Medicare Update – Special Saturday Edition

Lots of updates with reference links added. THIS IS A VERY HELPFUL WEBINAR on MANY topics! You need to know: From December 3, 2016 See the video: Update: On 12/5/16 Chris' request of CIGNA was granted. Chris requested that those people coming off of MAPD plans and having gone through full underwriting, yet not yet approved, be allowed to move their effective date to 2/1/17 without new underwriting, even though they were written in November (outside the typical 60day underwriting window). Items covered in this webinar: :30 Update on the dental plan. Paying claims on Actual Charges now instead of Usual and Customary 2:21 On the CUL dental plan, set the draft day and the effective date as the same date. Best practice is set both 5 days from the day you are writing the application. 3:47 Softmaker Free Office (replacement for Microsoft Office, and FREE): http://www.freeoffice.com/en/ 4:50 How to get folks off of Medicare Advantage during the disenrollment period December 8 through January 1 Blackout period. You can write someone on MAPD for a Feb 1 effective date as fully underwritten. When you get the underwriting approval, after Jan. 1 they can sign up for a Part D drug plan. It will start Feb 1 and drops the MAPD plan. See: https://www.medicare.gov/sign-up-change-plans/when-can-i-join-a-health-or-drug-plan/when-can-i-join-a-health-or-drug-plan.html#collapse-3192 11:00 Unique: CIGNA allows a person to go from Plan F to Plan N without underwriting. However, going from Plan F to Plan G requires full underwriting. Also, a person on AARP can change plans any time without underwriting. This policy may chance in the future. 13:18 US Congress study on AARP: https://waysandmeans.house.gov/UploadedFiles/AARP_REPORT_FINAL_PDF_3_29_11.pdf 14:20 What happens when a person moves from one state to another with a Medicare Supplement. They can keep their supplement in the new state. If the company is in BOTH states, they have the option of raising premiums based on the new state. If the company does not have a footprint in the new state, the client is forever tied to the rates from their old residence address. See: https://www.medicare.gov/supplement-other-insurance/when-can-i-buy-medigap/switching-plans/switch-medigap-.html#collapse-2514 17:20 Side note: Someone could join a Medicare Advantage plan during AEP. This plan starts January 1. If they then change their address to outside of that plan's coverage, they get a Special Election Period where they can get a guaranteed issue Medicare Supplement (Plan F until 2010). Remember that most carriers pay almost no commission on G.I. cases except where required by law. See: https://www.medicare.gov/supplement-other-insurance/when-can-i-buy-medigap/guaranteed-issue-rights-scenarios.html#collapse-4690 Also: https://www.medicare.gov/find-a-plan/(S(00j153550narxanycwdaid45))/staticpages/learn/rights-and-protections.aspx 19:20 Replacing a person's company with another company in the same company family. If you replace a person's plan with a plan through the same company umbrella, you will not be paid. (Example: Aetna written to replace American Continental, or CIGNA written to replace their American Retirement Life.) 21:41 Leaving an Employer Plan for a Medicare Supplement - Considerations Also see: https://medicareagenttraining.com/leaving-employer-plan-med-supp/ 23:50 COBRA is not considered credible coverage with Medicare Part B. A person cannot put off their Part B enrollment because they are covered by COBRA. They will have penalties for life if they do this. See: https://www.medicare.gov/sign-up-change-plans/how-do-i-get-parts-a-b/part-a-part-b-sign-up-periods 25:00 How to discuss someone's Part D or Part B penalty and premiums will be: DON'T. It is not your job to determine their penalties or premiums. 27:50 New carriers and personal opinions on them. Discussed: Prosperity Life: See: https://www.shenlife.com/home/wcm/ReceivershipDocuments.html Renaissance: http://www.businesswire.com/news/home/20161024006116/en/Renaissance-Announces-Medicare-Supplement-Plans Everest Re: Info will be on www.SellMedicareByPhone.com 40:50 Medicare Advantage Trial Right. This should be paid as Open Enrollment (full) by the carrier, not as Guarantee Issue. "Any Medigap policy that is sold in your state by any insurance company." Info on Trial Right: https://www.medicare.gov/find-a-plan/(S(00j153550narxanycwdaid45))/staticpages/learn/rights-and-protections.aspx 46:25 IAC is requiring PROOF of a person's Part B start date it is a date other then their birthday. For someone that stayed on an employer plan past 65, they will need to send a photo of their Medicare Card or determination letter to IAC. Chris uses Google Voice for the incoming text of the photo. See: https://www.google.com/googlevoice/landing/texts.html 49:00 How to turn any document, or photo into a PDF file using free: http://www.cutepdf.com/ 51:48 Thoughts on United American and their High-Deductible Plan F: Already covered here: https://medicareagenttraining.com/truth-high-deductible-plan-f-hdf/

Recent Posts