare plan at the best price. Using just your ZIP code, you can uncover plan options in your area and compare them side-by-side. Try it today!

Methodology

Insurify data scientists analyzed more than 90 million quotes served to car insurance applicants in Insurify’s proprietary database to calculate the premium averages displayed on this page. These premiums are real quotes that come directly from Insurify’s 50+ partner insurance companies in all 50 states and Washington, D.C. Quote averages represent the median price for a quote across the given coverage level, driver subset, and geographic area.

Unless otherwise specified, quoted rates reflect the average cost for drivers between 20 and 70 years old with a clean driving record and average or better credit (a credit score of 600 or higher).

Liability-only premium averages correspond to policies with the following coverage limits:

  • Bodily injury limits between state-minimum rates and $50,000 per person, $100,000 per accident
  • Property damage limits between $10,000 and $50,000
  • No additional coverage
Full-coverage premium averages correspond to the same bodily injury and property damage limits in addition to:
  • Comprehensive coverage with a $1,000 deductible
  • Collision coverage with a $1,000 deductible

Quotes for Allstate, Farmers, GEICO, State Farm, and USAA are estimates based on Quadrant Information Services’ database of auto insurance rates.

Adrian Coto
Adrian CotoInsurance Writer

Originally from Los Angeles, California, Adrian Coto is a writer living in Brooklyn, New York. A graduate of the NYU Creative Writing MFA program, he's worked as a legal assistant, a law school administrator, and now as a copywriter and editor.

John Leach
Edited byJohn LeachInsurance Copy Editor
Photo of an Insurify author
John LeachInsurance Copy Editor
  • Licensed property and casualty insurance agent

  • 8+ years editing experience

John leads Insurify’s copy desk, helping ensure the accuracy and readability of Insurify’s content. He’s a licensed agent specializing in home and car insurance topics.

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