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Aetna | Medicare Producer News

Aetna | Medicare Producer News

Aetna | Medicare Producer News
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Medicare Producer News

AEP news

1 day left! Review end-of-AEP deadlines
NEW Your Healthy Rewards program lets members earn $$$

Sales and marketing information

NEW downloadable social media ads in Studio
NEW telephonic enrollment option in Think Agent
NEW e-training on health risk assessment (HRA) option

Member retention news

2022 member ID cards are on the way in new purple envelopes
Some renewing PPO members to receive a new ID card
NEW diabetic equipment and supplies resource

Compliance connection 

Remember to review 2022 star ratings with your clients
2022 star ratings must now be included in all enrollment kits

AEP news

Review end-of-AEP deadlines

Can you believe AEP is coming to a close? Remember, all Medicare AEP marketing efforts must cease on December 7. Please ensure you follow these guidelines for submitting your final AEP enrollments by the required deadline.

NEW: In 2022, members can earn up to $200 in gift cards

Can you believe AEP is coming to a close? Remember, all Medicare AEP marketing efforts must cease on December 7. Please ensure you follow these guidelines for submitting your final AEP enrollments by the required deadline.

Sales and marketing information

Find prospects online, with social media ads from MMS

Looking for a last-minute way to reach prospects? We offer a host of social media ads you can share on Facebook and other social media sites. They’re a great way to let prospects know you can help answer their questions about Medicare. And there’s no cost to download. Login to Aetna Medicare Marketing Studio (MMS) to download.  

NEW Think Agent resources

In case you haven’t heard, Think Agent is the new electronic enrollment tool for Aetna MA/MAPD and SilverScript PDP products. Click the link above for registration info. The latest additions for Think Agent include: 

Member retention news

2022 member ID cards are in the mail, in purple envelopes with Aetna Medicare branding

We are excited to share that 2022 member ID cards have been mailed in purple envelopes with Aetna Medicare branding, so they’ll be easy to identify in the mailbox. New member ID cards are mailed to:

  • New Aetna Medicare members
  • Members who changed plans
  • Members who changed their primary care physician (PCP)
  • Some renewing PPO members; see below

Please note that some existing PPO members will also receive a new member ID card in a purple envelope, even if they’re renewing the same plan. 

  • Their new card includes a new member ID number and a new plan number.  
  • Please remind these members to replace their current ID card with their new ID card by January 1, 2022, as they will need to show their new card to their provider when they receive medical care in 2022.

New diabetic supplies resource to help members get what they need

There’s new diabetic supplies and equipment list you can use to: 

  • Talk to your clients about what diabetic supplies they need
  • Explain how different supplies and equipment are covered
  • Assist clients with accessing or ordering supplies they need
  • Help minimize confusion

Compliance connection

Don’t forget: Requirements for 2022 star ratings

  • As a reminder, per CMS guidance, you’re required to replace the 2021 star rating document with the new 2022 star rating page in any enrollment kits in your possession by November 3.  
  • You’re also required to review the 2022 star rating document with beneficiaries whenever presenting Aetna MA/MAPD and SilverScript PDP plans. 
  • The 2022 star rating document must be provided to all prospective enrollees whenever an enrollment form is provided. For online enrollment, the star ratings document and Summary of Benefits must be provided electronically to your clients prior to the completion and submission of the enrollment request.
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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Aetna | Medicare Producer News

Aetna | Illinois Birthday Rule Effective January 1

Aetna | Illinois Birthday Rule Effective January 1
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Starting January 1, 2022, individuals between 65 and 75 years old who have an existing Medicare supplement plan can choose a Medicare Supplement policy from the SAME carrier that offers benefits equal to or lesser than their existing plan for a period of at least 45 days from their birthday.

  • The chosen effective date must fall within the 90 day time period beginning on the applicant’s birthdate. (Example: If an applicant has a May 25 birthdate, the effective date must fall between May 25 and August 25.)
  • The new Medicare Supplement policy must be from the same underwriting company as the existing policy. (Example: ACC to ACC, AHIC to AHIC)
    • Note: If the previous carrier’s entity is now closed, the Illinois birthday rule would not apply. The new application would need to be underwritten.
  • For proof, we can accept a copy of the policy ID card that includes the name and plan.

If you have any questions, you can contact our Agent Services team using the Chat feature at AetnaSeniorProducts.com or by calling 866-272-6630.

