WellCare: AEP is HERE

WellCare Message from 10/2/2020:

AEP is Here! AEP is finally here, and the combination of Centene and WellCare means greater opportunity for you!

Now, you can market and sell up to 5 health plans!

  • Allwell
  • Ascension Complete
  • Fidelis Care
  • Health Net
  • WellCare

Note: Not all health plans are available in all areas.

The easiest and fastest way to ensure that you are offering all plans available in your area and you are credited for each sale is to use the Ascend Enrollment Platform. (Currently, Ascend cannot be used for Fidelis Care enrollments.)

Application and Enrollment

Broker Identifier:

It is crucial that all applications include the correct agent identifier. Ascend will automatically attach your agent identifier to each application you submit: National Producer Number (NPN), Producer ID (PID), or Fidelis Care ID.

When submitting applications OUTSIDE of the Ascend Enrollment Platform, be sure to input the correct agent identifier:

*Fidelis Care Notes:

  • Beginning 10/1/2020, Fidelis Care will begin using a unique broker identifier consisting of the letters FB + NPN, for example: FB123456

Fidelis Care does not accept paper applications.

Ascend:

All health plan information has been loaded into Ascend. Please note, 2021 Enrollment Applications will not be accessible until 10/15.

As of 10/1 you should be able to access 2021 rates and benefits in the Ascend Mobile App. If you are not able to access 2021 plan information, please be sure to update the App. Click here for information on how to download and update the Ascend Mobile App.

Warning! Beginning 10/1/2020, the WellCare Mobile Enrollment Platform and Desktop Enrollment Platform (agent assisted) will be retired and no longer accessible. You will find our 2021 plans, benefits, rates and enrollment capabilities in Ascend.

Additional Resources:

Click here for Application & Enrollment Tools.

2021 CMS Enrollment Guidance Policy Revisions

The Centers for Medicare & Medicaid Services (CMS) has issued annual enrollment and disenrollment guidance revisions for contract year 2021.

All enrollments with an effective date on or after January 1, 2021, must be processed in accordance with the revised guidance requirements.

Significant Changes To Guidance:

  1. Effective for the plan year beginning January 1, 2021, CMS removed the prohibition on beneficiaries with ESRD enrolling in a Medicare Advantage (MA/MAPD) plan. Health plans can accept and process elections made by ESRD beneficiaries that choose to join a MA/MAPD plan during a valid election period.
  2. Special Election Periods (SEP) for Exceptional Conditions: CMS has codified a number of SEPs previously adopted and implemented through subregulatory guidance as exceptional circumstances SEP, additionally two new SEP’s have been added for exceptional circumstances: SEP for Individuals Enrolled in a Plan Placed in Receivership & SEP for Individuals Enrolled in a Plan that has been identified by CMS as a Consistent Poor Performer
  3. Medicare Advantage and Prescription Drug Plan Model Enrollment forms: CMS revised and improved the standard (“long�) model form used for MA/MAPD and PDP enrollments to a new streamlined form. All health plan enrollment applications have been revised in accordance with CMS guidance, including Allwell, Ascension Complete, Fidelis Care, Health Net, and WellCare.
  4. Electronic Signatures: As part of the Electronic Enrollment process, electronic signatures from a beneficiary that affirms his/her intent to complete the enrollment are acceptable. This change only applies to electronic enrollments. The affirmation requirements for the telephonic and paper enrollments remain the same.