Delayed Part B - Already has part A

Select Situation

The shopper is already enrolled into Medicare part A and is now enrolling into Medicare part B.

When to Enroll

Up to 3 months before their part B effective date.

Enrollment Reasons

Plan

Medicare Code/Reason

Dialer

Code/Reason

Uses

Plan

Medicare Code/Reason

Dialer

Code/Reason

Uses

MA/MAPD/PDP

ICEP

ICEP

May not be used again after the plan goes into effect

Medigap

GI

GI

May not be used again after the plan goes into effect

Additional Details

  • If the customer is adding part B during the Medicare General Enrollment Period (January 1-March 31) for a July 1 effective date, the SEP is available from April 1- June 30 for a July 1 effective date.

  • If the customer is adding part B due to a loss of credible coverage (ie, customer opted to delay part B in order to stay enrolled in their, or their spouses, group coverage), the SEP last for 3 months preceding the part B effective date.

  • Some Veteran’s opt out of Part B, when they turn 65 to avoid paying the Part B premium, because they feel that they don’t need Medicare Part B. They can always change their mind. If you encounter a person in this category, gently encourage them to contact the Social Security Administration to discuss the option of enrolling in to Part B and whether or not they would have to pay the Late Enrollment Penalty for Part B.

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