Helping your clients with Medicare Part D coverage understand the mechanics of the Medicare Part D coverage gap can be a daunting task. We are going to cover a couple of the more difficult questions raised regarding the coverage gap in this segment.
One of the more common questions agents get asked from their Medicare clients is “what is the Medicare Part D late enrollment penalty?” It is fairly easy to explain that if a Medicare member spends more than 63 consecutive days without having Part D or creditable drug coverage, they will be required to pay a late enrollment penalty should they choose to enroll in a Part D plan in the future. The typical follow-up question is “will I have a late enrollment penalty?” This is also usually pretty easy to answer, assuming the agent asks the proper questions of the client and the client responds with accurate answers about prior coverage.
We often get questions relating to the enrollment of Medicare eligible veterans outside of the Annual Election Period. In short, veterans are treated just as any other Medicare eligible person. There are a few things to note, however, when working with a veteran who is Medicare eligible. Here’s a short list of things to consider when helping veterans make an informed decision about Medicare Advantage enrollment:
This was a question from one of our clients this past week. They sell Medicare Advantage policies and, as a prerequisite to selling these policies, are required to go through AHIP’s marketing certification for MA policies. By going through this Medicare training and signing an agreement with the carrier, are they HIPAA compliant?
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Statistically, the number of Humana’s MAPD/PDP enrollments that result in an allegation against an agent is just a small fraction of a single percent. The number of allegations that are founded as a result of investigation are just a fraction of allegations themselves, which is outstanding. Here are my root cause reasons for these strong compliance outcomes: