Medicare Blog: Moorestown, Cranford NJ

Medicare ADVANTAGE Plans Faulted by Watchdog Over Denials of Care

9/27/2018

With Medicare Annual Enrollment quickly approaching, a government Watchdog group found issues with Denials of Care for Medicare Advantage Plans.

If you are in a Medicare Advantage Plan or considering enrolling in one, we recommend you read the article so you are aware of the potential for Denials of Care with a Medicare Advantage Plan.

https://www.bloomberg.com/news/articles/2018-09-27/private-medicare-plans-faulted-by-watchdog-over-denials-of-care

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2019 Annual Enrollment QUickly Approaching...

9/4/2018

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In the beginning of October, we will have an opportunity to review your Prescription Drug Plan for 2019. It is very important that you take advantage of this opportunity and provide us with your latest prescriptions so we can complete the Drug Plan analysis for 2019.

There are about 25 different Part D Plans to choose from, Medicare Part D coverage changes every year, and the Prescription plans change every year. Here is a link with some details regarding the specific changes to the drug plans in 2019.

This year, we have a new online form that you can use to submit your RX information.

After you submit the RX information online, you will get an immediate email acknowledgement with an estimated processing time, which should be reduced significantly from prior years. The online form is pretty straightforward, but here is a link to a quick video which explains how to use our online form.

If your drug list hasn't changed, we still need you to complete the online form so we can ensure we have the correct drug information for the Part D Analysis.

If you are not taking any medications, please quickly fill out the online form and check the box “I am not currently taking any medications.”

The deadline to submit your form to us is November 15, but please do not wait until the last minute if you are able to submit sooner.

Our target turn-around times are below.

RX Forms submitted before October 8 - since the Part D drug plans for 2019 are not released until the first week of October, we will not be able to review your 2019 Part D Analysis until October. So, if you submit your RX information form prior to October 8, you should still receive an automatic email acknowledgement and then you will receive a Part D recommendation from us by October 17.
RX Forms submitted between October 8 and November 15- If you submit your RX information form between October 8 and November 15, you should receive a response / recommendation from us within 10-14 business days.

Do not submit your RX Forms after November 15 - we will not be able to guarantee that we will be able to review the Part D analysis and make a recommendation in time to make the December 7 deadline.

We look forward to enrolling you in the right 2019 Part D Plan for your specific situation.

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Medicare ADVANTAGE Plans Faulted by Watchdog Over Denials of Care

2019 Annual Enrollment QUickly Approaching...

Justin Lubenow

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