New Medicare Number Requirement with Carriers

New MBI Requirement from Carriers on Applications Mutual of Omaha Med Supp- The MBI number is not a required field on e-App (or paper app) so it’s my suggestion that “yes” if the MBI number is not known at the time of app, the field should be left blank Aetna Med Supp- If you do not know the MBI, leave it blank on the application. Do not try to guess the number or fill in the field with other text. If we receive an application without a Medicare ID number listed, the member will receive a letter with their policy, requesting their Medicare ID number. Cigna - As of 2020, they will not accept T65 applications more than 90 days from the Effective Date Medico- We do not require the MBI number on the application. Easy! Anthem- Anthem can no longer accept the old Medicare # (SSN plus letter). New Medicare # is needed on all applications. There are options if your client doesn’t have their new number: o They can go to www.ssa.gov and create an account. This will provide them with their new number o They can call Medicare at 1800Medicare o They can ask their doctor. Providers have a special system where they are able to obtain the Medicare # from Note- We do not have a mechanism yet that can search for this number. If you don’t provide it, the app will pend for 21 days to allow you time to obtain it. If it is not reported within the 21 days, the app will deny and a new app will be required for future coverage. A letter will be sent to the member advising them of the missing information. Letters are not sent to brokers, but you will be able to view the applicant as ‘incomplete’ in your producer toolbox United American - Must have Medicare number and application cannot be more than 60 days from Effective Date. UHC MAPD- If an application is submitted with nothing in the MBI space or an old / invalid number the application, the application will still pend. Not having a MBI is not cause for an upfront denial. The application will pend and a letter will be sent to the enrollee requesting the information and giving the date the information is needed by. UHC Med Supp- Agents can leave it blank on paper apps and when using online enrollment. Once received, an enrollment processor will attempt to retrieve the member’s MBI. Aetna MAPD- Once we receive an application, if the application is missing the Medicare number or has an incorrect Medicare number on it, the application will be in pending status for 21 days or until we receive the correct Medicare number. If we do not receive the requested missing information within the 21 days, the application will be denied. Humana MAPD- As of January 1, you must use the new MBI number on all Medicare applications. Electronic applications are locked down to only accept the new MBI. If you submit a paper application with the old Medicare ID number, it will cause an error. Humana will attempt to obtain the MBI via current outreach processes, however, if the MBI is not received, the application will be denied. Using the wrong number could also result in the system assigning the enrollment to the wrong member, which could lead to a poor consumer experience and potential CTM complaints WellCare- As many of you may recall, in 2018 CMS issued guidance that as of 1/1/2020 the social security number-based health insurance claim number (HICN) would no longer be accepted. CMS began issuing new Medicare Beneficiary Identifiers (MBI) in early 2018, which many of you have already been utilizing to enroll members with WellCare.  Example of a HICN: 123456789T  Example of an MBI: 1A11AB1AB11 Please ensure completed applications utilize the MBI. Applications submitted with the legacy HICN will be rejected by CMS and placed into an RFI with code RFID. The member or agent will have 21 days to provide the MBI number / resolve the RFI. Important note: utilizing the legacy HICN could result in the delay of member receiving care. How to look up MBI Consumers and members who have misplaced their Medicare card that indicates their MBI have several options available to access their MBI in order to complete an enrollment application or health assessment. The consumer/member can: Request a replacement Medicare card using their online ‘my Social Security’ account* at https://secure.ssa.gov/RIL/SiView.action and select the ‘Replacement Documents’ tab and then ‘Mail my replacement Medicare Card’. It may take up to 30 days to receive a replacement card in the mail. Look up and/or print an official copy of their Medicare card via their MyMedicare.gov account*. Call Medicare at 1-800-MEDICARE (1-800-633-4227 or TTY 1-877-486-2048).