COVID-19 Updates

Nationwide Special Election Period Available For Applicable Individuals Affected By COVID-19

The Centers for Medicare & Medicaid Services (CMS) confirmed that the Special Election Period (SEP) for Individuals Affected by a Federal Emergency Management Agency (FEMA) Declared Weather-Related Emergency or Other Major Disaster is applicable to individuals affected by COVID-19 who meet the criteria outlined below. With this announcement, Medicare Advantage and Part D beneficiaries affected by COVID-19 nationwide may be eligible for a Special Election Period (SEP).

SEP Time Period

March 1, 2020 with an SEP running through June 30, 2020.

Who Is Eligible?

  1. Any beneficiary who resides in, or resided in (at the start of the SEP time period), an area that Federal Emergency Management Agency (FEMA) declared an emergency or major disaster (see www.fema.gov/disasters) is eligible to apply for individual or public level assistance. Beneficiaries who do not live in the impacted areas but receive assistance making healthcare decisions from someone who lives in one of the affected areas are also eligible.

  2. The beneficiary had another valid election period at the time of the incident period, but did not make an election during that other valid election period.

What Does This Mean For Beneficiaries?

  • Beneficiaries who were eligible for a different election period, but were unable to enroll in a plan during the allotted time period, have until June 30, 2020, to enroll. Enrollments received are effective the first day of the following month.

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