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Effective January 31, 2020 at 11:59p.m. EST, the Centers for Medicare & Medicaid Services (CMS) imposed intermediate sanctions on Delaware Life Insurance Company. This means that Eon Health cannot accept new enrollments into our plan and/or market to enrollees at this time. Due to an increase in enrollment, we experienced significant enrollment issues.

While you may not have experienced this directly, the deficiencies cited by CMS include:

  • Failing to timely and accurately process enrollment requests
  • Failing to provide timely notices of acceptance or denials of enrollment requests
  • Failing to provide proof of coverage and other plan materials prior to member effective dates
  • Failing to correctly process requests for medical or drug coverage
  • Failing to provide information on a timely basis to current and prospective enrollees through the customer service call center.
  • Failure to provide proper oversight of the plan vendors

Eon Health is working diligently to resolve these issues as quickly as possible.

This does not impact your coverage with Eon Health. The benefits you have as a member of Eon Health continue while our plan is sanctioned. You still have access to our providers and pharmacy network and coverage for medical services and drugs on our formulary.

Can I make changes to my medical or prescription drug coverage?

If you believe you have been negatively impacted by the deficiencies stated above, you may qualify for a special election period that will allow you to enroll in a new plan now. To find out if you qualify for a special election period, please contact 1-800-MEDICARE (1-800-633-4227) 24 hours a day/7 days a week. TTY users should call 1-877-486-2048.

If you are eligible for a special election period, here are your options:

Option 1: Keep your current plan. If you are satisfied with your current coverage, you do not need to do anything to stay in our plan.

Option 2: You can switch to a different Medicare Prescription Drug Plan, Medicare Advantage Plan or other Medicare health plan, including a plan that offers prescription drug coverage. Your new coverage can start as early as the month after the new plan gets your application. Most Medicare health plans include prescription drug coverage, but not all. If you want Medicare prescription drug coverage, be sure to join a Medicare health plan that has this coverage or join a Medicare health plan that allows you to join a separate Medicare prescription drug plan.

What if I have more questions?

If you have any questions, please contact Eon Health at (855) 249-7811 Monday to Sunday 8am — 8pm from October 1 thru March 31 and Monday to Friday 8am — 8pm from April 1 thru September 30. TTY users should call 711.

Thank you for your continued membership with Eon Health.


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