MIPPA grantees,

 

Thought you’d be interested in the last page of the attached Center for Medicare Innovation memo where CMS plans to grant a SEP for exceptional circumstances to allow beneficiaries that use insulin products to change Part D coverage if they find a better option after the 2022 Annual Enrollment Period.  See the excerpt below which is taken directly from the October 11,2022 memo.

 

Since MPF will reflect Part D sponsors’ insulin benefits and cost sharing as submitted in their CY 2023 bids, CMS is granting a Special Enrollment Period (SEP) for Exceptional Circumstances to allow beneficiaries to add, drop, or change their Part D coverage if they find a better option after the 2022 Annual Enrollment Period (AEP). This SEP will be available for all beneficiaries who use a covered insulin product and begins on December 8, 2022 and ends on December 31, 2023. Beneficiaries may use this SEP one time during this period. To utilize this SEP, beneficiaries must call 1-800-MEDICARE so a customer service representative can process the enrollment change. Consistent with current policy, when Part D enrollees change plans midyear, their True Out-of-Pocket (TrOOP) costs carry over from one plan to the next.

 

Hope this discovery makes your OEP workload a little bit easier. 

 

 

Ann Kayrish

Senior Program Manager for Medicare

National Council on Aging

251 18th Street South

Suite 500

Arlington, VA 22202

571-527-3945

 

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