Seamless Enrollment

In May 2016, the Centers for Medicare & Medicaid Services (CMS) approved Mercy Care Advantage to process Seamless Conversion Enrollments.  Seamless Conversion Enrollment is an enrollment method that allows Mercy Care Advantage to automatically enroll Mercy Care members who are becoming Medicare eligible due to turning 65 or reaching the end of their 24‐month Medicare disability-waiting period.  In October 2016, we began notifying eligible Mercy Care members in writing to explain they will be automatically enrolled in Mercy Care Advantage as of their Medicare entitlement effective date.  The notice explains the benefits of being a Mercy Care Advantage member and how this plan will help coordinate with their Mercy Care coverage.  Members do have the option to “Opt-Out” of the Mercy Care Advantage plan prior to their enrollment effective date.  

Mercy Care Advantage is making outreach calls to eligible members to explain the plan benefits and assist with questions. If you have questions about the Mercy Care Advantage Seamless Enrollment process, please call our Seamless Enrollment team at 1-866-277-1025, (TTY 711), Monday through Friday from 8:00 a.m. – 5:00 p.m.

View an example of the Seamless Enrollment Initial Notice letter.