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Marketing Dos & Don’ts During Open Enrollment 2023

MAPD

January 5, 2023 by Lance Hoeltke

AEP 2022 has come to an end. It’s now time to look ahead for ways we can continue to serve beneficiaries while remaining compliant. As we begin the 2023 Open Enrollment Period, it’s important to discuss what is (and is not) allowable from a marketing perspective. 

Compliant OEP Marketing Initiatives 

  • Engage with Clients – First things first, follow up with your clients to make sure they still have the best plan for their needs! For new enrollees, we encourage brokers to complete 30, 60, and 90-day follow-ups. If your client would prefer to make a change, you can offer to go over enrollment options with them.
  • Market to Aging-In Prospects – Continue your normal marketing efforts toward new and soon-to-be Medicare beneficiaries.
  • Maximize Special Election Opportunities – Whether it’s marketing 5-Star Plans, highlighting Chronic Condition Special Needs Plans, or reaching out to the Dual Eligible community, make the most of these programs that trigger an SEP.
  • Service Beneficiaries Requesting Help – If you are contacted by a beneficiary inquiring about their options, you are free to discuss the OEP with them. You can mail or email marketing materials when they are requested by a beneficiary.

What You Can’t Do During OEP

  • Market the OEP – You cannot advertise the OEP option to beneficiaries.
  • Contact Former Clients – Every now and then, a client slips through the cracks, and you lose them. You cannot use the OEP to win them back.
  • Target Beneficiaries – If you are aware of beneficiaries who enrolled in Medicare Advantage Plans during the AEP, you cannot contact them with the intent of switching them during the OEP.

Just as a quick refresher, if you are contacted by a beneficiary that needs help, here is a list of allowable changes during the Open Enrollment Period:

  • MA or MAPD to another MA or MAPD
  • MA or MAPD to Original Medicare
  • MA or MAPD to Original Medicare with a stand-alone PDP

Beneficiaries are allowed only one change during this period, which lasts from January 1st to March 31st.

As you continue to serve beneficiaries during OEP, don’t forget to utilize MedicareCENTER for accurate, more efficient quoting and enrolling. Are you looking for easy access to this information? Download and print this information to keep handy whenever you need it!

Filed Under: AEP, MAPD, Marketing, Medicare Advantage, Medicare AEP, Medicare Annual Enrollment Period, Medicare Beneficiaries, PDP Tagged With: 2023, beneficiaries, MA, MAPD, MedicareCENTER, OEP

June 17, 2022 by Lance Hoeltke

We’re almost halfway through 2022; can you believe it? A new year on the horizon comes with a commission increase for Medicare sales specialists! These increases will apply to those who are enrolling clients into 2023 Medicare Advantage plans and Part D drug plans. This now marks the eighth consecutive year that CMS has raised the commission for sales specialists. Agents’ compensation is directly tied to new enrollments and retainment of beneficiaries. With a combined 50+ million beneficiaries enrolled in Medicare Advantage and Part D drug plans, there has never been a better time to become a Medicare broker.

Let’s take a look at the new commissions and what brokers can expect in the coming year:

Curious as to how this compares to years prior? View the chart below:

YearNationalCT, PA, DCCA, NJPRPDP
2021$539 / $270$607 / $304$672 / $336$370 / $185$81 / $41
2020$510 / $255$574 / $287$636 / $318$350 / $175$78 / $39
2019$482 / $241$542 / $271$601 / $301$331 / $166$74 / $37
2018$455 / $228$511 / $256$567 / $284$312 / $156$72 / $36
2017$443 / $222$498 / $249 $553 / $277$304 / $152$71 / $36
2016$429 / $215$482 / $242$536 / $268$294 / $147$63 / $32
2015$408 / $204$461 / $230$510 / $255$280 / $140$56 / $28

Here at Plan Advisors, we believe that things are only going up for brokers that are specializing in Medicare Advantage and Plan D drug enrollment plans.

Check out the full CMS fact sheet or contact us today if you have additional questions!

Filed Under: CMS, Commissions, MAPD, PDP Tagged With: 2023, beneficiaries, CMS, Commissions, MAPD, Medicare Advantage, Part D, PDP

May 3, 2022 by Lance Hoeltke

Did you know that you can make extra money on your enrollment by helping clients complete a Health Risk Assessment (HRA)? There is a new Value Based Enrollment (VBE) process launching May 3, 2022 that will allow you to earn additional payments for each Special Needs Plan enrollment.

What Information Should You Know? 

Beginning on May 3, 2022, Wellcare will discontinue VBE for all Medicare Advantage Prescription Drug Contracting (MAPD) enrollment types, with the exception of Dual-Eligible Special Needs Plan (DSNP) and Chronic Condition Special Needs Plan (CSNP) enrollments. On the contrary, VBE administration payments will increase to $125 for each DSNP & CSNP enrollment! If you would like more information on how to filter by Special Needs Plan in MedicareCENTER, watch this video.

It becomes important to note that VBEs will be limited to DSNP and CSNP enrollments only for all legacy Centene and Wellcare plans. Additionally, Ascension Complete and Fidelis VBE processes will remain consistent with the previous processes. Lastly, the “Call Me Now” and “Schedule a Call” functionality will no longer be available. To complete a VBE you must choose the “Agent Completed” option.

Why Is This Information Important For You? 

How easy is it to complete the HRA for your client? It is an extremely easy and efficient process that will allow your client to feel covered and for you to earn a bit more income. You view the instructions on completing the Health Risk Assessment on MedicareCENTER. If you would like to complete your client’s HRA through MedicareCENTER, please reference this chart to see the list of carriers who offer HRA completion.

Filed Under: MAPD Tagged With: 2022, CSNP, DSNP, Health Risk Assessment, HRA, MAPD, Medicare, Medicare Advantage, SNP, Special Needs Plan, Update, Value Based Enrollment, VBE, Wellcare

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

February 15, 2013 by Lance Hoeltke

Earlier this week I read that our country’s spending on health care has been at historic lows for a third straight year. The conclusion was formed by comparing health spending growth rates to the overall growth of the economy, reasoning that it’s easier to keep up with the costs if the two are aligned, than if health spending surges ahead.

[Read more…] about Healthcare Costs Down. Medicare Advantage Enrollments Up. Correlation?

Filed Under: Agent Testimonial, Bishop Marketing Agency, CMS, Get to know Bishop Marketing Agency, Health Reform Bill, Humana’s Medicare health plans, MAPD, MAPD and PDP membership, MAPD enrollment, medicare, Medicare Advantage, Medicare Advantage growth, Medicare Beneficiaries, Medicare choices, Medicare Health Plans, Medicare legislation, Medicare Modernization Act, Medicare options, Selling, selling Medicare Advantage Plans, selling Medicare products, seniors choose Medicare Advantage

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