*Aetna Senior Supplemental Insurance includes products underwritten by: Accendo Insurance Company (ACC), part of the CVS Health® family of companies and Aetna affiliate; Aetna Health and Life Insurance Company (AHLIC); Aetna Health Insurance Company (AHIC), American Continental Insurance Company (ACI); Continental Life Insurance Company of Brentwood, Tennessee (CLI)

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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Aetna | Medicare Producer News

Aetna | Medicare Producer News October 27, 2021

Aetna | Medicare Producer News October 27, 2021
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AEP news

  • Access 2022 star ratings starting October 29
  • Action required: Update star ratings by November 3

Sales and marketing information

  • Find 2022 plan info: Summary of Benefits, formularies, and more
  • Access 2022 sales materials
  • Submit enrollments electronically with Think Agent
  • Achieve 2022 Front Runner status

Member retention news
NEW 2022 programs let members earn up to $200 in gift cards

How to contact us
We’re offering Saturday business hours starting October 30

AEP News

More than 3 out of 4 Aetna Medicare Advantage members in 4.5 Star-rated plans or higher for 2022 — the highest percentage among national health insurers

Aetna®, a CVS Health® company, announced its 2022 Medicare Advantage Prescription Drug (MAPD) plans outpace the Medicare Advantage industry in the percentage of members in plans rated 4.5 stars or higher (out of 5 stars) by the Centers for Medicare & Medicaid Services (CMS). Some highlights of our 2022 Star Ratings for Aetna Medicare Advantage plans include:

  • 76% of Aetna MAPD members are currently enrolled in 4.5 Star-rated plans or higher, compared to 54 percent for publicly-traded companies.¹
  • 87% of Aetna MAPD members are currently enrolled in 4 Star-rated plans or higher.

¹Includes publicly traded companies with over 250,000 Medicare Advantage enrollees.

Action Required: Update Star Ratings by November 3rd

CMS requires you to replace the 2021 star ratings document with the new 2022 star ratings page in any enrollment kits in your possession by November 3. You’re also required to review the 2022 star ratings document with beneficiaries when presenting Aetna MA/MAPD and SilverScript PDP plans.

Where and When to Access 2022 Star Ratings

  • The new star ratings will be available to download from AetnaMedicare.com starting October 29
  • The 2022 star ratings page will be included in any new enrollment kits you order starting October 29. If possible, please wait to order additional kits until then. 
  • Electronic versions of the enrollment kits will be unavailable to download starting October 29 while we update them with2022 star ratings. They will be available to download again starting in early November. Please rely on printed versions of the enrollment kits or our electronic enrollment tools until then.

Sales and Marketing Information

Submit Enrollments Electronically with the New Think Agent app

Don’t forget, there’s a new electronic enrollment tool in town, called Think Agent. It has all the materials and tools you need to enroll your clients. Use the desktop version on your computer. Or, there’s an app version you can use on any mobile device — including your cell phone! Includes essential features like: 

  • Health risk assessment option, that allows you to earn up to $70 extra per app
  • E-kits and Scope of Appointment
  • Sign-and-enroll functionality
  • MBI, Medicaid and Extra Help validation, and much more

Get started with Think Agent. 

Achieve 2022 Front Runner Status

This AEP, you can become a Front Runner for 2022 by selling a certain number of Aetna MA/MAPD, D-SNP, and SilverScript PDP products.

How does it work? You earn points for each eligible enrollment you sell (1 point for Aetna MA/MAPD, 1.5 points for Aetna D-SNP, and .5 points for SilverScript PDP).

Earn 25 points to qualify as a Front Runner or 100 points to qualify as an Elite Front Runner.

Learn about 2022 Front Runner rewards.

Member Retention News

NEW Your Healthy Rewards program lets members earn up to $200 in gift cards

In 2022, Aetna MA/MAPD members can participate in a new program that can help them stay healthy. By completing eligible healthy activities, members can earn up to $200 in rewards that can be redeemed for a CarePass Membership or a digital or physical gift card to CVS, Target, or Home Depot. Learn about the program for: 

Contact Us

Broker Services Department: Offering Saturday hours starting October 30

For questions or support, please contact the Aetna Medicare Broker Services Department 1-866-714-9301 or brokersupport@aetna.com. Normal business hours are Monday through Friday from 8 AM – 8 PM ET. 

Starting October 30, we’ll be open on Saturdays too, from 9 AM – 2 PM ET. 

Plus, you can also contact your local Aetna Medicare broker manager.

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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Aetna | Medicare Producer News

Aetna | Medicare Achieves 5 STAR Rating

Aetna | Medicare Achieves 5 STAR Rating
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We are pleased to announce we have achieved the highest STAR rating by CMS Five Stars!

This applies to our Pennsylvania PPO Plan – H5522 
Our most popular plans will not be available for an SEP deep into 2022
This PPO services 90,000 beneficiaries in 63 counties of Pennsylvania. And we can’t wait for it to serve many more in 2022!

This FIVE StAR rating inclued some of our most popular plans throughout Pennsylvania: 

Aetna Medicare Advantra Silver PPO (H5522-004)
Central, Northeastern & Eastern PA

Aetna Medicare Advantra Silver PPO (H5522-005)
Western PA

Aetna Medicare Advantraq Premier Plus PPO ( H5522-001)
Western PA ( Allegheny County)

AetnaMedicare Advantra Premier Plus PPO (H5522-014)
Philadelphia Region

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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Aetna | Medicare Producer News

Aetna | Everything you need for AEP

Aetna | Everything you need for AEP
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  • 2022 MA/MAPD, D-SNP and PDP sales presentations and videos
  • Scope of Appointment and Permission-to-Contact options
  • Find 2022 ANOCs, EOCs, formularies on AetnaMedicare.com 
  • Download 2022 plan guide PDFs from Producer World
  • NEW 2022 member rewards program
  • Get the Think Agent enrollment app
  • Get inspired on the go, with the new Secret Agent podcast

Find want you need for AEP on Producer World and in Think Agent

2022 AEP sales materials 

This year, you have two options for presenting Aetna’s consumer-facing sales presentation at sales events and beneficiary meetings. You can use a traditional PowerPoint presentation format or share the video version. NOTE: Both the PowerPoints and videos are CMS-approved and cover all required topics. To remain compliant, it is very important you do not add to, remove, or alter anything in the presentations.

