Wellcare | 2024 Product Pointer – DSNP Plans

Wellcare | 2024 Product Pointer – DSNP Plans

Wellcare | 2024 Product Pointer – DSNP Plans
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Finding the right plan fit for your members requires both in-depth knowledge about the available products and familiarity with your members’ needs.

Keep the following in mind when helping members find their 2024 D-SNP plans:

  • Knowing the eligibility of prospects and members is the first step to helping you find their best plan fit.
  • If a member is dually eligible, the best plan for them (if one is available) is a Dual Special Needs Plan (D-SNP), which coordinates the Medicare benefits along with the Medicaid benefits they are eligible for through the State.
  • Wellcare offers D-SNP plans to meet the needs of a variety of duals based on the Medicare Savings Program (MSP) level.
  • Ascend and Sunfire offer integrated Medicaid, LIS and Medicare eligibility checks within their systems.
  • Plan offerings and covered MSP levels vary by market. Not all plans are available in all markets.
  • Wellcare Reserve and Select Non-Zero D-SNP plans are available in Florida.

*New for 2024: AL, AR, KY, LA, MI, MS, NC, OH, TX, WI (All Dual Assure) and FL, GA and NM (All Dual)

Please keep in mind the SPOP call center is available to assist in eligibility checks and make plan recommendations based on MSP/Medicaid levels. The call center may be reached at 866-211-0544, Monday–Friday, 8 a.m. to 8 p.m. EST, Saturday–Sunday, 8 a.m. to 5 p.m. EST.
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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Wellcare | 2024 Product Pointer – DSNP Plans

Wellcare | 2024 Annual Certification Training and Contract Recertification – Available Today!

Wellcare | 2024 Annual Certification Training and Contract Recertification – Available Today!
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We are excited to announce the following Wellcare 2024 certification requirements will be available today, July 11th.

  • Annual Certification Training (ACT)
  • Contracting Recertification

2024 Wellcare Annual Certification Training (ACT) – Available Now!

Annually, brokers are required to complete certification requirements in order to market and sell Medicare Advantage products. We are pleased to release the 2024 Wellcare Annual Certification Training! 

Here are some highlights of this year’s Wellcare ACT:

  • The combined course certifies you to market and sell all 2023 and 2024 Wellcare Medicare product offerings.
  • Review of key product information and updates for 2024, accessible within the course with a link to plan level details at wellcarefirstlook.com.
  • New for 2024 is the inclusion of knowledge check questions throughout the course to prepare you for the final mastery exam.
  • Unlimited attempts to successfully complete the final mastery exam, and its open book!
  • AHIP and ACT transcripts are available from one location through the Centene Learning Center.

Please view the Training and Certification Requirements page for detailed instructions on the training certification process, including how to access the training site, ACT passing requirements, and helpful tips for completing the Wellcare ACT Mastery Exam.

Training Resources:

2024 Wellcare Contracting Recertification – Available beginning 2 pm EDT

To ensure our broker partners are always up to date with contractual agreements, we have built an acknowledgment feature within the Centene Workbench portal that enables you to review and acknowledge a summary of changes to the previously signed Centene Medicare Third Party Marketing Entity (TPME). In addition, you will also be prompted to attest your information on file is current and/or make changes where needed. 

Beginning July 11, 2023, as part of the 2024 Annual Certification Requirements, brokers who are currently contracted with Wellcare will receive a new 2024 Recertification workflow within Centene Workbench.

Completing 2024 Recertification case in Centene Workbench:

  • Access by logging into your 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. Please Note: Licensed Only Agents and Dual Assignment Agents will not be prompted to update payment information. All agencies in addition to their principle 2024 TPME require a signature and 2024 TPME agreement. Please ensure if applicable, your agency also has a 2024 TPME signed. 

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

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Contact a Pinnacle Financial Service representative today for assistance.

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Wellcare | 2024 Product Pointer – DSNP Plans

Wellcare | Important Updates and Reminders

Wellcare | Important Updates and Reminders
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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:

  • Key Dates for PY2024 – Mark those calendars for AHIP, First Look, and ACT
  • RFI Resources – Review how best to resolve Requests For Information
  • No. 25 on Fortune 500 – We’re growing stronger together with you

Key Dates – Plan Year 2024 (PY2024)

The 2024 Annual Medicare Certification period is nearly upon us and we’re working hard to make sure you are prepared with resources to help you become familiar with the 2024 Wellcare products and prepare you for annual certifications.

