DISENROLLMENT
The notice that the MA organization has to provide to CMS if they wish to allow members to submit disenrollment requests via the Internet.
Pro forma notice.
Dianne’s application was broker involved. She now wishes to disenroll and visits the broker’s website to submit her disenrollment request. Is this an appropriate method for disenrollment?
No, online disenrollment through broker website is not permitted.
The MA organization should discourage members from disenrolling after they indicate their desire to do so.
False. MA organization must not discourage members from disenrolling.
If an MA organization is changing their plan benefit package number in 2021. Should the organization send out a notice of disenrollment to its members?
No. The annual notice of change that the MA organization sends to the members as part of the end-of-year activities serves this function.
The enrollment team received a disenrollment request letter without a date. Minerva is about to return the written request and mark it as incomplete. Nancy tells her not to return it, that she should use the receipt date as the signature date. Who is correct?
Nancy. The date of receipt can be used as signature date.
An MA organization must accept a verbal disenrollment request from member.
False.
MA organization must instruct member to 1) enroll in new plan
2) send or fax signed written notice
3) submit request via internet to MA organization
4) call 1-800-MEDICARE
What determines the effective date of the disenrollment.
The election period during which the organization receives disenrollment request.
Eugene’s legal representative submits a disenrollment request without a signature. How can we verify the signature?
Phone call and documenting contact.
The Medicare beneficiary is the only person who can complete a disenrollment request.
False. Their legal representative can complete such request.
When can beneficiaries choose their effective date for disenrollment?
During some SEPs and when election periods overlap.
Andy does not submit a disenrollment request directly to CHC, but instead calls 1-800-MEDICARE to disenroll. How will CHC learn of Andy’s disenrollment?
CHC will learn of disenrollment from the CMS TRR.
If the MA organization allowed the beneficiary to choose an unallowable effective date, they must honor that effective date.
False. The MA must call or write the beneficiary to explain the disenrollment must be processed with a different effective date.
After a member submits a disenrollment request, how long does the MA organization have to provide the member with a disenrollment notice?
Ten days.
Eric submitted an application to enroll in CHC’s D-SNP plan effective 9/1/2020 using his SEP-L. Does he have to submit a disenrollment request to the plan he was previously enrolled with?
No. Enrolling in a new plan within a valid election period automatically disenrolls member from previous plan.
MA organizations are required to follow up with a confirmation of disenrollment notice after receiving confirmation of the disenrollment via the TRR.
False. It is encouraged but not required.