Who qualifies for this special enrollment period?
A SEP exists for individuals affected by a major disaster who were unable to, and did not make an election during another valid election period. This includes both enrollment and disenrollment elections. Individuals will be considered “affected” and eligible for this SEP if they:
• Reside, or resided at the start of the incident period, in an area for which FEMA has declared an emergency or a major disaster and has designated affected counties as eligible to apply for individual or public level assistance; and
• Had another valid election period at the time of the incident period; and
• Did not make an election during that other valid election period.
In addition, the SEP is available to those individuals who don’t live in the affected areas but rely on help making healthcare decisions from friends or family members who live in the affected areas.
Nationwide Covid-19 SEP – SEP Start Date March 1, 2020
SEP End Date – June 30, 2020
This morning, Humana issued a Press Release regarding important changes impacting members. Specifically, effective May 1, 2020, Humana is waiving Medicare Advantage out-of-pocket costs – copays, coinsurance and deductibles – for primary care, behavioral health (on an outpatient, non-facility basis) and telehealth visits with participating/in-network providers through the end of 2020. These changes are part of Humana’s Human Care approach to making the healthcare experience better, more personal and more caring by enhancing members’ access to care without a further financial burden.
What is Next?
• Members will receive a letter regarding their change of benefits.
• Humana will re-process claims for members that have already paid out-of-pocket for in-network primary care, behavioral health, and telehealth visits dating back to May 1st.
• Safety Kits, including two (2) washable face masks, will be sent out to Humana members later this month through early summer with the exception of our PDP members.