So your client doesn’t qualify for Part A and only has Part B, and now you can’t enroll them on a MAPD plan – or can you?
If your client is Medi-Cal eligible, Medi-Cal will often pay for the Part A premium for your client. Assist your client in following these simple steps to get their Part A approved.
1) Visit the local Social Security office.
2) Request a Part A premium letter; which will indicate the Part A premium amount.
3) Bring the letter to their Medi-Cal Social Worker and ask for Medi-Cal to pay for the Part A premium.
4) If approved, client will receive a new Medicare Health Insurance card with Part A and Part B effective dates.
4) Client is now a Medi-Medi and you can enroll them onto an MAPD DSNP plan.
Here’s Why: Part A covers hospital and if your client doesn’t qualify for Part A, but is on Medi-Cal then Medi-Cal is on the hook for hospital coverage. Medi-Cal usually approves paying for the Part A premium because then they won’t be responsible for hefty hospital bills.