I learned last week that because I didn't re-enroll my Mom in Medicare Part D that even though the plan covered my Mom's medications through July 2020 that they just now terminated her.
Will have to pay out of pocket (Mom takes 7 different meds). Will also have to re-enroll in October.
Does the company have the right to do this now?
Thanks, Jenna
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She decided that her Regular Medicare and Medicare supplement plus my Dads coverage better for her because she didnt want to be constrained by a network for doctor choice
Did you have Part D benefits from other insurance?
CVS purchased Aetna and during that purchase there were some requirements placed on the companies to allow the purchase to complete. While I remember the overall info about the acquisition, I have forgotten the specific details regarding how it impacted Silverscript and WellCare. I do remember I ran into some issues with my own Medicare Part D during open enrollment because things were changing during the enrollment period. Maybe this had something to do with the sudden drop in coverage.
Here is one article about Silverscript/WellCare and the purchase: https://www.cnbc.com/2018/09/27/aetna-to-sell-some-medicare-drug-plan-businesses-to-wellcare-health-plans.html that might help explain things.
Why not follow the insurance/Medicare appeals process while waiting for the re-enrollment to come back around?
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Good luck in your quest to straighten this out and help your mom.
I would do what is suggested. Hopefully they will allow you to reenroll starting with the 1st of August. If this is done, then you can ask for a form to be reimbursed for any out of pocket. I have done this.
I will write to them as Barb suggested certified mail.
I also got my Mom AARP Supplement Healthcare through United Healthcare which pays for everything else (hospital, etc.). But that does not include prescription medication. That's worth every penny.
I would mail this with a return reciept.
I have every letter they mailed in a file. No such letter that they claimed they mailed exists until recently.
Bottom line is they were supposed to automatically deduct the amount every month (which I should have checked) and they didn't for 2020.
The company is Wellcare (hope I'm allowed to post that) and everyone I have talked to doesn't understand English. Everyone is foreign and I have a hard time understanding them.
I guess I will pay out of pocket until enrollment period and if my Mom has to pay a penalty so be it.
Thanks Barb! By the way my Mom was born and raised in Brooklyn.