Post AEP – Special Enrollment Periods

Initial Enrollment Periods & Other New-To-Medicare Situations

  • I’m new to Medicare.
  • I already have Hospital (Part A) and recently signed-up for Medical (Part B). I want to join a Medicare Advantage Plan.
  • I’m new to Medicare, and I was notified about getting Medicare after my Part A and/or Part B coverage started.
  • I had Medicare prior to now, but I’m now turning 65.

Special Enrollment Period

  • I’m in a Medicare Advantage Plan and have had Medicare for less than 3 months. I want to make a change.
  • I moved to a new address that’s outside my current plan’s service area, or I recently moved and this plan is a new option for me.
  • I moved back to the U.S. after living outside the country.
  • I was released from jail.
  • I recently got lawfully presence status in the U.S.
  • I live in a long-term care facility, like a nursing home or rehabilitation hospital.
  • I recently moved out of a long-term care facility, like a nursing home or rehabilitation hospital.

You Lose Or Have A Change In Your Current Coverage

  • I left coverage from my employer or union (including COBRA coverage).
  • I lost other, non-Medicare drug coverage that’s as good as Medicare drug coverage (credible coverage), or my other, non-Medicare coverage changed and is no longer considered credible.
  • I lost my coverage because Medicare ended its contract with my plan. I got a letter from Medicare saying I could join another plan.
  • I dropped my coverage in a PACE (Programs of All-Inclusive Care for the Elderly) plan.
  • I lost my Special Needs Plan because I no longer have a condition required for that plan.
  • I lost my coverage because my plan no longer covers the area that I live or it ended its contract with Medicare.
  • I recently had a change in my Medicaid (newly got Medicaid, had a change in my level of Medicaid, or lost Medicaid).
  • I recently had a change in my Extra Help paying for my drug costs (newly got Extra Help, had a change in my level of Extra Help, or lost Extra Help).
  • I was enrolled in a plan by Medicare (or my state) and I want to choose a different plan.
  • I’m in a State Pharmaceutical Assistance Program, or I’m losing help from a State Pharmaceutical Assistance Program.

Other Special Situations

  • I dropped a Medicare Supplement Insurance (Medigap) policy when I first joined a Medicare Advantage Plan. It’s been less than 12 months since I left my Medigap policy. I want to switch to Original Medicare so I can go back to my Medigap policy, and I’m joining a Drug Plan (Part D)
  • I was affected by an emergency or a major disaster (as declared by the Federal Emergency Management Agency, or by Federal, my state, or my local government). One of the other statements on this page applied to me, but I was unable to make my request because of the disaster.
  • I’m in a plan that was recently taken over by the state because of financial issues. I want to switch to another plan.
  • I’m in a plan that’s had a star rating of less than 3 stars for the last 3 years. I want to join a plan with a star rating of 3 stars or higher.
  • I am enrolling in a 5-star Medicare plan.
  • I requested Medicare information in an accessible format. I got less time to make my decision, or I didn’t get it in time to make a choice before my enrollment period ended.
  • I lost my Medicare Advantage Plan with drug coverage because I lost Medical (Part B) coverage. I want to join a Medicare drug plan.
  • I dropped my Cost Plan with drug coverage and switched to Original Medicare. I want to join a Medicare drug plan.
  • I live in or (within the past 2 months) moved out of a long-term care facility, like a nursing home or rehabilitation hospital. I want to join a Medicare drug plan.
  • Other.

AultCare’s Medicare Supplement Guaranteed Issue Extended thru 6/30/23

AultCare Choices extends Guaranteed Issue Medicare Supplement until end of June 2023 with an effective date no later than July 1, 2023.

Med Supp Guaranteed Issue Advantage
Through July 1, 2023 effective dates, AultCare offers clients to move from Plan F to Plan G from any carrier or within the PrimeTime network and anyone coming from an existing/active Plan C supplement plan will receive the Guaranteed Issue to downgrade to Plan G, M or N.

PLUS! Enrollment app enhancements….
A new PrimeTime Choices Enrollment Application is available with upgraded features that mirror the current Medicare Advantage submission process. The enhancements include:
• Single submission for both member and broker information, eliminating the need for brokers to submit a separate form.
• Attachments can be included with your submission
• A progress gauge
• Ability to print the completed application before submission
• A confirmation message when the submission process is complete

 

Get started today! AultCare PrimeTime Choices

For 35 years, AultCare has provided quality healthcare at an affordable cost to the Ohio communities it serves, state-wide for the PrimeTime Choices Medicare Supplement Plan.

Cornerstone Senior Marketing offers our broker partners the exclusive opportunity to contract with AultCare and offer their plans as a significant part of a well-rounded product portfolio.

REQUEST AULTCARE CONTRACTING

 

REQUEST AULTCARE RATE & PLAN INFO

 

Questions?  Contact your Sales or Service Rep to discuss the benefits of adding AultCare to your product portfolio.  614-763-2255

Devoted Health: 3 Tips To Help You Sell In The Final Week of AEP

This AEP has been Devoted Health’s biggest one yet. Thanks to the hard work of you and more than 4,600 brokers, Devoted has received more applications than ever before.
And they are still expecting a final bump in sign-ups. Last year, 26% of applications came in the last week of AEP. Here are 3 talking points you can share with those last-minute prospects to get them signed up before December 7.

• Devoted benefits are really rich. Members could save thousands each year, thanks to extras like their dental benefit and over-the-counter allowance.

• Devoted’s member Guides make our plans easy to use. Members can call or text a Guide whenever they need help. Guides respond fast. And they can help with everything from understanding benefits to troubleshooting bills, finding doctors, and more.

• All plan benefits start right on January 1. Members don’t need to wait to use any of Devoted’s benefits. Starting in the new year, they can order a free medical alert device, use their dental benefits, buy glasses, and shop for over-the-counter items, among many other benefits.

 

Questions? Contact your CSM Rep for more information on Devoted Health!

AEP 2023 Reminder: Last Day for 2023 AEP Enrollments

AEP Ends Wednesday, December 7, 2022

 

Important information about the last days of AEP and submitting enrollment applications

The following tips will help ensure your hard work this AEP pays off and your applications are processed correctly, including those submitted on Wednesday, December 7, 2022.

  • AEP application submission deadline: ALL applications must be submitted no later than 11:59 pm on December 7, 2022.
  • Date the application.  It is important to include a date on every enrollment application.  Applications without a date, received after December 7, 2022, are assigned the date the application was received by the carrier, which can invalidate apps received after AEP ends.  Apps that you received on December 7, 2022, must be submitted to the carrier, dated December 7, 2022.
  • Faxing Applications:  If faxing the application, remember to keep a copy of your successful fax transmittal as confirmation of submission.
App Submission Guide
2023 AEP Tips & Guidance