What change will take place regarding the Special Election Period (SEP) for Dual Eligible and Other LIS Eligible Individuals starting in Calendar Year 2025?

The correct response indicates that starting in Calendar Year 2025, the Special Election Period (SEP) for Dual Eligible individuals and those who are eligible for Extra Help under the Low-Income Subsidy (LIS) will transform into a monthly SEP. This means that these individuals will be able to change their Medicare Advantage or Part D plans every month rather than being restricted to more infrequent enrollment opportunities.

This change enhances accessibility and flexibility for Dual Eligible and LIS eligible individuals, acknowledging their unique needs and circumstances. Monthly SEPs will allow these individuals to make timely adjustments to their healthcare coverage as their health status, financial situation, or plan offerings change throughout the year.

Understanding the nuances of this change is critical for anyone involved in facilitating Medicare enrollment or providing support to beneficiaries, highlighting the focus on improving healthcare access for some of the most vulnerable populations within the Medicare system.