Special Enrollment Period: New York Emergency Declaration - Rikers Island Staff Shortage
Please be advised that a state of emergency was declared, impacting individuals in certain New York counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to the following counties in New York.
Important Compliance Information
Who is eligible:
This SEP opportunity is ONLY available to beneficiaries who:
Details:
Impacted Counties: Bronx, Kings, County of New York, Richmond, Queens
Incident Period: The incident period is September 28, 2022 - March 1, 2023. The declaration was announced on January 30, 2023.
Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD or PDP plans until May 31, 2023.
*Note: Eligible enrollments will be effective the first of the month after the application has been processed.
Reminders:
Agents can accept/submit a Medicare Advantage or Prescription Drug Plan application by the beneficiary’s request through the following steps:
Don't have a MedCareValue page yet?
Get Your FREE Site >The upgraded Short-Term Home Health Care product is now available in Oregon on GTL's Agent Portal and available soon on the e-App!
Please ensure you are using the correct application. Remember, the correct application is always available in LEAN™.
The current option for using voice authorization when submitting an application will no longer be available starting April 1, 2024.
This edition highlights how our focus on quality shows up for you and your members.
Medicare Advantage members in Connecticut, New Hampshire, New Jersey, and New York, now have more choices for using their Groceries benefit.
To support quality improvement, retention, and effectuation initiatives, Wellcare will change its payment of all D-SNP and C-SNP Health Risk Assessments (HRAs) to effectuation versus submission effective April 1, 2024.
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.