Welcome Medicare Nation! I have some alerts for your today for some important changes to Medicare that are going on right now. I want you to know if you are affected, and what you need to do to make sure you have coverage. There are 2 main topics we need to discuss today:


 

Dis-Enrolling from Medicare Advantage Plan
Cigna Suspension

 


 


 


Jan 1- Feb 14 - the period in which you can dis-enroll from your Medicare Advantage plan - if you don’t like it.


 

You cannot then switch to another Medicare Advantage Plan during this period
You would only be able to go back to original Medicare when you disenroll
You would have Part A and Part B
This means you have deductibles and co-insurance
There is no network - any provider contracted with Medicare will work for you
Part B deductibles are either $104.90 or $121.80, depending on your situation
Part A deductibles are $1288 for each new occurrence during the coverage period
First 60 days you are covered by the deductible
Day 61-90 you pay co-insurance of $322/day
Day 91-100 you pay $644/day
After that you have your 60 lifetime reserve days at $644/day also
Part B has annual deductible of $166 for 2016
After the deductible you pay 20% of Medicare allowable cost for every procedure
You can purchase a Medicare Supplement plan for which you would pay a monthly premium

 


Need Help?

Call 1-800-Medicare if you have questions
[email protected]

 


 


 


Cigna Suspension:


 


The States - AL, AZ, FL, GA, NC, PA, SC, TN - are affected. They cannot enroll any new people for the plan. If you had it, you can stay on it. Or you can leave. This was a sanction from CMS for failing to comply with the Medicare Standards. They found that Cigna has a long standing history of non-compliance with CMS standards. The suspension is indefinite.


 


This sanction opens a “Special Enrollment Period”. This allows you to enroll in a different Medicare Plan. 


 


Need Help?


Contact Medicare - 1-800-633-4227


Medicare Website - www.medicare.gov/contacts


[email protected]


 


Do you have questions or feedback? I’d love to hear it!


 


email me:


[email protected]


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Find out more information about Medicare on Diane Daniel’s website!


 www.CallSamm.com