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David Gordon

Medicare News Pre appt states - Phone sales, etc.

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These are the pre-appt states for MAPD/PDP:

 Humana is MT & PA.

UHC is pre- appt in all states

 SilverScript is AK, AZ, CA, CO, FL, IL, IN, MA, MD, MO, OR, PA, NY, RI, SD & WA.

 Aetna is AL, AZ CO, IL, IN, KY, LA, MT, OH, OR, PA, RI, UT, VT, WA, WI.

to change uplines uhc, cigna , wellcare and humana need email to them and then a new contract in 6 months
aetna no production for 6 months. As with every carrier, a termination or release in leu. 

 

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UHC Med sup allows phone sales can but voice signature is only available in Indiana, Pennsylvania and Utah right now.  Also their contract prohibits cold calling and the Producer Handbook has a note about it too:

 You may not make cold calls as highlighted in the

Branded Products Addendum (Exhibit B) in your

contract. And you cannot follow up with your mail

recipients to see if they received your mailing or flyer.

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AARP - Consumers in eleven states – Illinois, Indiana, Georgia, Minnesota, Missouri, Nevada, North Carolina, Oregon, Pennsylvania, South Carolina and Utah now have the option to sign their applications via voice signature through you, their agent.

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Aetna - New transfer release policy makes it easier, faster to change your upline

We’ve launched a new streamlined hierarchy change policy (transfer release policy) that makes it easier and faster for agents and agencies to change their upline. 

There’s also a new form, called the Notice of Intent/Transfer Release form, that must be used to request hierarchy changes. You can use the new form two ways: 1) To provide a “notice of intent” to transfer to a new upline; or 2) to initiate a transfer release from your current upline.

IMPORTANT: Please note that uplines may not use the new form as a recruiting tool. Those who do will be subject to disciplinary action. As a reminder, even if an agent transfers to a new upline, the old upline will continue to receive administrative fees for any policies written under the old upline.

As a reminder, hierarchy transfers are not permitted or processed from Oct. 1 - Dec. 31.

New telephonic enrollment tool in the Ascend app

The Remote Agent Telephonic Enrollment (RATE) tool is a powerful, new feature in the Ascend Virtual Sales Office app that lets you complete enrollments by phone from any location, at any time, through your iPad. Before you can use it, you need to take a training and pass an online quiz. Contact us to get started.

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Silverscript and UHC does not require void check for contracting.  I was also told our TPA like Shenandoah and Liberty Bankers also do not require a void check

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Videos explaining DRX Telephonic Enrollment Tool Quick Quotes:

 

 Website URL to Log-in:  https://yourmedicare.destinationrx.com/PlanCompare/CallCenter/Type1/2018/Compare/Home#layout-content

Welcome to Connecture! 

 

This is your all-in-one Medicare Advantage and Prescription Drug Plan online enrollment platform.

 

Username: (NPN)

Temporary Password:  password1

image001.png

 

 

Your username:NPN
Password:password1 

 

*Note: You will be prompted to change your password once you have successfully logged on.

What does it provide?

 

·        More Sales

Present plan options to callers and help generate sales.

·        Track Leads

Capture leads and track the status through enrollment.

·        Simplified Administration

Manage all your applications through one portal.

 

096e25ff-9ce8-4bf1-8c31-7a13bd7e2021.png

 

 

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The following plans will be non-commissionable for applications signed on or after September 7, 2018:

  • Alabama: Marshall County
    • AARP® MedicareComplete Plan 1 (H0432-001)
    • AARP MedicareComplete Plan 2 (H0432-002)
    • UnitedHealthcare Dual Complete (H0432-009)
  • California: All Counties
    • UnitedHealthcare MedicareDirect Essential (H5435-001)
    • UnitedHealthcare MedicareDirect Rx (H5435-024)
  • Georgia: 
    • Chatham, Cherokee, DeKalb, Fulton, Henry and Walton counties: Care Improvement Plus Medicare Advantage (H6528-006)
    • Berrien, Carroll, Clinch, Fannin, Haralson, Irwin, Schley, Sumter, Terrell, Towns and Union counties:
      • UnitedHealthcare MedicareDirect Essential (H5435-001)
      • UnitedHealthcare MedicareDirect Rx (H5435-024)
  • Kansas: Allen County
    • UnitedHealthcare MedicareDirect Essential (H5435-001)
    • UnitedHealthcare MedicareDirect Rx (H5435-024)
  • New York:
    • Bronx and Richmond counties: AARP MedicareComplete Mosaic (H3307-015)
    • Bronx, Kings, New York, Queens and Richmond counties: AARP MedicareComplete Plan 3 (H3307-024)
  • Texas: Brooks, Erath, Frio, Maverick and Victoria counties
    • UnitedHealthcare MedicareDirect Essential (H5435-001)
    • UnitedHealthcare MedicareDirect Rx (H5435-024)

The following plans will be non-commissionable for UHC applications with effective date of January 1, 2019 or later.

