Wellcare | Product Pointers – Digital Resource Center Now Available

Wellcare | Product Pointers – Digital Resource Center Now Available

Wellcare | Product Pointers – Digital Resource Center Now Available
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The Digital Resource Center (DRC) on WellcareFirstLook.com is now live! The DRC is your best single-source location for all the sales and plan materials you need for a successful AEP, right at your fingertips. New materials have been added for 2024 and all plan materials are available in multiple languages.

Resources Available

  • Over-the-Counter Catalogs
  • Sales Presentation Videos
  • Pre-Enrollment Guides
  • Benefit Highlights
  • Comprehensive Formularies
  • Formulary Search Tools
  • NEW! Scope of Appointments
  • NEW! Paper Enrollment Applications
  • Coming Soon! CMS Star Ratings

Added for 2024, highly requested member materials for agent use:

  • NEW! Evidence of Coverage
  • NEW! Summary of Benefits

We hope that you find these resources beneficial for all of your sales efforts throughout this AEP season and beyond.

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

    Contact Us

    Contact a Pinnacle Financial Service representative today for assistance.

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    Wellcare | Product Pointers – Digital Resource Center Now Available

    Wellcare | New Text Message Outreach for PDP Members

    Wellcare | New Text Message Outreach for PDP Members
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    New Text Message Outreach for PDP Members to Help Resolve RFI Applications

    As previously communicated, Wellcare utilizes automated conversational text messages in order to communicate with our Prescription Drug Plan (PDP) members. Members with a mobile number on file may be receiving the welcome message as well as other periodic text messages from the sender, “Jen at Wellcare.

    Heading Text 3. In addition to the previous messages sent to PDP members, a new Request for Information (RFI) campaign will launch this week. Details about this campaign are listed below.

    Request for Information (RFI) Texts

    An RFI campaign will begin this week and run through Dec. 2023. This targeted campaign will include one text message per week from “Jen” to applicants in RFI status in an attempt to obtain missing application information. There will be a transfer option available to the RFI team to complete the application. Applicants who provide the missing information will be removed from future outreach.

    Text Message Examples:

    • “Hi [FirstName], it’s Jen from Wellcare. Someone may have called you regarding your prescription drug plan enrollment application request. We still need some of your information to complete it. To finalize your application, when are you available for a call?” Text STOP to cancel.
    • “Hi [FirstName], this is Jen from Wellcare again. We tried reaching you last week – some information is still missing to complete your enrollment application request. When are you available for a call to finish your request?” Text STOP to cancel.
    • “Hi [FirstName], Jen from Wellcare reaching out one last time! Don’t let any missing information stop you from completing your enrollment application request for the prescription drug plan. When can we call you to finish your application?” Text STOP to cancel.
    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

    Contact Us

    Contact a Pinnacle Financial Service representative today for assistance.

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    Wellcare | Product Pointers – Digital Resource Center Now Available

    Wellcare | VBE/HRA Process Remains In Place for 2024

    Wellcare | VBE/HRA Process Remains In Place for 2024
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    Health Risk Assessments (HRA) are a valuable tool for improving the overall health of our members. In addition to identifying health needs to ensure beneficiaries are receiving the right care at the right time, HRAs also play an important role in understanding the overall patient population with the goal of improving personalized and targeted care for all.

    To expedite this important initiative, Wellcare is pleased to continue to provide the opportunity to earn administrative payment for the completion of each HRA.

    • No changes will be made in 2024 for the current administrative payment structure:
      • A $225 administrative payment is available for eligible D-SNP/C-SNP enrollments.
      • A $75 administrative payment is available for eligible MA/MAPD enrollments.
    • An HRA may be captured directly within Ascend and Sunfire after the enrollment is submitted, using the integrated tool.   

    We also offer a standalone Value-Based Enrollment (VBE) link for submissions for each plan year.

    2023 link: wellcareisf.io/2023/vbe/addmember 
    2024 link: wellcare.isf.io/2024/vbe/addmember 

    Note:
     Refer to the Ascend 2024 Integrated and Standalone Value Based Enrollment Training Guide for instructions when using the standalone link.

