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It addresses eligibility requirements for enrollment and disenrollment, the election process, election periods, and effective dates of coverage for both Medicare Advantage (MA) organizations, other Medicare health plans, and Part D plan sponsors.
Chapter 2 - Medicare Advantage Enrollment and Disenrollment . Updated: August 19, 2011 (Revised: November 16, 2011, August 7, 2012, August 30, 2013, August 14, 2014, July 6, 2015, September 1, 2015, September 14, 2015, December 30, 2015, May 27, 2016, August 25, 2016, June 15, 2017 & July 31, 2018)
For Chapter 2, a reference to an “MA plan” includes MA local plans, MA Regional Preferred Provider Organization (PPO) plans and MA-PD plans, unless otherwise specified.
CMS released the “Release of Parts C & D Enrollment and Eligibility Guidance” memorandum via our Health Plan Management System (HPMS) to provide guidance and the new MA model enrollment request form updates.
Persons may enroll for premium hospital insurance by filing a request during the IEP which begins the third month before the month of first eligibility and lasts for 7 months. The individual's IEP for premium hospital insurance is in most cases the same 7-month period as the IEP for SMI.
How Do I Apply for Medicare in Missouri? You can enroll online with the Social Security Administration. You can enroll via phone by calling 1-800-772-1213 (TTY: 1-800-325-0778). You can enroll by visiting a local Social Security office.
Added new section outlining parameters of the simplified enrollment mechanism for those converting from an organization’s non-Medicare coverage to an MA plan without a break. Revised section to outline changes in when the forms of evidence of Medicare are required 2.
