Miles is a licensed agent who represents Colgate Health and its Medicare Advantage (MA) plans. Miles has several clients who have recently come to him for help. They are in their initial coverage periods) (ICEP) and are interested in enrolling in one of Colgate Health’s MA plans. Adam will soon turn 68 and has decided to retire. Betty is about to turn 65 and has also decided to retire. Adam and Betty both currently have coverage through Colgate Health. Charles had health coverage through Colgate but dropped the coverage when he retired early to travel to Europe. Charles has just turned age 65 and is now back in the United States. Diedre, who will turn 65 next month, currently has coverage through Ditmas Health – a company that Miles also represents. Who qualifies for the opt-in simplified enrollment mechanism?

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retta1954 retta1954

05-07-2022
Health

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Miles is a licensed agent who represents Colgate Health and its Medicare Advantage (MA) plans. Miles has several clients who have recently come to him for help. They are in their initial coverage periods) (ICEP) and are interested in enrolling in one of Colgate Health’s MA plans. Adam will soon turn 68 and has decided to retire. Betty is about to turn 65 and has also decided to retire. Adam and Betty both currently have coverage through Colgate Health. Charles had health coverage through Colgate but dropped the coverage when he retired early to travel to Europe. Charles has just turned age 65 and is now back in the United States. Diedre, who will turn 65 next month, currently has coverage through Ditmas Health – a company that Miles also represents. Who qualifies for the opt-in simplified enrollment mechanism?

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poona2339 poona2339 · Answer 1 · 2022-07-08T12:21:51-04:00

In this case, Alice is the person who qualifies for the opt-in simplified enrollment mechanism.

What is an Initial Coverage Election period?

The Initial Coverage Election Period refers to the period which is usually three months before an individual will be enrolled in Medicare part A.

Since Bob had health coverage through Spartan but then dropped the coverage, he's not eligible. On the other hand, since Alice will soon turn 65 and retire and she also has coverage through Spartan Health Plan offered by her employer, then she's the one that's eligible.

In conclusion, Alice is the one that qualifies for the plan.

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