Wellcare Insider: Important Updates and Reminders

June 6, 2023

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.

Today’s edition has information on the following topics:

  • Medicaid Redetermination – Resources to assist you in helping members
  • SEP Duration Reminder – Recent change does not apply to Part C or Part D
  • Broker Support Options – Convenient ways for you to find quick solutions

Medicaid Redetermination Resources

Wellcare members at risk of losing their Medicaid coverage through the recently reinstated redetermination process will need your help to obtain new coverage and maintain continuity of care. Redetermination processes are well under way in all states, and up to 15 million individuals are at risk of losing coverage.

Take a moment to review the helpful information on our Redetermination Resource Page.

Be sure to view the Redetermination Broker Training Video, providing a comprehensive overview of redetermination procedures, as well as helpful guidance on how to best assist members in your role as trusted advisors throughout the process.

SEP Extension Clarification

As recently communicated, following a compliance review of the language contained within the recent CMS ruling regarding Special Enrollment Periods (SEP) for disaster/emergency, necessary clarification was made pertaining to the availability of extensions.

What you need to know

The six-month extension granted under the revised CMS ruling only applies to a member’s Initial Election Periods for Medicare Part A & B entitlement. Medicare Parts C & D are not included in this revision.

What you should do now

Visit Special Enrollment Period (SEP) – FEMA / State Declarations to view the complete list of current SEP declarations, as well as those having expired within the last six months. All expiration dates have now been updated to reflect the correct enrollment period. SEPs listed as currently active may present enrollment opportunities up until their listed expiration dates.

Broker Support Options

We’re committed to your success and understand that when you have questions, you need answers quickly. To expedite your service needs, we’ve invested in broker support options that conveniently provide you with expertise and help whenever you may need it.

  • Centene Workbench – Your dedicated online Broker Portal is available whenever you need it, with 24/7 support. Log in to Centene Workbench through your Single Sign On portal and enjoy access to information related to licensing, appointments, applications, enrollments, and sales compensation – as well as the ability to submit a support ticket anytime you may need.
  • Local Broker Support – Your Regional Agency Managers and Directors are ready and able to help you succeed. Reach out to your market agency for expertise within your local area.
  • Dedicated Broker Support Team – Our broker support call center is available with personalized knowledge, guidance, and white-glove processes for all your business needs. Connect with a knowledgeable support team member by calling 1-866-822-1339, Monday – Friday, 8 a.m. – 8 p.m. EST.

We’re continually reviewing and updating our broker support processes with an eye toward providing you the very best resources and help. Trust us to continue working hard to provide everything you need to succeed as we move into the 2024 sales season and beyond.

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

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