Plan Finder
Enrollment Periods
Authorizations & Disclosure
Claims & Appeals
100

Where on the plan finder can I check the ratings for a particular Plan?

What is Star Ratings Filter Tab

100

After Enrolling in Medicare Advantage Open Enrollment Period (MA-OEP) How many months does a Beneficiary have to switch back or change to another plan?

What is 3 Months

100

What Can Be Discussed if a Third Party has the MSN but cannot pass disclosure?

What is General Information or Anything Related to the MSN 

100

Under Original Medicare, who has the right to file an appeal?

You, your provider, supplier, or someone you appointed as your representative has the right to file an appeal

200
What is the pathway to find "Plan Finder" on Medicare.gov?

Medicare.gov>Health&Drug Plans>Find Health and Drug Plans

200

What must be done on every call, unless you're only going to be providing general info?

What is Pass Disclosure/Pass Disclosure

200

After receiving your Medicare Redetermination Notice, how many calendar days do you have to Reconsideration request?

180 Days

300

If the Parent of a Beneficiary Calls, what do they need to do in order for us to proceed with the Call?

What is Pass Disclosure/Pass Disclosure
400

If you have "Extra Help" can you join, switch, or disenroll from a plan during a Special Election Period (SEP)?

Yes. - 

You can join, switch, or disenroll from a plan as long as you:

  • Have Extra Help,
  • Make a plan change during a valid quarter, and
  • Have not been identified as at risk or potentially at risk for prescription drug abuse.

If you are currently enrolled in or eligible to join a Medicare-Medicaid plan, the quarterly limitations on when you can join, switch, or disenroll from a plan do not apply to you.


400

If a Benecficiary wants to file an appeal on his/her Medigap policy, which is also called Medicare supplemental insurance, who should they contact?

Your insurance company/Refer to your plan

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