![]() ![]() You need to complete a separate form (see below), if you need help filing an initial request for coverage, a grievance or an appeal. You need to complete a new form each year for a representative to continue to assist you. You don’t need to complete the PHI form if you have a Power of Attorney (POA). The PHI form doesn’t override Medicare Power of Attorney documents. Return the completed form to us at the address or fax number shown on the form. They can also speak with us on your behalf about benefits, coverage, claims, bills and more. Payer General Filing Limit for Claims General Filing Limit for First Appeals Our Filing Limit for Claims Our Filing Limit for First Appeals Medicare 12 months from DOS 120 days from original determination Medicare Advantage Varies by payer Varies by payer Indiana Medicaid 180 days from DOS (eective January 2019) 60 days from original claim. It lets this person access your personal health information. If you want to appoint someone to act as a long-term care manager or authorized representative, you’ll need to mail us an Authorization for Release of Protected Health Information (PHI) form. Follow the instructions provided by your vision insurance. We can speak with that person during the call. Medicare, Medicaid and Affordable Health Care plans may also be accepted at. If you need help just once, you can give us your permission by phone. Generally, your membership on your current plan will end on the last day of the month after we get your request to switch to Original Medicare or another plan. If you get coverage from an employer or group health plan, review the information they provided to see what options are available to you. Health benefits and health insurance plans contain exclusions and limitations. Live in a long-term care facility (like a nursing home) Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). ![]() Lose other creditable prescription drug coverage (prescription drug coverage that pays out, on average, at least as much as a Medicare Part D plan).In certain situations, you can change your Medicare plan outside of Medicare’s annual election period. However, Medicare timely filing limit is 365 days. ĭuring a special enrollment period granted to you for certain situations The timely filing limit varies by insurance company and typically ranges from 90 to 180 days. Medicare beneficiaries may also enroll in an Aetna Medicare plan through the CMS Medicare Online Enrollment Center located at. Your coverage will begin on January 1 of the following year, if we get your request during the annual election period. *ĭuring Medicare's annual election period: 10/15 – 12/7įrom October 15 through December 7 each year, you can decide to keep your current plan or select a new plan. There are two main time periods when you can change or leave your Medicare Advantage (Part C) or prescription drug (Part D) plan.
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