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Dual-Special Need Plan (D-SNP) Blackout Period

The Dual-Special Needs Plan (D-SNP) Blackout Period runs December 8th – December 31st.

For more CMS information on D-SNP plans click here.


Dual Eligible Special Needs Plans (D-SNPs) enroll individuals that are entitled to both Medicare and medical assistance from a state plan under Medicaid. On January 1, 2019, the election periods for Medicare/Medicaid enrollees changed. Dual eligible consumers will NOT have the option of a monthly SEP due to dual status.

D-SNP Election Period Rules:

  • one Dual SEP election period change per calendar quarter

  • consumers must be dual or LIS-eligible

  • in the fourth quarter, consumers must use the AEP election (October 15 – December 7) or another election period if eligible

  • Dual SEP may not be used to switch plans between October and December

  • SEP is considered “used” based on the month in which the election was made

Sources:

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