FAQ – AEP MEDICARE ADVANTAGE
Annual Enrollment Period – Medicare Advantage
When will I receive my new plan Member ID Card?
Once you’re enrolled in your new plan, you will receive a letter from the carrier stating that your application was approved and you are now a member of your new plan. Your Member ID card and Summary of Benefits will arrive approximately 14 days prior to your new plan start date of January 1st. Your online access with the carrier will provide you links to see your Evidence of Coverage (complete description of coverage), link to search the prescription drug formulary (what drugs are covered in the plan), a link to the Pharmacy Directory (search participating pharmacies), link to Provider Directory (participating doctors, hospitals and other providers), billing information (including payment options) and Over-the-Counter benefit catalog, if applicable (a list of eligible OTC items covered under the benefits.
Do I use my new plan Member ID card when visiting a Medical Provider?
Yes. You will use your new plan Member ID card when you visit a Medical Provider or hospital. If applicable, you may need to show your Member ID card for dental and vision care visits.
Should I keep the Member ID Card from my previous plan?
Yes. Place your PREVIOUS Member ID card in a safe place. Hold on to this card until the claims that were billed to your previous plan are paid. Once the claims have been paid, you may safely discard.
Good news! Upon completion of your plan review and enrollment, you’re all set and ready to use your new health plan for the upcoming year!
Do I need to cancel my previous coverage prior to starting my new health plan?
More good news! No need to call your carrier to end your plan. Your previous plan will end on December 31st, and your new plan is automatically effective on January 1st.
What happens if I change providers or pharmacies?
You can search online with the Provider Directory link that was provided in your new member packet, or just contact us. Your licensed health insurance agent at Adolph Benefits Consulting can confirm if your new provider/pharmacy is listed in your carrier network. Call us at 443-402-3170 or email us at [email protected] .
Can I receive emergency care?
You have the right to emergency care, when needed, ANYWHERE in the United States WITHOUT pre-approval from your plan.
What happens if I move out of my new plan’s service area?
Please contact your licensed health insurance agent at Adolph Benefits Consulting at 443-402-3170 to discuss the necessary steps to take in order to have a seamless plan transition.
What should I do about the phone calls and mail that I am receiving?
Be aware of scam calls that are frequently made to take advantage of seniors. More times than not, the promises of grand prizes violate the rules of Center of Medicare and Medicaid Services and are just a ploy to collect your personal information. Should you have any questions or concerns, contact your licensed health insurance agent at Adolph Benefits Consulting at 443-402-3170.