2022 MA/MAPD and DSNP sales presentations

(English and Spanish versions)

2022 MA/MAPD and DSNP sales presentations VIDEOs

– This year, you can also find and view them on Youtube

Scope of Appointment: Paper, email, and text options. An SOA must be obtained for every meeting with a potential beneficiary.

Permission-to-Contact form: Download a single form or order a booklet set from the Aetna Medicare Marketing Studio. 

2022 enrollment kits and plan guides: Order extra printed copies or download electronic copies. You can also order Spanish and Chinese enrollment kits where available too.

Download 2022 plan guide PDFs from Producer World for a side-by-side comparison of plans  

Plus, review a list of year-over-year benefit changes to prepare for renewal discussions with your clients 

Find 2022 plan documents on AetnaMedicare.com

You can find the following items on AetnaMedicare.com, or you can access them electronically through the Think Agent app:

NEW rewards program available to all 2022 MA/MAPD members

In 2022, Aetna MA/MAPD members can participate in a new program that can help them stay healthy and earn $170 or more in redeemable gift cards! Members can earn up to $200 in CVS, Target, or Visa gift cards by completing eligible health activities in 2022. Learn about the program for MA/MAPD members and D-SNP members

Take advantage of Think Agent this AEP 

Think Agent is Aetna’s new electronic enrollment app that offers an optimized enrollment experience for you and your clients. There’s a website version and an app version that you can use on any mobile device, including your cell phone

Think Agent features include: 

  • Full enrollment capabilities
  • Offline enrollment intake
  • Integrated MBI validation
  • Medicaid status check
  • Electronic Permission to Contact sent by text
  • Health risk assessment available
  • E-kit (email) enrollment option
  • Scope of Appointment options
  • Provider search
  • Drug cost estimator tool
  • Ready-to-sell status verification

Listen to The Secret Agent, a new podcast series from Aetna Medicare, designed to get you pumped for AEP

  • You can listen online or through the Fieldcast app.
    • Enter “Aetna” as the company name
    • Then log in with your Producer World username and password
  • Episodes are short, so you can listen on the go
  • Be sure to share your feedback! Let us know what you think in the Comments section after each episode

A Secret Weapon to Help You Survive AEP: Think Agent 

– Featuring Leslie Hall (9 mins.)

Listen now

Madness, craziness, insanity… Yep, it’s that time of year! Preparing for AEP 
– Featuring Jason Mills (13 mins.)

Listen now

Selling in the 2020s 

Featuring Angie Damin (21 mins.)

Listen

A conversation about leadership

– Featuring Tracey Fults (19 mins.)

Listen

 

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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Aetna | Medicare Producer News

Aetna | Get ready for AEP: New business tips

Aetna | Get ready for AEP: New business tips
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Tips for your new business

With so many consumers making decisions about their healthcare needs this time of year, it’s easy to make some incorrect assumptions, which can result in delays or even a lost sale. We’re here to help you avoid those costly mistakes.

Choosing the type of application

When taking a Medicare Supplement application, be sure to pay attention to the type of application. The Medicare Annual Enrollment Period (AEP) does not mean the application is automatically Open Enrollment (OE) or Guaranteed Issue (GI).

Open enrollment applies only to persons who are first enrolling in Medicare Part B or turning age 65.

The guaranteed issue applies only to Medicare beneficiaries who are losing (or disenrolling) in their current health care coverage under a qualifying GI provision and these applications must include proof of creditable coverage which supports the qualifying GI event. Be sure to include the proof of creditable coverage with the application.

Underwritten applies to all other applications, where the applicant must answer all of the health questions.

Review the list of medications before submitting an app

Your applicant may not know about a declinable condition listed on their application. But, their prescribed medication may indicate they have a declinable condition.

Important: Some medications can be prescribed for multiple conditions. If your application is prescribed a medication that has multiple uses, you must provide the condition the medication is prescribed to treat

Also, don’t leave the list of medications blank on the application. If the applicant doesn’t take any medications, list “none.” 

We offer a list of commonly prescribed medications for declinable conditions to help you when you’re completing applications.

How our automated underwriting works

All applications submitted through Aetna Quote & Enroll will receive one of the following automated decisions within 2 minutes of submission: approved, declined, or review.

More than 64% of applications receive an automated “approved” or “declined” decision.

“Review” means that the applicant’s prescription and/or medical claims history conflicts with our underwriting guidelines and a manual underwriting review will be conducted next. 

Point of sale declined applications are due to prescription fills and/or medical claim data indicating one or more health questions should have been marked “yes.”

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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