Aetna | What you need to know in Medicare this week

Aetna | What you need to know in Medicare this week

Aetna | What you need to know in Medicare this week
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Stay in the Know

What you need to know in Medicare this week

We want to help boost your sales

We’ve got a deal for you this Annual Enrollment Period! We’ll help cover the cost of marketing materials if you achieve “net positive” enrollment – meaning your total sales exceed your total lapses. And you can also earn credits for marketing materials in the Studio. Get started today!

Be a Front Runner and earn rewards!

The more you sell, the more you get. Earn points for each sale you make and receive valuable rewards, such as:

  • Free 2024 Aetna Individual Medicare certification (a $175 value)

  • Discounts on online purchases from Staples™

  • Signage announcing your status

  • Discounts on purchases made through Aetna’s Medicare Marketing Studio

  • A discounted rate on Kaplan Insurance continuing education courses online for one year

 

We’re here to help

If there is any way we can help during this AEP, please contact your local Aetna Medicare Broker Manager, your Aetna Medicare Sales Director, or Aetna Medicare Broker Services for assistance.

For more information, contact a Pinnacle Financial Services representative today

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

Contact a Pinnacle Representative if you have any questions.

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

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Contact a Pinnacle Financial Service representative today for assistance.

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WellCare | AEP Reminders – Enroll in Ascend Today!

WellCare | AEP Reminders – Enroll in Ascend Today!

WellCare | AEP Reminders – Enroll in Ascend Today!
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With two weeks remaining until the end of AEP, we want to ensure you are getting the most from the Ascend Enrollment Platform. Using Ascend provides many advantages, including the ability to compare 2023 plans side-by-side, view benefit details, search for providers, pharmacies, and drugs, and send Quick Quotes!

Included in this communication are some additional reminders that will help you be more efficient when enrolling members into our plans. Topics include:

  • Comparing and Quoting Plans
  • Contactless Enrollment Tools
  • Medicaid and Medicare Eligibility Verification
  • Value-Based Enrollment (VBE) 

Compare and Quote Plans

Ascend offers the ability to compare providers, pharmacies, and drugs across all plans available within the enrollee’s zip code.

  • REMINDER: Verify the selected provider is in the network and a PCP for the plan enrolling into by looking for the PCP flag on the provider search screen and the green check mark on the plan compare. Please reference Ascend Provider Search Quick Start for additional details.
  • Reference Ascend Pharmacy Search Guide for help comparing pharmacy and drug costs.

Quick Quotes— Send a quote to a potential enrollee to help them decide to enroll in one of our great plans. Please reference Ascend QuickQuote for additional details.

Contactless Enrollment Tools

  • Send for Signature —Utilize the Send for Signature feature to allow the member to complete the enrollment themselves at a later time. Please reference Ascend Send for Signature App for additional details.
  • RATE— Record calls using Remote Agent Telephonic Enrollment (RATE) in the Ascend Mobile App. Please reference Ascend Rate_QuickStart Guide for additional details.

Check Medicaid and Medicare Eligibility

Ascend has enhanced the Medicaid search functionality to better assist you in confirming Medicaid eligibility, MSP levels (e.g., QMB, SLMB, etc.), and identifying which D-SNP your member is qualified to enroll in.

Enhancements have also been made to the Benefit Eligibility Query (BEQ) to confirm Medicare eligibility. Some of the updates made include verifying the plan the member is currently enrolled in, the last time a SEP was used, etc.

For more information regarding Medicaid and Medicare Eligibility verification, please reference this previous communication.

Value-Based Enrollment (VBE)

As a reminder, Wellcare has recently INCREASED the payment incentive on 2023 AEP Value Based Enrollments (VBE) for Health Risk Assessment (HRA) completions. 

Please reference this previous communication for additional details on this exciting opportunity.

For more information, contact a Pinnacle Financial Services representative today

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

Contact a Pinnacle Representative if you have any questions.

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

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Contact a Pinnacle Financial Service representative today for assistance.

