fbpx
Aetna | OEP | Member retention | Grocery delivery through Uber Eats | App status | Training opportunities

Aetna | OEP | Member retention | Grocery delivery through Uber Eats | App status | Training opportunities

Aetna | OEP | Member retention | Grocery delivery through Uber Eats | App status | Training opportunities
Comments

Broker news

Your source for Aetna Medicare broker news and information

January 30, 2024

January is Mental Health Awareness Month: Find out how your clients can improve their mental health.

Open Enrollment Period (OEP)

What is the Medicare OEP?

OEP runs from January 1 to March 31. During this time, beneficiaries who elected a Medicare Advantage plan (MA/MAPD) during the Annual Enrollment Period can switch to a different Medicare Advantage (MA/MAPD) plan or return to Original Medicare (with or without prescription drug coverage). Review OEP do’s and don’ts.

You can continue supporting D-SNP and LIS-eligible clients during this time

While you’re not allowed to proactively market to MA/MAPD enrollees during OEP. You are allowed to continue marketing to consumers who are eligible for Dual Eligible Special Needs Plans (D-SNP) or Extra Help (Low Income Subsidy), as these clients are able to make one change per quarter

Member retention

Top tips for welcoming and supporting new members

You can help ensure your clients have a positive start to 2024 by helping them with questions on hot topics like member ID cards, prescription refills, finding providers and plan benefit questions. Get tips on answering their FAQs.

Watch this member retention podcast: Get tips from the pros on how to help prevent rapid disenrollment (12 min.)

Product and benefit information

Eligible members with an Extra Benefits Card through NationsBenefits can now get grocery delivery through Uber Eats

Members with an Extra Supports Wallet or Healthy Foods Wallet on their Extra Benefits Card can now access grocery delivery through Uber Eats. Some of the major retailers who sell grocery products out of Uber’s network include—Walmart, Costco, Albertsons, SEG, Hyvee, CVS, Walgreens, Target, and others. Members can place their order through the UberEats app or online at UberEats.com. You can share this flyer, “Uber Eats grocery delivery, explained” with your clients.

Aetna Medicare Payment Card is now administered by Inspira Financial (formerly PayFlex)

Some Aetna Medicare plans include an Aetna Medicare Payment Card, which was previously administered by PayFlex®. In 2024, PayFlex is becoming Inspira Financial. Let members know what to expect during this transition:

  • The physical card will continue to show “PayFlex.”
  • But members will start seeing “Inspira Financial” on related materials.
  • PayFlex websites will now automatically redirect to www.inspirafinancial.com.
  • If members try to download the PayFlex app to manage their card, they will find the Inspira Financial app instead.

Broker training and tools

Share your feedback on the Aetna Marketing Portal (AMP)

The AMP tool is your source for customizable and compliant marketing materials like flyers, mailers, and more. Provide feedback to help us build our AMP strategy for the future. Submit your responses by the end of the day, Friday, February 2.

Take the Survery

Check the status of applications

We made it easy. Use Producer World to access the member application tool and check the status of your applications. See how.

Need help with commissions?

Producer World is your go-to place to review commission information.

  1. Click the Reports tab
  2. Click “Access reporting”

You can also visit the Compensation tab to learn how and when we pay, for help understanding your reports and statements.

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.

CallEmail

Devoted | The #1 newsletter to help agents take action this OEP

Devoted | The #1 newsletter to help agents take action this OEP

Devoted | The #1 newsletter to help agents take action this OEP
Comments

OEP tips your agents won’t want to miss

Want to help your agents win with Devoted Health this OEP?Share our latest newsletters that dive into key benefits, marketing tools, and more. These state-specific newsletters will help agents target new-to-medicare, SNPs, and 5-Star eligible members during open enrollment 2024.

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.

CallEmail

Select Health | Agent Insight: January 2024

Select Health | Agent Insight: January 2024

Select Health | Agent Insight: January 2024
Comments

General Updates

General UpdatesNew Primary Children’s Hospital in Lehi, Wellness programs, Sworkit: a new well-being tool. read more

Read More

Commercial Updated

Reconcile your book of business and rate changes.

Read More

Medicare Updates

Flexible Benefits Card webinar.

Read More

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.

