
Medicare has specific enrollment periods that determine when you can sign up for or change coverage. Missing these deadlines can result in late penalties or gaps in coverage. Below is an overview of the key enrollment periods in 2025.
Medicare Enrollment Periods
Acronym | Enrollment Period | What You Can Do | Effective Date |
---|---|---|---|
IEP | Initial Enrollment Period (7 months around your 65th birthday) | Sign up for Medicare Parts A, B, C, or D | No sooner than your birthday month (or 25th month of disability benefits) |
GEP | General Enrollment Period (Jan 1 – Mar 31) | Enroll in Parts A and B if you missed your IEP and do not qualify for an SEP | Coverage begins July 1 |
AEP / OEP | Annual Election / Open Enrollment (Oct 15 – Dec 7) | Join, drop, or switch Medicare Advantage or Part D drug plans | Coverage begins Jan 1 |
SEP | Special Enrollment Period | Enroll in Parts A, B, C, or D if you had employer or other creditable coverage | Varies (generally within 8 months of losing coverage) |
MA OEP | Medicare Advantage Open Enrollment (Jan 1 – Mar 31) | Switch Medicare Advantage plans, or return to Original Medicare and join a Part D plan | First day of the month after enrollment |
Medigap OEP | Medigap Open Enrollment Period (6 months after enrolling in Part B at age 65+) | Apply for any Medigap plan without medical underwriting | Varies, usually first of the month after applying |
Automatic Enrollment
You are automatically enrolled in Parts A and B if you receive Social Security or Railroad Retirement Board benefits at least four months before turning 65. Your Medicare card arrives three months before your birthday. You can choose to decline Part B if you have other coverage.
Manual Enrollment
If you are not collecting Social Security benefits, you must sign up during your IEP. If you or your spouse are still working with employer coverage, you may qualify for a Special Enrollment Period to avoid penalties.
Enrollment by Condition
- Disabilities: After 24 months of Social Security disability benefits, you’re automatically enrolled in Parts A and B.
- ALS (Lou Gehrig’s disease): Enrollment starts the same month disability benefits begin — no 24-month wait.
- ESRD (End-Stage Renal Disease): You must enroll manually; coverage usually begins in your 4th month of dialysis.
Medigap Enrollment
The best time to apply for a Medicare Supplement plan is during your 6-month Medigap OEP. During this window you cannot be denied coverage due to health conditions. You cannot have both Medigap and Medicare Advantage at the same time.
State-Specific Medicare Resources
Enrollment rules and Medigap protections vary by state. Select your state below to find local resources, counseling programs, and assistance options:
Find Medicare Help in Your State
Browse official counseling programs (SHIP), insurance departments, savings programs, and Medigap notes.
Alabama
Alabama Medicare & Medigap Overview
Learn about Medicare enrollment periods, Medigap rules, and coverage options in Alabama.
Alaska
Alaska Medicare & Medigap Overview
Explore Original Medicare, Medigap, and Part D prescription coverage for Alaska residents.
Arizona
Arizona Medicare & Medigap Overview
Compare Medicare Advantage, Part D, and Medigap plan availability in Arizona.
Arkansas
Arkansas Medicare & Medigap Overview
Understand Medicare basics, savings programs, and Medigap options in Arkansas.
California Under‑65 Medigap
California Medicare & Medigap Overview
See California Medigap rules (including the Birthday Rule), Medicare options, and local help.
Colorado Under‑65 Medigap
Colorado Medicare & Medigap Overview
Find Medicare counseling, drug coverage help, and Medigap protections in Colorado.
Connecticut Under‑65 Medigap
Connecticut Medicare & Medigap Overview
Learn about CT’s year‑round Medigap GI and Medicare Savings Program specifics.
Delaware
Delaware Medicare & Medigap Overview
Explore Delaware SHIP counseling, drug assistance, and Medigap basics.
Florida Under‑65 Medigap
Florida Medicare & Medigap Overview
Learn about Florida Medigap options, SHINE counseling, and savings programs.
Georgia Under‑65 Medigap
Georgia Medicare & Medigap Overview
Understand Medicare costs, Medigap protections, and state resources in Georgia.
Hawaii Under‑65 Medigap
Hawaii Medicare & Medigap Overview
Find Hawaii Medicare counseling, drug discounts, and Medigap information.
Idaho
Idaho Medicare & Medigap Overview
See Idaho SHIBA counseling, Medicaid coordination, and Medigap options.
Illinois Under‑65 Medigap
Illinois Medicare & Medigap Overview
State counseling, Medigap guides, and Medicare cost‑sharing help in Illinois.
Indiana
Indiana Medicare & Medigap Overview
Learn about Indiana SHIP, Hoosier Rx, and Medigap choices.
