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Your client is in the Medicare Part D Coverage Gap…Now What?

CMS guidelines

November 24, 2014 by Lance Hoeltke

What your clients are required to pay in the Medicare Part D coverage gapHelping your clients with Medicare Part D coverage understand the mechanics of the Medicare Part D coverage gap can be a daunting task.  We are going to cover a couple of the more difficult questions raised regarding the coverage gap in this segment.

[Read more…] about Your client is in the Medicare Part D Coverage Gap…Now What?

Filed Under: Affordable Care Act, CMS, CMS guidelines, Coverage Gap, health plan, Health Reform Bill, Humana MAPD plan, Humana Medicare Agents, Humana Medicare Plans, MAPD, MAPD and PDP membership, MAPD enrollment, Medicare Beneficiaries, Part D Coverage Gap, Patient Protection and Affordable Care Act, PDP enrollments, Prescription Drug Plans, Selling, Service

November 22, 2014 by Lance Hoeltke

Help your clients calculate the Medicare Part D late enrollment penaltyOne of the more common questions agents get asked from their Medicare clients is “what is the Medicare Part D late enrollment penalty?”  It is fairly easy to explain that if a Medicare member spends more than 63 consecutive days without having Part D or creditable drug coverage, they will be required to pay a late enrollment penalty should they choose to enroll in a Part D plan in the future.  The typical follow-up question is “will I have a late enrollment penalty?”  This is also usually pretty easy to answer, assuming the agent asks the proper questions of the client and the client responds with accurate answers about prior coverage.

[Read more…] about Calculating the Medicare Part D Late Enrollment Penalty

Filed Under: AEP, CMS, CMS guidelines, Humana MAPD plan, ICEP, ICEP election period, IEP, IEP election period, MAPD, MAPD and PDP membership, MAPD enrollment, Medicare AEP, Medicare Annual Enrollment Period, Medicare Beneficiaries, Medicare election periods, Medicare Part D late enrollment penalty, PDP enrollments, Prescription Drug Plans, Service

May 22, 2014 by Lance Hoeltke

Answers about enrolling Veterans with Medicare outside of the Annual Election PeriodWe often get questions relating to the enrollment of Medicare eligible veterans outside of the Annual Election Period.  In short, veterans are treated just as any other Medicare eligible person.  There are a few things to note, however, when working with a veteran who is Medicare eligible.  Here’s a short list of things to consider when helping veterans make an informed decision about Medicare Advantage enrollment:

[Read more…] about Veterans and Medicare Plan Enrollment

Filed Under: CMS guidelines, CMS marketing guidelines, HMO, Humana, Humana MAPD plan, Humana Medicare Agents, Humana Medicare Plans, Humana’s Medicare health plans, MAPD and PDP membership, MAPD enrollment, Marketing Humana Medicare Plans, Medicare Advantage, Medicare Annual Enrollment Period, Medicare Beneficiaries, Medicare choices, Medicare Health Plans, Medicare options, PDP, PDP enrollment, Selling, Veterans and Medicare

May 12, 2014 by Lance Hoeltke

Questions and answers about HIPAA compliance and you!

This was a question from one of our clients this past week. They sell Medicare Advantage policies and, as a prerequisite to selling these policies, are required to go through AHIP’s marketing certification for MA policies. By going through this Medicare training and signing an agreement with the carrier, are they HIPAA compliant?

[Read more…] about HIPAA Requirements: Questions & Answers

Filed Under: CMS guidelines, Health Reform Bill, HIPAA, HIPAA compliance and training, Humana Insurance, Humana Medicare Agents, MAPD and PDP membership, Marketing Humana Medicare Plans, Medicare Beneficiaries, Medicare legislation, Service

May 8, 2014 by Lance Hoeltke

Check out the press release below detailing the latest offering for our team of agents!

[Read more…] about Bishop Marketing offers Total HIPAA Compliance ‘s Online HIPAA 2.0

Filed Under: Bishop Marketing Agency, CMS guidelines, HIPAA compliance and training, Humana Medicare Plans, MAPD Distribution, MAPD enrollment, marketing Medicare Advantage, Medicare Health Plans, Medicare legislation, Medicare supplement plans, PDP enrollment, selling Medicare Advantage Plans, Service, Total HIPAA

August 12, 2013 by Lance Hoeltke

Statistically, the number of Humana’s MAPD/PDP enrollments that result in an allegation against an agent is just a small fraction of a single percent.  The number of allegations that are founded as a result of investigation are just a fraction of allegations themselves, which is outstanding.  Here are my root cause reasons for these strong compliance outcomes:

[Read more…] about A Couple Bad Apples Cause Excessive Re-certification Work for All

Filed Under: AEP, certifications, CMS, CMS guidelines, CMS marketing guidelines, Humana, Humana Medicare Agents, Humana Medicare Plans, MAPD enrollment, Marketing Humana Medicare Plans, Medicare legislation, selling Medicare Advantage Plans, Service

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