If someone enrolls in a MAPD C-SNP and gets disenrolled for not providing a CCV form within 60 days, is there a SEP to enroll in another MAPD plan?

Question

Dawn Young · Accepted Answer

Yes, if someone is disenrolled from a Medicare Advantage C-SNP for failing to provide a required Chronic Condition Verification (CCV) form, they generally have a Special Enrollment Period (SEP) to enroll in another MAPD plan. This SEP typically begins when the individual is notified of their disenrollment and lasts for two months. 

Thanks for reaching out.

Dawn Young
HealthMarkets Insurance Agency

Steve and Sue Brauer · Answer

Hi, thanks for watching. So the question is if someone enrolls in a Medicare Advantage plan C SNP, which is a chronic special needs plan, and gets dis-enrolled for not providing the verification form within 60 days, is there a special enrollment period to enroll in another Medicare Advantage plan? The simple answer to that is yes, but you gotta wonder. First off, why did someone put the enrollee on a chronic needs plan if they didn't have the chronic needs?

What's happening is people—there's a lot of fraud going on where you get telemarketers calling Medicare people and basically tricking them into enrolling. And they do this all year because when you have a chronic special need, you can enroll any time of the year, which is different than your typical open enrollment period.

So there's a lot of scams going on. We always tell people a legit agent is not going to just randomly call you on the phone. You have to be careful of that. But to answer the question, yes, you get an enrollment period. It's a 60-day window past the time that the chronic needs plan was terminated to be able to get into another plan.

Daniel Brechin · Answer

She will need to investigate that she sent the State Medicaid information in to affirm that the received it.  Generally, once received the application will be processed in 15-20 Working days.

Voss Speros · Answer

Voss Speros here, Greek out of Medicare. If Medicare is Greek to you, you're in luck, I'm Greek. So talking about Medicare today, the question is if someone enrolls in a C-SNP plan, a MAPD C-SNP chronic special needs plan, and doesn't get their doctor to sign off on it in the first 60 days, does it create another open enrollment period? So yes, when you enroll in a C-SNP plan, you need a doctor, your doctor, to sign off saying you have a chronic special need for this plan. If they don't sign off in the timeframe, then the plan drops. If a plan drops, that creates a new special election period. If you drop a plan or you lose a plan, it creates an election period. So yes, if you're in the middle of the year and you have a chronic special need, if you have diabetes or heart failure or something going on that's a chronic condition, and there's a list of them, then you can enroll into a C-SNP plan, chronic special needs plan, anytime during the year. That creates a window to enroll in one of these plans because they want you to get the help you need. If the doctor doesn't sign off on it in time, then that creates another window to enroll back into the plan you had or another plan that's gonna work best for you.

Edward Smith, ChFC, CRPS, AIF · Answer

If an individual is disenrolled from a Medicare Advantage C-SNP for not qualifying due to not providing a required Chronic Condition Verification (CCV) form within 60 days, they may qualify for a Special Enrollment Period (SEP) to enroll in another Medicare Advantage plan. This SEP typically begins when the individual is notified of their disenrollment and lasts for two months.

It is important to make sure you qualify before enrolling, to avoid the hassle of having to change plans twice.

John Becker · Answer

Yes, disenrollment from a C-SNP for failing to provide the Chronic Condition Verification (CCV) form within 60 days is classified as a loss of SNP eligibility. This qualifies the individual for a Special Enrollment Period (SEP) to enroll in another MAPD plan.

SEP DETSAILS & RULES TIMELINE: The SEP begins the month you are notified of disenrollment and lasts for two full calendar months after the notification date. 
OPTIONS: You can switch to another Medicare Advantage plan (MAPD) that you are eligible for, or switch back to Original Medicare with a standalone Prescription Drug Plan (PDP).
COVERAGE: Your new coverage will typically begin the first day of the month after you submit a completed application.

Robert Lukasik · Answer

Yes. If the C-SNP plan you enrolled in is cancelled you will have an opportunity to choose a new plan. You will be sent a letter prior to cancellation advising you of this.

Mitchell Jerome · Answer

It’s specifically triggered by the loss of eligibility for the C-SNP — not simply by choosing to disenroll. So Medicare is protecting you should this incident occur.

Joanna Finnegan · Answer

Yes, if you lose your current plan for not qualifying, or they could not verify your Chronic condition, you can use an SEP to enroll in another plan.

Janix Barbosa-LLanos · Answer

Dear Reader,

Yes. If someone is disenrolled from a C-SNP for not submitting the CCV, it’s considered a loss of SNP eligibility, which triggers a Special Enrollment Period. They typically have about 2 months from the disenrollment notice to enroll in another MAPD or return to Original Medicare.

I am glad to help,

Janix Barbosa-LLanos, MBA

Medicare  Disclosure:
We do not offer every plan available in your area. Currently, we represent multiple organizations that offer multiple products. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all your options.

