In this Q&A series, Medicare expert Christian Worstell answers your questions about Medicare coverage, benefits, eligibility, enrollment and more. Christian is a licensed insurance agent and frequent contributor to MedicareAdvantage.com.

Have a question for Christian? Ask it here.

"I would like to sign up for prescription drug coverage during the Medicare Annual Enrollment Period this fall, but I will be moving to a new state right after the enrollment period ends. How will that affect me and what do I need to do?" – Rodney A., Augusta, GA

Your situation could present quite the pickle, but there are very likely some other Medicare beneficiaries out there who are in the same boat. What you’ll need to do is take a bit of a “scenic route” to getting your Medicare prescription drug coverage.

Learn More About Medicare

Join our email series to receive your Medicare guide and the latest information about Medicare and Medicare Advantage.

Email Address

Sign me up!

Leave this field empty

By clicking "Sign me up!” you are agreeing to receive emails from MedicareAdvantage.com.

close

Thanks for signing up for our emails!

Your Medicare guide will arrive in your email inbox shortly. You can also look forward to informative email updates about Medicare and Medicare Advantage.

If you'd like to speak with an agent right away, we're standing by for that as well. Give us a call!

LICENSED AGENTS AVAILABLE NOW

1-800-557-6059

|

TTY 711, 24/7

Continue online

Let me explain.

Enrolling in Medicare prescription drug coverage during a Special Enrollment Period

Medicare prescription drug coverage includes geographical boundaries known as “service areas.” In other words, a plan may be sold and used in one state or area of the country but not in another. 

If you move to a new service area, you may be eligible for a Special Enrollment Period (SEP). Your SEP may allow you to disenroll from your previous plan (from your old place of residence) and enroll in a plan that does business in your new service area. 

Make sense? Here is where things can get tricky for some people in your situation. 

In order to qualify for a Special Enrollment Period because of an address change, you must be enrolled in a Medicare Advantage plan or a Medicare Part D plan that doesn’t cover you in the new service area you’re moving to.

Since you aren’t moving until after the fall Medicare Annual Enrollment Period (also called AEP or the fall Medicare Open Enrollment Period, which lasts from October 15 to December 7), you may want to go ahead and enroll in a plan during AEP or do nothing and remain in your current plan. After AEP when you complete your move, you should then be able to enroll in a plan that is provided in your new service area.

A few things to note:

• In order to qualify for a Special Enrollment Period, the current plan you have when you move must not provide coverage at your new address OR your new service area must include plan options that don’t exist in your current service area.
  
  To put it more simply, if the plan offerings are exactly the same in the two locations, you may not qualify for an SEP. But if the plan offerings are not exactly the same, you should qualify for an SEP.
  
  
• When you sign up for a new plan during AEP, your first premium for the new plan won’t come due and coverage won’t begin until January 1. So you should not need to worry about “wasting” any money signing up for a plan that you may never actually use.
  
  

How to make a change during a Special Enrollment Period

Once you move, your Special Enrollment Period should typically last for three months. The time at which this period starts may depend on when you notify your current plan carrier of your move. 

• If you inform your plan carrier of your upcoming move more than a month before you actually move, your opportunity to switch plans will begin the month before you move and continue for two more months after that month.
  
  
• If you wait to notify your plan of your move until after you have already moved, your opportunity to switch plans begins the month you tell them about your move and then continues for two more months after that. 

I recommend following these steps:

• Contact a licensed Medicare insurance agent at 1-800-557-6059 TTY Users: 711 and explain your situation. They can help you compare plans that are available in both your current service area as well as your future service area.
  
  
• Shop around for plans in your future service area. When you find the one you hope to enroll in, see if there are any plans in your current service area offered by the same carrier. If there are, it may be easiest to sign up for one of one those plans to serve as your “temporary” plan. That way, you will not have to deal with two different carriers when it comes time to make the switch.
  
  
• Prior to your move, contact your plan carrier and notify them of your move. Explain that you recently enrolled in “this” plan during AEP but want to enroll in “that” plan upon moving to your new residence. The carrier will be able to walk you through the necessary steps. 

While this may feel like a lot of work, the process of enrolling and disenrolling is typically quite fast and smooth, and you will hopefully secure Medicare drug coverage that works for your needs. 

Good luck with the move and don’t hesitate to reach out with any follow up questions.

Or call 1-800-557-6059 TTY Users: 711 to speak with a licensed insurance agent. We accept calls 24/7!