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Wellcare | New Text Message Outreach for PDP Members

Wellcare | New Text Message Outreach for PDP Members

Wellcare | New Text Message Outreach for PDP Members
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New Text Message Outreach for PDP Members to Help Resolve RFI Applications

As previously communicated, Wellcare utilizes automated conversational text messages in order to communicate with our Prescription Drug Plan (PDP) members. Members with a mobile number on file may be receiving the welcome message as well as other periodic text messages from the sender, “Jen at Wellcare.

Heading Text 3. In addition to the previous messages sent to PDP members, a new Request for Information (RFI) campaign will launch this week. Details about this campaign are listed below.

Request for Information (RFI) Texts

An RFI campaign will begin this week and run through Dec. 2023. This targeted campaign will include one text message per week from “Jen” to applicants in RFI status in an attempt to obtain missing application information. There will be a transfer option available to the RFI team to complete the application. Applicants who provide the missing information will be removed from future outreach.

Text Message Examples:

  • “Hi [FirstName], it’s Jen from Wellcare. Someone may have called you regarding your prescription drug plan enrollment application request. We still need some of your information to complete it. To finalize your application, when are you available for a call?” Text STOP to cancel.
  • “Hi [FirstName], this is Jen from Wellcare again. We tried reaching you last week – some information is still missing to complete your enrollment application request. When are you available for a call to finish your request?” Text STOP to cancel.
  • “Hi [FirstName], Jen from Wellcare reaching out one last time! Don’t let any missing information stop you from completing your enrollment application request for the prescription drug plan. When can we call you to finish your application?” Text STOP to cancel.
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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Wellcare | New Text Message Outreach for PDP Members

Wellcare | VBE/HRA Process Remains In Place for 2024

Wellcare | VBE/HRA Process Remains In Place for 2024
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Health Risk Assessments (HRA) are a valuable tool for improving the overall health of our members. In addition to identifying health needs to ensure beneficiaries are receiving the right care at the right time, HRAs also play an important role in understanding the overall patient population with the goal of improving personalized and targeted care for all.

To expedite this important initiative, Wellcare is pleased to continue to provide the opportunity to earn administrative payment for the completion of each HRA.

  • No changes will be made in 2024 for the current administrative payment structure:
    • A $225 administrative payment is available for eligible D-SNP/C-SNP enrollments.
    • A $75 administrative payment is available for eligible MA/MAPD enrollments.
  • An HRA may be captured directly within Ascend and Sunfire after the enrollment is submitted, using the integrated tool.   

We also offer a standalone Value-Based Enrollment (VBE) link for submissions for each plan year.

2023 link: wellcareisf.io/2023/vbe/addmember 
2024 link: wellcare.isf.io/2024/vbe/addmember 

Note:
 Refer to the Ascend 2024 Integrated and Standalone Value Based Enrollment Training Guide for instructions when using the standalone link.

As always, thank you for your continued partnership!

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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Wellcare | New Text Message Outreach for PDP Members

Wellcare | Product Pointers – Spendables Multi-Benefit Debit Card

Wellcare | Product Pointers – Spendables Multi-Benefit Debit Card
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New for 2024 – Wellcare Spendables Card-

Policyholders should call the number on their card for information. Please do not call Pinnacle.

In our ongoing mission to provide high-value benefits that are most helpful for our members’ overall health, we would like to provide you with additional resources for comprehensive learning on one of our most exciting plan additions for 2024:

Wellcare SpendablesTM Card

Select 2024 plans will now include the Wellcare Spendables card. This program replaces the previous Flex Card benefit program and will be offered across all states.

Benefit Highlights

  • Members will receive a pre-loaded allowance on a Visa debit card that they may use towards their over-the-counter (OTC) benefit on health products at over 55,000 participating retailers such as Walmart, CVS, Kroger, Publix, and more.
  • D-SNP members may use their monthly allowance for healthy foods, pay-at-pump gas, or assistance with utilities and rent.
  • Select D-SNP and other plans will also include cost-share assistance on out-of-pocket expenses for dental, vision, or hearing benefits.
  • Depending on the member’s plan, benefits will be managed as a combined allowance from one single purse (all D-SNP plans and select additional plans) or managed as a separate allowance from two purses that members may choose to use toward their plan’s eligible benefits.

