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Enrollment Periods
Ways To Apply
Application Process-Steps
Abbreviations
100
The age a member becomes eligible for Medicare.
What is 65 years old?
100
A department within PHP that enrolls members over the phone.
What is the Sales department?
100
Membership Accounting submits a notification to Medicare that a member has requested enrollment with Providence.
What is step 3?
100
LEP
What is Late Enrollment Penalty?
200
It occurs every year from October 15th through December 7th, at this time any and all eligible members can leave or join a health plan of their choosing.
What is the Annual Enrollment Period?
200
A third party company/person hired by a member to help enroll in a Medicare plan.
What is an agent/broker/producer?
200
Membership Accounting processes the application within 7 days.
What is step 2?
200
SEP
What is Special Election Period?
300
Members who get assistance for the prescription portion of their premium and are able to change plans at anytime.
What is Low Income Subsidy?
300
Where members can find an online application for a Providence Medicare Advantage plan.
What is: www.providencehealthplans.org?
300
PHP updates our records and sends the member a welcome packet.
What is step 5?
300
LIS
What is Low Income Subsidy?
400

Examples of this are:

Age in - 65

Leaving or moving into the service area

LIS

Losing or gaining employer coverage

What are Special Election Periods?
400

Where members can find an online application for a Traditional Medicare.

What is: medicare.gov?
400
Member submits an application to Providence.
What is step 1?
400
AEP
What is the Annual Enrollment Period?
500
PHP and Kaiser are the only plans in Oregon with this. This allows members to enroll in the plan any time during the year, without a qualifying SEP.
What is the 5 Star Election Period?
500
The way members can apply for a Providence Medicare Advantage Plan and submit it directly to PHP.
What is a paper application?
500
Medicare approves or denies the application and notifies PHP.
What is step 4?
500
CMS
What is the Center for Medicare Services?