At Medicare Portal, we continue to closely monitor the impact of COVID-19 on Medicare and are working hard to update you on changes as they happen. This week, Centers for Medicare Services (CMS) changed their previous stance and made a decision to allow for a one-time Special Enrollment Period (SEP) for those affected by COVID-19. This SEP applies to all 50 states, tribes and the District of Columbia.
The COVID-19 SEP is for individuals that were unable to make an election during another qualifying enrollment period anytime between March 17, 2020 and June 30, 2020. You are eligible for this SEP if you were either making Medicare elections relating to enrollment or disenrollment. This includes Initial Enrollment Period (IEP), General Enrollment Period (GEP), or a Special Enrollment Period (SEP) – such as loss of employer coverage based on when employment ends – to apply for Part A and/or B or refuse Part B.
You will be considered “affected” and eligible for the SEP if you:
Reside, or resided at the start of the SEP period in an area declared an emergency or a major disaster by FEMA. If your county meets this criteria, you are eligible to apply for individual or public assistance; and
You had another valid election period at the time of the incident period; and
You did not make an election during this or any other valid enrollment period.
Additionally, the SEP is available to those who do not necessarily live in an affected area, but rely on someone who resides in an affected area to make their healthcare decisions. This includes friends and family members who live in affected areas.
Any enrollment made under this SEP will have an effective date of the 1st of the month following receipt of the enrollment request. Further, beneficiaries will not be expected to provide proof that they were affected by the COVID-19 pandemic.