What Coverage Changes Can Be Made During AEP?

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The Annual Enrollment Period (AEP) is quickly approaching, and many customers will want to make health coverage adjustments to fit their needs in 2018.

Changes that can be made during the Enrollment Period (Oct. 15 – Dec. 7) for a January 1st effective date include:

  • Change from Original Medicare (Part A & Part B) to Medicare Advantage (Part C)
    In order for your customer to transition from Original Medicare to Medicare Advantage, they simply enroll in the Medicare Advantage Plan they have chosen.
  • Change from a Medicare Supplement (Medigap) to Medicare Advantage (Part C)
    After enrolling in the Medicare Advantage Plan, your customer will need to contact their current insurance company to cancel their Medigap policy.
  • Change from Medicare Advantage (Part C) to Original Medicare (Part A & Part B)
    Your customer will contact Medicare or their current plan to disenroll. When disenrolled, they automatically have Original Medicare (Part A and Part B).
  • Change from Medicare Advantage (Part C) to a Medicare Supplement (Medigap)
    To switch, your customer must buy a Medigap policy then disenroll from the Medicare Advantage Plan.
    If it is your customer’s first time to join a MA plan, they can return to Original Medicare within 12 months of joining if they decide they don’t like the plan.
    It is illegal to sell your customer a Medigap policy while they have a Medicare Advantage Plan unless they want to switch back to Original Medicare.
  • Switch from one Medicare Advantage Plan (Plan C) to another Medicare Advantage Plan
    Once enrolled in the new plan, they will automatically be disenrolled from their current plan when the new plan’s coverage begins.
  • Join, switch, or drop a Prescription Drug Plan (Part D)
    If your customer has Original Medicare or a Medicare Advantage Plan that doesn’t include prescription drug coverage, they can join a Prescription Drug Plan.
    To switch, they simply join the new plan. Their current plan will automatically disenroll them when the new plan’s coverage begins.
    In order for them to drop their Prescription Drug Plan without enrolling in a new plan, they will need to notify the plan by submitting a disenrollment notice.

For a successful Annual Enrollment Period, utilize our AEP Agent Resource Center to confidently and efficiently help your customer’s make the health coverage changes they desire.

 

 

 

Posted in Helpful Tips, Medicare Advantage/Part D Prescription, Medicare Information