SEPs
Additional clarification on the recent SEP Duration update has been provided.
For Medicare Advantage Plans, we are still to follow the guidelines in the 42 CRF, Subchapter B, Part 422 - Medicare Advantage Program, guidance, Sec. 422.62(b)(18), and For Part D, Part 423. Both apply the 2 month, etc. guidance. This is also referenced in the MMCM, Chapter 2 Enrollment and Disenrollment (p. 46). What is in Part 406 does not supersede the guidance in Part 422. For reference, you can view the information here.
Please be advised that a state of emergency declaration was again extended, impacting individuals in all New York counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to all New York counties.
Special Enrollment Period (SEP) for qualifying Medicare beneficiaries in Georgia - A special enrollment period (SEP) exists for individuals affected by a disaster or other emergency declared by a federal, state, or local government entity who was unable to and did not make an election during another valid election period.
Special Enrollment Period: Tennessee Emergency Declaration - Inclement Weather and Tornadoes
Please be advised that a state of emergency was declared by FEMA, impacting individuals in certain Tennessee counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to the following counties in Tennessee.
This is an important announcement for agents with customers in Arkansas, California, Georgia, Kentucky, Mississippi, Missouri, and Oklahoma and for those with business in those states. The counties below are under a state-designated SEP due to an emergency.
Special Enrollment Period: Georgia Emergency Declaration - Inclement Weather and Tornadoes
Please be advised that a state of emergency was declared, impacting individuals in all Georgia counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to all counties in Georgia.