When can I enroll in a Medicare Advantage Plan (SecureCare HMO, SecureCare Capitol Plan HMO, SecureCare SNP (HMO SNP), SecureChoice PPO or SecureCare Capitol Plan PPO)?
Enrollment into a Medicare Advantage plan or Medicare prescription drug plan is generally for the entire plan year. Once you enroll, you may leave the plan or make changes to it at certain times of the year when an enrollment period is available or under certain special circumstances.
Initial Coverage Election Period (ICEP)
The ICEP is the period during which an individual newly eligible for Medicare Advantage may make an initial enrollment request to enroll in a Medicare Advantage plan. This period begins three months immediately before the individual's first entitlement to both Medicare Part A and Part B and ends on the later of: 1) The last of the month preceding entitlement to both Part A and Part B; or 2) The last day of the individual's Part B initial enrollment period. (The initial enrollment period for Part B is the seven month period that begins three months before the month an individual meets the eligibility requirements for Part B, and ends three months after the month of eligibility.)
Initial Enrollment Period (IEP) for Part D
Individuals will have an IEP for Part D that is the same period as the initial enrollment period for Medicare Part B. The initial enrollment period for Part B is the seven month period that begins three months before the month an individual meets the eligibility requirements for Part B and ends three months after the month of eligibility.
Annual Election Period (AEP) October 15 - December 7
During the AEP, Medicare Advantage eligible individuals may enroll or disenroll from a Medicare Advantage or Medicare Prescription Drug plan. If you wish to enroll in a new Medicare Advantage or Medicare Prescription Drug plan, like those offered by The Health Plan and THP Insurance Company, you can do so by changing your plan during the Annual Election Period (AEP). This annual election period runs from October 15 to December 7 of each year. Changes will take effect on January 1.
Medicare Advantage Disenrollment Period (MADP)
January 1 - February 14
During the MADP, Medicare Advantage plan enrollees have an annual opportunity to disenroll from their plan and return to Original Medicare. The effective date of the disenrollment request made using the MADP will be the first of the month following the receipt of the disenrollment request. The MADP DOES NOT PROVIDE AN OPPORTUNITY TO JOIN OR SWITCH MEDICARE ADVANTAGE PLANS. Medicare Advantage enrollees using the MADP to disenroll from a Medicare Advantage plan are eligihle for a Part D Special Election Period (SEP) during the same time frame and may request enrollment in a Part D plan (PDP). This period permits ONE enrollment and ends when the individual has enrolled in the PDP. The effective date of the PDP enrollment is the first of the month following receipt of the enrollment request.
Special Election Period (SEP)
SEP constitute periods outside of the usual IEP, ICEP, AEP, or MADP when an individual may elect a plan or change their current plan election. There are various types of SEP, including (but not limited to) SEP for: beneficiaries who receive assistance under Title XIX (Medicaid), those who receive extra help with Part D drug costs (LIS), those whose current plan terminates, who change residence, who would like to join a 5-Star rated plan and those who meet "exceptional conditions."
If you would like to talk to someone regarding your possible plan options, or for more information on the Medicare Advantage Plans offered by The Health Plan or the Medicare Prescription Drug Plans offered by The Health Plan, please call us 1.877.847.7915. You can also fill out a form to Request More Information.
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