Medicare Advantage and OTC Benefits

Medicare Advantage and OTC Benefits

Medicare Advantage and OTC Benefits
Comments

According to the consumer healthcare products association, the average American makes 26 trips per year to buy over-the-counter (OTC) products and this number may increase as you age. Some agents still do not realize that in a lot of situations with Medicare Advantage, OTC benefits may be one of the determining factors for clients when deciding which plan to go with.

OTC benefits will cover things like OTC medications and Health & Wellness items. Most carriers such as UnitedHealthcare, Humana, Aetna to name a few, will give the clients a card to use that works like a credit card or gift card. In most instances, clients can shop right from home and order out of a catalog or on a website such as Health Benefits. They can also use these cards in-store at that carrier’s preferred pharmacies such as CVS or Walgreens.

Some things to note:

  • OTC items may be purchased only for the enrollee, not for family members or friends
  • The OTC card is not a debit or credit card and cannot be converted to cash
  • It cannot be used to purchase Part B or Part D prescription drugs
  • Any unused balances may automatically expire at the end of each month, quarter, or upon disenrollment from the plan

Medicare Advantage and OTC benefits: How it works

Local sales tax is added to your order total and deducted from your credit balance. Categories of covered items include generic and name brand products for allergy, sinus, cold and flu, pain relief, home health care, and daily living, braces and wraps, dental and oral health, eye and ear care, smoking cessation, diabetes care, foot care, digestive health, incontinence, skincare, sleep aids and vitamins. Some of the most popular items for clients are things such as pain relief drugs, bath safety items, different braces, supports or heating pads, and different types of health monitors such as blood pressure monitors or thermometers. Most plans with this benefit included an average of $50-$100/month so be sure to pay attention to these details when evaluating the best plan for your client.

Learn more about Medicare Advantage and OTC benefits

Want to learn more about OTC benefits on the plans specific to your market? Speak to your Marketer today!

For more information, contact a Pinnacle Financial Services representative today

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

Nick Palo

Nick Palo

Assistant Vice President - Health

x7728 | npalo@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

Facebook Leads vs. Direct Mail

Facebook Leads vs. Direct Mail

Facebook Leads vs. Direct Mail
Comments

COVID-19 has changed marketing and lead generation for agents substantially this year. Most grassroots marketing efforts have come to a screeching halt for our agents which made even our most seasoned agents reevaluate how they were going to generate leads throughout OEP into AEP this year. Direct mail has been the one source of lead generation that has stood the test of time since the beginning. While the average response may have gone down over the years, it still tends to be consistent on average and many agents depend on direct mail as an important part of their lead generation campaigns.

While direct mail may be consistent on average, it is not always reliable and as we all know, nothing is ever guaranteed. Any good marketer will tell you to never have all your eggs in one basket. With the leads we are doing right now we have seen mailers pull as high as 10% and we have seen them pull .5% so you can never rely on direct mail as your only source of leads. With returns on direct mail varying, that can make your cost per lead vary which makes it a little tougher to budget and project your potential ROI. However, with direct mail, a client is taking a physical card and filling out their information and taking the time to send the card back which usually constitutes a more “qualified” lead.

Another route many agents have been taking for the last few years and increasingly so since COVID has come around, are Facebook leads. Facebook leads have been a great, fairly cost effective and more instant option in addition to direct mail. The average cost of a Facebook lead is about $20 and they are delivered in real time vs waiting a few weeks for a response to come in. There is no picking an area, running counts then dropping a piece and waiting to see how many you get back. You simply pick your area and determine how many leads you would like to order. The leads will start flowing into your dashboard real time and you may receive a call or a text directly from the client along with a request for information. This helps when you don’t want to wait for responses to come back in the mail and a lot of agents prefer this method for selling over the phone as the clients tend to be a little more tech savvy and able to complete electronic applications easier. You may have a few more people saying they never responded to the ad with Facebook as you do with direct mail but you have to weigh your positives and negatives. At the end of the day it all comes down to your ROI. I suggest my agents try a bit of both and work both types of leads to their maximum potential to get a good gauge so they can decide what works best for them.

The sales team at Pinnacle Financial Services tests many different lead programs on an ongoing basis.  Reach out to a team member to get the insight you need to have a successful lead campaign.

For more information, contact a Pinnacle Financial Services representative today

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

Nick Palo

Nick Palo

Senior Sales Director - Health

x7728 | npalo@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

2021 Medicare Advantage Commissions

2021 Medicare Advantage Commissions

2021 Medicare Advantage Commissions
Comments

Raises are coming to agents for 2021 Medicare Advantage. Commission increase was announced by the Center for Medicare and Medicaid Services, (CMS).

For CA and NJ

  • Initial MA commissions increased from $636/member/year to $672/member/year.

  • Renewal commissions increased from $318/member/year to $336/member/year.

For CT, DC, and PA

  • Initial MA commissions increased from $574/member/year to $607/member/year.
  • Renewal commissions increased from $287/member/year to $304/member/year.

For Puerto Rico and the U.S. Virgin Islands

  • Initial MA commissions increased from $350/member/year to $370/member/year.
  • Renewal commissions increased from $175/member/year to $185/member/year.

In all other states, initial MA commissions increased from $510/member/year to $539/member/year.

