<img height="1" width="1" style="display:none" src="https://www.facebook.com/tr?id=302779086974399&amp;ev=PageView&amp;noscript=1"> Medicare Blog | Medicare News | Medicare Information

Medicare Blog | Medicare News | Medicare Information

MACRA: Plan Changes and Eligibility

Posted by www.psmbrokerage.com Admin on Fri, Nov 15, 2019 @ 12:45 PM

macra eligibility explained

MACRA - Plan
and Eligibility Changes 

Due to some recent confusion over plan changes and eligibility from the recent Medicare Access and CHIP Re authorization Act of 2015 (MACRA), we thought we would try to provide some clarity.

      • If a consumer is eligible for Medicare Part A prior to January 1st 2020, they will not lose eligibility to enroll into Plans C or F and may still purchase the plans in 2020 and beyond. Effectively, nothing changes for this group of Medicare beneficiaries.

      • Changes to MACRA will prohibit first dollar, out of pocket coverage of all claims on Plan F, High Deductible Plan F and Plan C, requiring *newly eligible Medicare beneficiaries to pay some of the cost of their medical care that was once covered entirely by one of these plans.

      • If a consumer is eligible for Medicare Part A starting January 1st 2020 or beyond, then they will not be eligible to enroll or purchase Plans C, F or HDF as an option for Medicare supplement plans. They will continue to have access to all other Medicare supplement plans.

      • For *newly eligible Medicare beneficiaries who can no longer purchase Plans C or Plan F in 2020, Plans D and Plan G will become the new “Guaranteed Issue” plans of choice.

        *Note: “Newly eligible” is defined as those who turn 65 (or otherwise qualify) on, or after, the law goes into effect, or who first become eligible for Medicare Part A after January 1st, 2020.


MACRA - Eligibility Chart 2

MACRA - Eligibility Chart 1

Information not applicable for all states


Keep it clear and simple

It’s understandable that there might be confusion over the changes. As an agent you will need to clarify and explain the changes to your clients, as well as what plans may be good alternatives in the absence of Plans C & F.

Plans D, G and N will likely move into favor that was once held by Plans C & F for these newly eligible beneficiaries going forward. Discuss the options with your clients and see what fits them best based on their unique situation.

As always, our marketers are here to help.

 

Other Related Articles

Medicare Communication and Marketing Guidelines

How to Decide What to Write on Your Insurance Blog

Learn How to Sell Medicare Advantage Plans

14 Ways to Generate Medicare Leads

Tags: Sales Strategies

    Join thousands of insurance agents who receive weekly news updates and original articles.

    Follow Precision Senior Marketing on Facebook!





    Follow Precision Senior Marketing on Twitter!

    Most Popular Posts

    Posts by Topic

    Click for More