Election Period Review

IEP

100

How long is the IEP window? 

7 months 

200

What type of plans can a consumer enroll into using IEP? 

MAPD, PDP

300

Does a member need to be turing 65 to use IEP? 

No, it's based on when their Medicare starts

400

If a consumer already used IEP years ago, but is now turing 65 what is the election period they should use? 

IEP2

500

Similar to IEP, this election period is used to sign up for MA-Only plans 

ICEP

AEP

100

When is AEP? 

Oct 15th- Dec 7th

200

What type of plans can a consumer enroll into during AEP? 

any kind based on their qualifications

300

If a person does more than 1 app during AEP which one will go into place on 1/1? 

the last app submitted 

400

Can a consumer use AEP to disenroll from their plan and go back to OG medicare? 

Yes 

500

UHC writes what percentage of the whole years apps during AEP? 

Will take 55% with a 5% grace on either side 

Change in Res

100

Daily Double

What is a service area? 

a county 

200

If a person was incarcerated can they use Change in Res to enroll into a plan? 

yes 

300

What type of plan can a consumer enroll into using Change in Res? 

MAPD, MA-Only, PDP

400

When does the election period start? 

The month before the move (if they notify us prior) or the month they noify us (if after the move) 

500

What does the election period end? 

2 months after the move month (if they notify us before), or 2 months after the month they notify us

Name the EP

100

Call date: Oct 23

AEP

200

Call date: Feb 21th 

OEP

300

Newly eligble for Medicare and wanting a MA-Only plan 

ICEP

400

Daily Double

Tried a MAPD for the first time and after 6 months wants to go back to their PDP and Med Sup 

Indv Drop Medigap-Trial Period

500

Call date: Dec 9th

Consumer called in about a letter saying their plan is not available next year 

Contract Termination (Termination of Plan contract) 

Name the EP

100

Call Date: April 2nd

A consumer calls in stated they want to change their MAPD due to their insulin costs.

Chronic

200

A consumer calls in stated they got a letter talking about the rating a plan has in their area and would like more info on the plan. 

5 star

300

A consumer calls in stated that they would like to retire at the end of the month and need a plan to make sure they don't have any gaps in coverage. 

Loss of EGHP 

400

I'm not an election period by myself

FEMA

500

A consumer calls in saying that they have epic and need to change their plan. They haven't moved but need to get better coverage.

SPAP