 Renewal commissions increased from $255/member/year to $270/member/year.

2021 Medicare Advantage Commissions

Initial Renewal
Product Region 2020 2021 2020 2021
MAPD National $510 $539 $255 $270
CT, PA, & DC $574 $607 $287 $304
CA & NJ $636 $672 $318 $336
Puerto Rico & U.S. Virgin Islands $350 $370 $175 $185
PDP National $78 $81 $39 $41
For more information, contact a Pinnacle Financial Services representative today

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

Nick Palo

Nick Palo

Senior Sales Director - Health

x7728 | npalo@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

Facebook Leads vs. Direct Mail

Medicare Advantage and Medicare Supplement Leads

Medicare Advantage and Medicare Supplement Leads

Pinnacle Financial Services offers a wide range of Medicare lead programs ranging from your standard direct mail programs through numerous vendors, all the way to Internet and Facebook leads and everything in between.   This includes Medicare Advantage and Medicare supplement lead options.

Our most popular lead program currently is our “Per Piece” lead program. Unlike other direct mail, you do not simply shell out hundreds of dollars to mail 1,000 pieces and hope for a good return. This program offers 2 types of leads, Turning 65 as well as 66+. The 66+ leads range from ages 66-74. Both types of leads are available in two-income brackets, $0-30,000 per year and $30-75,000 per year.

In the last few years, agents have found this to be one of our most consistent programs with average closing ratios ranging from 20-30%. We have many agents utilizing these leads as part of their monthly lead co-op program that Pinnacle offers. The nicest part of this lead program is you know exactly what type of return you are going to get on your investment from the time you order. The minimum order quantity is 20 leads, if by chance they only get 18 leads back, then that is what you pay for.

The same would go if you got 23 leads back. Essentially you are guaranteeing yourself a 2% return rate rather than rolling the dice on a mailer and hoping on a decent response. One of our direct mail vendors is guaranteeing their returns on their mailers. This has been a huge opportunity for us as it gives our agents a big piece of mind when placing orders. The direct mail market has been extremely up and down especially the last few years, so having a vendor who is willing to put a guarantee behind what they do goes a long way.

Pinnacle Financial has many different programs along all of their product lines and are constantly adding new lead programs and incentives. Make sure to reach out to your marketer to take advantage of the opportunities available to you.

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

Nick Palo

Nick Palo

Senior Sales Director - Health

1 (800) 772-6881 x7728
npalo@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

Medicare Certification 2020

Medicare Certification 2020

Medicare Certification 2020

Pinnacle Financial Services would like to welcome Medicare Certification Season 2020.

Yes, It’s that time of year again!

AHIP is open, carrier certifications are open, and we’re here to help make it as easy as possible on you. Let’s start with when to expect carrier certifications:

AHIP 6/17

Humana 6/25

Anthem 6/26

UnitedHealthcare 7/1

Mutual of Omaha 7/1

BCBS IL 7/8

Allwell Centene 7/9

WellCare 7/9

Aetna 7/10

SilverScript 7/10

Select Health 7/15

The following haven’t released exact dates yet, but we expect them sometime between July and August:

Envision, Emblem, IBC, VIP, Health Partners, Geisinger, and Freedom Health

For your convenience, we’ve put together some questions we’re often asked, that should make the process smoother.

FAQ's

Q: What is AHIP?
A:

AHIP stands for America’s Health Insurance Plans. In order to sell Medicare Advantage plans during the Annual Enrollment Period (AEP), most insurers require completion of AHIP’s Medicare training courses. Insurers generally require AHIP to assure that agents selling their plans are compliant with the latest CMS guidelines and regulations.

Q: How Much Does AHIP Cost?
A:

The original cost of AHIP is $175; however, there are currently 7 carriers we are contracted with that offer an AHIP discount of $50 making the total cost $125. Those carriers are Aetna, Anthem, Humana, UHC, WellCare, Mutual of Omaha, and Cigna Healthspring.

Q: I Passed AHIP Last Year. Do I need to Complete all of the Modules again?
A:

If this is your second or more time taking AHIP you will be exempt from having to complete modules 1-3.

Q: I Reside in “_____”, however I would like to sell in other states as well. Are other certs/training needed to be completed?
A:

There is nothing mandatory about being “Ready to Sell” in additional states except the completion of the current year certifications. No additional certification is required, but carriers do offer face to face training for agents who are interested.

Q: What is the Passing Score for AHIP?
A:

You are given 3 attempts to get a 90% or higher on the final exam. You are given a 2-hour window to answer 50 questions on the final exam. Each click that opens the test is counted as an attempt. Please make sure you have time allotted to sit down and finish the test before beginning.

Q: If I don’t pass within the 3 attempts, can I take the test again?
A:

You can take the test again however, Humana will not accept an AHIP transfer if an agent has not passed AHIP within 3 attempts. Other carriers will, but you won’t get the discount if you pay for another 3 attempts. It’ll cost $175 each time you have to repurchase the test.

For more information on Medicare Advantage Certifications, contact a Pinnacle Financial Services sales director.

Nick Palo

Nick Palo

Director of Sales - Health

x7728 | npalo@pfsinsurance.com

Contact Us

Contact a Pinnacle Financial Service representative today for assistance.

CallEmail