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Health Partners Medicare | $10 Insulin for MA Plans

Health Partners Medicare | $10 Insulin for MA Plans

Health Partners Medicare | $10 Insulin for MA Plans
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$10 Insulin for MA Plans;

$0 Copays on All Rx Drugs for DSNP Plan

Health Partners Medicare is participating in the Part D Senior Savings program in 2023 and can offer $10 copays (30-day supply) on covered insulin drugs. This benefit is offered in our Prime and Complete (PA) and Silver and Platinum (NJ) plans. Members can save more money by ordering a 90-day refill and paying only a $20 copay.

Our Special plan (DSNP) offers a $0 copay for all covered prescription drugs. The $0 copay applies to both brand-name and generic drugs. 

Health Partners Medicare’s prescription drug benefits are extremely competitive and our formularies are among the strongest in the market. Copays are driven by LICS level and whether the drug is a brand or generic.

You can search for covered prescription drugs at HPPMedicare.com.

Submitting Applications

Health Partners Medicare is offering a $75 incentive payment to brokers who complete a Health Assessment for a 2023 enrollment of our Special plan (only available in PA) and our two New Jersey plansSilver and Platinum. The HA can be completed and submitted through Connecture.

Please note: This incentive does not apply to new enrollments in our Prime and Complete plans.

Once an application is submitted, you will have the option to complete the beneficiary’s Health Assessment form by clicking on the Complete Health Assessment button on the Application Confirmation page. 

Health Partners Medicare is committed to being a resource to our broker partners. If you have any questions, please contact Tom Terranova or Alexus Richards.

For more information, contact a Pinnacle Financial Services representative today

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

Contact a Pinnacle Representative if you have any questions.

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

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Contact a Pinnacle Financial Service representative today for assistance.

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Aetna | What you need to know in Medicare this week

Aetna | Broker News Nov 23

Aetna | Broker News Nov 23
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Wishing you and your family a happy Thanksgiving

With just two weeks to go in AEP, you still have some BIG opportunities in your local community. We’re here to support you all the way to December 7. Let’s finish strong!

New and Noteworthy

AEP Ends December 7: Guidance & Deadlines

On December 7, all Medicare AEP marketing efforts must cease. Please make sure you follow the guidelines below to submit your final AEP enrollments. Here’s what you need to know.

We Want to Help Boost your Sales

We’ve got a deal for you this Annual Enrollment Period! We’ll help cover the cost of marketing materials if you achieve “net positive” enrollment – meaning your total sales exceed your total lapses. You can earn credits for marketing materials in the Studio. Get started today! reimbursement for marketing materials! Find out more.

$200 Member Incentive for Rewarding Healthy Behaviors

Your Healthy Rewards, our national rewards program, is offering members an incentive of up to $200 redeemable for gift cards, by completing eligible health activities in 2023. Click on the programs below to get all the details:

NEW for 2023! Extra Benefits Card

Starting in 2023, some Aetna Medicare plans will offer an Extra Benefits Card at no added cost. It can be used toward certain categories of items and services depending on the plan, including food, over-the-counter items, utilities, and/or transportation. The card is accepted at most major retailers such as CVS, Walmart, Walgreens, Rite Aid, and many others. To learn more, click here.

Sales Info

Be a Front-Runner and Earn Rewards!

The more you sell, the more you get. Earn points for each sale you make and receive valuable rewards, such as:

  • Free 2024 Aetna Individual Medicare certification (a $175 value)
  • Discounts on online purchases from Staples™
  • Signage announcing your status
  • Discounts on purchases made through Aetna’s Medicare Marketing Studio
  • A discounted rate on Kaplan Insurance continuing education courses online for a year

Learn how it works.

Apple Fitness+ Access – For the Beginner and the Avid Athlete

Starting in January, Aetna Medicare Advantage members can access Apple Fitness+ at no additional cost through their SilverSneakers fitness benefit. Aetna is the first carrier to offer this program to its Medicare members. Learn more.

Verify your Ready-to-Sell (RTS) Status

You need to actively verify your RTS status prior to selling in each state where you conduct business. Learn more.

