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Enrollment Periods

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Eligible participants can only enroll in Blue MedicareRx^SM at specific times.

Annual Enrollment Period*

• Any time between October 15 and December 7, 2012
• Coverage begins on January 1, 2013
• Use this time to enroll in Blue MedicareRx for the first time or to switch plans

Initial Enrollment Period

The Initial Enrollment Period (IEP) is the period of time when a Medicare beneficiary is first eligible to enroll in Blue MedicareRx. Instances of IEP include:

• Eligibility due to turning age 65. This 7-month IEP includes the three months before a beneficiary's 65th birthday, the birthday month and the three months after the birthday.
• Eligibility based on being under age 65 and on disability or being diagnosed with End Stage Renal Disease. The IEP depends on the date the disability or treatments begin.

The effective date is the first day of your 65th birthday month or the first day of the month after Blue MedicareRx receives the completed enrollment request.

Special Enrollment Period

There may be select circumstances when you can enroll outside of the initial and annual enrollment periods. Below is a list of some, but not all, of those circumstances:

• A move outside of the plan's approved service area
• Entering or leaving a qualified institution, such as a nursing home
• Enrolling in, or disenrolling, from a Medicare Advantage plan (medical and drug benefit)
• Becoming eligible for low income subsidy assistance
• Becoming enrolled in Medicare or Medicaid

To obtain more detailed information on a Special Enrollment Period, including enrollment and effective dates, please contact a Blue MedicareRx Product Specialist.

^* Dates subject to change after January 1, 2013
Please visit the Social Security Administration website for more information.