[Code of Federal Regulations]

[Title 42, Volume 2]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR422.68]



[Page 984]

 

                         TITLE 42--PUBLIC HEALTH

 

                    CHAPTER IV--CENTERS FOR MEDICARE

                          & MEDICAID SERVICES,

                        DEPARTMENT OF HEALTH AND

                             HUMAN SERVICES

 

PART 422_MEDICARE ADVANTAGE PROGRAM--Table of Contents

 

             Subpart B_Eligibility, Election, and Enrollment

 

Sec. 422.68  Effective dates of coverage and change of coverage.



    (a) Initial coverage election period. An election made during an 

initial coverage election period as described in Sec. 422.62(a)(1) is 

effective as of the first day of the month of entitlement to both Part A 

and Part B.

    (b) Annual coordinated election periods. For an election or change 

of election made during the annual coordinated election period as 

described in Sec. 422.62(a)(2)(i), coverage is effective as of the 

first day of the following calendar year except that for the annual 

coordinated election period described in Sec. 422.62(a)(2)(ii), 

elections made after December 31, 2005 through May 15, 2006 are 

effective as of the first day of the first calendar month following the 

month in which the election is made.

    (c) Open enrollment periods. For an election, or change in election, 

made during an open enrollment period, as described in Sec. 

422.62(a)(3) through (a)(6), coverage is effective as of the first day 

of the first calendar month following the month in which the election is 

made.

    (d) Special election periods. For an election or change of election 

made during a special election period as described in Sec. 422.62(b), 

the effective date of coverage shall be determined by CMS, to the extent 

practicable, in a manner consistent with protecting the continuity of 

health benefits coverage.

    (e) Special election period for individual age 65. For an election 

of coverage under original Medicare made during a special election 

period for an individual age 65 as described in Sec. 422.62(c), 

coverage is effective as of the first day of the first calendar month 

following the month in which the election is made.



[63 FR 35071, June 26, 1998, as amended at 65 FR 40317, June 29, 2000; 

67 FR 13288, Mar. 22, 2002; 70 FR 4718, Jan. 28, 2005]