Code for Changing to a Pdp from a Ma - 1st Year

Sisburn

New Member
7
What code do you use for a client moving to a pdp from trying a Medicare advantage plan within a year?
 
What code do you use for a client moving to a pdp from trying a Medicare advantage plan within a year?
It depends on which of the two MA trial rights your client is using. If your client took that first MA at 65, then it's SEP-65. If he or she dropped a Medigap to try an MA and is returning to Original Medicare, then it is SEP-Indiv drop Medigap-Trial period.
 
It depends on which of the two MA trial rights your client is using. If your client took that first MA at 65, then it's SEP-65. If he or she dropped a Medigap to try an MA and is returning to Original Medicare, then it is SEP-Indiv drop Medigap-Trial period.

Yep, what he said.
 
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