Member Retention

New for 2023 – Member ID Cards have a QR Code that Links to Plan-Specific Information

New and existing Aetna Medicare members are receiving their 2023 member ID cards. These cards have a special QR code on the back – which is an industry first! When the QR code is scanned, it goes to a plan-specific landing page on Aetnamedicare.com. The landing page includes a 5-minute video that educates members about the plan, links to plan materials like the Summary of Benefits, Evidence of Coverage, Formulary, and Annual Notice of Change, and more. An educational insert will mail with the ID cards that walk the member through how to use a QR code. This can also help answer questions about privacy concerns using QR codes. Click here to learn more.

Marketing

Remember, you can Record Calls with Think Agent

Think Agent is Aetna’s electronic enrollment app. Not only can you use it to enroll clients, but you can use the Call Appointment & Recorded Enrollment (CARE) feature to:

  • Make outbound calls and receive inbound calls
  • Record your telephone interactions with Medicare beneficiaries, as required by CMS
  • Enroll prospects by phone

Watch a 5-minute video to learn more.

Access your own personalized URL, customize your profile with Think Agent

Think Agent, Aetna’s electronic enrollment tool, gives you access to your own personal URL. This gives prospects another way to shop for Aetna Medicare plans, and enroll online – and you’ll receive credit for the sale. Watch a 5-minute video on how to get started.

Social Media Ads you can Use Now to Boost your AEP Sales – Go to Medicare Marketing Studio

Available right now! Choose your social media campaign to get new leads for AEP 2023. Click here to go to the Studio. See sample social media ads above.

Find Out How you Can be Successful Selling D-SNP

Learning can be fun! Get tips from the pros. Watch the new episodes on D-SNP from our video podcast series Successful Sales Solutions.

Compliance Reminders

Learn about CMS Compliance Issues and Best Practices for AEP – See the November Issue of Compliance Connection

This issue features:

  • Is your client facing a plan termination or just a plan name change?
  • CMS’s recent notification regarding agent and broker practices and how it impacts you
  • CMS is monitoring agent and broker activities

Check out the November issue for more details.

Contact Us

Special Holiday Hours this Week

Here are this week’s holiday hours:

  • Monday-Wednesday: 8 AM – 8 PM
  • Thursday: Closed for Thanksgiving
  • Friday: 8 AM – 8 PM
  • Saturday: 9 AM – 2 PM ET

We’re Here to Help

For questions or support, please contact Aetna Medicare Broker Services at 1-866-714-9301 or brokersupport@aetna.com. Plus, you can also contact your local Aetna Medicare Broker Manager.

Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance and its affiliates (Aetna).

SilverScript is a Prescription Drug Plan with a Medicare contract marketed through Aetna Medicare. Enrollment in SilverScript depends on contract renewal.

Prior to engaging in the sale of Aetna Medicare products, producers must be ready to sell, which means certified, contracted, licensed in the applicable states, and appointed by Aetna in accordance with state law. As permitted in certain states, Aetna will order appointments after the first sale. This communication is intended for use by brokers only and is not intended for distribution to Medicare beneficiaries. Any publication or distribution of this communication to unauthorized recipients without Aetna’s approval is prohibited.

For more information, contact a Pinnacle Financial Services representative today

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

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Humana |  U.S. News and World Report names Humana 2023 Best Overall Medicare Advantage Plan Company

Humana | U.S. News and World Report names Humana 2023 Best Overall Medicare Advantage Plan Company

Humana | U.S. News and World Report names Humana 2023 Best Overall Medicare Advantage Plan Company
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Humana recognized as the industry leader for Medicare Advantage plans overall, member experience, and low-premium plan availability

Humana recently received recognition as U.S. News & World Report’s Best Insurance Company for Medicare Advantage in three categories for 2023.

U.S. News analyzed data from the Center for Medicare and Medicaid Services (CMS) to populate its comparison tool and identify the best companies nationwide and in each state.

At the national level, Humana rose to the top in the following categories for its 2023 offerings and performance in the CMS Star ratings: 

  • Best company for Medicare Advantage plan overall rating
  • Best company for member experience
  • Best company for low-premium plan availability
For more information, contact a Pinnacle Financial Services representative today

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

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