You could be eligible for a Special Enrollment Period (SEP). Based on the descriptions below, please select the SEP that you believe best fits your situation.
Individuals Impacted by an Emergency or Natural Disaster
You (or the person who helps you with health care decisions) reside or resided in an area for which a Federal, state or local government entity declared a disaster or other emergency that caused you to miss a Medicare enrollment period. The date of declaration of the disaster must be on or after January 1, 2023.
Misrepresentation by Group Health Plan (GHP) or Employer
You have documented evidence of misinformation that is directly from your employer or GHP provided to you prior to the end of your Initial Enrollment Period (IEP) or another Special Enrollment Period (SEP). The documentation must show that the misinformation occurred on or after January 1, 2023.
Formerly Incarcerated Individuals
You were eligible for Medicare and did not enroll or reenroll in Medicare during another enrollment period because you were incarcerated. The release documentation must show that you were released on or after January 1, 2023.
Termination of Medicaid Eligibility
You lost Medicaid eligibility and you’re eligible for Medicare. The notice of termination of Medicaid must show that you lost Medicaid on or after January 1, 2023.
Other Exceptional Conditions
You experienced conditions outside of your control that caused you to miss a Medicare enrollment period. The documentation must show that these conditions occurred on or after January 1, 2023.
International Volunteers
You were serving as a volunteer outside of the United States through a program that covers at least a 12-month period and is sponsored by a tax-exempt organization and had health insurance provided to you for the duration of the volunteer service.
To get more information, see Form CMS-10797 Application For Medicare Part A and Part B - Special Enrollment Period (Exceptional Conditions).