< Agent Blog
Dec
08
,
2021

Michigan: URGENT Retraction of 12/3/2021 Confirming Eligibility for Molina Plans

December 8, 2021

URGENT: Retraction of 12/3/2021 Confirming Eligibility for Molina Plans

Please note, Molina is providing additional clarification on the 12/3/2021 notice of updated eligibility criteria for their Michigan Medicare Plans. They apologize for any confusion and appreciate your continued support and partnership.

As you know, effective 1/1/22 Molina will have two DSNP's and one non-DSNP plan:

H5926-001 Complete Care (Full DSNP)

  • To be eligible for this plan you must live in the plan service area, be eligible for Medicare and further determined to be in one of the following Medicare Savings Program (MSP) to be eligible: QMB, QMB+, SLMB+ or FBDE. 
  • QMB – these Dual Eligibles have coverage of their Medicare Premiums and protection from Medicare cost-sharing however do not have Full Medicaid benefits. 
  • QMB+, SLMB+ or FBDE - these Dual Eligibles have full Medicaid benefits.

H5926-005 Complete Care Select (Partial DSNP)

  • To be eligible for this plan you must live in the plan service area, be eligible for Medicare and further determined to be one of the following Medicare Savings Program (MSP) to be eligible: SLMB, QI or QDWI.
  • These Dual Eligibles have some level of assistance but DO NOT have Full Medicaid benefits. The MI State system may show Benefit Plan IDs such as: ALMB, QDWI or SLMB.  

If the MI State Benefit Plan ID is:

  • MA-HMP, this means they are enrolled in Medicaid Expansion and should not be enrolled/eligible for Medicare. If the beneficiary is entitled to Medicare, you must determine the MSP Level before proceeding. Molina can help you do this by checking the Medicare systems. Medicare Eligibles with a MI State Benefit Plan ID of MA-HMP should contact the state with their Medicare information immediately. 
  • SPENDDOWN – You can enroll this member based on best available evidence that the member has some level of MSP, however Molina must determine the MSP Level before spenddown is reached with their processing of the application. 

H5926-006 Molina Medicare Choice Care (Non-DSNP)

To be eligible for this plan you must have Medicare Parts A & B and live in the plan service area.


View Details >View Details >

Questions? Call us at 855-888-8326.

Don't have a MedicareValue page yet?

Get Your FREE Site >

Posts you may be interested in...

Read More

Use GTL's Text-to-Sign Feature for Even Faster Submissions!

November 21, 2022
Agent Blog Icon - Indicates this is a blog article.

Save time and bypass the Voice Verification Call! Text-to-Sign is available on the Agent Portal only

Read More

Compare The Benefits Today! See How The Difference is Clear with Clear Spring!

November 16, 2022
Agent Blog Icon - Indicates this is a blog article.

Help your clients meet life where it is at, secure and confident with Clear Spring Health!

Read More

See how Aetna is making it easier for members to stay informed

November 15, 2022
Agent Blog Icon - Indicates this is a blog article.

An enhanced member experience is coming in 2023

Read More

Excellus BCBS Medicare Broker News - Vol. 4 No. 10

November 15, 2022
Agent Blog Icon - Indicates this is a blog article.

Final Reminders For AEP | Medicare Supplement Update

Read More

Important updates to Humana’s Rx Calculator and Humana.com

November 15, 2022
Agent Blog Icon - Indicates this is a blog article.

It was recently discovered that Humana’s Rx Calculator and Humana.com were incorrectly quoting the $0 Rx Copay Benefit Model incorrectly for DSNP plans.

Read More

Wellcare Increased Payments and Network Additions!

November 15, 2022
Agent Blog Icon - Indicates this is a blog article.

Your Wellcare NY Sales team wanted to remind you of an increase to the payment amounts for our Health Risk Assessment's (HRA's) and inform you of two important NY network additions.

Who we are & what we do.

Choosing an FMO to work with is not just about having access to top insurance products and commissions, it’s about finding a one-on-one agent service that is prepared to meet your needs.  

Get to know us, and see how we can help you take your business to the next level.

Learn More

Helpful Links

New Here?

We love meeting new people! Fill out the form below, and one of our sales directors will get in touch with you shortly.

Thank you! Your form has been received!
Oops! Something went wrong while submitting the form