1 (800) 772-6881 x7731 | sales@pfsinsurance.com
1 (800) 772-6881
support@pfsinsurance.com
For your current inventory, you will need to replace your 2021 PRDs with the new 2022.
Future orders for Enrollment books:
2022 PRDs CANNOT be used until 10/25 but must be in place by no later than 10/29.
1 (800) 772-6881 x7731 | sales@pfsinsurance.com
1 (800) 772-6881
support@pfsinsurance.com
CMS Star Ratings have been released and Centene has received a 5-Star rating on a Wellcare of California plan!
Additionally, Centene saw an increase in performance for 18 plans between Rating Years (RY) 2021 and 2022. Overall, RY2022 resulted in nearly 95% of Centene MA-PD members being enrolled in a 3.5+ Star rated plan, with more than half in a 4+ Star rated plan.
Each year, the Centers for Medicare & Medicaid Services (CMS) issues objective ratings on all Medicare Advantage and Medicare Drug plans to determine if they provide high-quality care for their members.
These quality scores include several factors, such as the clinical care members receive, their service experience, and member feedback detailing how well plans did in various categories. Using a one through five-Star rating system, CMS evaluates nearly 50 measures, broken into multiple areas.
Centene oversees CMS Star measures and performance within five chapters:
Achieving positive quality ratings is vital. These ratings are crucial to our members, brokers, and partners, and to our overall growth at Wellcare. With CMS’ increased focus on patient experience and access to care, we must continue to put our members first and empower them to partner with their providers to make good healthcare decisions.
As always, we thank you for your continued partnership!
Centene ranks #24 on the Fortune 500 List
Our company provides programs and services to government healthcare programs. We are the country’s largest Medicaid managed care organization. See our current standing: https://fortune.com/company/centene/fortune500/
1 (800) 772-6881 x7731 | sales@pfsinsurance.com
1 (800) 772-6881
support@pfsinsurance.com
Flexible options. Enhanced benefits. Cost savings. Healthfirst Signature (HMO) helps members live a healthier life so they can do the things that make them happy.
Healthfirst Signature (HMO) has enhanced benefits and greater flexibility for those who want an added level of choice, plus a dedicated member services team.
We know you’ll be excited to share these enhanced benefits and
cost-savings with clients.
Questions? Don’t hesitate to contact your Healthfirst Broker Sales Manager, or call Broker Services at 1-855-456-3668, Monday to Friday, 9 am – 5 pm.
Thank you for working with Healthfirst.
1 (800) 772-6881 x7731 | sales@pfsinsurance.com
1 (800) 772-6881
support@pfsinsurance.com
In response to the CMS memo issued October 8th regarding Third-Party Marketing materials, Humana issued clarifying guidance and an accompanying FAQ on October 11, 2021.
Humana has since updated related guidance to further support compliant sales experiences. Attached please find Humana’s FDR Marketing and Communication Guardrails.
Please review all marketing materials, including those created by lead source vendors, to ensure all marketing is consistent with established regulations.
In the event that opportunities are identified, the materials must be revised to meet expectations.
The information transmitted is intended only for the person or entity to which it is addressed
and may contain CONFIDENTIAL material. If you receive this material/information in error,
please contact the sender and delete or destroy the material/information.
Humana Inc. and its subsidiaries comply with applicable Federal civil rights laws and
do not discriminate on the basis of race, color, national origin, ancestry, age, disability, sex,
marital status, gender, sexual orientation, gender identity, or religion. Humana Inc. and its subsidiaries do not
exclude people or treat them differently because of race, color, national origin, ancestry, age,
disability, sex, marital status, gender, sexual orientation, gender identity, or religion.
English: ATTENTION: If you do not speak English, language assistance services, free
of charge, are available to you. Call 1‐877‐320‐1235 (TTY: 711).
Español (Spanish): ATENCIÓN: Si habla español, tiene a su disposición servicios
gratuitos de asistencia lingüística. Llame al 1‐877‐320‐1235 (TTY: 711).
繁體中文(Chinese):注意:如果您使用繁體中文,您可以免費獲得語言援助
服務。請致電 1‐877‐320‐1235 (TTY: 711)。
Kreyòl Ayisyen (Haitian Creole): ATANSION: Si w pale Kreyòl Ayisyen, gen sèvis èd
pou lang ki disponib gratis pou ou. Rele 1‐877‐320‐1235 (TTY: 711).
Polski (Polish): UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej
pomocy językowej. Zadzwoń pod numer 1‐877‐320‐1235 (TTY: 711).
한국어 (Korean): 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로
이용하실 수 있습니다. 1‐877‐320‐1235 (TTY: 711)번으로 전화해 주십시오.
1 (800) 772-6881 x7731 | sales@pfsinsurance.com
1 (800) 772-6881
support@pfsinsurance.com
On October 8, 2021, the Centers for Medicare & Medicaid Services (CMS) issued updated guidance pertaining to the compliance and regulations of third-party marketing of Medicare Advantage plans. Please note that while this update does not reflect any new guidance, it does have implications to our current compliance practices.
Pinnacle Financial Services has clarified this new guidance and ensure our collective activities continue to uphold the highest standards.
For details on the announcement please click here:
Please do not hesitate to contact the team at Pinnacle Financial with any questions.
800-772-6881 or compliance@pfsinsurance.com
1 (800) 772-6881 x7731 | sales@pfsinsurance.com
1 (800) 772-6881
support@pfsinsurance.com
