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Employer Update | May 2018
Employer Update | May 2018

Special Election Periods for Medicare Eligible Employees

Your Medicare eligible employees may be able to join or change Medicare Advantage plans under special circumstances that qualify as Special Election Periods. 

A Special Election Period provides an opportunity to enroll in, or change plans, if your employee is:

  • Enrolled in the Elderly Pharmaceutical Insurance Coverage (EPIC)
  • Losing EPIC eligibility
  • Losing Employer sponsored coverage
  • Moving or moved out of a plan service area or to an area with expanded plan options
  • Living in an institution (ie: skilled nursing facility, long term care hospital)
  • Dual eligible (Medicare and Medicaid eligible)
  • No longer Medicaid Eligible
  • Approved for Low Income Subsidy (LIS)
  • Involuntarily losing creditable drug coverage
  • Qualified for other exceptional conditions as determined by CMS

 

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