Get tips on talking to clients about dental, vision & hearing benefits

• Check out the Compliance Connection newsletter, May edition.

Reminder: HRA fees ended June 1

Due to changing industry dynamics, we no longer offer administrative fee payments for completing the health risk assessment (HRA) survey with your clients. This change applies for all enrollments (MA, MAPD, D-SNP) submitted on and after June 1, 2024, for effective dates of July 1, 2024, and beyond. 

• The HRA option no longer appears in any digital enrollment tools, including Think Agent, as of June 1.

Listen and learn! New podcast episodes

On Successful Sales Solutions, we speak to thought leaders and subject matter experts about the latest trends, selling strategies, and other info to help you take your business to the next level. Get started with this episode:

Watch now: High-Value Providers episode.

Self-service tools on Producer World

Did you knowProducer World offers a number of self-service tools you can use to help your clients? For example, you can assist members with ordering ID cards and even submit inquiries to Member Services on a member’s behalf. Other time-saving options are also available.

Check out the options.

Year-round training opportunities: Sharpen your skills

Want to take your business to the next level? We offer a variety of locally tailored broker training events throughout the year on topics designed to help you grow. 

• Visit www.AetnaMedicareAgentTraining.com and find trainings for your state.

Overview of the SEP for Government Entity-Declared Disaster or Other Emergency

A special enrollment period (SEP) exists for individuals affected by a disaster or other emergency declared by a federal, state or local government entity who were unable to, and did not make an election during another valid election period. 

This SEP allows for enrollment and disenrollment elections. For more information, go to CY 2024 MA Enrollment and Disenrollment Guidance [42 CFR 422.62(b)(18)].

When can this SEP be used? 

A disaster/emergency SEP is only applicable to those beneficiaries who were prevented from submitting an enrollment or disenrollment request during a given election period due to a declared disaster or emergency.
CMS strictly limits when the disaster/emergency SEP may be used.  

Individuals are eligible for this SEP if they: 

• Reside, or resided at the start of the SEP eligibility period, in an area for which a federal, state or local government entity has declared a disaster or other emergency, or they do not reside in an affected area but rely on help making health care decisions from one or more individuals who reside in an affected area; and
• Were eligible for another election period at the time of the SEP eligibility period; and
• Did not make an election during that other valid election period due to the disaster or other emergency.

Enrollment instructions

IMPORTANT: Remember, you cannot use this SEP opportunity to proactively market to beneficiaries. However, you can assist any clients who contact you about this SEP.

• If an individual wants to enroll and believes they may qualify for this SEP, you need to ask the beneficiary if they can show proof that they lived/live in an impacted area at the start of the incident period. If they do not have proof, ask them to verbally attest. 
• When helping eligible clients enroll, please select the weather-related or major disaster option in the Reasons for Special Enrollment Period Eligibility section of the application.  

Questions? We’re here to help

If you have any questions, please contact your local Aetna Medicare Broker Manager for assistance. Login to Producer World to find contact information for Broker Managers in your state.