CY 2025 Medicare Part C And D Annual Calendar

CY 2025 Medicare Part C and D Annual Calendar

Introduction

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CY 2025 Medicare Part C and D Annual Calendar

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Introduction

Medicare Part C and Part D are essential health insurance programs for millions of Americans. Part C, also known as Medicare Advantage, provides comprehensive medical coverage, while Part D covers prescription drug benefits. To ensure the smooth operation of these programs, the Centers for Medicare & Medicaid Services (CMS) publishes an annual calendar outlining important dates and deadlines. This article provides a comprehensive overview of the CY 2025 Medicare Part C and D Annual Calendar.

Part C Annual Enrollment Period

The Part C Annual Enrollment Period (AEP) is the time when beneficiaries can enroll in, change, or disenroll from a Medicare Advantage plan. For CY 2025, the AEP will run from October 15, 2024, to December 7, 2024.

Part D Annual Enrollment Period

The Part D Annual Enrollment Period (AEP) is the time when beneficiaries can enroll in, change, or disenroll from a Medicare Part D prescription drug plan. For CY 2025, the AEP will run from October 15, 2024, to December 7, 2024.

Part C and D Open Enrollment Period

The Part C and D Open Enrollment Period (OEP) is a special enrollment period that allows beneficiaries to make changes to their Medicare Advantage or Part D plan if they have certain qualifying life events, such as moving or losing other health insurance coverage. The OEP for CY 2025 will run from January 1, 2025, to March 31, 2025.

Part C and D Special Enrollment Periods

In addition to the AEP and OEP, there are several other special enrollment periods (SEPs) that allow beneficiaries to make changes to their Medicare Advantage or Part D plan under specific circumstances. These SEPs include:

  • Initial Coverage Election Period (ICEP): When a beneficiary first becomes eligible for Medicare Part A and/or Part B, they have an ICEP to enroll in a Medicare Advantage plan or Part D plan.
  • Medicare Advantage Disenrollment Period: Beneficiaries can disenroll from a Medicare Advantage plan at any time during the year, with coverage ending the following month.
  • Special Needs Plan Enrollment Period: Beneficiaries who qualify for a Special Needs Plan (SNP) can enroll in or disenroll from an SNP at any time during the year.
  • Employer Group Health Plan (EGHP) Loss of Coverage: Beneficiaries who lose coverage under an employer-sponsored group health plan can enroll in a Medicare Advantage plan or Part D plan within 63 days of losing coverage.

Part C and D Premium Payment Due Dates

Medicare Advantage and Part D premiums are typically paid on a monthly basis. The due dates for premium payments vary depending on the plan and the payment method. Beneficiaries should contact their plan directly to confirm their premium payment due dates.

Part C and D Grievance and Appeals Process

Beneficiaries who have a complaint or dispute with their Medicare Advantage or Part D plan can file a grievance or appeal. The grievance and appeals process allows beneficiaries to seek a resolution to their complaint or dispute. The deadlines for filing a grievance or appeal vary depending on the type of issue and the plan. Beneficiaries should contact their plan directly to obtain information about the grievance and appeals process.

Part C and D Star Ratings

CMS assigns star ratings to Medicare Advantage and Part D plans to help beneficiaries compare the quality of different plans. Star ratings are based on a variety of factors, including customer satisfaction, health outcomes, and plan administration. Beneficiaries can use star ratings to help them choose the best plan for their individual needs.

Conclusion

The CY 2025 Medicare Part C and D Annual Calendar provides important information about key dates and deadlines for Medicare Advantage and Part D plans. By understanding these dates and deadlines, beneficiaries can ensure that they have the coverage they need to meet their health care needs.

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Closure

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