People
who began 2022 enrolled in a Medicare Advantage (MA) plan have an additional
opportunity to switch MA plans or disenroll from an MA plan and enroll in
traditional Medicare with a Part D plan during the first 3 months of the
calendar year, ending on
March 31st. Note that this enrollment
opportunity, called the Medicare Advantage Open Enrollment Period (MA-OEP), is
not available to individuals who are in traditional Medicare and enrolled in a
stand-alone Part D plan.
In
addition, there are certain rights to use a Special Enrollment Period (SEP) to
change or get out of a private Medicare plan in certain circumstances. There
are a number of SEPs, including when someone receives inaccurate or misleading
information from the Medicare Plan Finder, customer service representatives at
1-800-MEDICARE, or an MA or Part D plan (or its agents). For a full list
of available SEPs, see, e.g., for MA SEPs: Medicare Managed Care Manual,
Chapter 2 (2021 update available here) and Title 42, Code of Federal
Regulations §422.62(b); for Part D SEPs see Medicare
Prescription Drug Manual, Chapter 3 (2021 update available here) and Title 42, Code of Federal
Regulations §423.38.
As
discussed in a previous CMA Alert
and an October 2021 Special Report on the Medicare annual
enrollment period, there is unequal access to different coverage options in
Medicare and Medicare Advantage, and there are flaws in several means of
comparing such options (including the MA quality star ratings, discussed
elsewhere in this weekly CMA
Alert).
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