Mr. Rockwell, age 67, is enrolled in Medicare Part A, but because he continues to work and is covered by an employer health plan, he has not enrolled in Part B or Part D. He receives a notice on June 1 that his employer is cutting back on prescription drug benefits and that as of July 1 his coverage will no longer be creditable. He has come to you for advice. What advice would you give Mr. Rockwell about special election periods (SEPs)?

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10-07-2021
Health

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Mr. Rockwell, age 67, is enrolled in Medicare Part A, but because he continues to work and is covered by an employer health plan, he has not enrolled in Part B or Part D. He receives a notice on June 1 that his employer is cutting back on prescription drug benefits and that as of July 1 his coverage will no longer be creditable. He has come to you for advice. What advice would you give Mr. Rockwell about special election periods (SEPs)?

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topeadeniran2 topeadeniran2 · Answer 1 · 2021-07-15T18:55:40+02:00

Answer: Mr. Rockwell is eligible for a SEP due to his involuntary loss of creditable drug coverage; the SEP begins in June and ends September 1 - two months after the loss of creditable coverage.

Explanation:

Special enrollment period refers to a time when one is able to sign up for health insurance.

Since Mr Rockefeller receives a notice on June 1 that his employer is cutting back on prescription drug benefits and that as of July 1 his coverage will no longer be creditable, then it can be deduced that he is eligible for a special enrollment period due to his involuntary loss of creditable drug coverage.

Martebi Martebi · Answer 2 · 2021-09-15T16:52:40+02:00

The advice I would you give Mr. Rockwell about special election periods (SEPs) is that He, Mr. Rockwell is eligible for a SEP due to his involuntary loss of creditable drug coverage; The SEP is set to begins in June and ends September 1 - two months after the loss of creditable coverage.

For better understanding, we have to understand what special election periods (SEPs) means.

Special election periods otherwise known as SEPs is said to originate or exists mainly for people who are no longer qualified for their current MA plan's coverage as a result of moving outside of that MA plan's scope or service area, also for people moving into a new MA plan's scope etc.
There are rules and procedures to follow and its includes the registration or enrollment elections only, the SEP often start on the date of the permanent move or on the date the person gives consent of the permanent move and the SEP follows for two months following the month it started or the two months following the month of the move, whichever is later and other consideration.
The advice will help Mr. Rockwell make a better decision.

From the above, we can therefore say that the answer of Mr. Rockwell is eligible for a SEP due to his involuntary loss of creditable drug coverage; The SEP is set to begins in June and ends September 1 - two months after the loss of creditable coverage is correct.

Learn more about Special election periods (SEPs) from:

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