Question

Agent Willis had several clients who disenrolled from the plans he represents during the AEP to try new Medicare Advantage plans. Agent Willis believes that the choices they made are not ideal for them and would like to get their business back during the Medicare Advantage Open Enrollment Period (MA-OEP). What can agent Willis do? Choose one answer. a. He can wait until October and send them information about the plans he represents. b. He can call them to let them know that if they do not like their new plans, they can change back during the MA-OEP. c. He can send them information about the MA-OEP along with a flyer on the plans he represents. d. He can e-mail them in January and ask them to let him know if they are not happy with their new plans.

Answer 1

Agent Willis should send information on the MA-OEP with plan flyers, adhering to guidelines that prohibit unsolicited contact, such as calls or emails without consent.

Step-by-step explanation:

Considering the scenario where clients have disenrolled from the plans during the Annual Enrollment Period (AEP) and the agent wishes to regain their business during the Medicare Advantage Open Enrollment Period (MA-OEP), the most compliant choice for Agent Willis is option c): He can send them information about the MA-OEP along with a flyer on the plans he represents. During the MA-OEP, beneficiaries who are enrolled in a Medicare Advantage plan have a one-time opportunity to:

• Switch to a different Medicare Advantage plan
• Disenroll from their current Medicare Advantage plan and return to Original Medicare
• Select a stand-alone Medicare prescription drug plan if they return to Original Medicare

Agent Willis should adhere to the Medicare communications and marketing guidelines, which prohibit unsolicited direct contact such as calls or emails without prior consent. Sending informational material that is both relevant and permissible would be the most professional approach.