Beginning April 1, 2025 individuals wishing to use the Disaster/Emergency SEP must call 1-800-MEDICARE in order to make the election. Plans are required to remove the Disaster/Emergency SEP from enrollment forms and the Plans will only receive the enrollments from CMS. Here is the full CMS memo dated 12/3/2024.

Starting in 2025, full dual-eligible beneficiaries will have access to a new monthly SEP, which allows enrollment in highly or fully integrated Dual Special Needs Plans (HIDE/FIDE SNPs). In addition, any beneficiary qualified for LIS or Medicaid will be eligible for a monthly SEP to disenroll from their Medicare Advantage plan, return to Original Medicare, and enroll in a Prescription Drug Plan (PDP).

The quarterly SEP that many have used in the past for dual-eligible individuals and those receiving Part D low-income subsidies (LIS) is no longer available. The SEP available for the first 3 quarters of the year ended on September 30, 2024.

UHC has Individual State Guides

State Guides HERE or on Jarvis. Here are instructions to get there: Jarvis>Knowledge Center>Medicare Product Resources>Dual Eligible Special Needs Plans>State-Level D-SNP Enrollment at a Glance Guides>State (click on the state of the client’s residence)