ValeRosso
Guru
- 532
Looking for some advice on Late Enrollment Penalties that I seem to keep getting for clients who signed up for medicare.
Recent one: Husband wanted off his wife’s group coverage starting 2023. He is 68, and has part A. Had his wife get the CMS L564 signed by her HR at the medical office she works at for her husband, and form 40B, and both were sent into local SS Office. This was near the middle of November 2022.
When I got notification he received his new Medicare cards with Part B, I enrolled him in the MAPD he chose for Jan 1st coverage. A couple of days ago I Received a message with a picture of the letter from his MAPD plan, stating he owes a $14 LEP starting Jan 1st.
His wife said he has been on her group plan for the last 10 years. What am I doing wrong? Why do my new to medicare enrollees seem to get these LEP letters? One of them was a fax quality issue, which I understand. Could this possible be a delay in communication between medicare/CMS and the health care plan, because he’s new to Part B? How should I help resolve this LEP? I did call the MAPD plan, I get generic information about submitting a form (L564 equivalent) to them, but I explained they already sent this to the SS Office.
Thank you!
Recent one: Husband wanted off his wife’s group coverage starting 2023. He is 68, and has part A. Had his wife get the CMS L564 signed by her HR at the medical office she works at for her husband, and form 40B, and both were sent into local SS Office. This was near the middle of November 2022.
When I got notification he received his new Medicare cards with Part B, I enrolled him in the MAPD he chose for Jan 1st coverage. A couple of days ago I Received a message with a picture of the letter from his MAPD plan, stating he owes a $14 LEP starting Jan 1st.
His wife said he has been on her group plan for the last 10 years. What am I doing wrong? Why do my new to medicare enrollees seem to get these LEP letters? One of them was a fax quality issue, which I understand. Could this possible be a delay in communication between medicare/CMS and the health care plan, because he’s new to Part B? How should I help resolve this LEP? I did call the MAPD plan, I get generic information about submitting a form (L564 equivalent) to them, but I explained they already sent this to the SS Office.
Thank you!