Medicare’s Special Enrollment Period

Now is the time to see if you qualify to enroll in a Medicare Advantage plan or make changes to your existing Medicare Advantage or prescription drug coverage.

Sutter Health has partnered with eHealth to help you compare your Medicare Advantage coverage options.

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Special Enrollment Periods

You may qualify to enroll in a Medicare Advantage plan or make changes to your existing Medicare Advantage or prescription drug coverage during Medicare’s Special Enrollment Period when certain events happen in your life – such as you change where you live or you lose your current insurance coverage. Each scenario has specific rules about when you can make changes and the type of changes you can make.

View a complete list of Medicare’s Special Enrollment Periods to see if one or more may apply to you.

Medicare’s all-in-one Medicare Advantage plans help simplify the complexity around Medicare, and may offer more comprehensive and cost-effective benefits – including Part A hospital insurance, Part B medical insurance, and Part D prescription drug benefits. Some also include dental and vision care.

Special Needs Plans

Millions of Americans are eligible for Medicare Savings Programs and Extra Help, but not yet enrolled. These programs help qualifying patients with limited income and resources pay Medicare’s cost-sharing expenses, including premiums, deductibles, and coinsurance.

If you would like more information about Medicare’s Extra Help programs or need help determining whether you are eligible, please send us an email with your name, preferred contact information, and ZIP code of residence. We will provide your information to a local agent to contact you.

Learn More Learn more about the Medicare Savings Programs

Having the right health insurance coverage is important to staying healthy.

Medicare Advantage patients:

Are more likely to receive preventive care
Are half as likely to go to the emergency room
Are less likely to be admitted to the hospital
Go home from the hospital one day earlier
Are less likely to be readmitted to hospital after discharge*

*Source: Based on Sutter Health 2019 managed care data–when compared to people on fee-for-service Medicare.

Medicare Advantage may offer:

Low or no co-pays for office visits
Limited annual out-of-pocket costs
Prescription drug coverage for most plans
Preventive services, including annual physicals
Dental and vision care
X-ray and lab services
Hospitalization coverage
Emergency room and urgent care nationwide

This is not a complete description of benefits. Eligibility may be limited to certain times of the year.

Find the right Medicare Advantage plan for you.

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This is not an advertisement on behalf of any Medicare Advantage health plan or plans. For information about Medicare, visit medicare.gov or call (800) MEDICARE 24 hours a day, seven days a week.

Medicare’s Special Enrollment Period

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Special Enrollment Periods

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Late Enrollment Penalties

Accessing Care

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