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This is a friendly reminder that members impacted by the Service Area Reduction (SAR) who were unreachable during AEP, still have time to transition to a new policy. Please share the following important details with your agents and affected members:
- Applies to a client whose plan will no longer be available in 2025. If they don’t enroll in a new plan by December 31, 2024, they will automatically revert to Original Medicare (Parts A & B Only) starting January 1, 2025.
- They can join a new plan between October 15, 2024, and December 31, 2024.
- They’ll also have a special opportunity to join a new plan until February 28, 2025.
- Additionally, they may be eligible for a Guaranteed Issue Medicare Supplement plan.
When an agent completes the application for a member impacted by the SAR, you should select the SEP option “I recently involuntarily lost my creditable prescription drug coverage (coverage as good as Medicare’s). I lost my drug coverage on:”. The agent will then be prompted to enter the qualifying date at the bottom of the page. The qualifying date for members impacted by SARS is 12/31/2024. Below is a screenshot of the SEP reason.
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