During the MA OEP, MA plan enrollees may enroll in another MA plan or disenroll from their MA plan and return to Original Medicare. Individuals may make only one election during the MA OEP. This chart outlines who can use the MA OEP and when:
• MA-PD The effective date for an MA OEP election is the first of the month following receipt of the enrollment request. NOTE: The MA OEP does not provide an opportunity for an individual enrolled in Original Medicare to join a MA plan. It also does not allow for Part D changes for individuals enrolled in Original Medicare, including those enrolled in stand-alone Part D plans. The MA OEP is not available for those enrolled. Helpful Resources: ![]() |
Medicare Blog | Medicare News | Medicare Information
2021 Medicare Advantage Open Enrollment Period (MA OEP) Defined
Posted by www.psmbrokerage.com Admin on Thu, Dec 10, 2020 @ 10:17 AM
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Tags: Medicare Advantage, Medicare Part D, OEP, 2021 OEP
2021 Medicare Advantage Open Enrollment Period (OEP)
Posted by www.psmbrokerage.com Admin on Thu, Nov 19, 2020 @ 09:37 AM
Medicare Advantage Open Enrollment Period With Medicare’s Annual Enrollment Period (AEP) coming to an end, agents and advisors have spent the last month enrolling Medicare beneficiaries in Medicare Advantage (MA) and Prescription Drug Plans (PDP) for 2021. Come Dec. 7 – the date AEP ends – many agents and advisors will take some well-deserved time off to recharge and reconnect with family and friends. But smart agents and advisors know that another important enrollment period starts on Jan. 1: the Medicare Advantage Open Enrollment Period (OEP). Post-Enrollment Period It’s a simple step during the AEP process to ask clients the best ways to contact them for follow up. Make a note if they prefer a phone call, email or postal mail. Confirm and document their contact information and respect their decisions. Insurance professionals ensure their clients have the best coverage by keeping the lines of communication open. Developing a follow-up system is the best way for agents and advisors to make sure their client’s plan is working for them. Agents and advisors also need to follow through with their commitments. Some insurance professionals think the burden is on clients to contact them if there are issues with a plan. Agents and advisors shouldn’t risk losing clients due to poor customer service and lack of follow up.
During OEP, the beneficiary can:
Agents and advisors need to be keenly aware that Centers for Medicare and Medicaid Services (CMS) has put in place rigid rules regarding the communications they can have with clients about OEP. We are in the business of providing exceptional services to agents and advisors. It’s more than products and services. It includes giving you the valuable insights – such as contacting a client to make sure their plan is working for them. And, if necessary, use OEP as the time to help your clients change plans.
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Tags: Medicare Advantage plans, Medicare Part D, OEP, 2021
OEP - It’s Not for Everyone OEP – If Not for Everyone . . . Then Who is it for? What Changes Can Be Made? But there’s more . . . a beneficiary can also choose to go back to Original Medicare and elect a stand-alone prescription drug plan. Typically, this happens when the beneficiary is moving back to Original Medicare with a supplemental plan (Medigap) from a newly elected Medicare Advantage plan. If, and only if, it was the beneficiary’s first time enrolling in a Medicare Advantage plan, they can use their trial right to go back to the previous Medicare supplement plan that was in force for PY 2019 without evidence of insurability. What Can You, the Producer, Do? OEP is specifically allowed for by CMS to protect Medicare beneficiaries in Medicare Advantage plans in case they were confused, or subsequently discovered that their medications were not covered by the formulary, or that their doctors were not in the plan’s network. What You Can’t Do
Producers Can
Things to Consider It is important to remember that unless the Medicare supplement can be reinstated without evidence of insurability, your client may lose coverage. Proceed cautiously. If you submit the PDP and the Medicare supplement application at the same time and the client is denied on the supplement plan, your client may end up with having original Medicare and a drug plan – with no supplemental coverage. So, understand the situation. It may be more beneficial for the beneficiary to select a different MA/MAPD plan. Do what is right by the client. ![]() |
Tags: Medicare Advantage, Medicare, Medicare Part D, OEP
Medicare Advantage Open Enrollment Period (MA OEP)
Posted by www.psmbrokerage.com Admin on Mon, Jan 06, 2020 @ 02:55 PM
Medicare Advantage Open Enrollment Period (MA OEP)
What is the Medicare OEP (Open Enrollment Period)?![]() The Medicare Advantage Open Enrollment Period (MA OEP) was reinstated in 2019 by the Centers for Medicare & Medicaid Services (CMS). The new MA OEP replaced the previous Medicare Advantage Disenrollment Period (MADP), which only allowed people to leave MA and return to Original Medicare.
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Tags: medicare advantage updates, medicare updates, Medicare Open Enrollment Period, OEP
Recent Changes Add Complexity to Medicare’s Fall Open Enrollment Period
Posted by www.psmbrokerage.com Admin on Mon, Nov 25, 2019 @ 04:11 PM
Recent Changes Add Complexity to Medicare’s Fall Open Enrollment Period Medicare’s Fall Open Enrollment Period (OEP) is a busy time for beneficiaries and those who help them evaluate their health care and prescription drug coverage options. From October 15 to December 7 each year, people with Medicare can make changes to their coverage, such as switching Part D prescription drug plans, or switching between Original Medicare and Medicare Advantage. This annual decision-making process can be complex, and several changes this year are making it even more so.
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Tags: Medicare Part D, OEP
Medicare Advantage Contract Year 2019 Agent and Broker Compensation Rate Adjustments
Posted by www.psmbrokerage.com Admin on Tue, May 29, 2018 @ 04:23 PM
Medicare Agent Broker Compensation Rate Adjustment - Medicare Advantage Contract Year 2019This memorandum provides contract year (CY) 2019 compensation limits for agents and brokers, directions for submitting amounts into the Health Plan Management System (HPMS), as well as training and testing requirements. Compensation Rate Adjustment for CY 2019
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Tags: medicare advantage updates, medicare updates, Medicare Open Enrollment Period, OEP
2019 Aetna Medicare Advantage Expansion Details
Posted by www.psmbrokerage.com Admin on Tue, May 29, 2018 @ 01:38 PM
We are excited to tell you more about this opportunity! Give our Marketing Team a call at 800-998-7715 for more information! Now is a great time to review carrier expansions and incorporate them into you 2019 AEP marketing plans. |
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Tags: medicare advantage updates, aetna, medicare updates, Medicare Open Enrollment Period, OEP
Medicare Open Enrollment Period (OEP) is Back for 2019
Posted by www.psmbrokerage.com Admin on Tue, May 22, 2018 @ 10:14 AM
Medicare Open Enrollment Period (OEP)
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Tags: medicare advantage updates, medicare updates, Medicare Open Enrollment Period, OEP