Wellcare | Product Pointers – Flex Card for DVH

Wellcare | Product Pointers – Flex Card for DVH

Wellcare | Product Pointers – Flex Card for DVH
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Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881
support@pfsinsurance.com

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Aetna | Everything you need for AEP

Aetna | Everything you need for AEP

Aetna | Everything you need for AEP
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  • 2022 MA/MAPD, D-SNP and PDP sales presentations and videos
  • Scope of Appointment and Permission-to-Contact options
  • Find 2022 ANOCs, EOCs, formularies on AetnaMedicare.com 
  • Download 2022 plan guide PDFs from Producer World
  • NEW 2022 member rewards program
  • Get the Think Agent enrollment app
  • Get inspired on the go, with the new Secret Agent podcast

Find want you need for AEP on Producer World and in Think Agent

2022 AEP sales materials 

This year, you have two options for presenting Aetna’s consumer-facing sales presentation at sales events and beneficiary meetings. You can use a traditional PowerPoint presentation format or share the video version. NOTE: Both the PowerPoints and videos 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.

2022 MA/MAPD and DSNP sales presentations

(English and Spanish versions)

2022 MA/MAPD and DSNP sales presentations VIDEOs

– This year, you can also find and view them on Youtube

Scope of Appointment: Paper, email, and text options. An SOA must be obtained for every meeting with a potential beneficiary.

Permission-to-Contact form: Download a single form or order a booklet set from the Aetna Medicare Marketing Studio. 

2022 enrollment kits and plan guides: Order extra printed copies or download electronic copies. You can also order Spanish and Chinese enrollment kits where available too.

Download 2022 plan guide PDFs from Producer World for a side-by-side comparison of plans  

Plus, review a list of year-over-year benefit changes to prepare for renewal discussions with your clients 

Find 2022 plan documents on AetnaMedicare.com

You can find the following items on AetnaMedicare.com, or you can access them electronically through the Think Agent app:

NEW rewards program available to all 2022 MA/MAPD members

In 2022, Aetna MA/MAPD members can participate in a new program that can help them stay healthy and earn $170 or more in redeemable gift cards! Members can earn up to $200 in CVS, Target, or Visa gift cards by completing eligible health activities in 2022. Learn about the program for MA/MAPD members and D-SNP members

Take advantage of Think Agent this 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, including your cell phone

Think Agent features include: 

  • Full enrollment capabilities
  • Offline enrollment intake
  • Integrated MBI validation
  • Medicaid status check
  • Electronic Permission to Contact sent by text
  • Health risk assessment available
  • E-kit (email) enrollment option
  • Scope of Appointment options
  • Provider search
  • Drug cost estimator tool
  • Ready-to-sell status verification

Listen to The Secret Agent, a new podcast series from Aetna Medicare, designed to get you pumped for AEP

  • You can listen online or through the Fieldcast app.
    • Enter “Aetna” as the company name
    • Then log in with your Producer World username and password
  • Episodes are short, so you can listen on the go
  • Be sure to share your feedback! Let us know what you think in the Comments section after each episode

A Secret Weapon to Help You Survive AEP: Think Agent 

– Featuring Leslie Hall (9 mins.)

Listen now

Madness, craziness, insanity… Yep, it’s that time of year! Preparing for AEP 
– Featuring Jason Mills (13 mins.)

Listen now

Selling in the 2020s 

Featuring Angie Damin (21 mins.)

Listen

A conversation about leadership

– Featuring Tracey Fults (19 mins.)

Listen

 

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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Wellcare | Broker Support is Here to Help YOU!

Wellcare | Broker Support is Here to Help YOU!
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Broker Support is Here to Help YOU!

AEP is around the corner! As a reminder, Broker Support can assist you with inquiries related to:

  • Onboarding – Contracting, training, and license updates
  • Single Sign-On Portal – New broker set-up and navigation
  • ACT and AHIP – Certification status and inquiries
  • Ascend Enrollment Platform – Plan search, provider, and formulary lookup
  • Application & Enrollment – Assistance, Wellcare health plan RFI assistance
  • Member Status – Agent/Broker of Record (AOR/BOR) correction
  • Broker Commissions – Finding statements, calculate commissions payable, inquiries
  • Broker Portal – (Agent Connect and Agent 360) Navigation, Assignment of Commission (AOC), Application Search Tool, hierarchy changes, demographic updates, help to support tickets
  • Sales Materials -CustomPoint Navigation

Most calls are resolved immediately over the phone, those that require escalation will be forwarded to the corporate team for review, resolution, and direct follow-up.

