What does the monthly integrated care SEP beginning Calendar Year 2025 allow for full dual eligible individuals?

The monthly integrated care Special Enrollment Period (SEP) that begins in Calendar Year 2025 provides specific opportunities for individuals who are dually eligible for both Medicare and Medicaid. Full dual eligible individuals will have the ability to elect a Dual Special Needs Plan (D-SNP).

D-SNPs are tailored specifically for individuals who qualify for both Medicare and Medicaid, offering them a coordinated approach to their healthcare needs. This means they can receive their Medicare benefits alongside the advantages of Medicaid, all streamlined through one plan. With the integration of services, these plans aim to improve care coordination, reduce costs, and enhance the overall healthcare experience for dual eligible individuals.

While changing from Original Medicare to Medicare Advantage plans and switching between standalone Prescription Drug Plans (PDPs) might seem relevant, they do not capture the specific provision and benefit of the monthly integrated care SEP for full dual eligible individuals. The primary focus of this SEP is the enrollment into D-SNPs, highlighting the plan's unique features and advantages designed for this population, ensuring their specific needs are met effectively. Therefore, the essence of the monthly integrated care SEP is best encapsulated by the opportunity to elect a D-SNP, making it the correct answer.