ICEP (MAPD) Commission Question

[wehotex]

Let's say that an Agent enrolls a prospect into Bravo Health plan (crap benefits but has ALL of the prospect's docs) when the person turns 65 for April 01 effective date. Then when Aetna comes out of sanction, mb uses SEP-Open New to enroll into that Plan for a May 01 eff date (it also has ALL docs but less OOP). Since the same Agent enrolled the prospect, would he still qualify for the second half of "new to Medicare" payment or is it lost for good (since the true First plan only lasted 1 month and FULLY charged back)?

 

[GreenSky]

The reality is that CMS looks at the new enrollment as a renewal. You get screwed out of true up.

It's happened to me.

Rick

 

[wehotex]

The reality is that CMS looks at the new enrollment as a renewal. You get screwed out of true up.

It's happened to me.

Rick

thanks. that's kind of what I thought too.