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Medicare enrollment simplification

4/14/2021

2 Comments

 
For several years, the Medicare Advisory Group of NAHU has been working on fixing the delayed effective date that occurs for certain Medicare Beneficiaries who enroll during their last three months of their Initial Enrollment Period, or during the General Election Period (January 1 – March 31).

We are excited that our proposed fixes were finally implemented in the Consolidated Appropriations Act of 2021.  The changes begin on line 21 of Page 2168 of the bill.
 
The new rules will begin on January 1, 2023. 
 
Initial Enrollment Period: The Current Rules require a delay of 2-3 months for the Part B effective date when someone enrolls in the three months following their 65th birthday.  The New Rules will remove that delay and provide the Part B effective date of the first of the month following enrollment.  The table below summarizes the Current rules versus the New rules for the Initial Enrollment Period. 

Picture

The table below provides an Example for someone who is turning 65 on September 15.
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​General Election Period
:  The General Election Period of January 1 through March 31 is for a Beneficiary who missed their Initial Enrollment Period and does not have credible coverage. These individuals must enroll during the General Election Period of January 1 through March 31, and the effective date is July 1.  With the New Rules coming in January 2023, the Beneficiary will get an effective date of the first of the month following enrollment.  The table below summarizes the Current rules versus the New rules for the General Election Period.
Picture

​The table below provides an Example for someone who is enrolling during the General Election Period.
Picture

​We are excited that we have had such a positive impact on Medicare Beneficiaries enrolling during these two time periods and reduced their delays in getting their Medicare Part B coverage!
 
We will continue to work in Washington to address our other key initiatives: Medicare COBRA Trap, Observation Status, and more.
2 Comments
medicare advantage plan link
10/12/2022 01:54:31 am

I don't usually comment on blogs but I couldn't stop myself from doing so here. Awesome content and an impressive one. Thank you so much.

Reply
Jessie Holloway link
1/25/2023 01:48:19 pm

Thanks so much for talking about how enrollment works for people turning 65 around an enrollment period. I have a friend who's grandad is turning 65 this year and wants to enroll. We'll have to look into finding a professional to help us do that so we can ensure his best chances of getting good coverage.

Reply



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  • Home
  • FREE Quotes
  • About YOU
    • Turning 65, Ready to enroll?
    • Working Past Age 65?
    • Already on Medicare, Looking to Save Money?
    • Currently on a Retiree Plan?
  • About Us
  • Products
    • Medicare Supplements & Medicare Advantage >
      • Medicare Supplement - Plan F >
        • Plan F (2022)
        • Plan F (2023)
      • Medicare Supplement - Plan G >
        • Plan G (2022)
        • Plan G (2023)
      • Medicare Supplement - Plan N >
        • Plan N (2022)
        • Plan N (2023)
    • Medicare Part D - Prescription
    • Medicare & Dental
    • International Travel
    • Long-Term Care Insurance
    • Cancer and Heart Attack or Stroke Insurance
    • Medigap Plans
  • Workshops
    • Register for Workshop
    • Watch Workshop Now
  • Carrier Partners
  • Medicare Blog
  • Testimonials
  • Contact Us
  • Become an Agent
  • Areas We Serve
    • Basking Ridge, NJ
    • Livingston NJ
    • Medford, NJ
    • Mountainside, NJ
    • Mount Laurel, NJ
    • Philadelphia, PA
    • Phoenix, AZ
    • Scotch Plains, NJ
    • Scottsdale, AZ
    • Short Hills, NJ
    • Summit, NJ
    • Westfield, NJ
    • Princeton, NJ
    • Washington Township
    • Monroe Township, NJ
  • Medicare FAQs
  • Coffee with Justin
  • Medicare Minute