New and Renewed Medicare SEPs Announced In Multiple States

New Special Enrollment Periods have been announced in Georgia, New Jersey, New York, North Carolina, and Oklahoma, as well as a renewed Special Enrollment Period in Florida.

FLORIDA

Declaration information Renewed

State declaration: Wildfires

SEP incident dates: 03/04/2022 – 03/20/2023

This SEP declaration is effective: 03/04/2022 – 04/30/2023

Impacted counties for SEP purposes: Bay, Calhoun, and Gulf

GEORGIA

Declaration information New

State declaration: Winter Storm

SEP incident dates: 12/21/2022 – 01/24/2023 

This SEP declaration is effective: 12/21/2022 – 02/28/2023

Impacted counties for SEP purposes: All counties

NEW JERSEY

Declaration information New

State declaration: Baby Formula Shortage

SEP incident dates: 05/17/2022 – Ongoing 

This SEP declaration is effective: 05/17/2022 – Ongoing

Impacted counties for SEP purposes: All counties

Declaration information New

State declaration: Hurricane Ida

SEP incident dates: 09/21/2021 – Ongoing 

This SEP declaration is effective: 09/01/2021 – Ongoing

Impacted counties for SEP purposes: All counties

NEW YORK

Declaration information New

State declaration: Winter Storm

SEP incident dates: 12/22/2022 – 02/20/2023 

This SEP declaration is effective: 12/22/2022 – 03/31/2023

Impacted counties for SEP purposes: All counties

NORTH CAROLINA

Declaration information New

State declaration: Winter Weather

SEP incident dates: 12/20/2022 – 02/16/2023 

This SEP declaration is effective: 12/20/2022 – 03/31/2023

Impacted counties for SEP purposes: All counties

OKLAHOMA

Declaration information New

State declaration: Winter Storm

SEP incident dates: 12/21/2022 – 01/27/2023 

This SEP declaration is effective: 12/21/2022 – 02/28/2023

Impacted counties for SEP purposes: All counties

IMPORTANT: Please be aware

• This does not mean that active marketing can occur.
• The SEP is only for the purpose of providing a SEP to impacted individuals who had a valid election during the incident and were unable to make that election due to the emergency.
• This does not mean we initiate waiving of authorization or referral requirements.
• This does not extend waiving of prior authorizations, referrals etc.  

SEP for Government Entity-Declared Disaster or Other Emergency

42 CFR 422.62(b)(18)

(Rev. 2, Issued: August 12, 2020; Effective/Implementation: 01-01-2021)

An SEP exists for individuals affected by a disaster or other emergency declared by a Federal, state or local government entity who were unable to, and did not make an election during another valid election period. This includes both enrollment and disenrollment elections.

Individuals are eligible for this SEP if they: 

• 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.

The SEP starts as of the date the declaration is made, the incident start date or, if different, the start date identified in the declaration, whichever is earlier. The SEP ends two full calendar months following the end date identified in the declaration or, if different, the date the end of the incident is announced, whichever is later.

If you have any questions, call us today at 866-568-9649!