Open Enrollment Time

 

If you missed Medicare's Annual Enrollment Period which ended December 7th. Don't worry you still have time to make a change starting January 1st through March 31st. Medicare's Open Enrollment will take place, during this time you man

• Enroll in Original Medicare and a Medicare Part D plan
• Enroll in a Medicare Advantage Plan

Why it's important: The OEP is primarily for individuals who:

• Did not enroll in Medicare when they first became eligible
• Lost Medicare coverage due to job loss or other reasons

Additionally

Medicare has introduced significant changes to Special Enrollment Periods (SEPs) for Dual Eligible Special Needs Plans (D-SNPs) starting in 2025. These changes are designed to streamline the enrollment process and improve access to care for dually eligible individuals.

If you missed the Annuel Enrollment Period you can still make a change during the Open Enrollment Period

Key Changes:

1. Monthly SEP for Dually Eligible Individuals:

• Dually eligible individuals can now enroll in or switch between integrated D-SNPs on a monthly basis.
• This provides greater flexibility for individuals to choose a plan that best suits their needs and circumstances.

1. Limited SEP for Non-Integrated D-SNPs:

• Enrollment in non-integrated D-SNPs will be limited to individuals enrolled in an affiliated Medicaid managed care plan.
• This change aims to align Medicare and Medicaid coverage for dually eligible individuals.

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What This Means for You:

If you are a dually eligible individual, these changes may impact your ability to enroll in or switch D-SNPs. It's important to understand the following:

• Timing: Pay close attention to the specific timing of SEPs and deadlines.
• Eligibility: Ensure you meet the eligibility criteria for the D-SNP you are interested in.
• Plan Selection: Carefully review the benefits, costs, and provider networks of different D-SNPs.
• Consult with a Medicare Advisor: If you have questions or need assistance, consider consulting with a Medicare advisor.

Why These Changes Matter:

These changes are intended to:

• Improve care coordination: By aligning Medicare and Medicaid coverage, these changes can help ensure that individuals receive coordinated care from multiple providers.
• Reduce administrative burden: Streamlining the enrollment process can make it easier for individuals to access the care they need.
• Enhance beneficiary experience: By providing more flexibility in enrollment, these changes can help individuals find the best plan to meet their needs.

As these new rules take effect, it's crucial to stay informed and take advantage of the opportunities they present. By understanding the changes and making informed decisions, you can ensure that you have the right Medicare coverage to meet your healthcare needs.

If you have questions about your Medicare Advantage plan please fill out the form and a licensed agent will be in contact. Your information will not be sold and you will not be solicited by any other agency. Lons Insurance is an independent agency dedicated to serving  you