megalomaniac (steve_friction) wrote in medicare,

Limited Open Enrollment Period

From a release from CMS to all Medicare Advantage Organizations dated February 7, 2007:

“On December 20, 2006 the Tax Relief and Health Care Act of 2006 was enacted. Section 206 of this law amends section 1851 (e)(2) of the Social Security Act to allow beneficiaries enrolled in Original Medicare (only) to have a limited opportunity in 2007-08 to enroll in a Medicare Advantage (MA) plan that does not include Medicare prescription drug coverage (MA-only/stand-alone plan.) CMS will refer to this MA enrollment election period as the Limited Open Enrollment Period (L-OEP).

…. Beneficiaries may remain enrolled in the PDP only if they enroll in a PFFS MA-only plan that does not offer Part D. Thus, if an individual in Original Medicare and a stand-alone PDP elects to enroll in an MA-only coordinated care plan, such as an HMO, PPO or Regional PPO, his or her enrollment in the PDP will be automatically cancelled as of the effective date of enrollment in the MA-only plan.”

This period begins April 1, 2007. I knew that the L-OEP gave people options to join MA plans, but I was quite surprised to find out that it was for Private Fee-For-Service (PFFS) plans only.
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