Mrs

Mrs. Hines has substantial income and has been enrolled in a Whole Health Medicare Advantage PPO that includes drug coverage for several years. Recently, Mrs. Hines’ health has deteriorated, and she moved into Sunshine Lakes assisted living facility on July 15. Sunshine Lakes is in the same service area as the Whole Health MA plan. Care Assist Medicare Advantage Plan offers an IE-SNP that is only available to residents of certain assisted living facilities, including Sunshine Lakes. Mrs. Hines and her daughter approach you as to whether Mrs. Hines qualifies for a SEP that would allow her to enroll in Care Assist’s (IE-SNP). What do you say? geoquad a. Mrs. Hines is eligible for a change of residence SEP because of her permanent move, she has a new option available to her. The SEP will allow Mrs. Hines to enroll in Care AsLst’s institutional equivalent special needs plan (IE-SNP) without having to wait until the next annual open enröt nent perfod. Cocause she did not notify the wan the moneh hefore cha moved the SEP for a change of residence will run for 2 months following the month of the move. geoquad b. Mrs. Hines is eligible for an aligned enrollment SEP because she resides in an assisted living facility. This will allow her a one-time-per-month opportunity to switch MA plans. geoquad C. Mrs. Hines is not el gible for an SEP because she is still residing in the whole Freath WA pun service area she meat wair until the next annual open enrollment period to switch plans. geoquad A. Mrs. Hines is not eligible for a change of residence SEP, but she is el gible to change her election as a result of qualifying for the OEPI because she has permanently moved to an assasted living facility due to deteriorating health.