SEP Disaster

[Medicare bro]

I had a client ask for the Disaster SEP to get on Wellcare PDP for a March 1st effective date. It was approved by CMS, well come to find out she doesn't want this and wants to remain on her Cigna PDP. What can be done? Can I use the Disaster SEP for March 1st?

 

[Special Agent]

I had a client ask for the Disaster SEP to get on Wellcare PDP for a March 1st effective date. It was approved by CMS, well come to find out she doesn't want this and wants to remain on her Cigna PDP. What can be done? Can I use the Disaster SEP for March 1st?

yes because the SEP has not been used up yet and even if it was i don't think it matters if you use it again and i also don't even think it matters if the person lives in the affected area if they claim the person that helps them decides lives in an affected area.Has anybody anybody had a fema sep denied?

 

[TwoCents]

If the client only wants to stay on her current plan, she needs to call Wellcare by 2/28 to cancel the coverage. This will reinstate the old plan; no need for a new app.

And really, how valid was that disaster SEP? *eyeroll*

 

[somarco]

@Medicare bro is your client aware that the Cigna Medicare block is to be swallowed by HCSC in the 2nd quarter?

 

[Medicare bro]

@Medicare bro is your client aware that the Cigna Medicare block is to be swallowed by HCSC in the 2nd quarter?

What?

 

[Medicare bro]

If the client only wants to stay on her current plan, she needs to call Wellcare by 2/28 to cancel the coverage. This will reinstate the old plan; no need for a new app.

And really, how valid was that disaster SEP? *eyeroll*

So valid!

 

[somarco]

What?

Rephrased . . . are you and your client aware that HCSC will be buying the entire Cigna Medicare block?

 

[Medicare bro]

Rephrased . . . are you and your client aware that HCSC will be buying the entire Cigna Medicare block?

Will that also affect the supplement side as well? And if yes would I need to get recontracted with HCSC?

 

[somarco]

Cigna details attached.

This happened a few years ago with (I think) SilverScript and Aetna. Mid-year change. Even though clients were notified by the carrier and me, I still got angry calls from clients wanting to know why I changed their drug plan.

Admin changes (which is often a disaster) but no change in the carrier name. I don't recall if the formulary and/or the network changed, but I do recall it was a mess and something I don't care to repeat.


Yes, Cigna is selling its Medicare business to Health Care Service Corporation (HCSC) for $3.7 billion. The sale is expected to close in early 2025.

What's included in the sale? Cigna's Medicare Advantage, Cigna Supplemental Benefits, Medicare Part D, and CareAllies businesses.

What does this mean for customers?

• There are no changes to coverage, benefits, or costs until the transaction is complete.
  
  
• Cigna will continue to serve customers and handle claims.
  
  
• HCSC will provide a wider range of product offerings and robust clinical programs.

You can probably count on kissing your Cigna business goodbye.

 

[Medicare bro]

Cigna details attached.

This happened a few years ago with (I think) SilverScript and Aetna. Mid-year change. Even though clients were notified by the carrier and me, I still got angry calls from clients wanting to know why I changed their drug plan.

Admin changes (which is often a disaster) but no change in the carrier name. I don't recall if the formulary and/or the network changed, but I do recall it was a mess and something I don't care to repeat.


Yes, Cigna is selling its Medicare business to Health Care Service Corporation (HCSC) for $3.7 billion. The sale is expected to close in early 2025.

What's included in the sale? Cigna's Medicare Advantage, Cigna Supplemental Benefits, Medicare Part D, and CareAllies businesses.

What does this mean for customers?

• There are no changes to coverage, benefits, or costs until the transaction is complete.
  
  
• Cigna will continue to serve customers and handle claims.
  
  
• HCSC will provide a wider range of product offerings and robust clinical programs.

You can probably count on kissing your Cigna business goodbye.

Kissing it goodbye? Why?