Pitfalls and Best Practices

During AEP, what can you do if you enrolled them in the wrong plan?

• You can re-enroll them into the correct plan. With AEP, it's just the last plan that counts

• Don't say anything and wait until the client notices

• There's no such thing as a wrong plan

• Contact 1-800-MEDICARE

What if it's outside AEP, and you enrolled them in the wrong plan. What do you do? (excluding HUMANA plans)

• There's no such thing as outside AEP. AEP is all year long

• We can intercept it with YMEC.

• Reach out to Bryce

• Give him the enrollment code, name and DOB

Answer explanation

Correct! Bryce will send it on the YMEC, and will get it rectified before YMEC sends it to the Medicare Carrier

With Humana, what happens if you enroll a client into the wrong plan, outside of AEP?

• With Humana, they will contact the client directly

• Also reach out to Bryce and he can also intercept it through YMEC

• You will just lose your contract with Humana. That's too bad.

• You will have to take it up with the carrier

When can you intercept in YMEC a wrongfully enrolled application?

• Only applications submitted in the evening

• Anytime of the day, it doesn't matter

• Only applications in the morning. At the end of the day, YMEC will send the applications to the carriers and you won't be able to intercept anymore

• This is never a possibility. What are you talking about.

True of False: You can also intercept an application even when the client decides to change plans because they changed their mind

• True

• False

What do you want to do if it's Humana, or if it's later in the day, and you need to change the plan they enrolled in?

• The client won't care, just ignore

• Again, don't do anything. Wait for the client to figure it out

• Give it a day (to let YMEC process the application) then reach out to the carrier

• Reach out to Justin or Tobias

Answer explanation

Correct, contact the carrier to get them to cancel the enrollment, so you can submit another one.

What's another way you can change plans you enrolled your client in? (Hint it's a bit trickier, but there has been some success)

• Enroll them into the other plan, then call the carrier and cancel the first

• Wait 1 week, and then enroll them in the second plan, and don't do anything about the first

• Medicare Advantage is free, just enroll them into a second plan

What's the best way to handle enrolling your clients in the wrong plan?

• Call Bryce and make sure to let him know a day later

• Just don't make the mistake in the first place!

• Don't worry be happy

• Put the client in contact with the Medicare Carrier directly

True or False: The lead card allows you to just show up at your client's house

• True – the lead card is enough

• False – The lead card just gives you permission to contact. Always (with medicare) get the scope and set up an appointment

Answer explanation

That's why there's an appointment date on the SOA

True or False: You are NOT allowed to just show up at a client's house (even with a signed scope) UNLESS you have an appointment scheduled

• True – YOU HAVE TO HAVE an appointment scheduled

• False – You don't need an appointment scheduled as long as you have a scope