Medicare Initial Enrollment Period · Updated June 2026

Turning 65 in March 2027? Here's your Medicare sign-up window

If your 65th birthday is in March 2027, you have a 7-month window to enroll in Medicare. Here are your exact dates — and the deadline to avoid any gap in coverage.

Quick answer: If you turn 65 in March 2027, your 7-month Initial Enrollment Period runs December 1, 2026 – June 30, 2027. To have Medicare active the month you turn 65, sign up on or before February 28, 2027 — that is, during the three months before March. Sign up later and your coverage start date slips, as shown below.

Your Initial Enrollment Period (IEP) — the 7-month window to sign up
December 1, 2026 – June 30, 2027
7 months total · sign up by February 28, 2027 for coverage on March 1, 2027
IEP opens
December 1, 2026
Birthday month
March 2027
Enroll by (no gap)
February 28, 2027
IEP closes
June 30, 2027
Your IEP is the 3 months before March, the month of March itself, and the 3 months after. Signing up in the first three months means your coverage can begin on March 1, 2027 — the first day of your birthday month — so there's no gap. This is dates only; confirm your exact window at SSA.gov.

Turning 65 in March 2027 means your one-time Medicare Initial Enrollment Period runs from December 1, 2026 to June 30, 2027. The smart deadline is February 28, 2027 — sign up by then and your Medicare is active on March 1, 2027. Miss the whole window and you can face a permanent late-enrollment penalty. Here is exactly when to act and when your coverage begins.

Your 7-month Initial Enrollment Period in detail

Your Initial Enrollment Period for turning 65 in March 2027 is exactly seven months long. It opens on December 1, 2026 (three months before March), includes all of March, and closes on June 30, 2027 (three months after). You can sign up for Part A, Part B, and a Part D drug plan or a Medicare Advantage plan during this window. The single most important date is February 28, 2027: enroll on or before it and your coverage starts March 1, 2027, the day your birthday month begins, with no gap.

When your Medicare coverage actually starts

Under the rule in effect since January 1, 2023, your Part B coverage start date depends on when during your IEP you sign up:

If you sign up…Coverage starts
The 3 months before (December–February 2026/2027)March 1, 2027 (1st of your birthday month)
During March 2027 (your birthday month)April 1, 2027
During April 2027 (month 1 after)May 1, 2027
During May 2027 (month 2 after)June 1, 2027
During June 2027 (month 3 after)July 1, 2027

Note: if your birthday falls on the 1st of March, Medicare counts you as turning 65 the previous month, so every date above shifts one month earlier.

The smart move: don't wait until your birthday month

The most common mistake is waiting until March — your actual birthday month — to sign up. If you do, your coverage won't start until April 1, 2027, leaving you a month without Medicare even though you were eligible. Enroll during the three months before March (any time from December 1, 2026 through February 28, 2027) and your Part A and Part B begin on March 1, 2027. There is no advantage to waiting, and signing up early is free.

Find your exact sign-up window

Enter your date of birth and our free calculator shows your precise IEP dates and coverage start — no signup, no email.

Open the Sign-Up Window Calculator →

What happens if you miss your IEP

If you don't enroll by June 30, 2027 and you don't qualify for a Special Enrollment Period (for example, because you had creditable employer coverage), you generally have to wait for the General Enrollment Period (January 1 – March 31) and may owe a permanent Part B late-enrollment penalty — 10% of the premium for each full 12 months you delayed — plus a separate Part D penalty. See the late-enrollment penalty calculator for what that costs over a lifetime, and the enrollment finder if you think a Special Enrollment Period applies to you.

Frequently asked questions

When should I sign up for Medicare if I turn 65 in March 2027?

Sign up during the three months before March — any time from December 1, 2026 through the last day of February — to have Part A and Part B active on March 1, 2027, the first day of your birthday month. Your full window stays open until June 30, 2027, but enrolling later delays your coverage start.

What if I'm still working and have employer coverage at 65?

If your employer has 20 or more employees and you have creditable group coverage, you can usually delay Part B without a penalty and get an 8-month Special Enrollment Period when that coverage ends. Many people still take premium-free Part A at 65. See working past 65 →

Is the Initial Enrollment Period the same as Annual Enrollment (AEP)?

No. Your IEP (December 1, 2026 – June 30, 2027) is your one-time window around turning 65. AEP (October 15 – December 7 every year) is for people who already have Medicare and want to change Advantage or Part D plans. See all enrollment periods →

What if my 65th birthday is on the first of March?

If you were born on the 1st, Medicare treats you as turning 65 the previous month, so your whole IEP and eligibility shift one month earlier. Confirm your exact dates with the sign-up window calculator or at SSA.gov.

Related sign-up timelines

Turning 65 in February 2027
IEP dates, enroll-by deadline & coverage start.
Turning 65 in April 2027
IEP dates, enroll-by deadline & coverage start.
Late Penalty Calculator
What missing your window costs — permanently.

Medicare agent with turning-65 clients?

A clean, dated sign-up timeline is the fastest way to get a T65 prospect to act. This page is free to share with clients. The Turning 65 Medicare Enrollment Kit gives them a printable checklist and worksheet so they never miss their window — and the T65 Pipeline Tracker helps you work the whole book.

See Medicare agent tools on Etsy →

Official sources

These dates are based on U.S. government enrollment rules: