US · guidance
CMS Pub. 100-01, ch. 2, § 40.3.7.3
SEP for Formerly Incarcerated Individuals
Individuals who do not enroll in Part B or Premium Part A when first eligible because
they were incarcerated may enroll during the SEP.
An eligible person can sign up anytime within the 12 months after their release from
incarceration.
The SEP begins the day an individual is released from the custody of penal authorities.
However, individuals have the option to select a retroactive effective date (not to begin
prior to their release date and not to exceed 6 months). If individuals choose this
retroactive option, they will be responsible for paying Medicare premiums back to the
date of coverage.
Coverage begins the first day of the month following enrollment or up to six months
retroactive.
History
(Rev. 12046, Issued:05-18-23, Effective:01-01-23, Implementation:06-21-23)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
13a3e5bee4ff719139a6d543926a3ad9fc5408c77b0606fcbd9237a142da97db
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