We all know the Patient Protection and Affordable Care Act (PPACA) changed many things in our industry. As always, we want to make sure you have the information you need to serve your customers well. This bulletin contains information regarding the changes to the former Medicare Advantage open enrollment period (OEP).
PPACA replaced the OEP with an annual Medicare Advantage Disenrollment Period (MADP), which started January 1, 2011 and will end February 14, 2011. Please keep these in mind during the new MADP:
Example 1: John Smith enrolled in a Medicare Advantage PPO plan with Part D prescription drug coverage during the recent annual election period (AEP) for an effective date of January 1, 2011. He is not happy with the plan’s provider network and wants to drop this coverage. He can use the MADP to disenroll from the Medicare Advantage plan and return to Original Medicare. He will also have an SEP to enroll in a stand-alone Part D prescription drug plan, if desired.
Example 2: Jane Doe had a Medicare Advantage PFFS plan that was not renewed, but she did not take any action to actively enroll in another Medicare Advantage plan. Jane goes to the pharmacy January 6, 2011 to get her prescriptions filled and finds out she does not have drug coverage. Jane can enroll in a stand-alone prescription drug plan up to February 14.
Individuals CANNOT take these actions during this period:
Please contact your marketing representative with any additional questions.
View a printer-friendly version of this bulletin.