• Skip to primary navigation
  • Skip to main content
  • Skip to footer
  • Louisville: 555-555-555
  • Charlotte: 555-555-555
  • Why Partner
  • Our Expertise
  • Resources
  • Get Aligned
  • Broker Portal
Plan Advisors

Plan Advisors

Helping you choose the right health plan

  • Why Partner
  • Our Expertise
    • Meet Your Team
    • Success Stories
  • Resources
    • Blog
    • Care Initiative
    • MedicareCENTER
    • Medicare Marketing Support
    • Promotional Collateral
  • Let’s Talk
  • Broker Portal

Calculating the Medicare Part D Late Enrollment Penalty

ICEP

November 22, 2014 by Lance Hoeltke

Help your clients calculate the Medicare Part D late enrollment penaltyOne 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.

[Read more…] about Calculating the Medicare Part D Late Enrollment Penalty

Filed Under: AEP, CMS, CMS guidelines, Humana MAPD plan, ICEP, ICEP election period, IEP, IEP election period, MAPD, MAPD and PDP membership, MAPD enrollment, Medicare AEP, Medicare Annual Enrollment Period, Medicare Beneficiaries, Medicare election periods, Medicare Part D late enrollment penalty, PDP enrollments, Prescription Drug Plans, Service

June 18, 2013 by Larry Bishop

Thirty three years ago when I started selling Medicare Supplement plans, in the back of my mind I knew someday I would be on Medicare myself.  What I did not know was the range of choices that would be available to me beyond traditional Medicare Supplement plans.
 
As I have indicated in the past my wife and I went onto Part A and enrolled in Part B of Medicare this year.  I started on May 1st and my wife February 1st.   Just some background, the past eight years I have had a high deductible plan with Life Wise of Washington state.  We had a $6000 family deductible plan and was paying about $700 per month the last year we had the plan.  I had also enrolled in an HSA eight years ago as well so today the balance of my HSA account is over $50,000.  As most of you know this fund can be used for co-pays for doctors visits as well as prescription drugs.  
 
My wife and I both chose the $0 premium MA only PFFS plan available in Washington state. (My wife does take some prescription drugs so I enrolled her in Humana’s WalMart standalone PDP, as I do not take any drugs, I chose not to enroll in a PDP.)  This is a Medicare look alike plan meaning I am responsible for the Part A hospital deductible and 20% of the Part B outpatient expenses, however, there is no Part B deductible, I pay 20% from the first dollar of charges.
 
I have used this plan three times so far, twice at the ophthalmologists and once at the dermatologists.  I could not be happier with how the plan works.  First of all, I am not paying for my healthcare in advance in the form of a premium.  Not for a high deductible plan like I did before going onto Medicare or for a traditional Medicare supplement.  I am only paying for 20% of the Medicare approved charge and that is a lot less the than the $8400 in premium I paid for Pat and I last year.  If I had chosen a traditional Plan F my premium would have been around $200 per month for me and $200 for Pat or about $4800 per year.  
 
I have my annual physical scheduled for the fist week of August with the doctor I have had the past several years.  In past her office accepted Life Wise.  Before going onto Medicare I called my doctors office to explain I was planning on enrolling in Humana’s MA only PFFS plan.  The office manager explained they did not officially accept Humana but as I was currently a patient, the office would accept Humana’s terms and conditions and bill them directly so I could continue to keep my current doctor.
 
So far I could not be happier with the choices I have made.  I now go to the downtown YMCA using Silver Sneakers and no longer pay $55 per month to OZ fitness.  The best part is on October 15th I can look at all the options available for 2014 and make a new choice if I find a better option with no pre-existing conditions or waiting periods.  The new choices today really are a win win situation for Medicare beneficiaries like me. 

[Read more…] about Larry affirms his Medicare Health plan selection two months later

Filed Under: Agent Testimonial, Bishop Marketing Agency, Humana, Humana Medicare Plans, ICEP, Medicare Advantage growth, Medicare Annual Enrollment Period, Medicare choices, Medicare Health Plans, Medicare options, Medicare supplement plans, MGA Testimonial, PDP enrollment, selling Medicare Advantage Plans, seniors choose Medicare Advantage, Service

February 14, 2013 by Larry Bishop

Larry Bishop has enrolled in a Humana Medicare Advantage Plan

You have been kind enough to receive emails from me for the last seven years about Humana’s Medicare Advantage plans. Today I would like to share my personal experience from yesterday with enrolling into a Humana plan.

[Read more…] about Officially a Humana MAPD Member

Filed Under: Bishop Marketing Agency, digital signature, electronic enrollment, electronic signature, Get to know Bishop Marketing Agency, Humana, Humana Insurance, Humana MAPD plan, Humana Medicare Plans, Humana’s Medicare health plans, ICEP, ICEP election period, Larry Bishop, MAPD, Marketing Humana Medicare Plans, Medicare Advantage, Medicare Beneficiaries, Medicare choices, Medicare Health Plans, Medicare options, Service, testimonial

February 13, 2013 by Larry Bishop

Larry Bishop turns 65 and enjoys the benefits of MedicareMany of you may know that this year will be a milestone birthday for me. I turn 65 in May! In the past I never associated Medicare benefits with my own personal circumstances, but now it’s become something I think about frequently. I’d like to share some of the experiences I’ve had recently, and hope you find it insightful as you grow your business and interact with folks like me for years to come.

