COVID-19 & Return to Work
Plan sponsors should take note that the COVID-19 pandemic has created an interesting situation in regards to member’s eligibility if they choose to return to work for financial or health benefit related purposes. If a member returns to work, it is the Plan Sponsor’s duty to provide the updated eligibility to CMS/RDS in a timely manner. Retirees may be eligible for subsidy, but then return to active status and lose that eligibility, multiple times per year and, as such, CMS/RDS allows Plan Sponsors to update eligibility as often as needed.

The sooner this is done the better so that the Plan does not accidentally over collect subsidy for members that have returned to active working status.  PDA’s RDS Services includes our proprietary software that is built to track the numerous fluctuations that occur in a return to work situation and can send the appropriate updates as many times as necessary.

If you or your clients have questions about return to work and how it may impact your RDS subsidy collection, please don’t hesitate to contact your PDA Account Manager or the PDA general line at (734) 459-8940 .
Special Medicare Enrollment Period Granted Due to COVID-19
As stated by the CMS, the SEP is available from the start of the incident period--which is defined as the effective date of the President's initial emergency declaration on March 1 and for four full calendar months after (through the end of June).
According to Ensurem, here are some key points regarding this policy:

  •  This SEP is available nationwide to residents of all states, tribes, territories, and the District of Columbia effective March 1, 2020.*
  •  This declaration does not mean that all Medicare beneficiaries get an SEP. To be eligible, beneficiaries must meet certain criteria. All other rules apply.
  •  For those who qualify, the SEP opportunity will run through June 30, 2020.

*Note: Beneficiaries will not be expected to provide proof that they were affected by the pandemic-related emergency What does this mean for beneficiaries?

  •  Beneficiaries who were eligible for a different election period but were unable to enroll* in a plan during the allotted time period have until June 30, 2020, to enroll.
  •  Enrollments received are effective the first day of the following month.

*Note: This applies to anyone that could have used the MA-OEP SEP but did not

An Update for Our Valued Partners & Customers
On June 1st, 2020 Michigan Governor Gretchen Whitmer issued  Executive Order 2020-110 requiring business in the state of Michigan who are able to operate remotely to continue to temporarily suspend in person operations in order to suppress the further spread of novel Coronavirus. 

Please rest assured that Part D Advisors will remain in operation during this national crisis. PDA staff have been thoroughly trained and our equipment is prepared to operate remotely so that our clients and partners will not see any disruption in their service.

Now more than ever, health plans will be looking for additional revenue sources to allow them to continue supporting their populations. Contact Part D Advisors today to find out how we can assist you and your clients in securing additional funds.

If you have any additional questions or concerns, please do not hesitate to  contact us  or reach out to your PDA Account Manager directly. We thank you for your patience and understanding during this unprecedented time.
Upcoming RDS Deadlines
(plan year end | recon. due date)

03/2019 | 06/30/2020
04/2019 | 07/31/2020
05/2019 | 08/31/2020
(plan year start | app. due date)

10/01/2020 | 07/02/2020
11/01/2020 | 08/03/2020
12/01/2020 | 09/01/2020