fbpx
Medicare Electronic Scope of Appointment

Medicare Electronic Scope of Appointment

Medicare Electronic Scope of Appointment

March 29, 2020

When selling Medicare Advantage an agent needs to obtain a scope of appointment (SOA) prior to discussing any plan information. What is a scope of appointment? A scope of appointment is a form that an agent must have a Medicare beneficiary complete, prior to an appointment, designating exactly what products they wish to discuss. You may obtain a scope of appointment in various ways. One way is through a generic paper form, approved by CMS, that all carriers must recognize. You can also use carrier-specific forms as well. The other option, which has grown in popularity over the years, is electronic or e-scopes.

An e-scope is basically a digitized version of the paper scope. Depending on the program, these setups can vary, but all must follow and be approved by CMS. These can be emailed and signed by the client at their leisure. At Pinnacle Financial Services, we always recommend using a generic scope if possible (link here). Generic scopes typically have other cross-selling opportunities listed, like hospital indemnity products, that can be sold during a Medicare appointment.

To set the bar higher, Pinnacle Financial Services has an online enrollment system called Connect4Medicare. Connect4Medicare allows you to enroll clients into Medicare Advantage, Medicare Supplement and even Prescription Drug Plans (PDP) electronically all in one place. This software even has an e-scope built-in. Agents that contract with Pinnacle Financial Services receives access to this for free- no hidden fees! Instead of using each carrier website with numerous logins, it is all condensed into one convenient site.

With the current restrictions on our country with the Coronavirus hindering our ability to be around people, electronic platforms will become extremely detrimental to business. For the e-scope, all the client needs are an email address for the scope to be sent to and to e-sign. You can also have them sign it in person for a face to face visit as well!

Partner with Pinnacle Financial Services to get access to all these great tools and more!

For more information, contact a Pinnacle Financial Services representative today

1 (800) 772-6881 x7731 | sales@pfsinsurance.com

Dustin Ofsharick

Dustin Ofsharick

Director of Sales - Health

x7706 | dofsharick@pfsinsurance.com

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881
support@pfsinsurance.com

Contact Us

Contact a Pinnacle Financial Service representative today for assistance.

CallEmail

2020 Medicare Part D Donut Hole

2020 Medicare Part D Donut Hole

2020 Medicare Part D Donut Hole

February 13, 2020

When you think “donut hole”, its generally about the food you eat, instead of an extremely important issue with your Medicare health insurance coverage.

So what is the 2020 Medicare Part D donut hole? Many clients wonder how to identify a donut hole, and when they’ll enter one. The team at Pinnacle Finanical Services is here to answer these questions, and help agents understand all the different parts of Medicare, including these non-edible pastries.

The “donut hole”, also known as Coverage Gap, is used to describe a gap or pause in Medicare Part D, (Prescription Drug Coverage.)

The first item to consider with Medicare Part D, is called the deductible period. Some Medicare Part D plans have a deductible, which is the amount of money to spend on covered drugs before plan coverage starts. After meeting the deductible, Part D helps pay for all of the covered drugs for the rest of the year. The 2020 CMS-allowed deductible maximum is $435.00 for any Medicare Part D plan.

The next piece to consider is called the initial coverage period. After the Part D deductible is met, clients will enter the this stage. In the initial coverage period, clients pay a co-payment or co-insurance for covered medications. These amounts will vary depending on the drug formulary.

After $4,020 is spent for total prescription drug costs, in 2020 clients enter the donut hole gap. In 2020, they will pay no more than 25% of the price for brand name and generic drugs. Clients will stay in the donut hole until they have a total prescription drug cost of $6,350. After clients reach the $6,350, they enter the final catastrophic stage. In this, clients will only pay a small co-insurance or co-payment for their covered drugs for the rest of the year.

Pinnacle Financial Services offers a great online enrollment tool, Connect4Medicare. Tied to an agent’s NPN, this software will allow Pinnacle agents to easily compare Medicare plan options, quotes, and enroll clients in one easy-to-use system. Additionally, agents will still get paid full commissions, and be the agent of record.

For more information, contact a Pinnacle Representative today at 1-(800)-772-6881 x7731 or email healthsales@pfsinsurance.com.

Dustin Ofsharick

Dustin Ofsharick

Director of Sales - Health

1 (800) 772-6881 x7706
dofsharick@pfsinsurance.com

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881
support@pfsinsurance.com

Contact Us

Contact a Pinnacle Financial Service representative today for assistance.

CallEmail

Aetna 2020 Plan Options

Aetna 2020 Plan Options

Aetna 2020 Plan Options

August 16, 2019

AEP is right around the corner and there are many carrier expansions and plan options to choose from including the Aetna 2020 Plan Options. It is the time of year you need to have AHIP completed, carrier certifications completed, supplies orders filled and a game plan for the annual enrollment period.

