Wellcare l Special Enrollment Period Important Information

Existing Member New ID Card (01/01/2022) Delay

Attention Valued Partner,

Please be advised select member ID cards are experiencing a delay. In summary,

  • The delay affects existing members only but does not include existing members who made a plan change during AEP for a 01/01/2022 effective date.
  • Impacted members should receive their ID cards no later than:
-MAPD: 01/08/2022

-PDP: 01/10/2022

  • The member number and the Rx Information will be the same. Members can continue to use their existing ID cards until the new one is received, or they can visit our secure portal to obtain a digital copy.
  • Affected PDP members have been made aware of delays through several channels:
-A text message to members with mobile numbers

-A banner on the Wellcare website

-An update to the inbound customer service menu recording, which explains that ID cards are on the way

Please let inquiring members know ID cards have been mailed and will be delivered by the dates listed above, but all new enrollees should have already received their ID cards.

Apologies for the inconvenience. Please be assured that caring for members remains the top priority.

Thank you for the continued partnership!


Special Enrollment Period: Colville Reservation (WA) Emergency Declaration – Wildfire

Please be advised that a state of emergency was declared by FEMA, impacting individuals in the Confederated Tribes of the Colville Reservation (WA). This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to the Confederated Tribes of the Colville Reservation (WA).

Important Compliance Information

Who is eligible:

This SEP opportunity is ONLY available to beneficiaries who:​

  • Reside, or resided at the start of the SEP eligibility period described in this guidance, in an area for which a federal, state or local government entity has declared a disaster or other emergency or they do not reside in an affected area but rely on help making healthcare decisions from one or more individuals who reside in an affected area; and
  • Were eligible for another election period at the time of the SEP eligibility period, and;
  • Did not make an election during that other valid election period due to the disaster or other emergency.

Details:

Impacted Counties: Confederated Tribes of the Colville Reservation

Incident Period: The incident period occurred from July 12, 2021 through August 8, 2021. The declaration was updated on December 21, 2021.

Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD plans until February 28, 2022.

*Note: Eligible enrollments will be effective the first of the month after the application has been processed.

Reminders:

Agents can accept/submit an application by the beneficiary’s request through the following steps:

  1. Obtain a compliant Consent to Contact (C2C).
  2. Capture a compliant Scope of Appointment (SOA).
  3. Host a compliant 1:1 appointment.
  4. If the beneficiary is prepared to enroll, complete an application noting this SEP, either by selecting the “Emergency or Major Disaster” option or writing “Severe Weather” in the “Other” option. WARNING! Only select one election type.

Centene will communicate any changes to this SEP, if necessary, when they become available.

As always, thank you for your partnership.


Special Enrollment Period: Oregon Emergency Declaration – Inclement Weather

Please be advised that a state of emergency was declared, impacting the individuals in all Oregon counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to all the impacted counties in Oregon.

Important Compliance Information

Who is eligible:

This SEP opportunity is ONLY available to beneficiaries who:​

  • Reside, or resided at the start of the SEP eligibility period described in this guidance, in an area for which a federal, state or local government entity has declared a disaster or other emergency or they do not reside in an affected area but rely on help making healthcare decisions from one or more individuals who reside in an affected area; and
  • Were eligible for another election period at the time of the SEP eligibility period, and;
  • Did not make an election during that other valid election period due to the disaster or other emergency.

Details:

Impacted Counties: All Counties

Incident Period: The incident period occurred on December 24, 2021 through January 3, 2022. The declaration was announced on December 23, 2021.

Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD plans until March 31, 2022.

*Note: Eligible enrollments will be effective the first of the month after the application has been processed.

Reminders:

Agents can accept/submit an application by the beneficiary’s request through the following steps:

  1. Obtain a compliant Consent to Contact (C2C).
  2. Capture a compliant Scope of Appointment (SOA).
  3. Host a compliant 1:1 appointment.
  4. If the beneficiary is prepared to enroll, complete an application noting this SEP, either by selecting the “Emergency or Major Disaster” option or writing “Severe Weather” in the “Other” option. WARNING! Only select one election type.

Centene will communicate any changes to this SEP, if necessary, when they become available.

As always, thank you for your partnership.


Special Enrollment Period: Alabama Emergency Declaration – Severe Storms and Flooding

Please be advised that a state of emergency was declared by FEMA, impacting individuals in certain Alabama counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to the following counties in Alabama.

Important Compliance Information

Who is eligible:

This SEP opportunity is ONLY available to beneficiaries who:​

  • Reside, or resided at the start of the SEP eligibility period described in this guidance, in an area for which a federal, state or local government entity has declared a disaster or other emergency or they do not reside in an affected area but rely on help making healthcare decisions from one or more individuals who reside in an affected area; and
  • Were eligible for another election period at the time of the SEP eligibility period, and;
  • Did not make an election during that other valid election period due to the disaster or other emergency.

Details:

Impacted Counties: Jefferson, Shelby

Incident Period: The incident period occurred on October 6, 2021 through October 7, 2021. The declaration was announced on December 21, 2021.

Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD plans until February 28, 2022.

*Note: Eligible enrollments will be effective the first of the month after the application has been processed.

