Retroactive Part B

[Cdevin]

In the past when I had people in their IEP who didn't want coverage to start till the next month (let's say T65 December ) has employer plan through end of year, we would tell them to apply in early December to avoid an extra month of B. This month I have started seeing people get their B backdated to 12/1 even when they applied in December. So we looked into it, and apparently now SSA bases it off of when you start the application, not when you submit it. That is what ssa told a client, they said since she started it in November, but submitted it 12/8, it would be retroactive to 12/1 even for Part B. Ok, that was news to me. So then I had another lady who started and submitted her application on 12/1. Hers was also backdated to 12/1. Any clue why this is? If she had started the application on 12/2 would this have also happened?

 

[LostDollar]

Caveat, not an agent.

I stumbled on this by accident just after I saw your thread.

Scan the first part of the thread quickly and then note post 9. Is that a possible explanation for your specific enrollees' situations?

Anyone still use Medicare App?

I ran into an issue today and need help.

www.insurance-forums.com

If it's worth arguing about with social security, one might try to hunt up a social security POMS manual page showing the priorities of enrollment periods. If it shows IEP taking precedence over the others, one could then go back to social security using the appeal procedures if client is still in appeal timeframe from date of SS notification letter.

 

[LostDollar]

https://www.cms.gov/files/document/2014-understanding-order-medicare-part-and-part-b-enrollment-periodspdf

There is a document you can use to start a search.

but again, there is the question of whether it is worth the time and effort to do appeal and phone calls to attempt to get an established Part B start date changed.

If you are doing it, you are going to spend more than the value of the client's extra premium in terms of time for you and your staff.