New 2020 Wellmark South Dakota MedicareBlue Supplement application now available!
The new 2020 MedicareBlue Supplement application is now available on the PIPAC website, www.pipac.com under the Forms and Documents button or on the Wellmark Marketing Toolkit at www.wellmark.com. At this time, the application is only available to download.
Printed quantities of M-3507 10/19 will be available in the next month.
The new application should be used for 2020 effective dates and are the only way to enroll in 2020 coverage until BlueSource is live. They were revised to incorporate Wellmark's new products for 2020 and household discount options.
Your client's effective date will determine which application needs to be used.
Use the revision date (the month and year following the form number) to easily identify the different applications. The form number is located on the bottom, left corner of every page on the application.
- For effective dates before Jan. 1, 2020, continue to use the current MedicareBlue Supplement application with the form number of M-3507 12/18 AN-T.
- For effective dates on or after Jan. 1, 2020, use the new application with the form number of M3507 10/19 AN-T.
If the incorrect application is used it will be returned to you, and your client's enrollment may be delayed.
Please contact Beth, email@example.com or Carol, firstname.lastname@example.org or call the Individual Health Department at 319-277-8541 with any questions.