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Geisinger Gold enrollment

Eligibility event

Typically, you may enroll in a Medicare Advantage plan during the annual enrollment period between October 15 and December 7 of each year. This coverage is effective on the first day of the following year. 

There are exceptions that may allow you to enroll in a Medicare Advantage plan outside of this period.

Please read the following statements carefully and check the box if the statement applies to you. By checking any of the following boxes you are certifying that, to the best of your knowledge, you are eligible for an Enrollment Period. If we later determine that this information is incorrect, you may be disenrolled.

Medicare Enrollment Periods

  • Annual Enrollment Period (October 15 through December 7)
  • I am enrolled in a Medicare Advantage plan and want to make a change during the Medicare Advantage Open Enrollment Period (MA OEP).
Asterisk denotes a required field

Age-in

Residence

Limited Resources Subsidy

Other Enrollment Events

Creditable Coverage or Employer/Union

Long Term Care

Program for All Inclusive Care for Elderly