What to Expect During the CMS Blackout Period From November 8-14

November 13th, 2019 by

The annual CMS “blackout period” will occur between November 8-14. During this period, CMS makes necessary updates to their systems and temporarily stops processing enrollments. This processing delay affects all carriers, but there will be no impact to your submitted enrollments. CMS will resume processing enrollments in the order in […]

Current FEMA Special Election Periods

November 12th, 2019 by

See below for the current version of the FEMA related Special Election Periods.  This updated list includes four new SEP’s in California.  For any updates to eligible counties, please refer to the FEMA website at https://www.fema.gov/disasters. Counties in bold are those within Aetna’s MA/MAPD service area. New SEPs: California Hill […]

Medicare Access and Chip Reauthorization Act of 2015 (MACRA) FAQs

November 11th, 2019 by

Listed below are a few questions we often receive about MACRA. Keep reading to nip these in the bud and save yourself a little time during this busy AEP! 1. What is the Medicare Access and CHIP Reauthorization Act of 2015? (MACRA) MACRA has many components, one of which is […]

Restoration of the Medicare Advantage Open Enrollment Period (OEP)

November 8th, 2019 by

In 2018, the 21st Century Cures Act eliminated the existing MA disenrollment period (MADP) that took place from January 1st through February 14th of every year. Instead, the Medicare Advantage open enrollment period (OEP) will take place from January 1st through March 31st annually. OEP Allows: MA-Only to MA-Only MA-Only […]

Dual Election Rule Changes

November 5th, 2019 by

On January 1, 2019, the election periods for Medicare/Medicaid enrollees changed. Dual eligible consumers will NOT have the option of a monthly SEP due to dual status. RULES: One Dual SEP election period change per calendar quarter Consumers must be dual or LIS-eligible In the fourth quarter, consumers must use […]