AETNA PDF ENROLLMENT KITS (AND APPLICATIONS) NOW AVAILABLE FOR DOWNLOAD:
Aetna has made their entire enrollment kit available for agents to download, which also includes a PDF version of the enrollment application.
Agents can find the PDF kits in the broker ordering module (access from Producer World, like normal). Same process as ordering kits, but there’s a link to view the kit, which is now a PDF that can be downloaded.
2020 Compliance Communication: SEP Notice for Individuals Affected by Covid-19
CMS has officially announced an SEP is available for individuals affected by Covid-19. This SEP is available nationwide to residents of all states, tribes, territories, and the District of Columbia. The SEP can be used until June 30, 2020 under the following circumstances.
Who qualifies for this special enrollment period?
A SEP exists for individuals affected by a major disaster who were unable to, and did not make an election during another valid election period. This includes both enrollment and disenrollment elections. Individuals will be considered “affected” and eligible for this SEP if they:
In addition, the SEP is available to those individuals who don’t live in the affected areas but rely on help making healthcare decisions from friends or family members who live in the affected areas.
Nationwide Covid-19 SEP – SEP Start Date March 1, 2020
SEP End Date – June 30, 2020
What Does This Mean to Agents
If an individual wants to enroll and believes they may qualify for this SEP, agents should:
Enrollments made pursuant to this SEP are effective the first of the month following the receipt of the enrollment request. For enrollment requests where more than one enrollment effective date is possible, agents will need to determine the applicant’s desired effective date.
The Disaster SEP should never be used as a marketing tool to promote MA or PDP sales. Agents should not be actively marketing this SEP, but rather, should be aware that it is available in case they are approached by someone who believes they have missed an election period due to the incident.
The Centers for Medicare & Medicaid Services (CMS) clarified yesterday that the Special Enrollment Period (SEP) for Individuals Affected by a FEMA-Declared Weather Related Emergency or Major Disaster is applicable and is available for beneficiaries who were eligible for — but unable to make — an election due to the COVID-19 pandemic and meet the terms of the SEP listed below.
WellCare Agent Advisory 5/6/20
Confirmed Special Enrollment Period: COVID-19
As promised, we continue to closely monitor the COVID-19 pandemic and are working hard to keep you informed. At this time, CMS has reversed previous guidance and made the decision to allow for a one-time Special Enrollment Period (SEP) for those affected by COVID-19, in the event they were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to all 50 states, tribes, territories, and the District of Columbia.
2020 Compliance Communication
SEP Notice for Individuals Affected by Covid-19
CMS has officially announced an SEP is available for individuals affected by Covid-19. This SEP is available nationwide to residents of all states, tribes, territories, and the District of Columbia. The SEP can be used until June 30, 2020 under the following circumstances.
Who qualifies for this special enrollment period?
A SEP exists for individuals affected by a major disaster who were unable to, and did not make an election during another valid election period. This includes both enrollment and disenrollment elections. Individuals will be considered “affected” and eligible for this SEP if they:
In addition, the SEP is available to those individuals who don’t live in the affected areas but rely on help making healthcare decisions from friends or family members who live in the affected areas.
Nationwide Covid-19 SEP – SEP Start Date March 1, 2020
SEP End Date – June 30, 2020
What Does This Mean to Agents
If an individual wants to enroll and believes they may qualify for this SEP, agents should:
Enrollments made pursuant to this SEP are effective the first of the month following the receipt of the enrollment request. For enrollment requests where more than one enrollment effective date is possible, agents will need to determine the applicant’s desired effective date.
The Disaster SEP should never be used as a marketing tool to promote MA or PDP sales. Agents should not be actively marketing this SEP, but rather, should be aware that it is available in case they are approached by someone who believes they have missed an election period due to the incident.
(MAY 4, 2020) Upcoming changes to the Marketing Medicare Advantage + Fraud, Waste and Abuse training layout. The changes will occur on June 22, 2020, at the launch of the 2021 training season.
AHIP’s number one goal is to ensure that agents, brokers and marketing representatives retain the training content necessary to properly prepare for the final exam. We now require that users complete all review questions before they can proceed forward with the training. Review questions will be located at the end of each module and will include feedback and sources, with an unlimited number of submissions. We hope the review questions will serve as a study tool and help users identify which areas of the training requires more of their focus before accessing the final exam. Review questions are not counted towards the AHIP Final Exam and are for study purposes only.
AHIP also has streamlined the content, and modules will now include topic headings to help users easily navigate through the training. AHIP will launch a Frequently Asked Questions (FAQ) section on the Medicare website to help users quickly find answers about the training process.
To see how these changes will impact new and returning users, click here. We look forward to servicing your training needs. If you have any questions, please contact Support@ahipinsuranceeducation.org.
• As a reminder, Medicare Advantage clients have access to the 24-hour nurse line which can assist with any questions about COVID-19 symptoms or other health-related issues. The nurse line is available toll free for members at 1-888-912-0636.
• Medical Mutual is taking further steps to be accommodating during the COVID-19 pandemic and is implementing a temporary solution for brokers writing Medicare Advantage plans. Effective Mar. 20, 2020, agents will be permitted to send and receive scope of appointment (SOA) consent via email. This will allow you to assist your clients in a compliant way without meeting them face to face or requiring an SOA form to be printed and mailed. Please contact your account manager for email submission template and further information.
• MedMutual Advantage members who are experiencing difficulty paying premiums or out-of-pocket healthcare costs due to COVID-19 may be referred to Centauri’s PremiumAssist program. Centauri will screen members to determine if they are eligible for financial assistance with their Medicare Advantage premiums and other medical expenses through the Medicare Savings Programs (MSP), as well as any additional assistance with prescription drug costs through the Extra Help program. Centauri’s PremiumAssist program can be reached at 1-877-236-4471 (TTY 711 for hearing impaired) Monday through Friday from 9 a.m. to 7:30 p.m. EST
• Effective Mar. 9, 2020, Mom’s Meals is implementing contactless delivery measures for all meals provided to MedMutual Advantage members who are being discharged from the hospital. These measures were implemented to help prevent the spread of the COVID-19. Details on the Mom’s Meals COVID-19 response can be found on MomsMeals.com.
• How are you communicating with your clients during this time? If you need something to talk about, remind the Medicare members of the SilverSneakers program through Medical Mutual. During this time, Medicare members can take advantage of online tools to help them stay fit, including SilverSneakers On Demand, SilverSneakers Go, as well as live Facebook events. Members can login to access these resources through SilverSneakers.com.