Service Area Reduction Reminder(Page 37): The Service Area Reduction SEP cannot be used until December 8th through the last day of February.
Dual Enrollment 4th Quarter blackout: (select “Dual Election Rules”) Medicare and Medicaid eligible clients, must use AEP as the election for enrollment in 4th quarter. There is a dual enrollment blackout from December 8 – December 31.
Stand Alone PDP: Many Medicare Advantage (MA)-Only plans are being offered in 2021. Members of MA-only coordinated care plans (HMO, POS, PPO) cannot enroll in a stand-alone PDP. If they enroll in a stand-alone PDP, they will be disenrolled from their MA-only coordinated care plan. MA-only plans work great for your veteran clients who have credible drug coverage through their VA insurance coverage.
Industry Updates
2021 CMS Landscapes – See all MA/PDP/SNP available in each county nationwide.
Medicare Savings Programs – Your clients could be eligible for help from their state with paying Medicare premiums.
Non-Commissionable PDP’s for 2021: Clear Spring, Express Scripts, and Cigna.
The Medicare Cost Sheet is typically released mid-November to mid-December in the Medicare.gov publications portal.
MA and PDP Star Ratings have been announced. Make sure your supplies are updated with the correct star ratings.
IRS 502 Publication – This form details Tax Deductible Medical/Dental Expenses, and can be used to determine what expenses qualify when using a Medical Savings Account (MSA).
Many Carriers offer extra incentives during Q4, check out our Contests page to plan out the rest of your year!
Your team is a true team. You help us (and each other) until the outcome is resolved. Always know what you are talking about and can get answers when you aren’t sure. Thank you!