Mrs. Ridgeway enrolled in Original Medicare and Medigap coverage following her retirements several years ago. Four months ago, Mrs. Ridgeway dropped her Medigap policy to enroll in a Medicare Advantage (MA) plan for the first time. Unfortunately, Mrs. Ridgeway has found that many of her providers are not in the MA plan's network. She has come to you for advice? What should you tell her?

Question

Social Studies

Lillian Duke

23 May, 17:51

Mrs. Ridgeway enrolled in Original Medicare and Medigap coverage following her retirements several years ago. Four months ago, Mrs. Ridgeway dropped her Medigap policy to enroll in a Medicare Advantage (MA) plan for the first time. Unfortunately, Mrs. Ridgeway has found that many of her providers are not in the MA plan's network. She has come to you for advice? What should you tell her?

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Nathalie Henderson · Answer 1

She should use SEP special enrollment period. She qualifies for a special enrollment period (SEP) that will allow her to make a one-time election to return to Original Medicare and she also has a guaranteed eligibility period to rejoin her Medigap plan. Correct

Explanation:

SEP - special enrollment period refers to a period of time outside the yearly Open Enrollment Period when you can sign up for health insurance. IOne quilifes for it of one experiences a qualifying life event. The usual period time given for this is 60 days. Mrs. Ridgeway has time to change back to Original medicare since she qualifies for both coverage types and thus can use SEP.