Special Enrollment Periods (SEPs)
are periods of time outside normal enrollment periods where you can enroll
in health insurance. They are typically triggered by specific
circumstances.
The Part B SEP starts when you have coverage from
current work (job-based
insurance) and you are in your first month of eligibility for
Part B. It ends eight months after you lose coverage from current employment
because the employment or insurance ends. Using the Part B SEP also means you
will not have to pay a Part B late
enrollment penalty (LEP).
To use the Part B SEP, you must meet two criteria:
- You must have insurance from
current work (from your job, your spouse’s job, or sometimes a family
member’s job) or have had such insurance within the past eight months
- And, you must have been
continuously covered by job-based insurance or Medicare Part B
since becoming eligible for Medicare, including the first month you became
eligible for Medicare
- Note: You can have no more
than eight consecutive months without coverage from either Medicare or
insurance from current work. You are ineligible for the Part B SEP after
going for more than eight months without Part B or job-based insurance.
In most cases, you
should enroll in Medicare before losing job-based insurance to avoid gaps
in coverage. Remember, even if you use the SEP to avoid a late enrollment
penalty, you may still be responsible for any health care costs you incur in
the months after losing job-based coverage before your Medicare coverage takes
effect. For help timing your Medicare enrollment to ensure it starts
immediately after you no longer have job-based insurance, reach out to your
human resources department one to two months in advance.
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