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Medicare ICEP: Your First Medicare Advantage Enrollment Window

Understand the initial Medicare Advantage election period, adding Part B later, effective dates and the difference from Medigap enrollment.

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ICEP means Initial Coverage Election Period. The term concerns your first opportunity to choose Medicare Advantage. It is separate from applying for Medicare Part A and Part B, and it is not the six-month Medigap Open Enrollment Period.

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Start with your A and B dates

You need both Part A and Part B to join Medicare Advantage, plus residence in the plan's service area and the applicable eligibility requirements. A plan selection cannot replace missing enrollment in A or B.

Situation Timing to check
First becoming eligible, usually around age 65 The initial plan enrollment opportunity generally follows the seven-month initial window.
You have Part A and add Part B later The window starts three months before first eligibility for both parts and extends two months after first having both.
Initial opportunity has passed Check annual enrollment or a qualifying special period.

When does the plan start?

If the plan receives your request before the necessary Medicare coverage starts, plan coverage can begin with that coverage. A request after it starts generally takes effect the first day of the following month. Confirm the plan's written effective-date notice before using its card.

A checklist before choosing

  • Read the separate Part A and Part B effective dates.
  • Ask which election period applies to your situation.
  • Verify doctors, hospitals, plan costs and authorization rules.
  • Check the effect on employer or retiree benefits.
  • Keep your enrollment receipt and start-date confirmation.

Avoid two common mix-ups

The January–March Medicare Advantage Open Enrollment Period generally serves people already in Medicare Advantage; it is not a universal first-time sign-up window. Medigap has different purchase protections and deadlines.

If dates are unclear, ask Medicare or the plan to verify them using your actual entitlement record. Do not copy a deadline from someone whose Part B began in a different month.

Related coverage questions

Official sources

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