Open Enrollment 2020 Deadline for Medicare and ACA Federal Plans

Health Insurance Marketplace Open Enrollment

You know it! It’s that riveting time of the year when you get to pick your health insurance plan for 2020. Well, guess what? It’s still happening! And we’re here to help clarify a few final things.

We help individuals with all aspects of enrollment and plan management, and our services are paid for by the carrier in most cases during Open Enrollment!

Every year Dublin Health & Benefit Group enrolls thousands of individuals in Affordable Care Act plans through the marketplace or directly through the carrier, and on Medicare supplemental plans, Medicare Advantage plans, and Part D Prescription plans.

We advise individuals on how to best achieve a tax credit, and how to manage their finances to retain their tax credit throughout the year. We help individuals select their next health plan, verify coverage based on their needs, and help ensure their providers and medications are covered under their elected plan.

Now, if you’re reading this, that means you know the importance of keeping up with this deadline. Anyone who misses the Open Enrollment deadline (November 1-December 15) will not be eligible to enroll in an ACA medical plan for 2020 unless there is a Special Enrollment Period you qualify for…more on that below.

Medicare Open Enrollment

Medicare Open Enrollment is just as stringent. Anyone seeking to make changes to their Medicare Advantage plan or Part D Prescription plan must do so between October 15-December 7. Learn more about Medicare options

Here’s what you need to know about Special Enrollment Period (SEP)

A time outside the yearly Open Enrollment when you can buy health insurance.

You can qualify for SEP if you’ve experienced what’s known as a “life-changing” event.

Examples of life-changing events:

  • turning 26 and aging off your parent’s plan
  • getting married
  • adopting a child
  • losing health coverage
  • having a baby

If you’re unsure that you qualify for a life-changing event but are seeking medical insurance, give Dublin Health & Benefit Group a call to see if you qualify. Most SEP’s have a 30-60 day window of opportunity so make that call soon!

As always, if you have any questions whatsoever, please call our friendly customer service team: 603-563-8820. We know health insurance is complex and confusing, and we’re here to help simplify things for you.

We’ll see you during Open Enrollment!

– The Team at Dublin Health & Benefit Group, LLC

Help, I Need Health Insurance!

Is it too late to enroll for 2019?

While we enrolled most of our clients on Healthcare.gov during the annual Open Enrollment period (November 1st-December 15), we continue to enroll new clients on a year-round basis on the individual marketplace, www.Healthcare.gov. The criteria for enrollment outside Open Enrollment, however, does require an individual qualify for a Special Enrollment Period (“SEP”).

A SEP is created through a life change, which may include “losing health coverage, moving, getting married, having a baby, or adopting a child” (Healthcare.gov/glossary/special-enrollment-period/). Usually, there is a 60-day window following a life change event to enroll in a plan. If you miss that window, you must wait until the next Open Enrollment Period (November 1-Dec 15 for a January 1st plan the following year).

Other than those life changes listed above, there are additional life changes that could create a SEP:
• Turning 26
• Becoming pregnant
• Change in disability status, tax filing status, immigration status/citizenship
• Incarceration/release from incarceration
• Someone in your household losing coverage or becoming eligible for Medicaid
• Someone in your household getting an offer of job-based insurance

*There are other opportunities for SEPs not listed here.

Should you need insurance anytime the most important advice we can give you, is to call us immediately to go over options because some options available today may not be available tomorrow if you miss the SEP window of opportunity.

The team at Dublin Health & Benefit Group, LLc specializes in Individual, Group, and Medicare Insurance options from all major carriers in the state of New Hampshire.

Please schedule to discuss your circumstances with one of our team members today!
603-563-8820
info@dublinhealth.net

Individuals * Medicare * Groups

Important 2019 Medicare AEP Open enrollment period 10/15 – 12/7/2018

To the many hundreds of clients and friends who depend on our guidance for their Medicare Supplements, Advantage Plans and/or Part D Prescription plans and to those you refer to our office: I want to offer a simple snapshot of the options before you for 2019. I address each of the possible scenarios in hopes that you can identify your current situation and determine what additional steps you wish to take so that you can proactively work with us, to maximize your program value during this open enrollment season as we move into 2019.

Medicare Supplement policyholders

If you like what you have and it is meeting your expectations for coverage and budget, you are probably in the right place as rates adjust for cost of living only and are fairly stable with nominal increases. Your age is locked in at entry age so moving to a different carrier does not typically yield savings. Exception: You wish to learn more about Advantage plans like an HMO or PPO or PFFS or SNP.

Medicare Advantage policyholders

If you like what you have and it is meeting your expectations for coverage and budget you are probably in the right place, but you should review the renewal information from your current carrier to make sure the premium is still affordable and the formulary for the drug component is still covering all medications. If so, than we should stay the course. We will also monitor these programs and if a significantly better value emerges, we will reach out to you via phone call and/or email. Note: A zero cost plan will be offered by Harvard Pilgrim Stride this year. Exception: You are unhappy with your plan or wish to explore a supplement.

Prescription Drug Plans (PDP)

This is an area we encourage all of our supplement clients and anyone with a stand-alone PDP to evaluate yearly as premiums change, formularies change, plan designs change, carriers change, your medications change and carriers come and go each year.  It is the most volatile component in your program. If you do nothing you will be automatically re-enrolled if the carrier is remaining in the marketplace but alternatives are worth a look. Exception: You have evaluated the renewal communications from your current carrier, are satisfied your drugs are on the formulary, the carrier has performed to your satisfaction and new premium is acceptable to you.

What Dublin Health will do for you

  • Current clients: We will reach out to you by phone and/or email over the next two weeks to invite and answer questions about plan changes either in person at the office or over the phone.
  • We will serve you and/or someone you know who desires guidance as an AEP (existing Medicare beneficiary) or IEP (New to Medicare friends you are referring) and SEP (Special election period) beneficiaries going through a life change needing guidance.
  • After receiving a signed  Scope of Appointment (click the link to complete and sign) we will assist you in learning about and enrolling in any plan changes or new plans you wish to pursue.
We will always relentlessly pursue the best values existing in the current marketplace and be a resource to you in your effort to understand and select the best options based on your needs and financial resources. Contact our office at 603-563-8820 or email jennifer@dublinhealth.net. All of our agents are properly licensed and appointed to handle Medicare Products and look forward to working with you.