I know that the 5 star SEP can be used to switch to a plan rated 5 stars by CMS Dec 8- Nov 30. But if someone has just Medicare A&B, no MAPD and no PDP, can they use this election to enroll in a MAPD? I know you can't do this in OEP, but not sure about the 5 star SEP. I know they would still have a Part D LEP. Thanks for any help.
5 Star SEP Question
- Thread starter kev_60
- Start date
MichFlor
Expert
- 65
Yes. No MAPD is OK. So is Medigap/PDP to 5 Star MAPD.
Yes, coming from Original Medicare to the 5-Star plan is fine.
From the CMS MA enrollment guidance:
An individual using this SEP can enroll in an MA-only or an MA-PD plan, even if coming from Original Medicare (with or without concurrent enrollment in a PDP). Individuals enrolled in a plan with a 5-star overall rating may also switch to a different plan with a 5-star overall rating. An individual in an MA-only or MA-PD coordinated care plan who switches to a PDP with a 5-star overall rating will lose MA coverage and will revert to Original Medicare for basic medical coverage.
From the CMS MA enrollment guidance:
An individual using this SEP can enroll in an MA-only or an MA-PD plan, even if coming from Original Medicare (with or without concurrent enrollment in a PDP). Individuals enrolled in a plan with a 5-star overall rating may also switch to a different plan with a 5-star overall rating. An individual in an MA-only or MA-PD coordinated care plan who switches to a PDP with a 5-star overall rating will lose MA coverage and will revert to Original Medicare for basic medical coverage.
- Thread starter
- #4
