Deceptive practice. I received a Client email an hour ago stating "My wife got a call from a #Wellcare salesman in October trying to sell her on Medicare Advantage. She said NO, but somehow Wellcare decided it was better for her Part D (drug coverage) to be changed to their Medicare Advantage plan. So they changed it WITHOUT her knowledge or approval."
WC sent her a letter dated 12/8/2023 "confirming" her disenrollment from the WC Value Script and enrolling her in a WC HMO. Same letter stated that her WC VS plan would not cover her drugs beginning 1/1/2024. This statement does not account for a new prescription her doc wanted to see if it worked before possibly writing a prescription for a different medication.
The MBO has been advised of the situation. Waiting on a response.
If they can't/won't reinstate the old plan (which she no longer wants because of this incident) and backdate coverage to 1/1/2024, we will use the OE to put her in a different PDP. I also told her to pay the January Medigap premium and, if possible, postpone any provider appointments scheduled in January.
This really steams me.
WC sent her a letter dated 12/8/2023 "confirming" her disenrollment from the WC Value Script and enrolling her in a WC HMO. Same letter stated that her WC VS plan would not cover her drugs beginning 1/1/2024. This statement does not account for a new prescription her doc wanted to see if it worked before possibly writing a prescription for a different medication.
The MBO has been advised of the situation. Waiting on a response.
If they can't/won't reinstate the old plan (which she no longer wants because of this incident) and backdate coverage to 1/1/2024, we will use the OE to put her in a different PDP. I also told her to pay the January Medigap premium and, if possible, postpone any provider appointments scheduled in January.
This really steams me.