September 22, 2022
Your source for Aetna Medicare broker news and information
September 22, 2022
New and noteworthy
Earn a $110 administrative fee if your new D-SNP member completes the HRA
New for 2023 AEP, you can earn a $110 administration fee for completing a health risk assessment (HRA) with eligible D-SNP enrollments through the Think Agent tool. Available for field sales agents only.
You can also earn a $70 administration fee for completing the HRA with MA/MAPD enrollments, which is the same as last year. Please note that HRAs will be paid on issued sales only.
Remember, starting October 1, you must record calls with beneficiaries and incorporate a new disclaimer statement
As outlined in the 2023 CMS Final Rule released earlier this year, starting October 1, agents are required to record calls with beneficiaries related to Medicare Advantage (MA, MAPD, D-SNP) and Prescription Drug Plans, and incorporate a new disclaimer.
Are you ready to sell for 2023?
- Get certified to sell 2023 Aetna MA/MAPD and SilverScript PDP products. Go to AetnaMedicareProducerCertification.com.
- Attend a 2023 MA/MAPD product training to learn details about plans in your market. Sign up at AetnaMedicareAgentTraining.com.
- You can check your ready-to-sell status on Producer World.
Think Agent is your electronic enrollment tool and so much more for 2023 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, even your cell phone.
- Learn how to get access.
- Watch (8 mins): What is Think Agent and how can you start using it?
- Watch (9 mins): How you can use Think Agent to grow your business?
Order and use the correct formularies with 2023 enrollment kits
When ordering 2023 enrollment kits, please order all formularies recommended with the selected enrollment kits at checkout.
Why is this important? In some cases, because of how the formularies are titled, it may seem like you’re ordering duplicates. For example, you may see two B2 formularies or two B4 formularies. In these cases, one of the formulary versions is for plans participating in the Insulin Savings Program and one is for those that aren’t. All formularies shown with your selected enrollment kits should be ordered.
Guidelines for assisting your clients prior to October 1
As you know, AEP runs from October 15 to December 7. The first day you can begin marketing 2023 plans is October 1. Before October 1, you’re prohibited from discussing 2023 plans or plan changes with your existing clients or with prospects. Additionally, you may not accept, collect or take possession of a completed AEP enrollment application prior to October 15.
Access 2023 sales presentations
This year, you have several options for presenting Aetna’s consumer-facing sales presentation at sales events and beneficiary meetings starting October 1. You can use a traditional PowerPoint presentation format or share the video version. There is also a PDF version with speaker notes.
NOTE: All of these versions 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.
2023 MA/MAPD sales PowerPoint presentation (English version)
2023 MA/MAPD sales presentation VIDEO (13 mins)
Start marketing your business with social media
Want to use social media to grow your business, but not sure where to start? Get tips from the pros! Below, watch new episodes focused on social media from our video podcast series Successful Sales Solutions.
Sales and marketing tips to stay compliant with this AEP
Tip #1: Explain to prospects about the Part D formulary and drug coverage rules. Pharmacy terms are very confusing to consumers.
To help them:
- Prepare a list of terms to explain their meaning, including formulary, deductible, coverage gap, catastrophic phase, drug tiers, prior authorization, quality limits, and step therapy.
- Give attendees example situations for each term to help them understand.
- Finally, explain how to find out which prescriptions are covered by their plan through the plan’s formulary and where to find their plan, formulary, and benefits information.
Tip #2: If you use a sign-in sheet for in-person meetings, be sure to use the one on Producer World. It is optional if a prospect or member provides their contact information. It is against CMS rules to verbally request any type of personal contact information and ask beneficiaries to sign in. CMS considers this pressuring for personal information.
1 (800) 772-6881 x7731 | firstname.lastname@example.org