    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

    Contact Us

    Contact a Pinnacle Financial Service representative today for assistance.

    CallEmail

    Wellcare | Product Pointers – Digital Resource Center Now Available

    Wellcare | AEP Readiness Resources are Now Available

    Wellcare | AEP Readiness Resources are Now Available
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    AEP Readiness Resources are Now Available

    Sales season has begun! To make sure you have all the tools and information you need for success, we’re rolling out your best one-stop resource for everything AEP.

    The 2024 AEP Readiness Resources page has information regarding our plan offerings, service areas, and marquee benefits, including our new Wellcare Spendables™ card, innovative Value-Based Insurance Design (VBID) benefits, and other network enhancements.

    Resource Highlights

    • 2024 Approved Plan Benefit Grids – New customizable and downloadable product grids showing key benefits for Prescription Drug Plan (PDP) and Medicare Advantage Prescription Drug (MAPD) plans in specific areas
    • Supplemental Benefit and Pharmacy One-Pagers – One-page fact sheets highlighting new and intriguing benefits for members
    • Supplemental Benefits Videos – YouTube videos outlining key selling points and information regarding select benefits and plan types
    • FAQs and Other Resources – Frequently asked questions for network updates and supplemental and pharmacy benefits, including dedicated VBID and Special Supplemental Benefits for the Chronically Ill (SSBCI) versions, catalogs, and other helpful agent tools

    Take a few moments now to review the 2024 AEP Readiness Resources and discover all of the valuable Wellcare benefits available for members in 2024. 2023 Resources continue to be available as well to support plan efforts throughout the rest of the current plan year.

    Note: This resource is also available within the Ascend mobile app by searching 2024 AEP Readiness Resources.

    We hope that you find these resources beneficial for all of your sales efforts throughout this AEP season and beyond.

    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

    Contact Us

    Contact a Pinnacle Financial Service representative today for assistance.

    CallEmail

    Wellcare | Product Pointers – Digital Resource Center Now Available

    Wellcare: 2024 Contract Recertification & Certification Training Incomplete

    Wellcare: 2024 Contract Recertification & Certification Training Incomplete
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    Action Required!

    Brokers are required to complete all 2024 annual certification requirements by September 30, 2023 to be able to market and sell 2024 Wellcare products.

    • 2024 Wellcare Contract Recertification – Centene Workbench
    • 2024 Certification Training – AHIP and/or Wellcare Annual Certification Training (ACT)
    Failure to complete the 2024 annual certification requirements will result in the inability to:

    • Market or sell any Wellcare products
    • Receive commission for any prior business, including renewals
    • Access CustomPoint to order sales materials (access is granted 72 hours after completing certification)

    Important: The above applies to both 2023 and 2024 plan years.

    All annual certification requirements must be completed by September 30, 2023, to be able to market and sell Wellcare products and avoid suspension on October 1, 2023.

    Note: If you have recently completed the above certification requirements, please allow 48 hours for our systems to update.

    Certification Training

    Please visit the Training and Certification resource for details on completing outstanding training requirements.

    Wellcare Contracting Recertification

    As part of the 2024 Annual Certification Requirements, brokers/agencies who are currently contracted with Wellcare are required to complete the 2024 Contract Recertification workflow within Centene Workbench.

    Completing a 2024 Contract Recertification case:

    • Access by logging into your Centene Workbench portal via the Single Sign-On portal and select the My Credentials section.
    • Select My Certification Cases.
    • You will be prompted to (1) verify Demographic, Payment Information, and Selling States and (2) sign the 2024 TPME Agreement and W9.
    • Reminder: (1) Wellcare no longer distributes commissions via paper check. You are required to provide ACH information during the “Payment” step. If invalid banking information is entered, your payments will be held. (2) Licensed Only Agents and Dual Assignment Agents will not be prompted to update payment information.

    Please view the 2024 Contract Recertification Step-Action document for detailed instructions on the contracting recertification process.

    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

    Contact Us

    Contact a Pinnacle Financial Service representative today for assistance.

    CallEmail