Would You Write Today's Options MAPD on your 92 Yr Old Grandmother?

[retread]

Samantha129... you may be interested to know that MO is also a GI state, with re-writes available +/- 30 days of the policy anniversary. (A little different than CA) These are the only two states that offer GI for Med Sups that I am aware of, but MO is closer to you should you want to get licensed there.

inuranceGuy... The way I think of the OEP rule is, "You can't pick up or drop a PDP plan". This is shorter than the list you made. Think about it: To go from a PDP to PDP, you must "pick up" a new PDP (not allowed) and "drop" the old one (also not allowed). Follow it through, and you will see it works for each scenario, but more succinctly.

 

[insureitnow]

Your suggest would be great if it was still March. She did not qualify for a SEP.

Rick

I understand a lot of this is state specific. Grandma lives in In.
She had a very old association group plan that was covering her drugs and had become monstrously expensive. The fact that she was getting drug coverage through that old plan led me to believe she had Part D. I didn’t find out that she had to make a move until after 12/31 deadline for Part D enrollment. In the end it really made no difference as she could not go back to her old Supp at over $700.00 per month. She would have had to drop the coverage due to expense. With that said, it was late March when I heard about the problem and I could have put her in a MA instead of the MAPD and TO would have accepted it. I talked to a VP at TO and asked her to at least enroll her in the MA. It really seems ridiculous to me that they could not….just cross out the PD on the app! She said “sorry” as it was past the 3/31/08 deadline.
So now the plan was to find her GI coverage.
We thought United World would take her as if they were her old Supplement, they said they would, but they didn’t understand at the time she never actually was enrolled in a MA or MAPD plan. (TO’s effective dates 4/1/08 to 4/1/08). So UW said: “no go.”
Greensky and SAI put me onto AARP med supp. but that too was going to be too expensive at about $280 a month. So Grandma has Part A and B now and my Uncle and I decided that will just have to be the way it is until later this year OEP. By then I should have this nonsense figured out.

 

[GreenSky]

All this is just another example of the "anti-senior" rules of CMS.

Rick

 

[insureitnow]

Does anyone have a name and phone number of someone at Todays Options that can give me a straight answer. Maybe even get something done.........VP or President Anyone! I will take an email address if you have it. If you don't want to post it, PM it to me. I will be forever indebted!!

 

[jdeasy]

Does anyone have a name and phone number of someone at Todays Options that can give me a straight answer. Maybe even get something done.........VP or President Anyone! I will take an email address if you have it. If you don't want to post it, PM it to me. I will be forever indebted!!

This is an old thread brought back up by the originator. Did you not get this taken care of during the AEP?

Anyway, if she had an old supplement that did pay for prescription drugs, she very well could have creditable coverage and allowed to get into an MAPD during AEP. That's something you would have to take up with Medicare and get a part D specialist involved.

Still, taking care of this during AEP would have eliminated the need to have to get an SEP issued for her. If there is one.

The odds are slim now. I can't imagine why this would have been put on the back burner.

 

[insureitnow]

Jeeez, Maybe I should have started a new thread but I used this one. Does it really matter?

Its done, MAPD is in force, effective 1/1/2009. That I know. Trying to get ID cards and for TO to update their pharmacy department with her info is another matter. I have made too many phone calls to a csr that could care less whether I am helped or not. Rather then bitch about it on here I was hoping someone could give me a name and number that can professionaly handle business at TO

Doug

 

[jdeasy]

Jeeez, Maybe I should have started a new thread but I used this one. Does it really matter?

Its done, MAPD is in force, effective 1/1/2009. That I know. Trying to get ID cards and for TO to update their pharmacy department with her info is another matter. I have made too many phone calls to a csr that could care less whether I am helped or not. Rather then bitch about it on here I was hoping someone could give me a name and number that can professionaly handle business at TO

Doug

Sorry, but by bringing this back up it gave the implication that you were still working on this problem.

As far as customer service with Pyramid, good luck, They are far and away the absolute worst in problem resolution. It doesn't matter who you speak with at the company, it will be dragged on and on. The only thing I've ever seen get their atention is a complaint to Medicare.

 

[GreenSky]

Anyway, if she had an old supplement that did pay for prescription drugs, she very well could have creditable coverage

While this has little to do with the issue that Today's Options has zero customer/agent service, the statement above is incorrect.

No Med Supp plans that covered medication qualify as creditable coverage. The all had annual limits which made them not in compliance with Part D.

Getting back to Today's Options, you could try [email protected], Anthony Girgenti at (602) 548-8608. He was the supervisor several states and very helpful to me in the past. If the issue is not with one of his states, I'm sure he can suggest the proper person.

Rick

This post was checked by Chumps for proper spelling but not for proper grammar.

 

[jdeasy]

While this has little to do with the issue that Today's Options has zero customer/agent service, the statement above is incorrect.

No Med Supp plans that covered medication qualify as creditable coverage. The all had annual limits which made them not in compliance with Part D.

Getting back to Today's Options, you could try [email protected], Anthony Girgenti at (602) 548-8608. He was the supervisor several states and very helpful to me in the past. If the issue is not with one of his states, I'm sure he can suggest the proper person.

Rick

This post was checked by Chumps for proper spelling but not for proper grammar.

You are probably correct, but, I did have a situation once where a person was granted an SEP by Medicare to enroll into a PDP plan. They had an old supplement with prescription coverage. There may have been other extenuating circumstances as well, but, after a couple of days on the phone with Medicare, the person was allowed to enroll. It's been a couple of years now and I don't remember all the deatils.

 

[Russ]

Jeeez, Maybe I should have started a new thread but I used this one. Does it really matter?

Its done, MAPD is in force, effective 1/1/2009. That I know. Trying to get ID cards and for TO to update their pharmacy department with her info is another matter. I have made too many phone calls to a csr that could care less whether I am helped or not. Rather then bitch about it on here I was hoping someone could give me a name and number that can professionaly handle business at TO

Doug

Good luck dealing with Today's Options...they are a bitch to deal with and that's putting it mildly.

And she's your grandmother