(Callers must identify one of the following enrollment periods in order to enroll in the plan. If they cannot, you cannot enroll them by phone. If the caller has said why they’re calling – because of AEP, IEP or SEP – go directly to that item in the list below and check it. If the caller did not identify the reason for the call yet, probe to determine if the caller is new to Medicare or calling during the AEP to switch plans. Once the caller has answered one of the questions, skip the rest and proceed to the end of this section. Also skip the question(s) if the call is outside
the time period noted and move immediately to the next question.)
Typically, you may enroll in a Medicare Advantage Plan only during the annual enrollment period from October 15 through December 7 each year. There are exceptions that may allow you to enroll in a Medicare Prescription Drug Plan outside of the annual enrollment period. I am going to read you some statements and you can tell me which statement best applies to your situation. By selecting a statement, you are certifying that, to the best of your knowledge, you are eligible for an Enrollment Period. If we later determine that this information is incorrect, you may be disenrolled. A choice of effective dates is only allowed in certain enrollment situations. In all other cases, or if you do not specify an effective date, your effective date will be the first of the month after your form is received by the plan. (Some of the enrollment periods ask for a requested effective date. Callers are not required to select an effective date. If a date is selected, it does not have to match the move date or coverage ending date entered earlier. The requested
effective date cannot be guaranteed and may change once coverage is
If none of these statements applies to you or you’re not sure, please contact CCA Health MI Medicare Advantage at 1-855-959-5855 to see if you are eligible to enroll. We are open 8 a.m. to 8 p.m., daily, local time. TTY users should call <711>.