Question

a full - benefit dual - eligible member wants to switch their current medicare advantage plan. they qualify for the monthly integrated care sep, but they are unsure which rules correctly apply to their enrollment request. which enrollment rules apply? the sep can be used once per year, and the effective date is first of the current month they enroll the sep can be used monthly, the ma plan must meet the integrated qualifications, and the effective date is the first of the following month the sep can be used once per year, and the effective date is the first of the following month the sep can be used monthly, and the effective date is the date of enrollment

Explanation:

The Integrated Care Special Enrollment Period (SEP) is for full-benefit dual-eligible members. This SEP allows monthly plan switches, the new Medicare Advantage (MA) plan must meet Integrated Care qualifications, and the effective date is the first day of the month after enrollment.

Answer:

The SEP can be used monthly, the MA plan must meet the Integrated qualifications, and the effective date is the first of the following month