![]() If you are enrolled in a Medicare Advantage plan, you will have a one-time opportunity to make changes to your Medicare coverage, which includes switching to a different Medicare Advantage plan OR returning to Original Medicare with the option to sign up for a Prescription Drug Coverage plan. Add or Change your Prescription Drug Coverage (Part D) plan if you are in Original Medicare.Īs of January 2019, a Medicare Advantage Open Enrollment Period is available from January 1 – March 31 every year.Change from one Medicare Advantage plan to another.Discontinue your Medicare Advantage plan and return to Original Medicare (Part A and Part B).Join a Medicare Advantage (Part C) plan.During Open Enrollment, some examples of changes that you can make include: The Medicare Open Enrollment Period provides an annual opportunity to review, and if necessary, change your Medicare coverage options. ![]() Contact your local Blue Cross Blue Shield company for help choosing a Medicare Advantage plan and getting enrolled. You must first enroll in Medicare Part A and Part B before joining a Medicare Advantage plan. You might also have to pay a separate monthly insurance premium for your Medicare Advantage plan.Ī copayment may apply to specific services, such as doctor office visits.Ĭost sharing amounts may apply to specific services.Īll Medicare Advantage plans have an annual limit on your out-of-pocket expenses, which is a feature not available through Original Medicare. CostsĪll Medicare Advantage plans require that you continue to pay your Part B insurance premium. These plans also tend to have lower cost sharing overall and a maximum that you would have to pay for out-of-pocket costs each calendar year–a feature not available through Original Medicare. Medicare Advantage plans provide all Part A and B services while generally including some additional services, such as wellness programs, hearing aids and vision services. These plans can be HMOs, PPOs, Regional PPOs or Private Fee-for-Service plans. Uniform consent to service of process for insurers (PDF, 129KB) (Medicare is the federal health insurance program for people age 65 and older, certain younger people with disabilities, and people with end stage renal disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD).Medicare Advantage plans provide Medicare coverage through private health insurance companies approved to participate in the Medicare program.Service of legal process for other regulated entities (PDF, 662KB).Technical assistance advisories and emergency orders.Health insurer responsibilities under the Balance Billing Protection Act.Security breach notification requirements.Title insurer data-reporting requirements for direct underwriters.File medical malpractice report (fortress.wa.gov).Special liability report instructions, forms and historical data.Fixed payment policy survey explanation and instructions.Independent review organization (IRO) process questions, concerns and complaints.Independent review reporting for carriers.Independent review reporting for independent review organizations (IROs).Certifying as an independent review organization (IRO).Market Conduct Oversight's required annual reporting.Market Conduct Annual Statement (MCAS) instructions.Registering as a direct primary health care practice.Registering as a health care benefit manager (HCBM).P&C, life, disability and title company admissions.Washington State Health Insurance Pool (WSHIP) assessment report.Reporting requirements for surplus line insurers.Permitted accounting practice instructions.Captive insurer premium reporting and tax requirements.Designated statistical agents in Washington state.Look up an insurance company or agent to find licensing, complaint, and financial information.Submit independent review organization (IRO) requests and decisions.E-Tax: File, amend and view premium taxes.Appointments: new, cancel, renew or print certificates. ![]()
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