As we approach the halfway mark this AEP, the Excellus BCBS team wanted to provide some helpful reminders and tips to keep in mind:
As the pharmacy team continues to receive inquiries on the Medicare Prescription Payment Plan, Excellus BCBS wanted to make sure you have the resources you need to help members navigate this important program. Below you will find a PDF with answers to your frequently asked questions, the participation request form, and the CMS fact sheet on the Medicare Prescription Payment Plan. You can find these resources, as well as the Part D resources we shared in October by logging into the Medicare Sales Hub.
Thank you for your collaboration and patience as we learn more about the implementation and impact of this program. The Excellus BCBS team is working hard to make sure they provide you with the best information available.
Need materials to help explain our new fitness benefit? FitOn member and broker flyers are available for print ordering. Please email your Broker Account Service Consultant to place an order. You can download the flyers using the links below.
Excellus BCBS wanted to make broker partners aware of updates to the Notice of Nondiscrimination Addendum per the 2024 Section 1557 Final Rule. Starting November 1, 2024, members will only be required to receive the Notice of Nondiscrimination Policy and Notice of Availability once per calendar year. To meet this requirement, Excellus BCBS will be mailing out these notices to all members in November.
You will notice this language start to disappear from many of the materials moving forward. There is no action required on your part and you can continue using current materials. If you have any questions, please reach out to your Broker Account Service Consultant.
There will be significant changes to the quarterly SEP for Dual-eligible or LIS-eligible individuals in 2025. Currently, individuals with LIS can switch into a different MA plan once per quarter (during the first 9 months of the year). Starting January 1, 2025, the SEP no longer applies to MA plans and is now a Part D SEP. Beneficiaries with LIS will only have the option to enroll in any standalone prescription drug plan using the SEP.
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