The shopper is moving to an address in a new county or state.
If the shopper is staying within the same county, it is unlikely they will qualify for MOV SEP, but still possible in some circumstances. If switching from carrier to carrier (Humana plan to UHC plan, or UHC plan to Humana plan), sometimes the MOV SEP will get approved, even if the county does not change during the move. It is worth a shot, but please advise the shopper that there is a chance that the application may be denied and nothing will change if the application is denied.
MAPD/MA Loophole
If the shopper did not update their address with Medicare/SSA the last time they moved, then TODAY is the date of their move. If you notice that MARx has a different address than the physical address the shopper gives you, then you may be able to use the MOV SEP.
Select Current Plan Type
Verify the shopper’s current plan.
Verify the desired effective date.
Look up the shopper’s current plan for the desired effective date in their current zip code. Use Medicare.gov as needed.
Look up the shopper’s current plan for the desired effective date in the zip code the shopper is moving to.
If the number at the end of the plan name in their current zip code does not match the number at the end of the plan name in the new zip code, the shopper has an SEP to select a new MA/MAPD. The shopper also has Guaranteed Issue to enroll into a Medigap.
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Verify the shopper’s current PDP plan.
Verify the desired effective date.
Look up the shopper’s current PDP for the desired effective date in the shopper’s current zip code. Use Medicare.gov as needed.
Look up the shopper’s current PDP for the desired effective date in the zip code the shopper is moving to.
If the number at the end of the plan name in their current zip code does not match the number at the end of the plan name in the new zip code, the shopper has an SEP to select a new PDP, MA, or MAPD.
If enrolling into an MA/MAPD, the shopper should be advised to call the Medigap carrier to request disenrollment from the plan.
The shopper should be advised to call the Social Security Administration to notify them of the move. SSN: 1 (800) 772-1213
The shopper may be ok to keep their current Medigap plan because many are nationwide. Advise the shopper to call the carrier to make sure they are ok to keep their current plan. If not, they should call us back and we will enroll them into another Medigap plan.
Enrollment Reasons
Plan
Medicare Code/Reason
Dialer Code/Reason
Uses
Plan
Medicare Code/Reason
Dialer Code/Reason
Uses
MA/MAPD/PDP
MOV
MOV
Can be used once during the month prior to a move, and 2 months after. Loophole: If shopper did not update their address with Medicare/SSA the last time they moved, then TODAY is the date of their move. Check MARx
Medigap
*NA
*NA
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 *Many Medigaps are nationwide with no need to change upon moving to another zip code or state. The shopper should be advised to call the carrier to verify. Advise the customer to call us back if they learn they need to enroll into another plan.