Reminders:

Agents can accept/submit an application by the beneficiary’s request through the following steps:

  1. Obtain a compliant Consent to Contact (C2C).
  2. Capture a compliant Scope of Appointment (SOA).
  3. Host a compliant 1:1 appointment.
  4. If the beneficiary is prepared to enroll, complete an application noting this SEP, either by selecting the “Emergency or Major Disaster” option or writing “Severe Weather” in the “Other” option. WARNING! Only select one election type.

Centene will communicate any changes to this SEP, if necessary, when they become available.

As always, thank you for your partnership.


Special Enrollment Period: Illinois Emergency Declaration – Inclement Weather and Tornadoes

Please be advised that a state of emergency was declared, impacting individuals in certain Illinois counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to the following counties in Illinois.

Important Compliance Information

Who is eligible:

This SEP opportunity is ONLY available to beneficiaries who:​

  • Reside, or resided at the start of the SEP eligibility period described in this guidance, in an area for which a federal, state or local government entity has declared a disaster or other emergency or they do not reside in an affected area but rely on help making healthcare decisions from one or more individuals who reside in an affected area; and
  • Were eligible for another election period at the time of the SEP eligibility period, and;
  • Did not make an election during that other valid election period due to the disaster or other emergency.

Details:

Impacted Counties: Bond, Cass, Coles, Effingham, Fayette, Jersey, Macoupin, Madison, Montgomery, Morgan, Moultrie, Pike, Shelby

Incident Period: The incident period occurred on December 10, 2021. The declaration was announced on December 13, 2021.

Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD plans until February 28, 2022.

*Note: Eligible enrollments will be effective the first of the month after the application has been processed.

Reminders:

Agents can accept/submit an application by the beneficiary’s request through the following steps:

  1. Obtain a compliant Consent to Contact (C2C).
  2. Capture a compliant Scope of Appointment (SOA).
  3. Host a compliant 1:1 appointment.
  4. If the beneficiary is prepared to enroll, complete an application noting this SEP, either by selecting the “Emergency or Major Disaster” option or writing “Severe Weather” in the “Other” option. WARNING! Only select one election type.

Centene will communicate any changes to this SEP, if necessary, when they become available.

As always, thank you for your partnership.


Special Enrollment Period: Washington Emergency Declaration – Inclement Weather, Flooding

Please be advised that a state of emergency was declared, impacting individuals in certain Washington counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to the following counties in Washington.

Important Compliance Information

Who is eligible:

This SEP opportunity is ONLY available to beneficiaries who:​

  • Reside, or resided at the start of the SEP eligibility period described in this guidance, in an area for which a federal, state or local government entity has declared a disaster or other emergency or they do not reside in an affected area but rely on help making healthcare decisions from one or more individuals who reside in an affected area; and
  • Were eligible for another election period at the time of the SEP eligibility period, and;
  • Did not make an election during that other valid election period due to the disaster or other emergency.

Details:

Impacted Counties: Clallam, Grays Harbor, Island, Jefferson, Lewis, King , Kitsap, Pierce, Mason, San Juan, Skagit, Snohomish, Thurston, Whatcom

Incident Period: The incident period occurred from November 15, 2021 through December 18, 2021. The declaration was updated on December 1, 2021.

Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD plans until February 28, 2022.

*Note: Eligible enrollments will be effective the first of the month after the application has been processed.

Reminders:

Agents can accept/submit an application by the beneficiary’s request through the following steps:

  1. Obtain a compliant Consent to Contact (C2C).
  2. Capture a compliant Scope of Appointment (SOA).
  3. Host a compliant 1:1 appointment.
  4. If the beneficiary is prepared to enroll, complete an application noting this SEP, either by selecting the “Emergency or Major Disaster” option or writing “Severe Weather” in the “Other” option. WARNING! Only select one election type.

Centene will communicate any changes to this SEP, if necessary, when they become available.

As always, thank you for your partnership.


Special Enrollment Period: New York Emergency Declaration – COVID-19 Omicron Variant

Please be advised that a state of emergency was declared for the COVID-19 Omicron Variant ONLY, impacting only the individuals in all New York counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to all the impacted counties in New York.

Important Compliance Information

Who is eligible:

This SEP opportunity is ONLY available to beneficiaries who:​

  • Reside, or resided at the start of the SEP eligibility period described in this guidance, in an area for which a federal, state or local government entity has declared a disaster or other emergency or they do not reside in an affected area but rely on help making healthcare decisions from one or more individuals who reside in an affected area; and
  • Were eligible for another election period at the time of the SEP eligibility period, and;
  • Did not make an election during that other valid election period due to the disaster or other emergency.

Details:

Impacted Counties: All Counties

Incident Period: The incident period occurred on November 26, 2021 through January 15, 2022. The declaration was announced on November 26, 2021.

Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD plans until March 31, 2022.

*Note: Eligible enrollments will be effective the first of the month after the application has been processed.

Reminders:

Agents can accept/submit an application by the beneficiary’s request through the following steps:

  1. Obtain a compliant Consent to Contact (C2C).
  2. Capture a compliant Scope of Appointment (SOA).
  3. Host a compliant 1:1 appointment.
  4. If the beneficiary is prepared to enroll, complete an application noting this SEP, either by selecting the “Emergency or Major Disaster” option or writing “Severe Weather” in the “Other” option. WARNING! Only select one election type.

Centene will communicate any changes to this SEP, if necessary, when they become available.

As always, thank you for your partnership.

This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.

Filed under: Wellcare