Module 5-Enrollment Guidance Medicare Advantage and Part D Plans_PY21 1. Module 5: Enrollment Guidance Medicare Advantage and Part D Plans 1.1 Enrollment Guidance Medicare Advantage and Part D Plans
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1.2 Navigation Instructions
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1.3 Terms and Conditions
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1.4 LEARNING OBJECTIVES
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1.5 Training Roadmap: Part 1
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1.6 Who is Eligible to Enroll and Basic Enrollment Rules
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1.7 Who is Eligible to Enroll in MA or Part D Plans?
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1.8 Who is Eligible to Enroll in MA or Part D Plans? Continued
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1.9 Enrollment Rules
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1.10 Enrollment Rules, continued
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1.11 Enrollment Periods: An Introduction
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1.12 Roadmap to Enrollment Periods
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1.13 Enrollment Periods -- Overview
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1.14 MA and Part D Enrollment Periods Brief Summary
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1.15 Enrollment Periods Initial Enrollment Periods
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1.16 Enrollment Periods MA Initial Coverage Election Period (ICEP)
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1.17 Enrollment Periods MA ICEP, continued
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1.18 Enrollment Periods- MA ICEP, Example
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1.19 Enrollment Periods Part D Initial Enrollment Period (IEP)
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1.20 Enrollment Periods - Part D Initial Enrollment Period (IEP), Example
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1.21 Enrollment Periods IEP and ICEP Occurring Together
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1.22 Enrollment Periods - Annual Election Period
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1.23 Enrollment Periods - Annual Election Period
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1.24 Enrollment Periods Annual Election Period, Example
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1.25 Enrollment Periods - Annual Election Period, Timeframe for Submitting Enrollment Forms
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1.26 Enrollment Periods - Annual Election Period, Timeframes for Submitting Enrollment Forms, continued
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1.27 Enrollment Periods MA Open Enrollment Period
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1.28 Enrollment Periods MA Open Enrollment Period (MA OEP)
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1.29 Enrollment Periods (MA OEP), Continued
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1.30 Enrollment Periods MA OEP, Limitations
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1.31 Enrollment Periods MA OEP- Newly Eligible MA Enrollees
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1.32 Enrollment Periods - MA OEP: Examples
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1.33 Enrollment Periods Special Election Periods (SEPs)
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1.34 Enrollment Periods - SEPs
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1.35 Enrollment Periods - SEPs, continued
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1.36 Enrollment Periods - SEPs, Limitations
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1.37 Typical SEPs -- Severe or Disabling Chronic Conditions
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1.38 Typical SEPs -- Severe or Disabling Chronic Conditions, Example
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1.39 Typical SEPs - Change of Residence
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1.40 Typical SEPs - Involuntary Loss of Creditable Drug Coverage
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1.41 Typical SEPs - Beneficiaries who are dual eligible or who have LIS eligibility
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1.42 Typical SEPs - Beneficiaries who are dual eligible or who have LIS eligibility, limitations for certain beneficiaries
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1.43 Typical SEPs - Change in Medicaid or LIS Status
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1.44 Other Common SEPs
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1.45 Typical SEPs – Enrollment in a 5-Star Plans
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1.46 Enrollment Periods Open Enrollment Period for Institutionalized Individuals
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1.47 MA Open Enrollment Period for Institutionalized (OEPI) Individuals/Part D SEP for Institutionalized Individuals
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1.48 Cost Plan Enrollment Periods
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1.49 Cost Plan Enrollment Periods
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1.50 Enrollment Requests
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1.51 Formats of Enrollment Requests
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1.52 MA Opt-in Enrollment Requests
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1.53 Formats of Enrollment Requests, Automatic/Passive Enrollment
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1.54 Formats of Enrollment Requests - Paper
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1.55 Formats of Enrollment Requests - Electronic Enrollment
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1.56 Formats of Enrollment Requests -Electronic Enrollment, Continued
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1.57 Formats of Enrollment Requests - Telephone
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1.58 Formats of Enrollment Requests - Telephone, Continued
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1.59 Who May Complete the Enrollment?
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1.60 Who May Complete the Enrollment? Continued
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1.61 Who May Complete the Enrollment? Marketing Representative Participation
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1.62 Beneficiary Acknowledgements and Enrollee Discrimination Prohibitions
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1.63 Beneficiary Acknowledgements when Enrolling
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1.64 Enrollment Discrimination Prohibitions
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1.65 Enrollment Discrimination Prohibitions and Exceptions, Continued
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1.66 Post-Enrollment Activities and Rules
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1.67 Post-Enrollment Request: Beneficiary Notifications Prior to Effective Date
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1.68 Post-Enrollment Request: Beneficiary Notifications Prior to Effective Date, Continued
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1.69 Post-Enrollment Request: Materials for the Beneficiary
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1.70 Post-Enrollment: When does coverage begin?
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1.71 Post-Enrollment: When does coverage begin?, Continued
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1.72 Disenrollment
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1.73 Disenrollment from MA, Part D or Cost Plans
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1.74 Voluntary Disenrollment from MA or Part D Plans
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1.75 Voluntary Disenrollment from MA or Part D Plans, Continued
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1.76 Voluntary Disenrollment from Cost Plans
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1.77 Who May Request Disenrollment
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1.78 Required Involuntary Disenrollment from MA or Part D Plans
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1.79 Required Involuntary Disenrollment from MA or Part D Plans, Continued
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1.80 Temporary Exception to Involuntary Disenrollment When an Enrollee Moves from the Service Area
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1.81 Required Involuntary Disenrollment from Cost and MSA Plans
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1.82 Optional Involuntary Disenrollment from MA, Part D or Cost Plans
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1.83 Optional Involuntary Disenrollment from MA, Part D or Cost Plans Failure to Pay Premium
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1.84 Optional Involuntary Disenrollment from MA, Part D or Cost Plans Failure to Pay Premium, Plan Policies
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1.85 Optional Involuntary Disenrollment from MA, Part D or Cost Plans Failure to Pay Premium, Enrollee Rights
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1.86 Additional information
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1.87 THANK YOU
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