New and Renewed Special Election Periods For Medicare

There are new and renewed Special Enrollment Periods in California, Georgia, Illinois, Mississippi, New Mexico, and Texas.

CALIFORNIA

Declaration information New

State declaration: Extreme Heat

SEP Incident Date: 08/31/2022 – 09/09/2022

This SEP declaration is effective 08/31/2022 – 11/30/2022

Impacted counties for SEP purposes: All counties

GEORGIA

Declaration information New

State declaration: Flooding

SEP Incident Date: 09/04/2022 – 10/04/2022

This SEP declaration is effective 09/04/2022 – 12/31/2022

Impacted counties for SEP purposes: Chattooga and Floyd

ILLINOIS

Declaration information Renewed

State declaration: Disaster (monkeypox)

SEP Incident Date: 08/01/2022 – 11/30/2022

This SEP declaration is effective 08/01/2022 – 11/30/2022

Impacted counties for SEP purposes: All

MISSISSIPPI

Declaration information New

State declaration: (water crisis)

SEP Incident Date: 08/30/2022 – Ongoing

This SEP declaration is effective 08/30/2022 – Ongoing

Impacted counties for SEP purposes: Hinds

NEW MEXICO

Declaration information New

State declaration: Water shortage

SEP Incident Date: 08/31/2022 – Ongoing

This SEP declaration is effective 08/31/2022 – Ongoing

Impacted counties for SEP purposes: Sandoval

TEXAS

Declaration information Renewed

State declaration: (drought)

SEP Incident Date (for ongoing counties): 07/08/2022 – Ongoing

This SEP declaration is effective 07/08/2022 – Ongoing

Impacted counties for SEP purposes (active counties): Anderson, Andrews, Aransas, Armstrong, Atascosa, Austin, Bailey, Bandera, Bastrop, Baylor, Bee, Bell, Bexar, Blanco, Borden, Bosque, Brazoria, Brazos, Brewster, Briscoe, Brown, Burleson, Burnet, Caldwell, Calhoun, Callahan, Cameron, Castro, Childress, Cochran, Coke, Coleman, Collin, Collingsworth, Colorado, Comal, Comanche, Concho, Cooke, Coryell, Cottle, Crane, Crockett, Crosby, Dallam, Dallas, Dawson, Deaf Smith, Delta, DeWitt, Dickens, Dimmit, Donley, Eastland, Ector, Edwards, Ellis, Erath, Falls, Fannin, Fayette, Fisher, Floyd, Foard, Fort Bend, Freestone, Frio, Gaines, Galveston, Garza, Gillespie, Glasscock, Goliad, Gonzales, Grimes, Guadalupe, Hale, Hall, Hamilton, Hansford, Hardeman, Hartley, Hays, Henderson, Hidalgo, Hill, Hockley, Hood, Hopkins, Howard, Hunt, Hutchinson, Irion, Jackson, Johnson, Jones, Karnes, Kaufman, Kendall, Kent, Kerr, Kimble, King, Kinney, Knox, La Salle, Lamar, Lamb, Lampasas, Lavaca, Lee, Leon, Limestone, Live Oak, Llano, Loving, Lubbock, Lynn, Madison, Martin, Mason, Matagorda, Maverick, McCulloch, McLennan, McMullen, Medina, Menard, Midland, Milam, Mills, Mitchell, Montague, Montgomery, Moore, Motley, Navarro, Nolan, Ochiltree, Oldham, Palo Pinto, Parker, Parmer, Pecos, Polk, Presidio, Rains, Randall, Reagan, Real, Red River, Reeves, Refugio, Roberts, Robertson, Rockwall, Runnels, San Jacinto, San Saba, Schleicher, Scurry, Shackelford, Sherman, Somervell, Starr, Stephens, Sterling, Stonewall, Sutton, Swisher, Tarrant, Taylor, Terrell, Terry, Tom Green, Travis, Trinity, Upton, Uvalde, Val Verde, Van Zandt, Victoria, Walker, Waller, Ward, Washington, Webb, Wharton, Wichita, Wilbarger, Willacy, Williamson, Wilson, Winkler, Yoakum, Zapata, and Zavala

SEP Incident Date (for counties to be removed): 07/08/2022 – 09/28/2022

Impacted counties for SEP purposes (removed effective 09/28/2022): Archer, Bowie, Camp, Carson, Cass, Chambers, Clay, Culberson, Denton, Duval, Franklin, Grayson, Gregg, Harris, Harrison, Haskell, Hudspeth, Jack, Jeff Davis, Jefferson, Jim Hogg, Jim Wells, Kleberg, Liberty, Marion, Nueces, Potter, San Patricio, Smith, Upshur, Wise, and Wood

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!