Certain life events and changes in health coverage can create a Special Enrollment Period or another qualifying opportunity to enroll in Medicare.
If you believe you have a qualifying enrollment opportunity—or you’ve been referred to Zinn for new-Medicare support—your first step is to tell us about your situation.
We’ll gather information about your current coverage, recent life event, and Medicare enrollment circumstances.
We’ll evaluate whether your situation appears to qualify for an applicable Medicare enrollment opportunity.
If your situation is appropriate for Zinn’s Medicare support, we’ll collect the information needed to move forward.
Once your eligibility and circumstances have been reviewed, we’ll determine the appropriate next step and schedule service when applicable.
Medicare enrollment opportunities aren’t limited to turning 65. Certain changes in your coverage, living situation, or eligibility may create a Special Enrollment Period (SEP).
Some examples include:
Your Medicare plan is changing
If your Medicare Advantage or prescription drug plan is no longer available in your area, leaves the Medicare program, or has certain changes to its Medicare contract, you may have additional enrollment options.
You’ve moved
Moving to a new location can affect your Medicare Advantage or prescription drug plan options—particularly if your new address is outside your plan’s service area. Certain moves, including returning to the U.S. after living abroad, may also create an enrollment opportunity.
You’ve lost other health coverage
Losing employer or union group health coverage may give you an opportunity to enroll in Medicare or make changes to your Medicare coverage. This can include situations involving retirement, leaving a job, or losing COBRA coverage.
Your Medicaid or Extra Help status has changed
Gaining or losing Medicaid eligibility—or becoming newly eligible for Extra Help with Medicare prescription drug costs—can affect your Medicare enrollment options.
You’ve moved into or out of a care facility
Moving into, living in, or moving out of certain institutions, such as a skilled nursing facility, rehabilitation facility, or long-term care hospital, may provide additional opportunities to change your Medicare coverage.
You continued employer coverage after turning 65
If you delayed Medicare Part B because you had health coverage through active employment, you may have a Special Enrollment Period when that employment or coverage ends. The rules depend on the type of employer coverage and your circumstances.
You don’t need to know the Medicare rules or determine your own eligibility before reaching out. That’s what the initial review is for.
Eligibility for a Special Enrollment Period or other Medicare enrollment opportunity is determined according to applicable Medicare rules. Initial review does not guarantee eligibility or enrollment.
Medicare is the nation’s largest health insurance program, covering health care services such as hospital stays, skilled nursing and physician services for millions of Americans. There are four parts to Medicare, each providing different types of health care services.
Review your plan’s Rx Network & pay attention to the preferred, standard, & specialty pharmacy
Your medical carrier partners with select pharmacies to lower the cost of medications. If you go out-of-network, you will pay higher costs!
When you receive a prescription from your doctor, you can ask for a lower-cost option such as a generic equivalent. Mail order is also a great option for maintenance.
Copay cards/assistance may be available through the RX manufacturer.
