Plan Advisors Blog

Special Needs Plans: Avoid The Lock-in Lull

Posted by Lance Hoeltke on Mon, May 04, 2020 @ 01:17 PM

If you’re like most Medicare agents, you’ve likely found yourself in a lull when it’s not the annual election period from mid-October to early December. 

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Tags: Dual Eligibles, SNPs, D-SNP, Special Needs Plans

How do I determine the correct enrollment period or SEP, if any, after enrolling in Part B?

Posted by Lance Hoeltke on Fri, Apr 26, 2019 @ 12:14 PM

As agents we must always stay on top of all the changes in our industry. We are the experts; we never want to make guesses or assumptions that can destroy our own credibility. Making a simple mistake regarding selecting the wrong enrollment period or SEP creates pending applications and even worse jeopardizes the enrollment of the prospect.

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Tags: selling Medicare Advantage Plans, medicare, IEP election period, insurance, Medicare Health Plans, Medicare Advantage, IEP vs ICEP, IEP, ICEP election period, Dual Eligibles, health plan

How well do you know your election periods? Dual Eligibles

Posted by Lance Hoeltke on Wed, Jul 11, 2012 @ 12:21 PM
In case you’ve missed it, we started a little series on election periods. Did you know there are over 20 SEPs (Special Election Periods) for MAPD and Prescription Drug Plans? 

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.
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Tags: Humana Medicare Plans, Medicare supplement plans, Prescription Drug Plans, Medicare Health Plans, Humana MAPD plan, Special Election Periods for MAPD, Dual Eligibles