Late Enrollment Penalty
Test Your Knowledge on Late Enrollment Penalties
Are you well-informed about the Late Enrollment Penalty (LEP) for Medicare Part D? This quiz will help you assess your understanding of the rules and regulations surrounding late enrollment penalties.
Take the quiz to discover:
- The definition of LEP
- Factors affecting LEP amounts
- Deadlines for submitting proof of credible coverage
- How to dispute a LEP
What is LEP
A penalty that Humana charges member for enrolling late into their plan( after AEP)
A penalty that CMS assesses for members that have a gap in coverage for 63 days or did not enroll part D coverage during their initial election period
A Penalty SSA assesses to members for not signing up for Medicare when member turned 65
Can a LEP ever increase?
Yes- they can change year to year based on changes to the average permium amounts for Medicare Part D
No- When you receive a LEP it will stay the same based on Medicare Guidlines
What is the deadline for members to send in proof of creditable coverage?
Thirty Days after member enrolls
Thirty Days from the day the notice of creditable coverage letter was sent
Ninety Days from the initial request, per a CMS grace period
If LEP was already assessed what will member have to do if they dispute the LEP?
Call Humana and a rep can fill out the attestation form
Call Medicare because they access the LEP
Request an Reconsideration Request From that should be mailed to Maximus for final resolution
If member switched insurance carriers, will the LEP be removed?
No- the LEP is not a Humana Penalty and follows the member to whichever part D carrier they enroll with
Yes- Because Humana assesses the LEP member can go to another carrier and the LEP will not follow
How long does a member have to request a reconsideration?
There is no timeline in which a member can request
Sixty days from the date that Humana sent the letter advising member they have been assessed a late enrollment penalty
Ninety days fromt he date that CMS sent the letter advising them that they would be assessed a late enrollment penalty
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