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.
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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.
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If you work in the Medicare Advantage business, some things are commonplace. If you facilitate MAPD and PDP enrollments, or support someone who does, it is almost certain you’ll have to deal with a commission audit at some point or another. Maybe you’ve recently joined a new agency and want to direct funds from the carrier to the agency in exchange for certain resources you gain. Perhaps you just set up an LLC and want your commissions paid to your new business, or have associates who will now be facilitating enrollments as an extension of your business. And of course, there will always be opportunities to assist your membership with an enrollment or billing issue they may encounter.