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I learned last week that because I didn't re-enroll my Mom in Medicare Part D that even though the plan covered my Mom's medications through July 2020 that they just now terminated her.


Will have to pay out of pocket (Mom takes 7 different meds). Will also have to re-enroll in October.


Does the company have the right to do this now?


Thanks, Jenna

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No. You MAIL a letter to Well-armed and state your case. Do not continue doing this on the phone. You have no record of your complaints that way.

I would mail this with a return reciept.
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JennaRose Aug 2020
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Call the company and throw yourself on their mercy. Explain that mom has dementia and that you did not know about what she had done.
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JennaRose Aug 2020
Thanks, I called them 3 times already before I posted this. The company "claimed" they mailed my Mom a letter when the truth is I did not receive any letters. Then after I called the company I received a letter 2 days later.

I have every letter they mailed in a file. No such letter that they claimed they mailed exists until recently.

Bottom line is they were supposed to automatically deduct the amount every month (which I should have checked) and they didn't for 2020.

The company is Wellcare (hope I'm allowed to post that) and everyone I have talked to doesn't understand English. Everyone is foreign and I have a hard time understanding them.

I guess I will pay out of pocket until enrollment period and if my Mom has to pay a penalty so be it.

Thanks Barb! By the way my Mom was born and raised in Brooklyn.
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Since my prescriptions are included in my supplimental, I didn't realize that you need to re-enroll every year for Medicare D. My Mom was on PADD with the State and I don't remember having to do any yearly enrolling.

I would do what is suggested. Hopefully they will allow you to reenroll starting with the 1st of August. If this is done, then you can ask for a form to be reimbursed for any out of pocket. I have done this.
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JennaRose Aug 2020
Hi JoAnn, after doing some research most companies do NOT require a person to re-enroll every year for Medicare part D. So I don't understand what Wellcare is talking about. Makes no sense to me. Prior to having Wellcare my Mom had Silverscript and I didn't have to re-enroll her the following year.

I will write to them as Barb suggested certified mail.

I also got my Mom AARP Supplement Healthcare through United Healthcare which pays for everything else (hospital, etc.). But that does not include prescription medication. That's worth every penny.
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This companies claims sound a little strange to me. I was in Humana prescription Part D for 4 years - never had to re-enroll. I would always get a letter telling me that the enrollment period started and if I wanted to to stay with them I needed to do nothing. In your case, I would write to the company, as has been suggested and I would also write to your State's insurance commissioner. I do recommend even though it is a pain, that during the enrollment peroid you always review the plans to see if there's a better option out there for you. You need to know what drugs you're going to be taking, what tier they're in and then look at the plans that it offered in your area to find out which ones have the most reasonable cost which, of course, have to be evaluated against the monthly premium.
Good luck in your quest to straighten this out and help your mom.
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Possibly...

CVS purchased Aetna and during that purchase there were some requirements placed on the companies to allow the purchase to complete. While I remember the overall info about the acquisition, I have forgotten the specific details regarding how it impacted Silverscript and WellCare. I do remember I ran into some issues with my own Medicare Part D during open enrollment because things were changing during the enrollment period. Maybe this had something to do with the sudden drop in coverage.

Here is one article about Silverscript/WellCare and the purchase: https://www.cnbc.com/2018/09/27/aetna-to-sell-some-medicare-drug-plan-businesses-to-wellcare-health-plans.html that might help explain things.

Why not follow the insurance/Medicare appeals process while waiting for the re-enrollment to come back around?
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My Mom's employer that she retired from recently required all their retirees to move to an Advantage plan instead of the other options they offered active employees. That conflicted with other insurance coverage she had from my Dads policy and she had to drop her employer coverage because you cant have two policies that contain Part D prescription benefits.
She decided that her Regular Medicare and Medicare supplement plus my Dads coverage better for her because she didnt want to be constrained by a network for doctor choice

Did you have Part D benefits from other insurance?
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