Dual-Special Need Plan (D-SNP) Blackout Period
Dual Eligible Special Needs Plans (D-SNPs) enroll individuals that are entitled to both Medicare and medical assistance from a state plan under Medicaid. On January 1, 2019, the election periods for Medicare/Medicaid enrollees changed. Dual eligible consumers will NOT have the option of a monthly SEP due to dual status.
D-SNP Election Period Rules:
one Dual SEP election period change per calendar quarter
consumers must be dual or LIS-eligible
in the fourth quarter, consumers must use the AEP election (October 15 – December 7) or another election period if eligible
Dual SEP may not be used to switch plans between October and December
SEP is considered “used” based on the month in which the election was made