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

Voss Speros · Accepted Answer

This answer is provided in a video format. Watch the agent's video response here: https://medicareagentshub.com/questions/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#voss-speros

Dawn Young · 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. 

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Dawn Young
HealthMarkets Insurance Agency

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

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.

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

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

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.

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

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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