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Medicare End-of-Year To-Do List

 

SEP Tracker

 

Affected State Affected Counties Clover Announcement Date Expiration Date Details
Georgia & South Carolina All 12/22/2022 None

There is an SEP available to Medicare members, particularly Veterans, who want to disenroll from their Medicare Prescription Drug Plan (PDP) in order to maintain or enroll in another type of creditable drug coverage such as Veterans Administration (VA) or TRICARE.

Members who wish to enroll in, or maintain other creditable coverage (such as TRICARE or VA coverage), should select the SEP election option 'I have or am enrolling in other drug coverage as good as Medicare prescription drug coverage (like TRICARE or VA Coverage' on the online applications or indicate the SEP code 'CDC' on paper applications.

Members are permitted to use this SEP within 2 months of their MAPD or PDP plan disenrollment date to enroll in an MA-only plan such as the Clover Valor plan.

New Jersey Bergen, Morris, Passaic, Sussex, Warren 03/13/2023 05/31/2023

A state of emergency was declared for 5 counties within New Jersey due to a winter storm. As a result, there is an SEP that is effective thru 05/31/23.

The 5 impacted counties are: Bergen, Morris, Passaic, Sussex and Warren counties. Note: Clover Health does not have plans in Warren county.

Just as a reminder, the SEP exists for individuals affected by a disaster or other emergency declared by a Federal, state or local government entity who were unable to, and did not make an election during another valid election period.

https://www.nj.gov/governor/news/news/562023/approved/20230313h.shtml

Tennessee Cannon, Hardeman, Hardin, Haywood, Lewis, Macon, McNairy, Rutherford, Tipton, Wayne 04/07/2023 06/30/2023

A state of emergency was declared for 10 counties within Tennessee due to severe storms that occured from 3/31/23 to 4/1/23. As a result, there is an SEP that is effective thru 6/30/23.

Note: Rutherford county is the only county impacted within our service area.

Just as a reminder, the SEP exists for individuals affected by a disaster or other emergency declared by a Federal, state or local government entity who were unable to, and did not make an election during another valid election period.

https://www.whitehouse.gov/briefing-room/presidential-actions/2023/04/07/president-joseph-r-biden-jr-approves-tennessee-disaster-declaration

Georgia All 03/26/2023 06/30/2023

A disaster has been declared for the state of Georgia due to tornadoes and severe storms. As a result, there is an SEP that is effective though 06/30/23.

This SEP opportunity is ONLY available to beneficiaries who:​ * Reside, or resided at the start of the SEP eligibility period in an area for which a federal, state or local government entity has declared a disaster or other emergency or they do not reside in an affected area but rely on help making healthcare decisions from one or more individuals who reside in an affected area; and * Were eligible for another election period at the time of the SEP eligibility period, and; * Did not make an election during that other valid election period due to the disaster or other emergency.

Just as a reminder, the SEP exists for individuals affected by a disaster or other emergency declared by a Federal, state or local government entity who were unable to, and did not make an election during another valid election period.

New Jersey All 07/16/2023 09/30/2023

A state of emergency was declared for New Jersey on 7/16 due to severe storms. As a result, there is an SEP that is effective thru 09/30/23.

On the Clover online enrollment application, there is an option to select for this disaster SEP. On a paper application, please include code 'DST' to indicate this eligibility type.

https://www.nj.gov/governor/news/news/562023/20230716a.shtml

Just as a reminder, the SEP exists for individuals affected by a disaster or other emergency declared by a Federal, state or local government entity who were unable to, and did not make an election during another valid election period.

Remember, you can check active SEPs in the Helpful Resources section of Clover's For Brokers webpage.

Texas Bandera, Bexar, Comal, Medina 07/29/2023 09/30/2023

A state of emergency was extended for several Texas counties on 7/29/23 due to severe drought. As a result, there is a disaster SEP that is effective thru 09/30/23. The affected counties are noted and the counties within Clover's service area noted in bold.

Andre, Bandera, Bell, Bexar, Blanco, Burnet, Cameron, Colorado, Comal, Comanche, Coryell, Eastland, Ector, Edwards, Erath, Gaines, Gillespie, Hamilton, Hays, Hidalgo, Jeff Davis, Kendall, Kerr, Kimble, Lampasas, Llano, Mason, Matagorda, Medina, Midland, Mills, Parker, Real, Travis, Waller, Wharton, and Williamson counties.

Important note: On the Clover online enrollment application, there is an option to select for this disaster SEP. On a paper application, please include code 'DST' to indicate this eligibility type.

Just as a reminder, the SEP exists for individuals affected by a disaster or other emergency declared by a Federal, state or local government entity who were unable to, and did not make an election during another valid election period.

Texas Atascosa, Bandera, Bexar, Comal, Guadalupe, Medina, Wilson 08/11/2023 10/31/2023

A state of emergency was declared for 191 counties within Texas due to wildfires. As a result, there is an SEP for our Texas service areas that is effective thru 10/31/23

(https://gov.texas.gov/news/post/governor-abbott-issues-disaster-declaration-for-wildfire-activity-in-191-counties)

Important note: On the Clover online enrollment application, there is an option to select for this disaster SEP. On a paper application, please include code 'DST' to indicate this eligibility type.

Just as a reminder, the SEP exists for individuals affected by a disaster or other emergency declared by a Federal, state or local government entity who were unable to, and did not make an election during another valid election period.

Georgia & South Carolina All 08/29/2023 10/31/2023

Due to hurricane Idalia, a state of emergency has been declared for Georgia and South Carolina. As a result, there is an SEP that is effective thru 10/31/23.

Georgia: https://gov.georgia.gov/press-releases/2023-08-29/gov-kemp-issues-state-emergency-preparation-hurricane-idalia

South Carolina: https://governor.sc.gov/news/2023-08/governor-mcmaster-declares-state-emergency-south-carolina

Important note: On the Clover online enrollment application, there is an option to select for this disaster SEP. On a paper application, please include code 'DST' to indicate this eligibility type.

Just as a reminder, the SEP exists for individuals affected by a disaster or other emergency declared by a Federal, state or local government entity who were unable to, and did not make an election during another valid election period.