Please take note of these important launch dates:

June 21, 2023 2024 AHIP Training

July 10, 2023, 2024 Wellcare First Look

July 11, 2023, 2024 Wellcare Annual Certification Training 

  • Accessible through the Centene Learning Center
  • Note: Last day to complete onboarding cases in Centene Workbench and 2023 Wellcare ACT – June 30, 2023

Please be on the lookout for more information on the 2024 Wellcare Annual Certification Training process and other important communications to ensure you are fully equipped to support clients heading into the 2024 Medicare Annual Enrollment Period.

Resolving Requests For Information (RFI)

Request for Information (RFI) status occurs when a submitted application is either incomplete or contains incorrect information. Applications in RFI status will be pended in the system, delaying processing. The best way to avoid those delays is to review each application to ensure accurate and complete information has been provided.

You will be informed through email and text message if you have applications in RFI status. Please be on the lookout for these notifications and act promptly to resolve them. Important: RFIs must be resolved within 21 days of application receipt from the member, or the application will be denied.

RFIs may also be viewed in Centene Workbench by selecting Application Status from the Dashboard menu and using the search term RFI.

There are two ways to resolve outstanding RFIs:

  1. Create a Centene Workbench Support ticket on Centene Workbench, using the Enrollment ticket type and RFI subtype.
  2. Contact Broker Support at 1-866-822-1339 and select prompt 3. Note: Prior to calling Broker Support, please have all required information to resolve the RFI (e.g., NPN, Beneficiary Information – MBI, First Name, Last Name, DOB).

Please review the RFI Resource Page for further instructions on how to resolve RFIs.

Centene Ranks #25 on New Fortune 500

As Centene’s brand of Medicare, Wellcare is proud to have played an important role in Centene’s new #25 ranking on the recently released 2023 Fortune 500 list. Beyond the recognition of the financial strength of the company, the ranking gives all of the companies under the Centene umbrella a powerful voice in moving forward in our mission to transform the health of our local communities, one person at a time.

As a valued partner, we want to recognize your contribution to this success and thank you for your continued role as a trusted advisor to our valued members. As we move toward the 2024 sales season, you can count on us to provide not only the new launch of the high-quality, value-based products you expect from a healthcare leader but also the resources and support you need to successfully drive your business. We’re excited to be on this journey with you and look forward to all we will accomplish together this year.

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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Contact a Pinnacle Financial Service representative today for assistance.

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Wellcare | 2024 Product Pointer – DSNP Plans

Wellcare Insider: Important Updates and Reminders

Wellcare Insider: Important Updates and Reminders
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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

Contact Us

Contact a Pinnacle Financial Service representative today for assistance.

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Wellcare | 2024 Product Pointer – DSNP Plans

Wellcare | Important Updates and Reminders

Wellcare | Important Updates and Reminders
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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:

  • Quick Links for Brokers – Ensuring easy access to your professional tools
  • Accessing Provider Information – Updating the best ways to search providers
  • Service Excellence – Providing enhancements for you and your clients

Quick Links for WellCare Brokers

Centene Workbench is your source for tools that help grow your business and better support all of our members. An extremely helpful resource available to you is Quick Links – a single location on your dashboard where you’re just one click away from the Ascend enrollment platform, the Find-a-Provider tool, the Centene Learning Center, and other helpful resources.

Become familiar with all that Centene Workbench has to offer by visiting and bookmarking your new Broker Resources Quick Links page. This is a one-stop source for accessing the information you need the most and includes links to brand-new video walk-throughs for many of the most common tasks performed within the portal.

Accessing Provider Information

Effective immediately, provider directories are no longer available for digital download within the CustomPoint sales material ordering platform.

Provider information continues to be available online for custom searches and downloads through the Find-a-Provider tool on the health plan website. The online search function is always the most up-to-date option for retrieving this information.

Please review the prior communication that highlights key features available in the provider search tool. Also available are instructional resources that will assist you in using the online provider search tool.

Our Commitment to Broker & Service Excellence

We want to be your trusted partner in business and understand that requires a commitment to continuously strive for excellence in serving both you and our members. This means that you can count on us to demonstrate our commitment by working cross-functionally to elevate our service and exceed expectations.

Take a moment now to review Wellcare’s Commitment to Broker and Service Excellence, which highlights some of the achievements made throughout 2022 that demonstrate our commitment to member service enhancements and broker support.

As we move through 2023 and beyond, we remain committed to evaluating and improving services, investing in our members and partners, and sharing information critical to your success.

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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