Medicare understands that different people have different needs that cannot be met during the AEP and OEP and has created a set Special Election Periods (SEPs) to accommodate those needs.  Some of the most common SEPs are listed below.

1. SEP-Loss EGHP: Losing employer health
2. SEP-Loss Creditable Coverage: Involuntary loss of creditable coverage
3. SEP-Move: Moved outside service area or outside more than six months
4. SEP-DE: Dual eligible (Medicare and Medicaid)
5. IEP-Part D: Iligible prior to age 65, new period month of 65th birthday ± three months
6. OEP-New: One like-to-like change to Medicare Advantage (MA) plan during IEP period
7. SEP-Loss DE: No longer qualifies for Medicaid
8. SEP-Trial: Left Medigap to join MA in last 12 months for the first time
9. SEP-65: Joined MA-PD plan in first 12 months after turning 65 and want to leave
10. SEP-New LIS: Recently approved for “extra help”
11. SEP-Loss Subsidy: No longer eligible for “extra help”
12. OEPI: Live or leaving a long-term care facility
13. SEP-Contract: Termination of plan contract
14. SEP-Other Coverage: Eligible for other creditable coverage
15. SEP-SPAP: Belong to State Pharmacy Assistance Program (SPAP)
16. SEP-PACE: Recently left the Program of All-Inclusive Care for the Elderly (PACE)
17. SEP-GEP Part B: Not entitled to Part A and enrolled in Part B during General Enrollment Period for Part B
18. ICEP-Delay Part B: Enrolling in Part B after delaying enrollment
19. SEP-Retro: Retro Medicare Determination
20. SEP-Retro ESRD: Retro ESRD Determination
21. SEP-SNP: Special needs status change for members of SNP/Severe or disabling chronic condition
22. CMS Awarded SEPs:
    • Erroneous Part D enrollment or nonenrollment
    • Inadequate notice of creditable coverage
    • Violation of plan contract provision
    • CMS Sanction
    • Beneficiaries enrolled in a plan based on misleading or incorrect information (managed only directly through Medicare after investigation)