Amounts and coverages vary by plan. Please take a few moments to review all of the Wellcare Spendables resources, including a new supplemental benefit video and FAQ resource.

Resources

Wellcare Spendables Supplemental Benefit One-Pager

Wellcare Spendables Approved Categories and Network Retailers

New! Wellcare Spendables FAQ

New! Wellcare Spendables Supplemental Benefits Video

2024 AEP Resources Collection

Note: Resources are also available by searching AEP Readiness Resources within the Ascend mobile app.

We hope you find these resources helpful as you educate your members on this valuable 2024 benefit.

As always, thank you for your continued partnership!

If you are an agent, contact a Pinnacle Financial Services representative today.

Policyholders should NOT contact Pinnacle Financial Services

 

Clients should call the number on their card for information.

If you are an agent contact a Pinnacle Representative if you have any questions.

support@pfsinsurance.com

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Contact a Pinnacle Financial Service representative today for assistance.

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Wellcare | New Text Message Outreach for PDP Members

Wellcare | AEP Edition: Important Updates and Reminders

Wellcare | AEP Edition: Important Updates and Reminders
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Now that AEP is upon us, we will be delivering the Wellcare Insider: AEP Edition to you on a weekly basis. This weekly update will continue to be your source for important updates and reminders, with AEP news you can use to provide excellent service and grow your business.

Today’s edition has information on the following topics:

  • Marketing Reminder – Begin 2024 marketing activities as of October 1
  • Join the Wellcare Brokers Forum – LinkedIn group just for Wellcare agents
  • Ascend Updates – Updates continue to improve the Ascend experience
  • PDP Order Refresher – Review this 2-step ordering guide for PDP materials
  • Broker Resources – Get connected with the tools you need for sales season

Marketing Reminder

As a reminder, all 2024 marketing activities for both new and existing members are permissible as of October 1. While it’s imperative that you remain compliant by not engaging in any application activity during this time, this window can be an important opportunity to lay the groundwork for a more successful sales season. In addition to educational events and focusing on new member marketing, don’t forget that directing your efforts toward your existing members during this time can also expedite your sales once October 15 arrives. Try reaching out to current members using these two principles to guide your conversation:

  • Connect with current members to explain any upcoming changes in their existing plan. This is a great opportunity to reinforce their understanding of brand new benefits that may enhance their plan satisfaction.
  • Take time to discover any changes in their needs that may open up new plan opportunities, such as changes in their health, new prescription drug needs or ancillary benefits they might be needing in the upcoming year.

To learn more about general guidelines for all sales and marketing activities for 2024 please take a few moments to review the Medicare Marketing and Sales Changes resource.

Join the Wellcare Brokers Forum

You’re invited to join a brand new networking group just for WellCare agents.

Follow this link to join today

Ascend Updates

The Ascend team has been working hard to roll out many new enhancements for Ascend enrollment platform ahead of sales season. Now that the time is here, make sure you’re up to date on all the new functionality by taking a few moments now to review recent communications regarding all of the enhancements, as well as helpful tips and reminders on using the platform:

New to Medicare immediate enrollment, administrator search & more

Pre-enrollment checklist

Pharmacy selection

Provider search

Ascend Enrollment Tips Part 1 and Part 2

Learn more about all of the features and benefits of using the platform by viewing the Ascend Resource Collection.

PDP Sales Materials Order Refresher

Ordering Prescription Drug Plan (PDP) materials is quick and easy. Use this two-step process to get started with your order:

Step 1 – From the CustomPoint home page select PDP-Market from the drop down menu.

Step 2 – Choose Plan Year 2024 and select Find to bring up all PDP materials available to order.

Notes

  • The PDP 2024 Enrollment Guide is available in English or Spanish only.
  • Benefits Highlights sheets are new for the 2024 plan year and are versioned by state.
  • The CustomPoint home page contains a Helpful Documents section with a user guide, FAQ, and other CustomPoint 2024 materials available for download.
  • View these CustomPoint Ordering Instructions for more information.

