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When a client only has Original Medicare and moves to a new area what enrollment period(s) are they in and what can they get?

1 Answer

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Final answer:

Upon moving to a new area, an individual with Original Medicare is granted a Special Enrollment Period to enroll in, disenroll from, or change a Medicare Advantage or Part D plan. Original Medicare is valid nationwide, and no new plan is needed when moving.

Step-by-step explanation:

When a client with Original Medicare moves to a new area, they are typically given a Special Enrollment Period (SEP) due to the change in residence. During this SEP, the individual has the opportunity to make changes to their Medicare coverage. They can choose to enroll in, disenroll from, or change a Medicare Advantage Plan or Part D Prescription Drug Plan if these plans are available in their new location. Importantly, individuals with just Original Medicare without any additional coverage have no restrictions on using healthcare providers and do not need to select a new plan upon moving, as Original Medicare is a national program.

  • Special Enrollment Period (SEP) to change Medicare plan.
  • Opportunity to enroll in Medicare Advantage or Part D.
  • Original Medicare is valid nationwide without needing a new plan.

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