Replacing Medicare Advantage with Medicare Supplement

[Superchief]

I've been out of the game for a bit, but am getting going again. Generallly I've always recommended Med Supp over MA, and plan to continue doing so.

Anything vitally NEW in the world of replacing MA's with Med Supp? Specifically in regards to situations not falling under Guarantee Issue.

If I understand right, a person covered currently under an MA can disenroll anytime up to March 31st and go through underwriting for a Med Supp. Is this correct?

I also see that a copy of the disenrollment letter or intent to disenroll is needed for proof when it comes to underwriting the med supp application.

Anything else that I am missing here? What is procedurally necessary?

Thanks!

 

[patch36]

If they are on a MAPD they have to switch to a stand alone PDP. They are not going through underwriting, at least with the company I am using if they have left a Med Sup in the last 12 months.

 

[Superchief]

I understand the Guarantee Issue situations. I was curious about folks who don't qualify for GI (eg. choosing to disenroll after being on an MA for over a year).

But your mention of MAPD is interesting. If the client is on an MAPD, then they MUST also enroll in a PDP in order to switch to a med supp?

How does this work?

1.) I write up med supp application.
2.) I obtain a letter of disenrollment from MAPD
3.) I write up a PDP enrollment
4.) I provide proof of all to underwriting of med supp company

Does that look right?

 

[fostever]

I understand the Guarantee Issue situations. I was curious about folks who don't qualify for GI (eg. choosing to disenroll after being on an MA for over a year).

But your mention of MAPD is interesting. If the client is on an MAPD, then they MUST also enroll in a PDP in order to switch to a med supp?

How does this work?

1.) I write up med supp application.
2.) I obtain a letter of disenrollment from MAPD
3.) I write up a PDP enrollment
4.) I provide proof of all to underwriting of med supp company

Does that look right?

correct. Isn't that a fun process!

 

[Superchief]

correct. Isn't that a fun process!

Yeah, but I don't mind being a paper pusher. It pays pretty good.

Thanks for the info guys.

 

[patch36]

I have done quite a few of these lately. The Med Sup company never asks about the PDP, I just do it. They don't care nor do they have any responsibility regarding the PDP. I do not know what would happen if I did not see to it that the client signs up for a stand alone PDP, but the the Med Sup company isn't asking or tracking. I assume medicare would notify the client if they dropped their MAPD and did not replace the PDP part.

With the changes in MA funding that we should see this coming year, I plan on writing as many Med Sups next AEP as possible, switching MA's back to Med Sups.

 

[Todd King]

Patch,
Which supp is good in MO?