Iowa
Iowa Medicare & Medigap Overview
Explore Iowa SHIIP guides, MSPs, and Medigap options.
Kansas Under‑65 Medigap
Kansas Medicare & Medigap Overview
Free counseling (SHICK), Medigap info, and savings programs in Kansas.
Kentucky
Kentucky Medicare & Medigap Overview
Kentucky SHIP, Medicare Savings Programs, and Medigap basics.
Louisiana Under‑65 Medigap
Louisiana Medicare & Medigap Overview
Learn about LA SHIP, SenioRx, and Medigap protections.
Maine Under‑65 Medigap
Maine Medicare & Medigap Overview
State counseling, year‑round Medigap switching, and MSP details in Maine.
Maryland Under‑65 Medigap
Maryland Medicare & Medigap Overview
Learn about MD SHIP, MSP application, and SPDAP prescription help.
Massachusetts
Massachusetts Medicare & Medigap Overview
SHINE counseling, MassHealth coordination, and Medigap basics in MA.
Michigan
Michigan Medicare & Medigap Overview
Find Michigan Medicare counseling and Medigap overview.
Minnesota
Minnesota Medicare & Medigap Overview
Learn about Minnesota’s unique Medigap plans and Medicare options.
Mississippi
Mississippi Medicare & Medigap Overview
Explore MS counseling programs, savings help, and Medigap plans.
Missouri
Missouri Medicare & Medigap Overview
Missouri Medicare options, Medigap switching, and plan resources.
Montana
Montana Medicare & Medigap Overview
See MT counseling resources, MSPs, and Medigap overview.
Nebraska
Nebraska Medicare & Medigap Overview
Nebraska SHIP info, drug coverage help, and Medigap basics.
Nevada
Nevada Medicare & Medigap Overview
Discover Nevada Medicare plan options and Medigap information.
New Hampshire
New Hampshire Medicare & Medigap Overview
NH Medicare counseling and Medigap plan overview.
New Jersey
New Jersey Medicare & Medigap Overview
NJ SHIP resources, savings programs, and Medigap info.
New Mexico
New Mexico Medicare & Medigap Overview
Medicare basics, counseling, and Medigap options in New Mexico.
New York
New York Medicare & Medigap Overview
Explore NY Medicare choices and Medigap consumer protections.
North Carolina
North Carolina Medicare & Medigap Overview
Find NC SHIIP help, MSPs, and Medigap plan info.
North Dakota
North Dakota Medicare & Medigap Overview
ND Medicare counseling, savings programs, and Medigap overview.
Ohio
Ohio Medicare & Medigap Overview
Ohio Medicare options, OSHIIP counseling, and Medigap basics.
Oklahoma
Oklahoma Medicare & Medigap Overview
Oklahoma Medicare counseling and Medigap plan information.
Oregon
Oregon Medicare & Medigap Overview
Oregon SHIBA help, savings programs, and Medigap options.
Pennsylvania
Pennsylvania Medicare & Medigap Overview
APPRISE/SHIP counseling, MSPs, and Medigap basics in PA.
Rhode Island
Rhode Island Medicare & Medigap Overview
RI counseling, savings help, and Medigap plan overview.
South Carolina
South Carolina Medicare & Medigap Overview
South Carolina SHIP counseling, MSPs, and Medigap info.
South Dakota
South Dakota Medicare & Medigap Overview
SD Medicare options, counseling, and Medigap overview.
Tennessee
Tennessee Medicare & Medigap Overview
TN counseling programs, savings help, and Medigap plans.
Texas
Texas Medicare & Medigap Overview
Texas Medicare counseling, Medigap basics, and savings programs.
Utah
Utah Medicare & Medigap Overview
Utah counseling resources, MSPs, and Medigap options.
Vermont
Vermont Medicare & Medigap Overview
VT Medicare counseling, drug cost help, and Medigap info.
Virginia
Virginia Medicare & Medigap Overview
Virginia Medicare options, VICAP counseling, and Medigap basics.
Washington
Washington Medicare & Medigap Overview
WA SHIBA counseling, switching rules, and Medigap overview.
West Virginia
West Virginia Medicare & Medigap Overview
WV Medicare counseling and Medigap options.
Wisconsin
Wisconsin Medicare & Medigap Overview
Learn about WI’s unique Medigap rules and Medicare choices.
Wyoming
Wyoming Medicare & Medigap Overview
Compare Medicare Advantage, Medigap, and drug plan options in Wyoming.
Bottom line: Medicare enrollment timelines can be confusing, but missing one could cost you in penalties or lost coverage. Understand your options, know your enrollment windows, and consider how Medigap can help fill coverage gaps. Compare plans today to find the best fit for your needs.