Aetna is one of the top Medicare Advantage carries around and they offer a variety of plan options in most states. This year they are also including many additional product benefits such as dental, vision and hearing.

$0 is your hero with many of the Aetna Medicare Advantage plan options for 2020. This includes many $0 premium plans with $0 co-pays and a ton of $0 deductible services. Do not forget about the year round selling opportunities with Aetna D-SNP (Dual Eligible Special Needs Plan).

With so many choices for plan options and networks Pinnacle Financial Services makes it very easy to navigate. We have great quoting software tools- on mobile and desktop! To make it even easier we have a state of the art online enrollment platform called Connect4Medicare that is free to all of our agents! You can quote, look up doctors, drugs, pharmacy’s and enroll all on one platform.

Give your sales director a call today to find out about all the Aetna plans available in your area along with all the support and tools Pinnacle has to offer.

For more information, contact a Pinnacle Financial Services representative today!

Dustin Ofsharick

Dustin Ofsharick

Director of Sales - Health

x7706 | dofsharick@pfsinsurance.com

Contact Us

Contact a Pinnacle Financial Service representative today for assistance.

CallEmail

Medicare Supplement Underwriting

Medicare Supplement Underwriting

Medicare Supplement Underwriting

May 17, 2019

Two of the biggest questions when considering a Medicare supplement plan are, do I need to go through Medical underwriting and if so can I pass the underwriting guidelines. Medicare Supplement Underwriting is a process where insurance companies obtain information about your physical and mental health along with your medical history to determine if you will be approved or denied for a Medicare supplement policy.

So who needs underwriting? Clients who have passed there open enrollment period may have to go through underwriting. Clients that may want to switch Medicare supplement plans because of various reasons may have to go through Medical underwriting as well. Each carrier has a different process for underwriting. Some carriers may approve a client even if they have a pre-existing condition but may be at a higher monthly premium. Pinnacle Financial Services can help you obtain these underwriting guides for each carrier you are appointed with.

How do I bypass underwriting? If a client is in their Medigap Open Enrollment Period they can enroll in a Medicare Supplement plan without underwriting and not be charged a higher rate for health conditions. Another way is a special election period that can be triggered by moving to a state that does not have the carrier plan or a carry pulls the plan from the service area.

Pinnacle Financial Services is your one stop shop for all the top Medicare Supplement carriers. We take care of all the back office support that includes getting you appointed with the carriers, scrubbing and processing your applications, and tracking the applications all the way to the carrier until you are paid! Call today to find out what Medicare Supplement carriers are available in your area.

For more information on insurance agent E&O coverage, contact a Pinnacle Financial Services sales director.

Dustin Ofsharick

Dustin Ofsharick

Director of Sales - Health

x7706 | dofsharick@pfsinsurance.com

Contact Us

Contact a Pinnacle Financial Service representative today for assistance.

CallEmail

Medicare Plans in Florida

Medicare Plans in Florida

Medicare Plans in Florida

April 29, 2019

When it comes to Medicare and the Medicare Plans in Florida that are available, it can be quite complicated. You have Medicare Advantage, Medicare Supplements, and Prescription Drug Plans (Part D), that you must compare and decide on what is best for an individual. So what can an agent or individual do when deciding on the best course of action?

A great source to compare all of the Medicare option, find providers and check on plan formularies is through Connect4Medicare. Top insurance carriers such and UnitedHealthcare, Humana, Aetna, and Mutual of Omaha have plan options available throughout the entire state for seniors.

Connect4Medicare will allow Medicare insurance agents to sell Medicare Advantage, Medicare Supplements, and Part Dplans, all from one easy to use system.

This program was created by the same group that developed the Medicare.gov system. With it, you can…

  • Look up Provider Directories and Formularies
  • Compare Plans
  • Add Prescription Drugs
  • Enroll Electronically

AGENT SPECIFIC URL- NEW FOR 2019

Now you can add your Connect4Medicare client enrollment link to your website and marketing. This will allow clients to click, compare, and enroll themselves in a plan. You’ll get credit for the sale and get paid!

Some of the difference in the plans can include additional benefits such as dental benefits, vision benefits and over the counter benefits. Experienced insurance agents can guide clients to what plan gives an individual client the best benefits for their situation.

At Pinnacle Financial Services, our experienced Medicare staff can assist insurance agents in become contracted and ready to sell the Medicare products they need to be successful. When it comes to support Pinnacle has a full team of experts to guide you along the path to having your most successful selling season yet.

Contact Pinnacle Financial Services today for more information on insurance agent E&O coverage.

Dustin Ofsharick

Dustin Ofsharick

Director of Sales - Health

x7706 | dofsharick@pfsinsurance.com

Contact Us

Contact a Pinnacle Financial Service representative today for assistance.

CallEmail