Some Medicare beneficiaries are eligible for a Special Enrollment Period, or SEP. You can either have an SEP for a set period of time, or you can have a lifelong SEP. An SEP allows you to enroll in a new Medicare plan or make changes to your current coverage outside of the normal enrollment periods. Remember that those who do not have an SEP can only make changes during AEP (October 15 - December 7) every year. If you qualify for an SEP, you should take advantage of your ability to get yourself into a better plan.
To qualify for a lifelong SEP, you must fall into at least one of the following categories:
- Eligible for Medicaid or a Medicare Savings Program
- Part of SPAP (State Pharmaceutical Assistance Program)
- Be enrolled in a SNP (Special Needs Plan)
- Have a chronic illness or disability & receive Social Security benefits
To qualify for a circumstantial SEP, you must:
- Move to a new service area
- Involuntarily lose your coverage (for example, if your plan stops accepting Medicare assignment)
- Lose or gain a job
- Move into or out of a facility
- Leave imprisonment
- Gain or lose Medicaid eligibility
If any of those circumstantial events apply to you, you will have 60 days from the event to change your health care plan.
If you aren’t sure whether or not you qualify for a Special Enrollment Period, we can help you. We can also help you figure out if you are eligible for LIS (otherwise known as Extra Help) or another health care savings program, which will allow you to change plans at any time.
To set up a free appointment with one of our licensed agents in your area, call 1-844-431-1832.