Joel Hill · Answer

Yes. If someone enrolls in a MAPD C-SNP and is disenrolled because the plan did not receive the Chronic Condition Verification (CCV) form within the required timeframe (usually 60 days), that is considered a loss of SNP eligibility, which triggers a Special Enrollment Period (SEP).

Answered by Joel Hill on March 9, 2026

Broker Licensed in MS, AL, FL & GA, NC, SC & TX

Answered by Joel Hill Medicare Insurance Agent

Michael McGarrigle · Answer

Hi, my name is Mike McGarrigle. I'm a Medicare agent here based in Florida. And this is Lindsay. She is who you will talk to. She's the face of this agency and she's a licensed agent as well. And if you call in, make sure you say hi to Lindsay.

I just want to answer this question for you. It's if you are enrolled in a chronic special needs program and you're unable to verify your doctor doesn't verify within 60 days. Is there a special election period to be able to enroll in another Medicare Advantage plan?

And the answer to that is yes, there is a special enrollment period. The beneficiary can enroll in another Medicare Advantage plan with or without Medicare Part D, or they can return to original Medicare with or without Medicare Part D. That special election period generally lasts at least two months after the disenrollment. So you must act quickly to be able to fill any gaps in coverage.

Thanks, and I look forward to the next question.

Gavin Foley · Answer

Yes , the individual has two months after being involuntarily removed from a plan to enroll into a new plan.

Steve Houchens · Answer

The answer is yes if someone had been disenrolled from a C-SNP plan they are given the opportunity to enroll into another plan that they are eligible for.

Ron Cronwell · Answer

Yes, a special enrollment period is generated due to disenrollment from the C-SNP plan. But there will be at least a one month gap between the disenrollment and the effective date for the replacement plan. 

As part of the program, there are notifications sent to the agent of record and the beneficiary before the actual disenrollment which also provides for a SEP to enroll in another plan if no CCV is given to the plan provider. Using that option there is not gap in insurance.

Rich Baker · Answer

Yes, if you’re enrolled in a C-SNP and you fail to validate the chronic condition, the carrier will disenroll you, and you will have a SEP to change to another plan. Your SEP starts when you’re notified and lasts two months past the end of the CSNP plan. So if you were notified your plan will end January 31st, you have until March 31st to make a change. If you changed to another plan in January your coverage would start February 1st, ensuring no gap in coverage. Your broker can help you with this process.

Answered by Rich Baker on January 12, 2026

Broker Licensed in CO, AR, AZ & 7 other states

Answered by Rich Baker Medicare Insurance Agent

Steven A James, MBA · Answer

Yes, this would fall under SEP for Involuntary Disenrollment.  The SEP would start once you're notified as such and can last up to a couple of months.

It is, of course, advisable to reenroll in a plan immediately to preempt any lapse in full medical and prescription drug coverage.

Steven A James, MBA
Contact us.

Melanie Blackston · Answer

Yes, a disenrolled from a Medicare Advantage Chronic Special Needs Plan (C-SNP) for failing to submit the Chronic Condition Verification (CCV) form within the required timeframe normally 60 days of effective date qualifies for a Special Enrollment Period (SEP). This SEP allows you to enroll in another Medicare Advantage plan or return to Original Medicare.

Answered by Melanie Blackston on February 3, 2026

Broker Licensed in SC, GA & NC

Answered by Melanie Blackston Medicare Insurance Agent

Anna Davis CIC-RSSA · Answer

Yes. If you're disenrolled from a Medicare Advantage C-SNP (Chronic Special Needs Plan) because you didn’t return the Chronic Condition Verification (CCV) form within 60 days, you may qualify for a Special Enrollment Period (SEP) to join another MAPD plan.

According to CMS guidelines, being disenrolled due to not verifying your chronic condition qualifies as a loss of SNP eligibility, which opens a time-limited SEP. This allows you to enroll in another Medicare Advantage plan that you're eligible for, even if it’s not a SNP.
To prevent losing your C-SNP coverage, do not wait for your provider’s office to handle the CCV form. 
Here's what you should do:
•	Call your plan directly and ask for the Chronic Condition Verification (CCV) form.
•	Personally take the form to your doctor’s office to be filled out and returned.
•	Busy provider offices may overlook or delay insurance paperwork—following up yourself can save you from losing your coverage

Richard Kozlowski · Answer

Yes, please feel free to reach out, and we will send options for review

Rich Kozlowski
LifeSmart Senior Services
Contact me.

Valerie Schurman · Answer

well states are all different but if you don’t have a chronic condition then you and a sep for a short time to re enroll if you signed with an agent they would have went over that with you thanks

Answered by Valerie Schurman on February 16, 2026

Agent Licensed in IL & MO

Answered by Valerie Schurman Medicare Insurance Agent

Diane Poythress · Answer

First question. How did you enroll in a plan that you did not qualify for? Yes, you will have a SEP to enroll into a MAPD plan.

Heidi Delaney · Answer

Yes.  Generally the deadline is 30 days although some carriers may allow 60.  The person will have a Special Enrollment Period for any other Medicare Advantage plan.

