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.

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
- How to Enroll in Medicare: Steps, Timing and Where to Get Help
- When Medicare Advantage Coverage Starts: Enrollment Timing Explained
- Medicare Advantage Open Enrollment: January–March Changes