Phone: 866-822-1339

Hours: Monday – Friday 8:00 AM – 8:00 PM EST

Broker Services has a dedicated team to support your Medicare Supplement needs:

Phone: 833-728-1298

Hours: Monday – Friday 12:00 PM – 8:00 PM EST

Email Address: medicaresupplementbrokersupport@centene.com

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

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Aetna | Everything you need for AEP

Aetna | Get ready for AEP: New business tips

Aetna | Get ready for AEP: New business tips
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Tips for your new business

With so many consumers making decisions about their healthcare needs this time of year, it’s easy to make some incorrect assumptions, which can result in delays or even a lost sale. We’re here to help you avoid those costly mistakes.

Choosing the type of application

When taking a Medicare Supplement application, be sure to pay attention to the type of application. The Medicare Annual Enrollment Period (AEP) does not mean the application is automatically Open Enrollment (OE) or Guaranteed Issue (GI).

Open enrollment applies only to persons who are first enrolling in Medicare Part B or turning age 65.

The guaranteed issue applies only to Medicare beneficiaries who are losing (or disenrolling) in their current health care coverage under a qualifying GI provision and these applications must include proof of creditable coverage which supports the qualifying GI event. Be sure to include the proof of creditable coverage with the application.

Underwritten applies to all other applications, where the applicant must answer all of the health questions.

Review the list of medications before submitting an app

Your applicant may not know about a declinable condition listed on their application. But, their prescribed medication may indicate they have a declinable condition.

Important: Some medications can be prescribed for multiple conditions. If your application is prescribed a medication that has multiple uses, you must provide the condition the medication is prescribed to treat

Also, don’t leave the list of medications blank on the application. If the applicant doesn’t take any medications, list “none.” 

We offer a list of commonly prescribed medications for declinable conditions to help you when you’re completing applications.

How our automated underwriting works

All applications submitted through Aetna Quote & Enroll will receive one of the following automated decisions within 2 minutes of submission: approved, declined, or review.

More than 64% of applications receive an automated “approved” or “declined” decision.

“Review” means that the applicant’s prescription and/or medical claims history conflicts with our underwriting guidelines and a manual underwriting review will be conducted next. 

Point of sale declined applications are due to prescription fills and/or medical claim data indicating one or more health questions should have been marked “yes.”

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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The Best Hospital Indemnity Plan to Sell During AEP

The Best Hospital Indemnity Plan to Sell During AEP

The Best Hospital Indemnity Plan to Sell During AEP
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The best hospital indemnity plans to sell during AEP without question would be GTL’s Advantage Plus and the new Advantage Plus Elite. Hospital Indemnity Plans are a critical product in every Medicare agent’s portfolio. Pinnacle offers regular webinars teaching agents how to properly add a Hospital Indemnity Plan to the sale of a Medicare Advantage plan in order to cover the many out-of-pocket expenses their client can incur.

What is a Hospital Indemnity Plan?

Hospital indemnity insurance is a supplemental insurance plan designed to pay for the costs of hospital admission that may not be covered by other insurance. The plan covers clients who are admitted to a hospital or ICU for a covered sickness or injury. Hospital Indemnity Plans or “HIP” can be especially critical for seniors as many seniors especially the DSNP population do not have enough savings to cover unplanned medical bills. These plans pay cash directly to the client regardless of whether they end up incurring the out-of-pocket expense or not. The payments can be used for anything the client deems necessary such as copays, deductibles, or even things such as transportation, food, rent, or utilities.

Why You Should Sell GTL’s Advantage Plus:

  • Easy to use E-app
  • Guaranteed Issue Ages 64 ½ – 65 ½
  • 1, 3, 6, 10 & 21 day benefit periods available
  • $100 to $750 daily hospital confinement benefit
  • 60-day restoration of benefits
  • Hospital observations covered
  • Lump-sum cancer rider
  • Dental/vision rider
  • Additional lump sum hospital rider
  • Ambulance rider
  • Guaranteed renewable for life as long as premiums are paid
  • Skilled nursing rider

Help Your Clients & Get Paid During AEP:

Doing what’s best for your clients should always be your top priority. But it sure is nice when doing what’s best can also benefit you, especially during the busiest time of the year for a Medicare agent. GTL pays one of, if not the highest commission in the industry on their hospital indemnity plans, and the best part…. They pay all throughout AEP!! Reach out to your marketer today to find out more about how to get licensed to sell GTL’s Advantage Plus products.

For more information, contact a Pinnacle Financial Services representative today

1 (800) 772-6881 x7731 | sales@pfsinsurance.com

Assistant Vice President | Health

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881
support@pfsinsurance.com

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