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UHC Care Advantage IESNP Prequalification

• If the member is dual or has any level of drug help, they MAY automatically qualify for the plan.  Please do not assume they qualify.  Check Jarvis to see if they show as eligible.
• If the member does not show as eligible in Jarvis, you will need to have them do the WellSky assessment call to see if they qualify.   It is very important the Wellsky assessment is done before you submit the application.  Once the assessment is completed you will get a notice stating if they are eligible or not.  If eligible, you can submit the application.
• This plan is available to anyone that can qualify either by having some level of help (MAKE SURE TO CHECK JARVIS TO SEE IF ELIGIBLE) or if they don’t have drug help, they can qualify through the Wellsky call.
• You can put a full dual or someone with any level of help in this plan, but the more obvious candidate would be someone on drug help only or someone that has no help at all.  The benefits of the plan will look far superior to the benefits of any non-dual MAPD plan.  It is also a very good Medicare supplement replacement option given the low MOOP of the plan ($1,600 in most states and as low as $500 in some)  This is especially true in states with high Medicare supplement rates like NY and CT.

UHC Care Advantage IESNP Prequalification – Broker Eligibility

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