Special Enrollment Periods for Medicare have been announced for both Florida and Texas due to wildfires.
Special Enrollment Period: Florida Emergency Declaration - Wildfires
Please be advised that a state of emergency declaration was announced, impacting individuals in certain Florida 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 Florida.
Important Compliance Information
Who is eligible:
This SEP opportunity is ONLY available to beneficiaries who:
- Reside, or resided at the start of the SEP eligibility period described in this guidance, in an area for which a federal, state or local government entity has declared a disaster or other emergency or they do not reside in an affected area but rely on help making healthcare decisions from one or more individuals who reside in an affected area; and
- Were eligible for another election period at the time of the SEP eligibility period, and;
- Did not make an election during that other valid election period due to the disaster or other emergency.
Details:
Impacted Counties: Bay, Calhoun, Gulf
Incident Period: The incident period occurred from March 4, 2022 through May 3, 2022. The declaration was announced on March 5, 2022.
Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD or PDP plans until May 31, 2022.
*Note: Eligible enrollments will be effective the first of the month after the application has been processed.
Reminders:
Agents can accept/submit a Medicare Advantage or Prescription Drug Plan application by the beneficiary’s request through the following steps:
- Obtain a compliant Consent to Contact (C2C).
- Capture a compliant Scope of Appointment (SOA).
- Host a compliant 1:1 appointment.
- If the beneficiary is prepared to enroll, complete an application noting this SEP, either by selecting the “Emergency or Major Disaster” option or writing "Wildfires" in the "Other" option.WARNING! Only select one election type.
Special Enrollment Period Amendment: Texas Emergency Declaration - Wildfires
Please be advised that a state of emergency declaration was announced, impacting individuals in certain Texas 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 Texas.
Important Compliance Information
Who is eligible:
This SEP opportunity is ONLY available to beneficiaries who:
- Reside, or resided at the start of the SEP eligibility period described in this guidance, in an area for which a federal, state or local government entity has declared a disaster or other emergency or they do not reside in an affected area but rely on help making healthcare decisions from one or more individuals who reside in an affected area; and
- Were eligible for another election period at the time of the SEP eligibility period, and;
- Did not make an election during that other valid election period due to the disaster or other emergency.
Details:
Impacted Counties: Blanco, Brooks, Brown, Coleman, Comanche, Eastland, Erath, Grayson, Hood, Mason, Medina, Potter, Randall, Runnels, Starr, Williamson
Incident Period: The incident period occurred from March 18, 2022 through March 27, 2022. The declaration was announced on March 18, 2022.
Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD or PDP plans until May 31, 2022.
*Note: Eligible enrollments will be effective the first of the month after the application has been processed.
Reminders:
Agents can accept/submit a Medicare Advantage or Prescription Drug Plan application by the beneficiary’s request through the following steps:
- Obtain a compliant Consent to Contact (C2C).
- Capture a compliant Scope of Appointment (SOA).
- Host a compliant 1:1 appointment.
- If the beneficiary is prepared to enroll, complete an application noting this SEP, either by selecting the “Emergency or Major Disaster” option or writing "Wildfires" in the "Other" option.WARNING! Only select one election type.
If you have questions, call us today at 866-568-9649!
