Here is a current list of all Special Enrollment Periods for Medicare, both new and extended.
Nationwide
COVID-19 Public Health Emergency – Secretary of Health and Human Services Declared a Public Health Emergency on January 27, 2020
Incident Period: January 27, 2020, and Continuing
SEP Start Date: January 27, 2020
SEP End Date: TO BE DETERMINED
Counties: Nationwide
Florida
State declaration: Emergency
SEP Incident Date: 03/04/2022 – 02/04/2022.
This SEP declaration is effective 03/04/2022 – 07/31/2022.
Impacted counties for SEP purposes: Bay, Calhoun and Gulf counties
Illinois
State declaration: Emergency
SEP Incident Date: 02/01/2022 – 02/04/2022.
This SEP declaration is effective 02/01/2022 – 04/30/2022.
Impacted counties for SEP purposes: all
Kansas
State declaration: Disaster
SEP Incident Date: 12/15/2021
This SEP declaration is effective 12/15/2021 – 04/30/2022.
Impacted counties for SEP purposes: Barton, Brown, Clay, Cloud, Doniphan, Edwards, Ellis, Ellsworth, Ford, Geary, Gove, Graham, Grant, Gray, Greeley, Hamilton, Haskell, Hodgeman, Jewell, Kearny, Lane, Lincoln, Logan, Marshall, Meade, Mitchell, Morris, Morton, Nemaha, Ness, Osborne, Ottawa, Pawnee, Republic, Rice, Riley, Rooks, Rush, Russell, Saline, Scott, Sheridan, Smith, Stafford, Stanton, Stevens, Sumner, Trego, Wabaunsee, Wallace, Washington, Wichita, and Wyandotte counties.
New York - Extended
State declaration: Emergency
SEP Incident Date: 01/13/2022 – TBD.
This SEP declaration is effective 01/28/2022 – 04/30/2022.
Impacted counties for SEP purposes: Bronx, Kings, Nassau, New York, Putnam, Queens, Richmond, Rockland, Suffolk, Westchester.
South Carolina - Extended
State declaration: Emergency
SEP Incident Date: 01/14/22 – 02/02/22.
This SEP declaration is effective 01/14/2022 – 04/30/2022.
Impacted counties for SEP purposes: all
Virginia - Extended
State declaration: Emergency
SEP Incident Date: 01/27/22 – 02/26/22
This SEP declaration is effective 01/28/2022 – 04/30/2022.
Impacted counties for SEP purposes: all
Tennessee
State declaration: Emergency
SEP Incident Date: 02/03/2022 - 02/04/022
This SEP declaration is effective 02/03/22 – 05/31/22.
Impacted counties for SEP purposes: Crockett, Fayette, Haywood, Lauderdale, Shelby, Tipton, and Weakley counties.
Texas
State declaration: Emergency
SEP Incident Date: 02/23/2022 – TBD.
This SEP declaration is effective 02/23/2022 – 06/30/2022.
Impacted counties for SEP purposes: Brooks, Brown, Coleman, Comanche, Eastland, Grayson, Mason, Potter, Randall, Reynolds, and Williamson.
Additional counties announced: Blanco, Erath, Hood, Runnels, and Starr
IMPORTANT: Please be aware
- This does not mean that active Marketing can occur.
- Impacted individuals must have missed a valid election during the incident and unable to make that election due to the emergency.
- This does not mean we initiate waiving of authorization or referral requirements.
- This does not extend waiving of prior authorizations, referrals etc.
SEP for Government Entity-Declared Disaster or Other Emergency
42 CFR 422.62(b)(18)
(Rev. 2, Issued: August 12, 2020; Effective/Implementation: 01-01-2021)
An 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. This includes both enrollment and disenrollment elections.
Individuals are eligible for this SEP if they:
- Reside, or resided at the start of the SEP eligibility period described in this guidance, in an area for which a federal, state or local government entity has declared a disaster or other emergency or they do not reside in an affected area but rely on help making healthcare decisions from one or more individuals who reside in an affected area; and
- Were eligible for another election period at the time of the SEP eligibility period; and
- Did not make an election during that other valid election period due to the disaster or other emergency.
The SEP starts as of the date the declaration is made, the incident start date or, if different, the start date identified in the declaration, whichever is earlier. The SEP ends two full calendar months following the end date identified in the declaration or, if different, the date the end of the incident is announced, whichever is later.
If you have any questions, call us today at 866-568-9649!
