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HomeMedicare 2026AnswersWhat are the Medicare enrollment periods?

Signing up and deadlines

What are the Medicare enrollment periods?

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Short answer

Medicare's main enrollment windows are the 7-month Initial Enrollment Period around your 65th birthday and the General Enrollment Period, January 1 to March 31, for people who missed it.

The Annual Enrollment Period, October 15 to December 7, lets anyone with Medicare join, switch or drop a Medicare Advantage or Part D plan for coverage that starts January 1, and the Medicare Advantage Open Enrollment Period, January 1 to March 31, allows one more change for people already in a Medicare Advantage plan.

Special Enrollment Periods let you change coverage outside those windows after certain events, such as moving, losing other coverage or your plan leaving your area.

Which Medicare enrollment period applies to me?

Medicare enrollment periods and what each one allows
WindowWhenWhat you can do
Initial Enrollment Period7 months around your 65th birthday monthSign up for Parts A and B; join a Medicare Advantage or Part D plan
General Enrollment PeriodJanuary 1 to March 31Sign up for Part A or B if you missed your first chance; coverage starts the next month
Annual Enrollment Period (Open Enrollment)October 15 to December 7Join, switch or drop a Medicare Advantage or Part D plan; changes start January 1
Medicare Advantage Open Enrollment PeriodJanuary 1 to March 31If you're in a Medicare Advantage plan: one switch to another one, or back to Original Medicare
Special Enrollment PeriodsWhen certain events happenChange coverage after a move, losing other coverage, your plan leaving, and more
Medigap Open Enrollment Period6 months from the month you're 65+ and have Part BBuy any Medigap policy sold in your state without health questions
5-star Special Enrollment PeriodDecember 8 to November 30Switch once into a plan with a 5-star CMS rating, where one is offered

What is the difference between the Annual Enrollment Period and Open Enrollment?

They are the same window. Medicare calls the October 15 to December 7 period the Annual Enrollment Period (AEP); most people call it Medicare Open Enrollment. The Medicare Advantage Open Enrollment Period, January 1 to March 31, is a different, smaller window just for people already in a Medicare Advantage plan. This year's Open Enrollment dates and plan changes.

What can I do during the Medicare Advantage Open Enrollment Period?

If you're in a Medicare Advantage plan on January 1, you can make one change by March 31: switch to a different Medicare Advantage plan, or drop it and return to Original Medicare, adding a stand-alone Part D plan. People in Original Medicare can't use this window to join a Medicare Advantage plan or to switch Part D plans.

What events give me a Special Enrollment Period?

  • Moving out of your plan's service area, or to a place with new plan options.
  • Losing job-based or other health coverage (8 months to sign up for Part B; usually 2 months to join a plan).
  • Your Medicare Advantage or Part D plan leaving Medicare or your area. See What happens if my plan is leaving?
  • Getting Medicaid or Extra Help: since 2025, a monthly chance to switch to Original Medicare with a stand-alone Part D plan, and full-benefit dual-eligible people can join an integrated plan for people with both Medicare and Medicaid in any month.
  • Moving into or out of a nursing home or other institution.
  • A plan with a 5-star CMS rating being offered where you live (once, December 8 to November 30).

Is there an enrollment period for Medigap?

Your Medigap Open Enrollment Period is the 6 months starting the month you're 65 or older and enrolled in Part B. During it, an insurance company must sell you any Medigap policy it offers in your state at the same price as for someone in good health. After it, you can still apply any time of year, but outside a guaranteed issue right the insurer can ask health questions. See switching to Medigap later.

Key dates

Medicare enrollment periods at a glance

  • Around your 65thInitial Enrollment PeriodA 7-month window around the month you turn 65 — your first chance to sign up.
  • October 15 – December 7Annual Enrollment Period (Open Enrollment)Anyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan.
  • January 1 – March 31Medicare Advantage Open EnrollmentIf you're already in a Medicare Advantage plan, you can make one change.
  • January 1 – March 31General Enrollment PeriodFor people who missed their first chance to sign up for Part B.
  • VariesSpecial Enrollment PeriodTriggered by life events like moving or losing other coverage.

Dates are set by Medicare and apply nationwide. Confirm your personal windows at Medicare.gov or 1-800-MEDICARE.

Good to know

More questions people ask

Can I change Medicare plans outside the enrollment periods?
Only with a Special Enrollment Period, which certain events trigger, such as moving, losing other coverage, your plan leaving or qualifying for Medicaid or Extra Help.
Do I have to re-enroll in Medicare every year?
No. Original Medicare continues automatically, and a Medicare Advantage or Part D plan renews unless it leaves Medicare or your area. Check your plan's Annual Notice of Change each fall.
When does a change made during Annual Enrollment start?
On January 1. A change made between October 15 and December 7, 2026 starts January 1, 2027; if you make more than one change, the last one before December 7 counts.
Does Original Medicare have an open enrollment?
You join Original Medicare (Parts A and B) through your Initial, General or a Special Enrollment Period. During Annual Enrollment you can also leave a Medicare Advantage plan for Original Medicare.

Related questions

In depth

Sources

Figures are Medicare’s, set nationally, and were checked against these pages on October 2026. For your own situation, contact Medicare.gov or 1-800-MEDICARE (TTY 1-877-486-2048).

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This page was last updated: October 2026.

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