Beneficiaries can qualify for a Special Enrollment Period under which condition?

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Beneficiaries can qualify for a Special Enrollment Period when they experience a relocation to a new home. This condition is significant because moving can impact a beneficiary's health coverage options, particularly if they move to an area that has different Medicare Advantage plans or providers. The Medicare program recognizes the importance of allowing beneficiaries to switch plans in response to such changes to ensure they have access to the healthcare services they need based upon their new location.

The other options, while they may seem relevant in some contexts, do not typically qualify for a Special Enrollment Period. A lapse in coverage does not automatically grant a Special Enrollment Period since beneficiaries are expected to enroll during the designated enrollment periods. Similarly, a change in marital status is not a recognized trigger for a Special Enrollment Period, and an annual health review, while important for assessing a beneficiary’s healthcare needs, does not constitute an event that allows for enrollment changes outside the standard periods. These conditions emphasize the need for adjustments to coverage based on significant life changes, such as moving to a different area, thereby ensuring beneficiaries remain adequately covered.

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