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I don't doubt that it didn't work that way for you. But it can work that way. It has worked that way. For me. Though I did come up empty-handed on commission as a result on one enrollment due to misunderstanding of this.Nope. Doesn't work that way. First, I read every manual under the sun. Made no fewer than 3 calls to Medicare. But the crowning jewel, and the controlling feature, was Humana's Job Aid. It is patterned after CMS rules of course, and it is identical to every other carrier's. If your client enrolls in Part B under General Enrollment Period and has "free" Part A, then he/she is NOT entitled to enroll in a PDP plan for July 1. Why? I don't know. In fact, nobody does that I could find. But that's the rule. I did find a few discrepancies also, similar to what you mention, but when those carriers put out those Job Aids, you are fighting a battle you will not win. Remember - this was an actual case, not a hypothetical one. I started out doing all of the research like it didn't matter so much but in the end I was not about to submit an application that would get kicked back. Simply stated, there is no SEP for the PDP in that situation and it does not qualify for initial enrollment status either. Sad, but true![]()
I submitted the PDP to WellCare. They rejected it. I called them and explained the delayed part B and the general enrollment. I was told both by the first customer rep and her supervisor that there was no such thing as a GEP. So on a conference call with Medicare and the client we enrolled her over the phone successfully using a delayed part B ICEP. It is not considered an SEP.
I should add that I did do more than one this GEP. And one was through Humana. I submitted a paper application as an ICEP and it went through.
See bottom of page 3: http://www.medicare.gov/Pubs/pdf/11219.pdf. This is more explicitly clear that this ICEP is a variation of the IEP referenced in the earlier link.
Can't make it any clearer.
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