Ritter Insurance Marketing, Craig Ritter

Health Care Reform Bill Changes Enrollment Options for Chronic Special Needs Plans

UPDATE – I need to check with the final bill language to verify this.  I think this may not have been included in the final version.  See FINAL BILL.

The reconciled Health Care Reform bill will ELIMINATE the option for Medicare Beneficiaries to enroll in Chronic Illness Special Needs Plans during lock in.

Here is a link to the Text of the Reconciliation Bill (at the bottom). See section 1176 on page 1409.

Here is the text copied and pasted:

SEC. 1176. LIMITATION ON ENROLLMENT OUTSIDE OPEN
15 ENROLLMENT PERIOD OF INDIVIDUALS INTO
16 CHRONIC CARE SPECIALIZED MA PLANS FOR
17 SPECIAL NEEDS INDIVIDUALS.
18 Section 1859(f)(4) of the Social Security Act (42
19 U.S.C. 1395w–28(f)(4)) is amended by adding at the end
20 the following new subparagraph:
21 ‘‘(C) The plan does not enroll an individual
22 on or after January 1, 2011, other than during
23 an annual, coordinated open enrollment period
24 or when at the time of the diagnosis of the dis
ease or condition that qualifies the individual as

an individual described in subsection
2 (b)(6)(B)(iii).’’.

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