Frequently Asked Questions about Special Enrollment Periods (SEPs)

Dec, 04 2024 — Medicare Part D prescription drug plans provide insurance coverage for the out-patient prescription drugs covered by your drug plan - and works just like any other type of insurance: (1)  You . . .

May, 16 2024 — A Special Enrollment Period (SEP) allows a Medicare beneficiary to join, switch, or drop their Medicare Part D prescription drug plan (PDP) or Medicare Advantage plan (MA or MAPD) outside of the ann . . .

Oct, 17 2024 — The 5-Star Special Enrollment Period (SEP) is a once-a-year opportunity to switch from your current Medicare Part D prescription drug plan (PDP) or Medicare Advantage plan (MA or MAPD) to another Med . . .

Apr, 23 2024 — Yes. If you use a Special Enrollment Period (SEP) to change Medicare drug plans during the year, you will find that both the total retail value of your drug purchases and the total value of your out-of-pocket spending (TrOOP) transfer to your new Part D plan.

Jul, 07 2023 — Yes, in most cases.  When you move out of your Medicare Part D (PDP) or Medicare Advantage (MA or MAPD) plan's service area, you are granted a Special Enrollment Period to join another Medicare . . .

Apr, 23 2024 — Maybe. If you are able to change or transfer to another Medicare Advantage plan offered by the same company during the plan year, you may be able to transfer the amount that you have spent for your Medicare Part A and Part B coverage toward your new plan's MOOP limit.

May, 16 2024 — Yes, you will be granted a Special Enrollment Period (SEP) from the start of the government-declared disaster and continuing 2 full months following the declared end date - or the announced disaster end date - whichever is later.

May, 16 2024 — Maybe. This particular Special Enrollment Period (SEP) is exceptional, and will only be granted if the changes to your provider network are considered as "significant". In addition, you cannot simply . . .

Jun, 23 2024 — A Special Enrollment Period (SEP) allows a Medicare beneficiary a special time to join, switch, or drop their Medicare Part D prescription drug plan (PDP) or Medicare Advantage plan (MA or MAPD or SN . . .

Dec, 04 2024 — Beginning in 2025, If you qualify for Medicare Part D Extra Help AND are enrolled in a stand-alone Medicare Part D plan (PDP), you can change your PDP once per month. The Centers for Medicare and Medi . . .

Jun, 09 2024 — Maybe.  When using the the 5-star Special Enrollment Period (SEP), you must be aware of the type of Medicare plan you currently have (MA, MAPD, or PDP) and what type of 5-star Medicare plan you a . . .

May, 31 2023 — No need to wait - you can enroll now into a new Medicare plan.  Most people are not allowed to change Medicare Part D prescription drug or Medicare Advantage plans outside of the annual Open E . . .

Oct, 22 2024 — If you are enrolled in a Medicare Advantage plan (MA or MAPD) or Medicare Part D plan (PDP) that is no longer offered next year (and you are not automatically "crosswalked" or transferred to another M . . .

May, 16 2024 — The Centers for Medicare and Medicaid Services (CMS) provides a 3-month Special Enrollment Period (SEP) for people enrolled in Medicare plan (PDP, MA, MAPD) whose contract was terminated by CMS.

May, 16 2024 — Yes. Medicare provides a Special Enrollment Period (SEP) for people who left their Medicare Supplement (Medigap plan) and joined a Medicare Advantage plan for the first time and now within the 12-month trial period wish to return to their Medicare Supplement.

Jun, 12 2024 — Yes.  If you are enrolled in a Medicare Part D or Medicare Advantage plan identified by the Centers for Medicare and Medicaid Services (CMS) as consistently low-performing, CMS will send you a l . . .

May, 16 2024 — Yes. A Medicare beneficiary can use a Special Enrollment Period to join a Medicare Part D plan or Medicare Advantage plan if they lose or leave their employer's health plan (EGHP). A Medicare beneficiary also will be granted an SEP to leave their Medicare plan and join an EGHP.

Jul, 10 2023 — No.  The Special Enrollment Period through end of February for Service Area Reduction or Medicare plan cancellation Special Enrollment Period (SAR SEP) would NOT apply. This Special Enrollm . . .

Sep, 09 2024 — Yes. You are permitted to disenroll from your Medicare Part D plan or Medicare Advantage plan during the Annual Open Enrollment Period (AEP) -- October 15th through December 7th -- or outside the AEP . . .

Apr, 20 2024 — Yes. If you have or develop one of Medicare's defined chronic conditions (see chart), you will be granted an SEP to join a Medicare Advantage Special Needs Plan (SNP) designed to serve people with the specific condition. You can use the SEP one time during the plan year.

