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Information
- Not available for agent sales in 2025.
Contact Information
- Broker Site
- Broker Support: 1-866-822-1339
- Consumer Site
- Customer Service: 1-877-297-3625
The Centers for Medicare & Medicaid Services (CMS) has introduced new rules to better integrate Medicaid and Medicare services for dually eligible individuals. These changes, part of the 2025 Medicare Final Rule, aim to improve care coordination, accessibility, and affordability for enrollees.
One significant change is the push for "exclusively aligned enrollment," where beneficiaries obtain both Medicare and Medicaid benefits from either the same plan/organization or two plans under the same parent organization.
This approach is designed to streamline services, reduce costs, and improve outcomes for enrollees. Understanding the impact of this new SEP in a specific market is crucial to leveraging the new rule for your success.
Starting January 1, 2025, there are two new Special Enrollment Periods (SEPs) for dually eligible individuals and those eligible for Extra Help (low-income subsidy)
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