71, Male, Medicare A & B Only, Low Income, Recommendations?

[CALTCAgent]

71 year old male.

Takes no medications.

He has medicare parts A & B only. Had a medicare supplement 2 years ago, but stopped paying for it after his wife died. She handled the finances.

He is not sure if he has part D. He mentioned something about prescriptions, although he didn't think he paid anything for it.

He only makes $1,000 a month on social security income. No money in the bank. He is concerned about hospital costs mainly in case he gets sick.

He can't afford more than $80 dollars a month for a plan, according to him.

He said AARP had a plan for $77 a month. Any idea what plan that might be?

I am thinking a MAPD plan would work, with low deductibles for hospital.

Would that make sense for him?

However there is no SEP?

Maybe get Medi-Cal?

Then consider a dual eligible plan?

What would you recommend he do?

 

[Josh]

If he's making $12,000/year I'd be shocked if he didn't qualify for medi-cal.

Do You Qualify?

 

[GreenSky]

Medi-Cal probably would give him a share of cost however he should apply for and qualify for a LIS.

Shoot me an email (below) and we can get this figured out.

Rick

 

[DS4]

He is not sure if he has part D

That is easy to determine. At Medicare's website, " check my coverage". You need beneficiaries zip code, Medicare claim number, eff date of Medicare & DOB

 

[WCMason]

That income should qualify for Part D Extra Help program. If so he can get a PDP first of next month, no LEP.

 

[CALTCAgent]

Thanks for the responses so far!

Just to clarify, if he qualifies for LIS now, he can only get a part D now ?

Qualifying for LIS does not create a SEP for MAPD?

 

[WCMason]

Thanks for the responses so far! Just to clarify, if he qualifies for LIS now, he can only get a part D now ? Qualifying for LIS does not create a SEP for MAPD?

LIS gets him PDP or MAPD.

 

[jdeasy]

Thanks for the responses so far!

Just to clarify, if he qualifies for LIS now, he can only get a part D now ?

Qualifying for LIS does not create a SEP for MAPD?

LIS people have a continuous SEP for MA/MAPD and PDP.

 

[CALTCAgent]

LIS gets him PDP or MAPD.

I better call him back then, he might have LIS already or should qualify.

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LIS people have a continuous SEP for MA/MAPD and PDP.

I was thinking it was just PDP.

Now I guess I need to send him a SOA first?

I forgot this from the AHIP.