[Read more…] about After 33 Years in the Business, it’s My Turn!

Filed Under: Bishop Marketing Agency, digital signature, Get to know Bishop Marketing Agency, Humana Insurance, Humana Medicare Agents, ICEP, MAPD and PDP membership, Medicare Advantage, Medicare Beneficiaries, Medicare choices, Medicare Health Plans, Medicare options, PDP, Service

October 4, 2012 by Lance Hoeltke

As you know, selecting the correct election period for your client when facilitating an MAPD enrollment is an important step toward ensuring the beneficiary’s enrollment form is processed for their proposed effective date. For 2013, there is a change in guidance of when to use IEP vs. ICEP. Let’s take a closer look…

[Read more…] about New rules regarding when to use the IEP vs ICEP election code

Filed Under: CMS marketing guidelines, ICEP, ICEP election period, IEP, IEP election period, IEP vs ICEP, IEP2, MAPD, MAPD and PDP membership, Medicare election periods, Selling, Service

Think "Plan Advisors first!"

Get aligned with Plan Advisors for access to these tools, resources, support, and more!

Let's Talk

Footer

STAY UP TO DATE

facebook linkedIn YouTube


Florida Office
3625 NW 82nd Ave
Suite 100-F
Doral, FL 33166

CONTACT US

  • Phone: 502.228.1308
  • Fax: 502.470.5746
  • info@myplanadvisors.com
  • Serving all 50 states

  • Kentucky Office
    13040 Eastgate Park Way
    Suite 108
    Louisville, KY 40223

QUICK LINKS

  • Why Partner
  • Expertise
  • Resources
  • Talk to Plan Advisors
  • Broker Portal

Copyright © 2022 · Website Design by The Marketing Squad

We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. By clicking “Accept”, you consent to the use of ALL the cookies.
Do not sell my personal information.
Cookie settingsACCEPT
Manage consent

Privacy Overview

This website uses cookies to improve your experience while you navigate through the website. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. We also use third-party cookies that help us analyze and understand how you use this website. These cookies will be stored in your browser only with your consent. You also have the option to opt-out of these cookies. But opting out of some of these cookies may affect your browsing experience.
Necessary
Always Enabled
Necessary cookies are absolutely essential for the website to function properly. These cookies ensure basic functionalities and security features of the website, anonymously.
CookieDurationDescription
__cfduid1 monthThe cookie is used by cdn services like CloudFare to identify individual clients behind a shared IP address and apply security settings on a per-client basis. It does not correspond to any user ID in the web application and does not store any personally identifiable information.
cookielawinfo-checbox-analytics11 monthsThis cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Analytics".
cookielawinfo-checbox-functional11 monthsThe cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional".
cookielawinfo-checbox-others11 monthsThis cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other.
cookielawinfo-checkbox-advertisement1 yearThe cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Advertisement".
cookielawinfo-checkbox-necessary11 monthsThis cookie is set by GDPR Cookie Consent plugin. The cookies is used to store the user consent for the cookies in the category "Necessary".
cookielawinfo-checkbox-performance11 monthsThis cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Performance".
viewed_cookie_policy11 monthsThe cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. It does not store any personal data.
Functional
Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features.
Performance
Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.
CookieDurationDescription
YSCsessionThis cookies is set by Youtube and is used to track the views of embedded videos.
Analytics
Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc.
CookieDurationDescription
_ga2 yearsThis cookie is installed by Google Analytics. The cookie is used to calculate visitor, session, campaign data and keep track of site usage for the site's analytics report. The cookies store information anonymously and assign a randomly generated number to identify unique visitors.
_gcl_au3 monthsThis cookie is used by Google Analytics to understand user interaction with the website.
_gid1 dayThis cookie is installed by Google Analytics. The cookie is used to store information of how visitors use a website and helps in creating an analytics report of how the wbsite is doing. The data collected including the number visitors, the source where they have come from, and the pages viisted in an anonymous form.
Advertisement
Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. These cookies track visitors across websites and collect information to provide customized ads.
CookieDurationDescription
IDE1 year 24 daysUsed by Google DoubleClick and stores information about how the user uses the website and any other advertisement before visiting the website. This is used to present users with ads that are relevant to them according to the user profile.
test_cookie15 minutesThis cookie is set by doubleclick.net. The purpose of the cookie is to determine if the user's browser supports cookies.
VISITOR_INFO1_LIVE5 months 27 daysThis cookie is set by Youtube. Used to track the information of the embedded YouTube videos on a website.
Others
Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet.
CookieDurationDescription
_gat_UA-67564884-11 minuteNo description
CONSENT16 years 9 months 23 days 9 hours 2 minutesNo description
SAVE & ACCEPT
Powered by CookieYes Logo