So the LEP is $2.90/month? How was he paying Wellcare -- SSA deductions? He might not have even noticed. Was there a gap between Wellcare and United? He can try to provide creditable coverage information to Wellcare, but more than likely he'll have to appeal to the CMS contractor.
So the LEP is $2.90/month? How was he paying Wellcare -- SSA deductions? He might not have even noticed. Was there a gap between Wellcare and United? He can try to provide creditable coverage information to Wellcare, but more than likely he'll have to appeal to the CMS contractor.
- 599
They should have sent a letter explaining where the penalty came from. He may have to submit proof that he had coverage during the 9 or so months that they don't have evidence of. As for why Wellcare wasn't charging it - either the client appealed successfully before or CMS didn't catch it before.
- 1,745
Call Medicare directly?
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JaBrooklyn
Expert
- 83
The client has been calling me every day and I am about to cut him off...he enrolled in a part d plan late, nothing myself or united can do.
It's probably pretty easy and was already answered.
When he had Wellcare the agent checked the box that said, "deduct any premiums out of SS check" It sounds like you either checked the coupon booklet box or checked nothing at all. Which would make it automatically send out a coupon booklet.
He can't change that until next year btw
If he's not getting a coupon booklet now and he's just saying that now because he saw the letter, let him know he was always paying that penalty.
He can call Medicare to confirm.
