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I have a client that has an MAPD plan and just went into a nursing home. They have 10 days of full coverage than the client has to pay $100 a day up to 100 days.
The same company that I wrote him has another MAPD plan that will cover him at 100% for 100 days. The premium would go from $118 to $198 but they don't mind that.
Can I upgrade him using the OEPI? This is the code for institutionalized nursing home patients that give them a continouse SEP. From what I read I should be able to upgrade his plan, the insurance company is telling me I have to wait until the AEP.
Anyone had this problem?
The same company that I wrote him has another MAPD plan that will cover him at 100% for 100 days. The premium would go from $118 to $198 but they don't mind that.
Can I upgrade him using the OEPI? This is the code for institutionalized nursing home patients that give them a continouse SEP. From what I read I should be able to upgrade his plan, the insurance company is telling me I have to wait until the AEP.
Anyone had this problem?