messed up

[sbg_ben]

Hi, I had a client who was on Wellcare Complete in MI and I was under the impression his plan was going to be crosswalked to a comparable plan with Wellcare. As far as I can tell, he is canceled as of 12/31 and they are returning him to original medicare.

Would they have notified him of this by mail or anything? I don't know how I missed it. Unless Wellcare customer service was wrong but unfortunately I don't think they were.

What are my options at this point? AEP is done and I didn't realize this until now of course. Is there any kind of SEP that he can use in this situation? Should he call Medicare and complain and see if he can get someone to give him some mercy and enroll him over the phone??

 

[Limozine]

Barring that someone can offer a better solution, I'd try to put him on a CSNP for 1/1 effective, then move him to a different plan after 1/1 for 2/1 effective.

 

[DonP]

Hi, I had a client who was on Wellcare Complete in MI and I was under the impression his plan was going to be crosswalked to a comparable plan with Wellcare. As far as I can tell, he is canceled as of 12/31 and they are returning him to original medicare.

Would they have notified him of this by mail or anything? I don't know how I missed it. Unless Wellcare customer service was wrong but unfortunately I don't think they were.

What are my options at this point? AEP is done and I didn't realize this until now of course. Is there any kind of SEP that he can use in this situation? Should he call Medicare and complain and see if he can get someone to give him some mercy and enroll him over the phone??

You have sep 12-8-24 to 2-29-25 for lose of plan. Go enroll him now for 1-1-24

 

[sbg_ben]

You have sep 12-8-24 to 2-29-25 for lose of plan. Go enroll him now for 1-1-24

OMG thank god. My brain went to panic mode and I didn't think of that

 

[Midlevel]

You have sep 12-8-24 to 2-29-25 for lose of plan. Go enroll him now for 1-1-24

You have SEP 12/8/24 - 2/28/25 for loss of coverage. Go enroll him now for a 1-1-25 effective date.

 

[sbg_ben]

You have SEP 12/8/24 - 2/28/25 for loss of coverage. Go enroll him now for a 1-1-25 effective date.

Surprisingly, in the 8 or so years I've been doing this I've never had to use this for someones medicare advantage plan going away. They've always either been moved to another plan automatically or I talk with them and we change plans during AEP. Thank you for the reminder. This is what the forum is good for lol!

 

[DonP]

You have SEP 12/8/24 - 2/28/25 for loss of coverage. Go enroll him now for a 1-1-25 effective date.

Come on dude I'm a busy guy and i put 1-1-24 you jump on it.

 

[Midlevel]

Come on dude I'm a busy guy and i put 1-1-24 you jump on it.

I know you were writing 4 policies while typing so just wanted to make sure the guy understood everything you tried to say.

 

[hockeyday]

You have sep 12-8-24 to 2-29-25 for lose of plan. Go enroll him now for 1-1-24

Did 2 today