Dec, 04 2024 — Medicare Part D prescription drug plans provide insurance coverage for the out-patient prescription drugs covered by your drug plan - and works just like any other type of insurance: (1)  You . . .

Dec, 04 2024 — Beginning in 2025, If you qualify for Medicare Part D Extra Help AND are enrolled in a stand-alone Medicare Part D plan (PDP), you can change your PDP once per month. The Centers for Medicare and Medi . . .

Oct, 22 2024 — If you are enrolled in a Medicare Advantage plan (MA or MAPD) or Medicare Part D plan (PDP) that is no longer offered next year (and you are not automatically "crosswalked" or transferred to another M . . .

Oct, 17 2024 — The 5-Star Special Enrollment Period (SEP) is a once-a-year opportunity to switch from your current Medicare Part D prescription drug plan (PDP) or Medicare Advantage plan (MA or MAPD) to another Med . . .

Sep, 09 2024 — Yes. You are permitted to disenroll from your Medicare Part D plan or Medicare Advantage plan during the Annual Open Enrollment Period (AEP) -- October 15th through December 7th -- or outside the AEP . . .

Jul, 04 2024 — The Special Enrollment Period (SEP) for "Change of Residence" is available when the beneficiary is moving out of his/her Medicare plan's service area. Question:  What is the timing of this . . .

Jun, 23 2024 — A Special Enrollment Period (SEP) allows a Medicare beneficiary a special time to join, switch, or drop their Medicare Part D prescription drug plan (PDP) or Medicare Advantage plan (MA or MAPD or SN . . .

Jun, 12 2024 — Yes.  If you are enrolled in a Medicare Part D or Medicare Advantage plan identified by the Centers for Medicare and Medicaid Services (CMS) as consistently low-performing, CMS will send you a l . . .

Jun, 12 2024 — Yes.  The Centers for Medicare & Medicaid Services (CMS) provide case-by-case Special Enrollment Periods allowing a person to change Medicare Part D or Medicare Advantage plans outside of the . . .

Jun, 09 2024 — Maybe.  When using the the 5-star Special Enrollment Period (SEP), you must be aware of the type of Medicare plan you currently have (MA, MAPD, or PDP) and what type of 5-star Medicare plan you a . . .

May, 16 2024 — Yes. Medicare provides a Special Enrollment Period (SEP) for people who left their Medicare Supplement (Medigap plan) and joined a Medicare Advantage plan for the first time and now within the 12-month trial period wish to return to their Medicare Supplement.

May, 16 2024 — Yes, you will be granted a Special Enrollment Period (SEP) from the start of the government-declared disaster and continuing 2 full months following the declared end date - or the announced disaster end date - whichever is later.

May, 16 2024 — The Centers for Medicare and Medicaid Services (CMS) provides a 3-month Special Enrollment Period (SEP) for people enrolled in Medicare plan (PDP, MA, MAPD) whose contract was terminated by CMS.

May, 16 2024 — A Special Enrollment Period (SEP) allows a Medicare beneficiary to join, switch, or drop their Medicare Part D prescription drug plan (PDP) or Medicare Advantage plan (MA or MAPD) outside of the ann . . .

May, 16 2024 — Yes.  The Centers for Medicare & Medicaid Services (CMS) provides a Special Enrollment Period (SEP) in exceptional circumstance if you were provided false or incorrect or misleading informati . . .

May, 16 2024 — Maybe. This particular Special Enrollment Period (SEP) is exceptional, and will only be granted if the changes to your provider network are considered as "significant". In addition, you cannot simply . . .

May, 16 2024 — Yes.  If you joined your Medicare Advantage plan (MAPD) during your Initial Coverage Election Period (ICEP) (similar to your Medicare Part D Initial Enrollment Period (IEP)) surrounding your 65t . . .

May, 16 2024 — Yes. A Medicare beneficiary can use a Special Enrollment Period to join a Medicare Part D plan or Medicare Advantage plan if they lose or leave their employer's health plan (EGHP). A Medicare beneficiary also will be granted an SEP to leave their Medicare plan and join an EGHP.

Apr, 23 2024 — Yes. If you use a Special Enrollment Period (SEP) to change Medicare drug plans during the year, you will find that both the total retail value of your drug purchases and the total value of your out-of-pocket spending (TrOOP) transfer to your new Part D plan.

Apr, 23 2024 — Maybe. If you are able to change or transfer to another Medicare Advantage plan offered by the same company during the plan year, you may be able to transfer the amount that you have spent for your Medicare Part A and Part B coverage toward your new plan's MOOP limit.