Met someone who's Part A effective 10/1/12. Part B effective 10/1/15. Under age 65. In early October 2015, she applied for a MAPD, with an effective date of 11/1/15. Decided she wants Med Sup and Part D. She is in the process of cancelling out the MAPD. Here's my question- can we get the Part D for 11/1/15 (or did she use upthe IEP already for her MAPD app). Any thoughts/help much appreciated. Thanks.
Part D Initial Enrollment Period Question
- Thread starter aheff
- Start date
Uhmmm I'm a bit exhausted but she is still in OE under the Part B date, no? Last app in (the PDP) cancels out the MAPD. Also with different A and B eff. dates it would be ICEP not IEP. I think that's right... but if it were me I would call the enrollment dept. of the PDP carrier. I might even call them twice to make sure I get the same answer each time.
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Amazing that there were 70 views of your post and no response.
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Amazing that there were 70 views of your post and no response.
I don't think she would have a Part D election period...just an MAPD election period (for Nov).
Election Period Guide - "Population: Enrolling into Part B after Delaying Enrollment - not applicable for PDP's"
She's not T65...
She didn't get Part B during GEP...
Does she get LIS?
Did she lose Creditable Coverage?
May be able to get an SEP...but I don't think getting Part B on 10/1 allows for a PDP election on 11/1.
I could be way off..... coffee is still kicking in.
I guess the bigger question is, why did her part B start on 10/1/15? Did she leave an employer plan?
In the light of day I am pretty sure that my initial response above is incorrect. Except for the part about calling the PDP carrier's enrollment dept.
Shafran's response is much more accurate re. PDP enrollment period. I still get confused at times on the IEP/ICEP scenarios.
Shafran's response is much more accurate re. PDP enrollment period. I still get confused at times on the IEP/ICEP scenarios.
Depends on why she is starting part B now. If due to loss or leaving other coverage then she has shot her SEP once drug coverage goes into effect in either a pdp or mapd. She can enroll in a pdp and it will automatically override the mapd enrollment for a 11/1.
You're welcome.
You're welcome.
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- 2,177
An initial election is not used up until it takes effect. So if this applicant had a valid election for the MAPD then there is likely still a valid election for a PDP.
- 1,199
This was not an IEP it was an ICEP.ICEP is for MAPD enrollment for a 10/1/15 effective.Unless this person also has a SEP for loss of EGHP she cannot get drug coverage effective until 1/1/16.I wouldn't advise her to drop MAPD because she can then blame you for no drug coverage for 3 months and if she gets stuck paying for expensive drugs because of this mark my word she will blame you..
- 2,177
If you're right--and I was deliberately vague with my "if the MAPD was a valid election" because I believe you are with the incomplete information we have--then the MAPD enrollment was invalid as well, as it was done after 9/30 according to the OP.
- 1,199
Your right an ICEP wasn't available for a 11/1 effective in this case so a SEP must have been used for the 11/1 effective.The SEP also could be used again for the 11/1 PDP application as long as mapd application is withdrawn.
- 2,177
That's right. It's either an SEP, which will allow the agent to write the PDP to replace the MA for 11/1 start, or it is not an SEP, and the MA application, which may be still working through the enrollment process, will also get denied. In that case it's a good thing we are in AEP and it's a short 10 weeks until this this person can get one or the other in place. The OP did not provide enough information to know how this will go.
