Question

Mrs. Jenkins is enrolled in both Part A and Part B of Medicare. She has recently also become eligible for Medicaid and would like to enroll in a MA-PD plan. Since this is her first experience with Medicare Advantage, she is concerned that she will be locked into a plan and unable to make any coverage changes for at least a year if not longer. What should you tell her?

Answer 1

Mrs. Jenkins has a special election period (SEP) that she can use to join or leave an MA or MA-PD plan during the first nine months of every calendar year since she has Medicare Parts A and B and receives Medicaid.

What is special election period (SEP)?

When certain life events occur, such as moving or losing other insurance coverage, a person has the option to modify his Medicare Advantage and Medicare prescription medication coverage. Special Enrollment Periods are these windows of time when adjustments can be made (SEPs).

In comparison to original Medicare, Medicare Advantage has various advantages, including as easy coverage, a variety of plan choices, and long-term savings. There are some drawbacks as well, including as provider restrictions, more expenses, and insufficient coverage while abroad.

For more information regarding the special election period, visit:

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