SEP for Other Exceptional Conditions

Official source

Individuals who do not enroll in Part B or premium Part A when first eligible because conditions beyond their control caused them to miss an enrollment period may enroll using this SEP. This SEP is available for individuals whose unique conditions do not qualify for other SEPs. An eligible person must demonstrate (by documentation or written attestation) that conditions outside of their control that occurred on or after January 1, 2023, caused them to miss an enrollment period.

An individual’s request for this SEP will only be granted in conditions that are truly exceptional in nature, and will not be used to grant individual’s enrollment due to forgetfulness, lack of knowledge, or failure to make premium payments.

SSA will determine when this SEP begins on a case-by-case basis, but the SEP will end no less than 6 months after it begins. Medicare benefits will be effective the first day of the month following enrollment.

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SEP for Other Exceptional Conditions

Official source

Individuals who do not enroll in Part B or premium Part A when first eligible because conditions beyond their control caused them to miss an enrollment period may enroll using this SEP. This SEP is available for individuals whose unique conditions do not qualify for other SEPs. An eligible person must demonstrate (by documentation or written attestation) that conditions outside of their control that occurred on or after January 1, 2023, caused them to miss an enrollment period.

An individual’s request for this SEP will only be granted in conditions that are truly exceptional in nature, and will not be used to grant individual’s enrollment due to forgetfulness, lack of knowledge, or failure to make premium payments.

SSA will determine when this SEP begins on a case-by-case basis, but the SEP will end no less than 6 months after it begins. Medicare benefits will be effective the first day of the month following enrollment.