- 558
Some days I wonder why I do this. . .
Got a call from a client who said his Part D plan was termed last August. We called Humana to figure out why. Turns out he was trying to fill an Rx near his 2nd home in Lake Tahoe, on the CA side. They immediately flagged it and termed him for being outside of the service area. He has been on the same plan for 3 years and has been back and forth the whole time. Why they decided to term him now, I have no idea.
I thought that they could not term a plan unless it was a permanent move? His main address has not changed. He does get his mail forwarded by the post office as he travels from house to house.
What am I missing? Do I have a case to get an SEP? Humana says this happens all the time. I was informed that each time a client goes on vacation/leaves the service area, they need to inform the plan. For Part D?!?!? I think it's BS- in 10 years, this is the first time I've seen this. What can we do? Thoughts?
Got a call from a client who said his Part D plan was termed last August. We called Humana to figure out why. Turns out he was trying to fill an Rx near his 2nd home in Lake Tahoe, on the CA side. They immediately flagged it and termed him for being outside of the service area. He has been on the same plan for 3 years and has been back and forth the whole time. Why they decided to term him now, I have no idea.
I thought that they could not term a plan unless it was a permanent move? His main address has not changed. He does get his mail forwarded by the post office as he travels from house to house.
What am I missing? Do I have a case to get an SEP? Humana says this happens all the time. I was informed that each time a client goes on vacation/leaves the service area, they need to inform the plan. For Part D?!?!? I think it's BS- in 10 years, this is the first time I've seen this. What can we do? Thoughts?