HI/SMI
UTI
|
Function
|
Caption
|
Part C or D
|
Will also Generate
|
MHP033
|
Introductory UTI for Medicare Prescription Drug Plan
|
Information About Medicare Prescription Drug Plan Costs
|
Part D
|
If any of the following UTI's are generated, then generate MHP033
MHP036
MHP039
MHP043
|
MHP009
|
Introductory UTI for Health Plan Premiums
|
Information About Health Plan Premiums
|
Part C
|
If any of the following UTI's are generated, then generate MHP009
MHP035
MHP038
MHP015
|
MHP035
|
Amount of Part C Premiums Withheld From PMA
|
Information About Health Plan Premiums
|
Part C
|
|
MHP038
|
Amount of Part C Withheld From CMA Payment
|
Information About Health Premiums
|
Part C
|
|
MHP015
|
Health Plan
Premiums deducted from monthly benefits
|
Information About Health Plan Premiums
|
Part C
|
|
MHP012
|
Advise That All Premiums Due To Date Have Been Withheld
|
Information About Health Plan Premiums
|
Part C
|
If any of the following UTI's are present, then generate
MHP035
MHP038
MHP015
|
MHP017
|
Health Plan Premiums No Longer Being Deducted
|
Information About Health Plan Premiums
|
Part C
|
|
MHP018
|
Advise Beneficiary To Contact Health Plan Carrier For Questions
|
Information About Health Plan Premiums
|
Part C
|
If any of the following UTI's are present, then generate MHP018
MHP009
MHP035
MHP038
MHP015
MHP012
MHP017
|
MHP013
|
Advise Beneficiary That Some Managed Health Plans Offer Premium Reduction
|
Information About Health Plan Premiums
|
Part C
|
|
MHP016
|
Change In Health Plan Premium Deduction Amount
|
Information About Health Plan Premiums
|
Part C
|
|
MHP036
|
Medicare Prescription Drug Plan costs deducted from the PMA check
|
Information About Medicare Prescription Drug Plan Costs
|
Part D
|
|
MHP039
|
Medicare Prescription Drug Plan costs deducted from the CMA check
|
Information About Medicare Prescription Drug Plan Costs
|
Part D
|
|
MHP043
|
We will continue to deduct Medicare Prescription Drug Plan costs from monthly benefits
|
Information About Medicare Prescription Drug Plan Costs
|
Part D
|
|
HIB238
|
Introductory UTI for Health Plan Premiums and Medicare Prescription Drug Plan Costs
|
Information About Health Plan Premiums and Medicare Prescription Drug Plan Costs
|
Part C and D
|
If any of the following UTI's are generated, then generate HIB238
MHP037
MHP040
MHP044
|
MHP037
|
Health Plan Premiums and Medicare Prescription Drug Plan costs deducted from the PMA
|
Information About Health Plan Premiums and Medicare Prescription Drug Plan Costs
|
Part C and D
|
|
MHP040
|
Health Plan Premiums and Medicare Prescription Drug Plan costs deducted from the CMA
|
Information About Health Plan Premiums and Medicare Prescription Drug Plan Costs
|
Part C and D
|
|
MHP044
|
Health Plan Premiums and Medicare Prescription Drug Plan costs deducted from monthly
benefits
|
Information About Health Plan Premiums And Medicare Prescription Drug Plan Costs
|
Part C and D
|
|
MHP041
|
All Medicare Prescription Drug Plan costs due to date have been withheld
|
Information About Medicare Prescription Drug Plan Costs
|
Part D
|
If any of the following UTI's are used, then generate MHP041
MHP036
MHP039
MHP043
|
MHP042
|
All Health Plan Premiums and Medicare Prescription Drug Plan costs due to date have
been withheld
|
Information About Your Health Plan Premiums And Medicare Prescription Drug Plan Costs
|
Part C and D
|
If any of the following UTI's are used, then generate MHP042
MHP037
MHP040
MHP044
|
MHP047
|
Medicare Prescription Drug Plan costs no longer deducted
|
Information About Medicare Prescription Drug Plan Costs
|
Part D
|
|
MHP048
|
Health Plan Premiums or Medicare Prescription Drug Plan costs no longer deducted
|
Information About Health Plan Premiums and Medicare Prescription Drug Plan Costs
|
Part C and D
|
|
MHP049
|
Contact Medicare Prescription Drug Plan carrier if they have any questions about their
Medicare Prescription Drug Plan costs
|
Information About Medicare Prescription Drug Plan Costs
|
Part D
|
If any of the following UTI's are present, then generate MHP049
MHP033
MHP036
MHP039
MHP043
MHP041
MHP047
|
MHP050
|
Contact Health Plan for any questions about Health Plan Premiums and Medicare Prescription
Drug Plan costs
|
Information About Health Plan Premiums and Medicare Prescription Drug Plan Costs
|
Part C and D
|
If any of the following UTI's are present, then generate MHP050
HIB238
MHP037
MHP040
MHP044
MHP042
MHP048
|
MHP045
|
A change in the amount we deduct for Medicare Prescription Drug Plan costs from monthly
benefits
|
Information About Medicare Prescription Drug Plan Costs
|
Part D
|
|
MHP046
|
A change in the amount we deduct for Health Plan Premiums and Medicare Prescription
Drug Plan costs from monthly benefits.
|
Information About Health Plan Premiums and Medicare Prescription Plan Costs
|
Part C and D
|
|