Broker Resources

As AEP gets underway, we wanted to share some helpful resources to assist in your success throughout the busy sales season. 

The links below include important information to help you easily access the enrollment platform, order sales materials, and help you market and sell all Wellcare health plans.

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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Wellcare | New Text Message Outreach for PDP Members

Wellcare | AEP Readiness Resources are Now Available

Wellcare | AEP Readiness Resources are Now Available
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AEP Readiness Resources are Now Available

Sales season has begun! To make sure you have all the tools and information you need for success, we’re rolling out your best one-stop resource for everything AEP.

The 2024 AEP Readiness Resources page has information regarding our plan offerings, service areas, and marquee benefits, including our new Wellcare Spendables™ card, innovative Value-Based Insurance Design (VBID) benefits, and other network enhancements.

Resource Highlights

  • 2024 Approved Plan Benefit Grids – New customizable and downloadable product grids showing key benefits for Prescription Drug Plan (PDP) and Medicare Advantage Prescription Drug (MAPD) plans in specific areas
  • Supplemental Benefit and Pharmacy One-Pagers – One-page fact sheets highlighting new and intriguing benefits for members
  • Supplemental Benefits Videos – YouTube videos outlining key selling points and information regarding select benefits and plan types
  • FAQs and Other Resources – Frequently asked questions for network updates and supplemental and pharmacy benefits, including dedicated VBID and Special Supplemental Benefits for the Chronically Ill (SSBCI) versions, catalogs, and other helpful agent tools

Take a few moments now to review the 2024 AEP Readiness Resources and discover all of the valuable Wellcare benefits available for members in 2024. 2023 Resources continue to be available as well to support plan efforts throughout the rest of the current plan year.

Note: This resource is also available within the Ascend mobile app by searching 2024 AEP Readiness Resources.

We hope that you find these resources beneficial for all of your sales efforts throughout this AEP season and beyond.

As always, thank you for your continued partnership!

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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Wellcare | New Text Message Outreach for PDP Members

Wellcare: 2024 Contract Recertification & Certification Training Incomplete

Wellcare: 2024 Contract Recertification & Certification Training Incomplete
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Action Required!

Brokers are required to complete all 2024 annual certification requirements by September 30, 2023 to be able to market and sell 2024 Wellcare products.

  • 2024 Wellcare Contract Recertification – Centene Workbench
  • 2024 Certification Training – AHIP and/or Wellcare Annual Certification Training (ACT)
Failure to complete the 2024 annual certification requirements will result in the inability to:

  • Market or sell any Wellcare products
  • Receive commission for any prior business, including renewals
  • Access CustomPoint to order sales materials (access is granted 72 hours after completing certification)

Important: The above applies to both 2023 and 2024 plan years.

All annual certification requirements must be completed by September 30, 2023, to be able to market and sell Wellcare products and avoid suspension on October 1, 2023.

Note: If you have recently completed the above certification requirements, please allow 48 hours for our systems to update.

Certification Training

Please visit the Training and Certification resource for details on completing outstanding training requirements.

Wellcare Contracting Recertification

As part of the 2024 Annual Certification Requirements, brokers/agencies who are currently contracted with Wellcare are required to complete the 2024 Contract Recertification workflow within Centene Workbench.

Completing a 2024 Contract Recertification case:

  • Access by logging into your Centene Workbench portal via the Single Sign-On portal and select the My Credentials section.
  • Select My Certification Cases.
  • You will be prompted to (1) verify Demographic, Payment Information, and Selling States and (2) sign the 2024 TPME Agreement and W9.
  • Reminder: (1) Wellcare no longer distributes commissions via paper check. You are required to provide ACH information during the “Payment” step. If invalid banking information is entered, your payments will be held. (2) Licensed Only Agents and Dual Assignment Agents will not be prompted to update payment information.

Please view the 2024 Contract Recertification Step-Action document for detailed instructions on the contracting recertification process.

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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