Has anyone assisted a Part D mb with signing up with PPP?

I guess that the correct slang is M3P?
I have (2) UHC MA members who are currently on OFEV, a high $$$ drug. One of them already (already a UHC mb) tried to inquire about it, but was shifted to Inside Sales and told that he would have to wait until the 1st- lol.
The other is moving from Aetna to UHC. I offered each of these a 3-way call with themselves and carrier to help them with it.
If this is the time payment thing, an application for it came from my Kansas based PDP carrier. When I saw that, what I remembered was a bunch of posts by another agent wanting people with a W carrier to send them in as a revenge tool to increase the W carrier's administrative costs.

I have no interest in participating in "revenge" activities on W carrier, and did not take their plan this year. However, in relation to your original question, the application and some related comments did come in my welcome packet along with my cards, with no request from me or presciptions in my history that would indicate a need for a payment plan.
 
If a carrier is going to be severely penalized for not giving a payment plan to someone who needed, it seems to me like a very easy way for carriers to say that the carrier complied with the spirit of making the payment plan available to all would be to include the application and information about it in the packet including the new id cards. That way if a person is using a 2025 PDP id card from that carrier, they also had to have been notified of the payment option. Whether or not they read the info or not is another story, but they did receive the information about the plan.
 
As far as who is sent a letter about M3P enrollment, CMS's initial proposal was that the enrollment form was to be sent with the plan member ID. Then they switched it up so that the M3P form can be sent in the same timeframe as the ID card, but not necessarily in the same "envelope" as the card.
 
Back
Top