
Wellcare | Product Pointers – Flex Card for DVH
1 (800) 772-6881 x7731 | sales@pfsinsurance.com
Contact a Pinnacle Representative if you have any questions.
1 (800) 772-6881
support@pfsinsurance.com
1 (800) 772-6881 x7731 | sales@pfsinsurance.com
1 (800) 772-6881
support@pfsinsurance.com
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:
Listen to The Secret Agent, a new podcast series from Aetna Medicare, designed to get you pumped for AEP
Madness, craziness, insanity… Yep, it’s that time of year! Preparing for AEP
– Featuring Jason Mills (13 mins.)
1 (800) 772-6881 x7731 | sales@pfsinsurance.com
1 (800) 772-6881
support@pfsinsurance.com
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!
1 (800) 772-6881 x7731 | sales@pfsinsurance.com
1 (800) 772-6881
support@pfsinsurance.com
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.
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.
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.
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.”
1 (800) 772-6881 x7731 | sales@pfsinsurance.com
1 (800) 772-6881
support@pfsinsurance.com
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.
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.
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.
1 (800) 772-6881 x7731 | sales@pfsinsurance.com
Assistant Vice President | Health
1 (800) 772-6881
support@pfsinsurance.com