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Medicare Advantage Plans
A huge thank you for your hard work this Annual Enrollment Period
Thank you so much for your dedication, hard work and commitment to enrolling your clients with WellSense Medicare Advantage this Annual Enrollment Period (AEP). You helped so many disrupted Medicare members across New Hampshire find coverage in addition to all the new members who needed to enroll. With your help, WellSense enrolled over 8,000 new Medicare Advantage members this AEP. We could not have accomplished this without you. We hope you had a wonderful holiday season and were able to rest after such a busy AEP. We look forward to continuing our partnership with you in 2025 and beyond. As we move into the new year, know that we are always here to help if you need anything at all with your clients as they start to take advantage of their new plan benefits.
Dual/Low Income Subsidy (LIS) Special Enrollment Period change
In the 2025 Final Rule, the Centers for Medicare & Medicaid Services (CMS) made changes to the Dual/LIS special enrollment period (SEP) in 42 CFR 423.38(c)(4). Effective Jan. 1, 2025, CMS replaced the quarterly Dual/LIS SEP with a one-time-per month SEP for dually eligible individuals and others enrolled in the LIS program to elect a standalone prescription drug plan (PDP). The new Dual/LIS SEP does not permit enrollment into a Medicare Advantage (MA) only or Medicare Advantage Prescription Drug (MAPD) plan or changes between MA only or MAPD plans. Eligible individuals can also use the SEP to switch between standalone PDPs monthly. We’ve created some helpful handouts on special enrollment periods located in the plan materials section of Broker360 to help walk through these scenarios.
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