Frequently Asked Questions about Special Enrollment Periods (SEPs)

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 . . .

Yes.  You may be able to leave your Medicare Advantage plan and return to (or join) a Medicare Supplement if you are within the first 12-month of Medicare Advantage plan enrollment - or your tria . . .

If a Medicare Part D or Medicare Advantage plan with a 5-star rating is available in your area, you can use the 5-star Special Enrollment Period (SEP) for a once-a-year opportunity to switch from yo . . .

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 . . .

Yes.  If you are able to use a Special Enrollment Period (SEP) to change Medicare plans during the year, you will find that both the total retail value of your drug purchases (gross covered dru . . .

Maybe.  The key is that you must be aware of the type of Medicare plan you currently have and what type of 5-star Medicare plan you are choosing (read more below) as part of the 5-star Special En . . .

Maybe.  If you are able to change or transfer to another Medicare Advantage plan offered by the same insurance company (or plan provider, such as Humana or United HealthCare) during the plan yea . . .

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 . . .

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".   You also cannot jus . . .

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 . . .

Yes, you will be granted a Special Enrollment Period (SEP) from the start of the FEMA-declared natural disaster and continuing for an additional four (4) full calendar months after the start of the incident.

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 or SNP) outside of . . .

Yes.  You may be able to leave your Medicare Advantage plan and return to (or join) a Medicare Supplement if you are within the first 12-month of Medicare Advantage plan enrollment - or your tria . . .

If a Medicare Part D or Medicare Advantage plan with a 5-star rating is available in your area, you can use the 5-star Special Enrollment Period (SEP) for a once-a-year opportunity to switch from yo . . .

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 usi . . .

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.

Yes.  The Centers for Medicare and Medicaid Services (CMS) provides a Special Enrollment Period (SEP) for people who left their Medicare Supplement (Medigap plan) -- joined a Medicare Advan . . .

Yes, Medicare does allow for a Special Enrollment Period (SEP) in exceptional circumstance if you were provided false or incorrect or misleading information during your Medicare plan enrollment.Howeve . . .

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".   You also cannot jus . . .

No.  If you are eligible for the Medicare Part D Extra Help or the Low-Income Subsidy (LIS) program, you are granted a Special Enrollment Period (SEP) that allows you to change Medicare Part D or . . .