CallEmail

Wellcare | Insider – Important Updates and Reminders

Wellcare | Insider – Important Updates and Reminders

Wellcare | Insider – Important Updates and Reminders
Comments

Important Updates and Reminders for WellCare Agents

Welcome to the latest edition of Wellcare Insider, your source for important updates and reminders to help you provide excellent service and grow your business all year long

Today’s edition has information on the following topics:

  • OEP Best Practices – Navigate MA OEP with strategies for success
  • Formulary Search  Find formularies with fast and accurate searches
  • DST-SEP Review – Brush up on Disaster Special Enrollment Periods
  • Broker Resources – Bookmark these links for ongoing sales success

MA OEP Best Practices

Navigating the do’s and don’ts for activities during the Medicare Advantage Open Enrollment Period (OEP) can make all the difference between surviving or thriving year-round. Understanding the rules and leveraging your knowledge throughout the period can help set you up for your most successful year yet.

Start by reviewing some of the do’s and don’ts for marketing and sales activities:

Learn more about allowed and disallowed MA OEP marketing activities by reviewing the Medicare Advantage Open Enrollment Period Marketing Guidelines.

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.

CallEmail

Cigna | OEP compliance tips and DST SEP reminders

Cigna | OEP compliance tips and DST SEP reminders

Cigna | OEP compliance tips and DST SEP reminders
Comments

See below for tips and reminders to ensure you stay compliant during OEP and throughout the year.

The annual open enrollment period (OEP) for Medicare Advantage (MA) is here! OEP takes place from January 1 through March 31. During this time, individuals enrolled in an MA plan can make a one-time election to switch to another MA plan (with or without Part D coverage) or return to Original Medicare (with or without Part D coverage).

It’s important to know what to do and what not to do during OEP. To help you stay compliant, we have put together some helpful tips below.

To view the full Code of Federal Regulations, click here.

During OEP, you can:

Market to Medicare Advantage age-ins who have not yet made an enrollment decision.

Market to D-SNP-eligible and LIS beneficiaries who, in general, may make changes once per calendar quarter during the first 9 months of the year.

Send marketing materials when a customer requests information.

Conduct one-on-one meetings at the customer’s request.

Provide information about OEP through the call center if a customer asks.

During OEP, you cannot:

Send unsolicited materials advertising or referencing OEP directly to your customers.

Purchase mailing lists or other identifying information to specifically target customers during OEP.

Engage in or promote activities intended to target OEP as an opportunity to make further sales.

Call or otherwise contact customers who selected a new plan during AEP.

Disaster (DST) Special Election Period (SEP) Compliance

To ensure you stay compliant, we want to remind you of the Centers for Medicare & Medicaid Services (CMS) guidelines regarding the use of a DST SEPs throughout the year.

SEP for Government Entity-Declared Disaster or Other Emergency

42 CFR 422.62(b)(18)

(Rev. 2, Issued: August 12, 2020; Effective/Implementation: 01-01-2021)

An 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 includes both enrollment and disenrollment elections.

Individuals are eligible for this SEP if they:

  • Reside or resided at the start of the SEP eligibility period where a federal, state or local government entity declared a disaster or other emergency.
  • Were eligible for another election period at the time of the Disaster Election Period (DST) eligibility period.
  • Did not make an election during that other valid election period due to the disaster or other emergency.

The SEP starts on the date the declaration was made or the incident start date whichever is earlier. The SEP ends two full calendar months following the end date identified in the declaration or the date the end of the incident is announced, whichever is later.

Please note when using DST SEPs:

  • This does not mean that active marketing can occur.
  • The SEP is only for the purpose of providing a SEP to impacted individuals who had a valid election during the incident and were unable to make that election due to the emergency.
  • This does not mean that Cigna Healthcare initiates waiving of authorization or referral requirements.
  • This does not extend waiving of prior authorizations, referrals etc.
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.

CallEmail

Wellpoint | OEP – Opportunities & Guidelines for Brokers

Wellpoint | OEP – Opportunities & Guidelines for Brokers

Wellpoint | OEP – Opportunities & Guidelines for Brokers
Comments

Supporting Clients and Prospects
During OEP January 1 – March 31, 2024

 

Medicare’s Open Enrollment Period (OEP) provides Medicare Advantage beneficiaries a one-time opportunity to make a change to their 2024 plan. During this time, you will have opportunities as well; to support prospects that are seeking help to make a change, and to strengthen your role as a trusted Medicare advisor.

Know the rules

You can help beneficiaries, who reach out to you, find a plan that is better for them. Read our OEP Fact Sheet to ensure you know what you can and can’t do to grow your business during OEP.

Retention opportunity

Be proactive! Take time to check in with your clients to ensure they understand their benefits and have what they need to begin using them. Doing so will help strengthen your rapport and may impact plan retention.

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.

CallEmail