I'll give you an advantage!(Medicare Advantage)
Typically age 65.
When is someone generally eligible for Medicare?
I involuntarily lost my creditable coverage for prescriptions.
What is SEP-LCC?
3 months before, month of eligibility, 3 months after (7 months).
How long is a beneficiary's IEP?
Typically eligible for between ages 40 - 85.
What is HIP?
When a beneficiary has these conditions, they qualify for Medicare before the age of 65.
What is ESRD and ALS? (or they have received 24 months of disability payments)
Beneficiary must have Medicare Parts A and B to get this plan type.
What is a Medicare Advantage plan?
Consumer is involuntarily disenrolled from an MAPD plan due to loss of Part B but continues to be entitled to Part A. (Hint PDP Only)
What is SEP-INV?
I moved last month.
What is SEP-MOV?
No Medicare eligibility required.
What is an Ancillary Plan?
Regulated by CMS AND private insurance companies.
What is a Medicare Advantage Plan (or PDP)?
These plans don't require health questions.
What is a Medicare Advantage Plan and PDP?
I left a Medigap policy less than 12 months ago to join a MAPD plan for the first time and want to dis-enroll from the MA Plan to return to Original Medicare and PDP. (Current MA Plan Must have RX Coverage)
What is SEP-12G?
I can make as many changes as I want to my plan during this time period.
What is AEP?
These are the two types of HIP plans available depending on location.
What is Advantage Plus and Advantage Plus Elite?
When a Medicare Advantage plan lacks extra benefits, you can always offer them these.
What are Ancillary products (DVH, Dental, Vision, HIP, etc.)?
Script, Maps, and Provider search.
What tools can you use to look up doctors?
Cannot enroll into a PDP using this election code when first eligible for Medicare A & B at the same time.
What is ICEP?
I recently became eligible for Medicaid, received a letter about my Medicaid status, or lost my Medicaid.
What is SEP - MCD?
For some Elite states, a beneficiary has this when between the ages of 64.5 - 68 for a HIP plan.
What is Guaranteed Issue?
Not eligible for this election code if IEP/ICEP was not used.
What is OEP 2?
These types of plans require Medicaid and Medicare.
What is a DSNP?
I joined a MAPD Plan when I turned age 65, less than 12 months ago, and want to return to Original Medicare and PDP.
What is SEP-12J?
Their "second chance" election period (must have used IEP/ICEP to get into plan the 1st time).
What is OEP 2?
People with guaranteed issue, as well as people that need to go through underwriting, are subject to these when applying for a HIP.
What are pre-existing conditions?
HIPAA stands for this.
What is Health Insurance Portability and Accountability Act?