AgentGeneral
Guru
- 289
Michigan.
It's been not so fun with the DSNP crowd.
One day there Full QMB plus. Next QMB, next week SLMB.
Then theyre getting a letter from Soc security saying theyll no longer be paying their Part B premium, when they 100% qualify and already sent in all docs.
THen another letter from DHS back to full medicaid, or they lost it altogether.
It's getting bumped all over the place.
I've been saving screen shots because it looks like I'm not doing my job by checking eligibililty. It will show QMB+ then go to CMS and get shot down...."not eligible due to not having medicaid" when in fact they DO as shown by their own screen shots on their own DHS sites, their own benefit letters.
I am so over this market. 30% is where I'm at in the book total with it, and I need it to be down to 10 or less.
I am thinking of just letting these start to fall away, but I don't want to risk my reputation with Humana, and it feels like a double edged sword bc it looks like I don't do the eligibility when in fact I ALWAYS do, it just happens to be changing like a wonky eyed donkey daily.
Any advice? Every day there are calls coming in and screen shots of letters and never ending issues.
I think this is a DonP request. What's happening in Az? with this...
as much as I can I'm refraining, unless it's a referral. I've been sticking with another non DSNP bag.
It's been not so fun with the DSNP crowd.
One day there Full QMB plus. Next QMB, next week SLMB.
Then theyre getting a letter from Soc security saying theyll no longer be paying their Part B premium, when they 100% qualify and already sent in all docs.
THen another letter from DHS back to full medicaid, or they lost it altogether.
It's getting bumped all over the place.
I've been saving screen shots because it looks like I'm not doing my job by checking eligibililty. It will show QMB+ then go to CMS and get shot down...."not eligible due to not having medicaid" when in fact they DO as shown by their own screen shots on their own DHS sites, their own benefit letters.
I am so over this market. 30% is where I'm at in the book total with it, and I need it to be down to 10 or less.
I am thinking of just letting these start to fall away, but I don't want to risk my reputation with Humana, and it feels like a double edged sword bc it looks like I don't do the eligibility when in fact I ALWAYS do, it just happens to be changing like a wonky eyed donkey daily.
Any advice? Every day there are calls coming in and screen shots of letters and never ending issues.
I think this is a DonP request. What's happening in Az? with this...
as much as I can I'm refraining, unless it's a referral. I've been sticking with another non DSNP bag.