Frequently Asked Questions about Special Enrollment Periods (SEPs)

Jan, 19 2025 — 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 . . .

Jan, 27 2025 — 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 . . .

Mar, 19 2025 — 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.

Mar, 09 2025 — 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.

Apr, 04 2025 — 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 . . .

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.

Apr, 08 2025 — 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 . . .

Dec, 17 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 . . .

Feb, 17 2025 — In some cases.   If you are eligible for both Medicare and Medicaid or Medicare Part D Extra Help, you are granted a Special Enrollment Period and can change Medicare Part D prescription dru . . .

Jan, 19 2025 — Maybe.  When using 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 are c . . .

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, 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 . . .

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.

Apr, 14 2025 — 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.

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 . . .

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, 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 . . .

Mar, 27 2025 — 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, 17 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 . . .

Apr, 17 2025 — Probably not.  But, you may be able to change your plans if you can find another Special Enrollment Period. A Special Enrollment Period (SEP) allows a person to change their Medicare Part D or . . .

Apr, 14 2025 — 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, 08 2025 — 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 . . .

Apr, 04 2025 — 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 . . .

Mar, 27 2025 — 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.

Mar, 19 2025 — 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.

Mar, 09 2025 — 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.

Feb, 17 2025 — In some cases.   If you are eligible for both Medicare and Medicaid or Medicare Part D Extra Help, you are granted a Special Enrollment Period and can change Medicare Part D prescription dru . . .

Jan, 27 2025 — 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 . . .

Jan, 19 2025 — 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 . . .

Jan, 19 2025 — Maybe.  When using 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 are c . . .

Dec, 17 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, 17 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 . . .

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 . . .

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, 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. 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.