< Agent Blog

Wellcare: Medicare Members to Be Impacted by Medicaid Redetermination

February 13, 2023

Important Update: Medicare Members to Be Impacted by Medicaid Redetermination

Starting in April, states will have the ability to resume the Medicaid Redetermination process after three years of being paused due to the COVID pandemic. States can begin to initiate the redetermination process as early as February 1, 2023, and disenrollments can be effective as early as April 1 if adequate notice is given to the enrollee. Each state will set the date for when redetermination will start. 

Approximately15 million individuals will be at risk of losing Medicaid coverage. Anyone who is no longer eligible for Medicaid will be disenrolled. Wellcare members set to be disenrolled from their Medicaid plans will need your help to obtain new coverage and maintain continuity of coverage.

Be On the Lookout

Detailed communications will follow soon with state-specific information. Be sure to read these communications thoroughly and familiarize yourself with the processes and effected dates.

Be Prepared

  • Refer to state-specific resources for dates and deadlines for Medicaid Redetermination.
  • Assist members with upcoming redetermination changes.
  • Remind current members: confirm contact information is up to date, watch for mail for their state requesting additional documentation, respond to any request from the state promptly and within deadlines.
  • Expect calls from notified members who are no longer eligible for Medicaid and need alternative coverage options.
  • Remember that prospective members will be subject to eligibility determination

Let’s ensure members don’t experience a gap in coverage

  • Wellcare D-SNP beneficiaries who no longer qualify for Medicaid will be disenrolled after the deeming period and will need other coverage options. Wellcare implements a six-month deeming period for D-SNP (Tennessee is the     exception at three months).
  • For individuals no longer eligible, brokers should discuss non-dual Medicare plan options. For those eligible for Medicare, they will have a 60-day window during which they can transition to Medicare without any late     enrollment penalties.
  • Secondarily, members losing Medicaid eligibility may explore Ambetter Health Marketplace plan options. The window to enroll in a marketplace plan will start 60 days before their Medicaid coverage ends and will continue for 60     days after it ends.
  • Current members under Wellcare D-SNP will be supported by the Wellcare partner, Centauri, to help members reapply for Medicaid and the Medicare Savings Program. 

Stay Tuned

Additional information will be provided at the state level as each state confirms their Medicaid Redetermination process initiation date. A follow-up communication will be sent at that time which will provide additional resources to help you in assisting your clients.

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

Highmark: PREPARE NOW for Updates Coming April 1 to New York Broker of Record Process and Health Risk Assessments

March 27, 2023
Agent Blog Icon - Indicates this is a blog article.

There are two important updates coming to New York producers at the beginning of April: a transition to a new online Health Risk Assessment, and a change to New York's Broker of Record process.

Read More

Gerber: Important Changes to Commission Override State Requirements Coming Soon

March 27, 2023
Agent Blog Icon - Indicates this is a blog article.

In accordance with compliance requirements, Gerber Life will require any upline that has Agents selling Gerber Life products in an override state to be licensed and appointed in that state in order to receive override commissions.

Read More

Clover: Understanding CAHPS (Consumer Assessment of Healthcare Providers and Systems)

March 22, 2023
Agent Blog Icon - Indicates this is a blog article.

One of the most valuable ratings Clover can get is out of the CAHPS (Consumer Assessment of Healthcare Providers and Systems) survey sent by CMS each year.

Read More

Cigna: Check in with your customers

March 21, 2023
Agent Blog Icon - Indicates this is a blog article.

Tips for your 60-day check-in with your new customers.

Read More

Don't have time to call? Use GTL's Text-to-Chat feature

March 21, 2023
Agent Blog Icon - Indicates this is a blog article.

Do you have questions or requests for GTL's Sales Support team and don't have time to call?

Read More

SureBridge Brand change coming soon

March 21, 2023
Agent Blog Icon - Indicates this is a blog article.

Acquired in 2019 by the UnitedHealthcare company, The Chesapeake Life Insurance Company is now officially welcomed into the UnitedHealthcare brand family

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