Jeanette Luthi · Answer

Yes, if someone doesn't provide the CCV form , and is disenrolled, there is a SEP to enroll in another plan.

Gary Henderson · Answer

no. you would have to wait until the next enrollment period except for if you are in your initial enrollment period, you have 6 months from your medicare effective date to enroll. 8 months if you are on COBRA

Answered by Gary Henderson on August 6, 2025

Agent Licensed in TX, AK, AL & 46 other states

Answered by Gary Henderson Medicare Insurance Agent

Mary Brown · Answer

Yes, When you lose eligibility for a C-SNP (for example, because the plan can’t verify that your chronic condition meets the SNP’s requirements), Medicare treats that as an involuntary loss of your plan. That situation qualifies you for a SEP to enroll in another Medicare Advantage or MAPD plan.

Answered by Mary Brown on February 2, 2026

Broker Licensed in NJ, DE, FL & NC, OH, PA & TX

Answered by Mary Brown Medicare Insurance Agent

Andrew Kramer · Answer

Yes, you are given an SEP to enroll in another plan. But you might have a 1 month gap of returning to original Medicare, which would not be good, since you would not have a supplement to cover the 20% that Medicare does not cover. Moral of the story is to return that Chronic Verification Form before the 60 days is up!

Answered by Andrew Kramer on August 6, 2025

Agent Licensed in FL

Answered by Andrew Kramer Medicare Insurance Agent

Meghan Blankenship · Answer

Yes, if someone is disenrolled from a Medicare Advantage C-SNP for not submitting the required Chronic Condition Verification (CCV) form within 60 days, they typically qualify for a Special Enrollment Period (SEP) to enroll in another MAPD plan.

Answered by Meghan Blankenship on November 13, 2025

Broker Licensed in FL, MD & OH

Answered by Meghan Blankenship Medicare Insurance Agent

Carol Thompson · Answer

Yes, Often times the carrier will move you to a core plan so that you are insured. If the CCV or VCC form just was misplaced then another can be submitted to be completed by any of your drs. to comfirm you have the chronic condition. As an agent I always verify with the carrier that the form has been received so this does not happen.

Answered by Carol Thompson on October 8, 2025

Broker Licensed in FL, LA, MI & NC, SC, VA & WI

Answered by Carol Thompson Medicare Insurance Agent

Deborah Webster · Answer

Yes, the SEP would be an involuntary loss of coverage, which would allow you to go into a different medicare advantage plan

Carol Conner · Answer

Those types of plans can be done anytime during the year there’s always open enrollment or allowable changes throughout the year

Jim Carroll · Answer

Yes, you will eligible for a Special Enrollment Period (SEP) to enroll into a different MAPD plan.
Losing eligibility for the C-SNP triggers the SEP, which begins when you are notified of your disenrollment.

Greg Strasma · Answer

Simple answer is yes.  You do not have to go back to Origibal Medicare and you will be able to enroll into a new Medicare Advantage plan within 30 days.

Larry Plyler · Answer

Yes, if they ask for another SEP within 60 days of the notice od disenrollment.

It is best to closely follow the CCV for submission !

Charles Mai · Answer

Yes.   Therefore, if you think you can qualify the Chronic plan, it does not hurt to apply.  Please work with an agent on this.

Glenn Virga · Answer

The short answer is yes! Since it is a C-SNP you will be able to do another application. Just make sure to have the condition verified.

Lara Goulson · Answer

If someone gets kicked out of a MAPD C-SNP because they didn’t send in the CCV form within 60 days, they do get a Special Enrollment Period. This gives them a chance to join another MAPD plan, but they have to act fast—this SEP only lasts 2 months from the date they were disenrolled.

Answered by Lara Goulson on August 6, 2025

Agent Licensed in CA

Answered by Lara Goulson Medicare Insurance Agent

Michael Waldron · Answer

Yes, there is another SEP available to help you be placed in another-SNP or MAPD plan that best fits your needs.

Joseph &quot;Joey&quot; Gutierrez · Answer

You will be notified and your agent will be notified before 60 days that CCV has not been received and if they are still not able to provide the CCV then there is another SEP available to change your MAPD plan

Answered by Joseph "Joey" Gutierrez on January 12, 2026

Broker Licensed in TX

Answered by Joseph "Joey" Gutierrez Medicare Insurance Agent

Adam Huggins · Answer

It could potentially trigger a SEP that would constitute a loss of special needs eligibility and allow a enrollment into a different plan. Luckily, this is currently Open Enrollment Period from January 1st until March 31st and this period provides an election code to re-enroll the member into an MAPD plan.

Answered by Adam Huggins on February 9, 2026

Agent Licensed in VA & NC

Answered by Adam Huggins Medicare Insurance Agent

If someone enrolls in a MAPD C-SNP and gets disenrolled for not providing a CCV form within 60 days, is there a SEP to enroll in another MAPD plan?

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If someone enrolls in a MAPD C-SNP and gets disenrolled for not providing a CCV form within 60 days, is there a SEP to enroll in another MAPD plan?

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