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PEAK · Medicare Fundamentals

Enrollment Periods

When a client can actually enroll or switch — including the dual-eligible SEPs.

A client can't enroll or switch plans whenever they feel like it — timing is one of the most compliance-sensitive parts of the entire call. Two windows repeat every calendar year; two more depend on the individual.

Coverage Year JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
MA Open Enrollment (OEP) — Jan 1 to Mar 31Only for people already in a Medicare Advantage plan. One switch allowed: to another MA plan or back to Original Medicare.
Annual Enrollment (AEP) — Oct 15 to Dec 7Open to everyone. Can switch between any Medicare plans. Changes take effect January 1.
Outside these windowsNo standing election period for most clients — enrollment requires an IEP or a qualifying SEP.
PeriodWhoWindow
IEP (Initial)Anyone newly eligible for Medicare7 months total: 3 before, the month of, and 3 after their 65th birthday month
AEP (Annual)Everyone on MedicareOct 15 – Dec 7, every year, effective the following Jan 1
MA OEP (Open)Only current Medicare Advantage membersJan 1 – Mar 31, one plan switch allowed
SEP (Special)Triggered by a qualifying life eventVaries by event — e.g. moving, losing employer coverage, a 5-star plan switch, or a documented income/eligibility change
Dual/LIS SEPDual-eligible or LIS-only clientsAny month — but only to switch a standalone Part D plan
Integrated Care SEPFull-benefit dual-eligible clientsAny month — but only into an integrated D-SNP aligned with their Medicaid plan
Disaster/Emergency SEPAnyone in a FEMA or state-declared disaster area (or affected by one) during a valid election period they missedUsually opens for the length of the declared incident period, plus extra time after — verify the exact window on PEAK's DST list before relying on it
Compliance note Every enrollment needs a legitimate election period behind it. If a client doesn't fall inside AEP, MA OEP, their IEP, or one of the dual-specific SEPs above, the call only moves forward if there's a documented, qualifying SEP — never assume one applies.

The SEP most new agents miss: disaster & emergency declarations

CMS grants a Special Enrollment Period to anyone who lives in — or had a trusted contact (agent, family member, plan) in — an area under a FEMA or state emergency/major disaster declaration, if that disaster kept them from making an enrollment change during a valid window they otherwise qualified for (like AEP, an SEP, or their IEP). This comes up more often than agents expect: hurricanes, wildfires, floods, and severe winter storms all trigger it, and Florida clients are affected almost every hurricane season.

The disaster SEP is county-specific and time-limited — it only applies to the counties named in the declaration, and only for a defined window tied to the incident period. It is never safe to assume a client qualifies just because they mention a storm; the county and the dates both have to check out.

Check the DST list before you promise a disaster SEP

If a client mentions a recent hurricane, wildfire, flood, evacuation, or any other disaster — or you're not sure whether their county currently qualifies — look it up on PEAK's live Disaster SEP Tracker before you tell them anything. It's the fastest way to confirm the exact counties, dates, and incident covered.

Open the Disaster SEP Tracker on peaksep.com →

When to check peaksep.com, in general

The DST list isn't only for disasters — it's PEAK's go-to hub for verifying SEP eligibility whenever timing is anything other than a clean AEP or IEP call. Get in the habit of checking it whenever you hear one of these:

  • Recent move — new address, especially if it's a new county or out of the plan's service area.
  • Lost employer or group coverage — retirement, layoff, COBRA running out, or the employer dropping the plan.
  • Hospital or nursing home discharge — leaving an institution changes eligibility and can open a SEP.
  • Natural disaster or evacuation — hurricane, wildfire, flood, or any declared emergency, even outside their own county.
  • 5-star plan availability — a 5-star MA or Part D plan is available in their area, opening a one-time-per-year SEP.
  • Medicaid or LIS status change — newly qualifying for, or losing, Medicaid or Low-Income Subsidy.
  • Dual-eligible status change — becoming or ceasing to be dual-eligible, which changes which SEPs apply.

If you're ever unsure whether a situation qualifies, the safest move is the same one every time: check peaksep.com or ask a manager before telling the client anything is confirmed.

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