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I enrolled T65 client in a zero dollar MAPD plan for 7/1/13 using the IEP election code.Because of his high income he was assessed a $ 29.90 surcharge for the part D component of his zero dollar premium MAPD plan with UHC and also has to pay $ 272.70 for his part B. Due to the fact he isn't collecting Social Security it can't be deducted automatically. He claims he actually did send the premiums in on time but there was a discrepancy according to CMS and as we know CMS is always right in these type of discrepancies..
Medicare dis enrolled him from the MAPD plan effective 12/31/13 for non payment of his part D premium.We talked with Social Security today and they confirmed that he is paid up on his premiums through 1/1/14 but today the SS office and the carrier said a reinstatement can only be done by CMS and if it is I am pretty sure I will be cut out of the picture but that is beside the point for now.
What I was wondering is if a SEP Trial Period would work here if he wanted to get a Med Supp and a Part D since he enrolled in a MA plan upon T65 less than 12 months ago even though as of 1/1/14 he only has A and B.I know the Med supp is no problem but he is most worried about part D because his rx cost is so high he will be in and out of the gap in 2 months.
Here is what the carriers ( UHC ) election code says about time frame of eligibility for the SEP - TRIAL PERIOD election code:
Begins the month enrolled
into the MA-PD plan for the
first time and extends for 12
months
Ends two months after the
MA-PD disenrollment takes
effect
Looks plausible to me but I am concerned about the issue that he was terminated from plan maters.Of course the carrier won't give you guidance on what code to use and I have never come across this scenario before.
Medicare dis enrolled him from the MAPD plan effective 12/31/13 for non payment of his part D premium.We talked with Social Security today and they confirmed that he is paid up on his premiums through 1/1/14 but today the SS office and the carrier said a reinstatement can only be done by CMS and if it is I am pretty sure I will be cut out of the picture but that is beside the point for now.
What I was wondering is if a SEP Trial Period would work here if he wanted to get a Med Supp and a Part D since he enrolled in a MA plan upon T65 less than 12 months ago even though as of 1/1/14 he only has A and B.I know the Med supp is no problem but he is most worried about part D because his rx cost is so high he will be in and out of the gap in 2 months.
Here is what the carriers ( UHC ) election code says about time frame of eligibility for the SEP - TRIAL PERIOD election code:
Begins the month enrolled
into the MA-PD plan for the
first time and extends for 12
months
Ends two months after the
MA-PD disenrollment takes
effect
Looks plausible to me but I am concerned about the issue that he was terminated from plan maters.Of course the carrier won't give you guidance on what code to use and I have never come across this scenario before.