SEP 1
Medical-only coverage (MA-only), not MAPD or PDP. The total enrollment period is seven (7) months beginning three (3) months before the individual’s entitlement to Medicare Part A or enrollment into Medicare Part B, includes the month Medicare begins, and continues for three (3) additional months.
ICEP
Beneficiaries may choose how they receive their Medicare benefits for the upcoming year. The last election made, determined by the application date, will be the plan that takes effect on January 1.
AEP
If a person has Medicare Part A and opted out of Medicare Part B when first eligible and then later enrolled in Part B, the ICEP would occur during the three (3) months prior to the effective date for Part B, the month of until the end of the second month – a five (5) month window.
ICEP
Beneficiaries with Medicare due to disability (before age 65) will have a period when they turn 65 to change/enroll in a MAPD or PDP
IEP 2
This enrollment period is for Part D coverage (MAPD or PDP), not MA-only. The total enrollment period is seven (7) months beginning three (3) months before the effective date of Medicare Part A and B, includes the month Medicare begins, and continues for three (3) additional months
IEP
Beneficiaries already enrolled in a Medicare Advantage plan (MA/MAPD) may make one plan change during the first three (3) months of each year (1/1-3/31) to enroll in another Medicare Advantage plan OR to disenroll to obtain Original Medicare (and get a PDP).
OEP
Individuals who were incarcerated and now have released
INC
This SEP is available to new Medicare Advantage enrollees following IEP/ICEP with their Medicare entitlement. The one-time election begins the month of entitlement (effective date) to Part A and Part B and for two additional months.
OEP-N
This SEP is for individuals who are losing group health coverage (including COBRA)
LEC
SEP available for permanent change of residence.
MOV
Involuntary loss of creditable coverage, including a reduction in the level of coverage so that it is no longer creditable, NOT including any loss or reduction due to a failure to pay premiums
LEC
For those individuals with severe or disabling chronic conditions
CSN
Individuals who disenroll from PACE have a SEP for up to two calendar months after the effective date of the PACE disenrollment to enroll in a MA, MAPD or PDP.
PAC
A Change in their Medicaid Status Individuals who Gain, Lose or Have a Change in their Medicaid (Dual Eligible) Status
MCD
Individuals who belong to a qualified SPAP are eligible for an SEP to make one enrollment request at any time through the end of each calendar year (i.e. once per year).
PAP
Individuals who Gain, Lose or Have a Change in their LIS-Eligible Status
NLS
Individuals enrolled in a PDP or MAPD may disenroll to enroll or maintain other creditable drug (such as TriCare or VA coverage) by using this SEP to enroll in a MA-only plan
CDC
CMS provides a SEP for individuals who are no longer eligible for the special needs plan because they no longer meet the specific special needs status
SNP
This is an open and unlimited use enrollment period for Medicare beneficiaries residing in an institution lasting for up to two (2) months after leaving the facility
OEP-I
This 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.
DST
Individuals who are enrolled into a plan by CMS or a State (i.e., through passive enrollment, autoenrollment, facilitated enrollment, and reassignment) have a SEP to disenroll from their new plan or enroll into a different plan
DIF
Effective January 1, 2025, full-benefit dually eligible individuals (FBDE, QMB+ or SLMB+ only) may use the integrated care SEP to enroll, once per month, into a fully integrated dual eligible special needs plan
INT
For members of a MA/MAPD/PDP plan that will be affected by contract non-renewal (PLEX - Plan Exit) or service area reduction (plan no longer available in zip or county) for the upcoming plan year.
EOC
CMS will grant a SEP when the organization or CMS was unable to provide required notices or information in an accessible format, as requested by an individual, within the same timeframe that it was able to provide the same information to individuals who did not request an accessible format
ACC
Individuals who were not eligible for a MA or PDP because they had been out of the U.S. and have now moved back
RUS