Special Election Periods for MAPD
Do you have clients whose Medicare Advantage Plans did not renew for 2013 and have yet to elect a new plan? They can still pick a new plan, and you can help them do it. Here are a few things to know in order to make sure your client has a smooth transition to their new Medicare Advantage Plan:
While none of us want to see our clients leaving their Medicare Advantage Plans, we all want to make sure we are providing our clients with the service they deserve. Sometimes, this means guiding them out of plans they are not so comfortable with and into ones more fitting for their needs.
Here’s the scoop on Dual Eligibles:
Dual Eligibles are defined as those having both Medicare and either partial or full Medicaid benefits. Here are some qualification items you can ask to verify their status: Medicaid Card, Medicaid Award Letter, Medicaid #, or Member Attestation Form.
As long as they are eligible for dual status they have a continuous open enrollment period. For those who have recently lost their status (which can be verified by member attestation or state notice showing loss of status), then the SEP begins the month of lost dual eligibility and runs for two consecutive months following the first month.