Every year, CMS will send a letter to all Medicare beneficiaries who are enrolled in “Low Performing Plans”. These are plans that have a star rating of 2.5 stars or less for THREE consecutive years. You can identify a low performing plan on the Ritter Medicare Quote Engine or on the Medicare Plan Finder tool (located at www.medicare.gov) by looking for this symbol next to the plan:
This year, CMS says that they will be sending the letter around the middle of February. I have included a screen shot of the model letter below. Medicare beneficiaries who are enrolled in these plans will have one SEP to move into a higher performing plan (a plan with 3 stars or better).
Some insurance companies will allow the agent to make a sales presentation to Medicare beneficiaries who would like to take advantage of this Special Election, however, the actual enrollment will need to be performed by the Medicare beneficiary calling into 800-Medicare or enrolling via the Medicare.gov plan finder.