CMS Change to LIS/Dual Special Enrollment Period

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In 2019, the Center for Medicare and Medicaid Services (CMS) will make an important change to the ongoing Special Enrollment Period for Low Income Subsidy or Dual Eligible beneficiaries (LIS/Dual SEP).

Current policy allows eligible clients to change their Medicare & Medicaid Advantage Plan, or Part D Prescription Drug Plan every month if they so desire.

Starting on January 1, 2019, the allowable frequency for LIS/Dual SEP will change.

Clients who are eligible for LIS/Dual SEP will only be permitted to make changes to their coverage once per quarter during the first nine months of the year:

  • January – March
  • April – June
  • July – September

The LIS/Dual Special Enrollment Period may not be used in the 4th quarter of the year (October – December).

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