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Medicare Eligible Tennesseans Can Still Switch Plans With Five-Star Plan Opt-In



Even though the annual enrollment period for 2024 has ended December 7, 2023, individuals who are eligible for Medicare may be able to opt-in to a top-rated Medicare Advantage plan.


You can use a Special Election Period designed for those who live in areas with a Five-Star Medicare Advantage Plan. These plans offer the highest level of overall Quality and performance in member experience, chronic condition management, and preventive services. The best thing is that because these plans are five-star plans, Medicare-eligible individuals can enroll throughout the year.


Five-Star Medicare Advantage plans earn their five-star rating from the Centers for Medicare and Medicaid Services (CMS). This special election period lasts until November 30, 2024, allowing Tennesseeans currently enrolled in Original Medicare (Part A and Part B) or a Medicare Advantage plan to have the opportunity to switch to a five-star plan in their area.


The catch is that you can make this change one time, meaning you will have to wait to make further changes during that Annual Election Period which currently runs from October 15th to December 7th.


What Do The Stars Mean?

CMS goes right to the source, the consumer, and allows them to speak their mind with an unbiased comparison of all the Medicare Advantage plans available to them and rating those plans on a scale of 1 to 5 stars. Five-star plans are the cream of the crop and are considered "excellent," with very few plans raking in this top-tier ranking award.


The scores are averaged together to calculate the overall star rating, which evaluates a comprehensive assessment of 40 different touch points. These 40 measures include preventive screenings, medication adherence, member health outcomes, and patient experiences. Star ratings, regardless of how many stars are received are presented with each plan. You also can get more information from the CMS.gov website.


How Can You Find Five-Star Plans?

In Tennesse, there are several options available among different carriers. The easiest way to find the plan that will work with your unique situation is to speak with a licensed local broker. With a broker, you can compare plans and gain an objective view of the plans that could work well with your needs.


You also get a personalized no-rush, no-obligation quote during your appointment which allows you the time needed to assess what is important to you in the plan and some features that you may not even known were available to you. Even look up your doctors and prescriptions to make sure you are covered and have confidence in the plan you choose.

 
 
 

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© 2024 Arnett Evans and Company. All rights reserved. AEC is a trademark and marketing brand of Arnett Evans and Company.

We do not offer every plan available in your area.  Currently, we represent 10 organizations that offer 150 products in your area. Any information we provide is limited to those plans we do offer in your area. Please get in touch with MEDICARE.gov or call 1-800-MEDICARE or your local State Health Insurance Program (SHIP) to get information on all your options.

Plan features and availability may vary by service area. Arnett Evans and Company, AEC, is not a government entity, neither does the owner(s), or company claim to be associated with any local, state, or federal governments outside of the licensure of writing agents or brokers through the Secretary of State in the given area in which agents/brokers are licensed to sell insurance products.

All insurance carriers that we represent, within the Medicare ecosystem, is a HMOs, and PPO plans with a Medicare contract. Our D-SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. Plan features and availability may vary by service area. Participating healthcare providers are independent contractors and are neither agents nor employees of the carrier plans they accept, except in situations in which you are notified otherwise by the carrier. The availability of any particular provider can not be guaranteed, and provider network composition is subject to change. Every year, Medicare evaluates plans based on a 5-star rating system.

See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations, and conditions of coverage. Plan features and availability may vary by service area.

The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice before such a change when necessary from your plan's carrier.

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