Entries by Marilyn Schultz

2023 Medicare Parts A & B Premiums and Deductibles 2023 Medicare Part D Income-Related Monthly Adjustment Amounts

On September 27, 2022, the Centers for Medicare & Medicaid Services (CMS) released the 2023 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs, and the 2023 Medicare Part D income-related monthly adjustment amounts. Medicare Part B Premium and Deductible Medicare Part B covers physician services, outpatient hospital services, certain […]

Call Recording Petition

Reverse the New CMS Medicare Call Recording Requirements In the recently passed CMS regulations, licensed and certified independent agents are included in the definition of a Third Party Marketing Organization (TPMO) and as such, will be required to record phone calls that result in enrollment of a Medicare Advantage or Prescription Drug Plan.  A petition […]

CY 2023 Medicare Advantage and Part D Final Rule (CMS-4192-F)

CMS FACT SHEET: CMS is issuing a final rule that advances CMS’ strategic vision of expanding access to affordable health care and improving health equity in Medicare Advantage (MA) and Part D through lower out-of-pocket prescription drug costs and improved consumer protections. An increasing number of Medicare beneficiaries receive services through MA and Part D […]

CMS Marketing Changes

The marketing guidelines for Medicare Advantage and Prescription Drug Plans were updated on May 9, 2022. Among the provisions that apply directly to agents, the two most critical, which are to be in use by October 1, 2022, for Plan Year 2023, are a new required disclaimer and a requirement to record all sales calls […]

Anthem Med Supp Update – Proof of Loss of Group Coverage Required

Anthem Producer Online News – May 5, 2022 Beginning May 14, 2022, proof of loss of group coverage must be provided for individuals moving from Employer Group medical coverage to a new Med Supp plan. This requirement is found in the Med Supp Guaranteed Issue Guidelines, Situation #2. Guarantee Issue Situation #2 is described as […]

Medicare weighs premium cut after limiting Alzheimer’s drug

File – The Biogen Inc., headquarters, Wednesday, March 11, 2020, in Cambridge, Mass. Medicare says it’s considering a cut in enrollee premiums, after officials stuck with an earlier decision to sharply limit coverage for a pricey new Alzheimer’s drug projected to drive up program costs. (AP Photo/Steven Senne, File) (ASSOCIATED PRESS) RICARDO ALONSO-ZALDIVAR and MATTHEW […]

CMS ALERT February 3, 2022

Biden-Harris Administration Will Cover Free Over-the-Counter COVID-19 Tests Through Medicare CMS News Alert – February 3, 2022  CMS Developing Initiative to Enable Access to Eight Free Over-the-Counter COVID-19 Tests for Medicare Beneficiaries in Early Spring As part of the Biden-Harris Administration’s ongoing efforts to expand Americans’ access to free testing, people in either Original Medicare […]

Broker Notice Regarding Third Party Marketing

Cornerstone Senior Marketing will now file third-party marketing materials requiring CMS approval for all our sales/broker partners.  This includes uniquely created materials or those purchased from a third-party lead source vendor¹. Action Required: Any advertisement or mailer that mentions a premium, a benefit, a cost/copay, or getting your Part B paid for (even in a […]

STAR RATINGS

The Medicare Star Rating system was instituted by CMS back in 2007 to focus on improving plans and enable Medicare beneficiaries to compare plans.  CMS began publishing the Medicare Part C and D Star Ratings annually in 2009, where the stars measure the quality of health and drug services. Medicare Star Ratings measure more than […]