  • All Counties in All States: All UnitedHealthcare Institutional Special Needs Plans
  • Massachusetts: Barnstable, Dukes, Franklin, Hampshire and Nantucket counties – AARP MedicareComplete Choice (R7444-001)
  • New York:
    • Bronx, Dutchess, Kings, Nassau, New York, Orange, Putnam, Queens, Richmond, Rockland, Suffolk and Westchester counties
      • Unitedheatlhcare MedicareComplete Choice Plan 1 (R5342-001)
      • UnitedHealthcare MedicareComplete Choice Essential (R5342-002)
      • UnitedHealthcare MedicareComplete Choice Plan 3 (R5342-005)
      • UnitedHealthcare MedicareComplete Choice Plan 4 (R5342-006)
    • Montgomery County: UnitedHealthcare MedicareComplete Choice (H1537-004)
  • Florida:
    • Palm Beach County: UnitedHealthcare Sync (H2406-020)
    • Miami-Dade County: UnitedHealthcare Dual Complete RP (R7444-012)
    • All counties in the state UnitedHealthcare Dual Complete RP One (R7444-013)
  • Hawaii: Honolulu County – UnitedHealthcare Dual Complete RP (R3175-003)
  • Illinois: Carroll County – UnitedHealthcare MedicareComplete (H7445-004)
  • Maine: Aroostook, Hancock, Piscataquis and Washington counties – AARP Medicare Complete Choice (R5329-001)
  • Minnesota: Anoka, Carver, Dakota, Hennepin, Ramsey, Scott and Washington counties – UnitedHealthcare Sync (H7404-004)
  • New Mexico:
    • Bernalillo, Sandoval, Santa Fe and Valencia counties –  UnitedHealthcare MedicareComplete Assure (H0271-010)
    • Dona Ana, Grant, Hidalgo, Luna and Sierra counties – UnitedHealthcare MedicareComplete Assure (H0271-011)
  • North Carolina: Alamance, Buncombe, Caswell, Catawba, Chatham, Cumberland, Davidson, Davie, Durham, Forsyth, Guilford, Henderson, Mecklenburg, Orange, Person, Randolph, Rockingham, Rowan, Stokes, Wake, Wilkes and Yadkin counties –  UnitedHealthcare Dual Complete RP (R1548-001)
  • Pennsylvania:
    • Philadelphia County: UnitedHealthcare Dual Complete (H3113-009)
    • All counties: UnitedHealthcare Dual Complete (H3113-012)
  • Tennessee:  All counties – UnitedHealthcare Dual Complete ONE Plus (H0251-005)

New commissionable plan in Tennessee: UnitedHealthcare Dual Complete ONE (H0251-004) will be commissionable for applications signed on or after September 7, 2018, in Tennessee.

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  Effective January 1, 2019, the Medicare Advantage Disenrollment Period (MADP) that currently takes place annually from January 1st through February 14th is being replaced with a Medicare Advantage Open Enrollment Period (OEP) that will take place from January 1st through March 31st annually.  
 
  The new Medicare Advantage OEP allows individuals enrolled in a Medicare Advantage (MA) plan, including newly MA-eligible individuals, to make a one-time election to go to another MA plan or Original Medicare. Individuals using the MA OEP to make a change may make a coordinating change to add or drop Part D coverage.  
 
 

Please note: This change does not affect the Medicare Annual Election Period, which will continue to take place annually from October 15th to December 7th.

 

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You can receive $50 off the $175 cost of AHIP by completing the AHIP through any of our carrier portals.

 If you decide to take AHIP instead of going through United Healthcare’s core modules that cover the AHIP material then be sure to click AHIP FIRST when you log in.  If you enter their Medicare Basic certification first you will be prevented from transmitting your 2019 AHIP.

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  Keep these points in mind when selling Medicare Supplements during the Medicare Advantage Annual Enrollment Period (Oct. 15 through Dec. 7, 2018) and the new Medicare Advantage Open Enrollment Period (Jan. 1 through Mar. 31, 2019).  
 
  During the enrollment periods listed above, Medicare beneficiaries with Medicare Advantage (“MA” 1) may drop their MA coverage, return to Original Medicare and be in the market for a Medicare Supplement (voluntary disenrollments).  
 
  Other Medicare beneficiaries may have received notice that their MA plan will be terminated or non-renewed for 2019 (involuntary terminations). They may choose another MA plan or return to Original Medicare and be in the market for a Medicare Supplement.  
 
  Remind all applicants to retain any disenrollment or termination notices received from their MA plan and keep in a safe place.  
 
  To help ensure applications are taken correctly and policies are issued in a timely manner, please read this email in its entirety.
  • Medicare Supplement insurance is available only to Medicare beneficiaries enrolled in Original Medicare Parts A and B.
  • To be eligible for a Medicare Supplement, those with current Medicare Advantage coverage must be disenrolled from their MA and returned to Original Medicare prior to the effective date of their Medicare Supplement.
  • State law prohibits a Medicare Supplement policy from becoming effective prior to the end date of the MA plan.
  • Applicants replacing their MA coverage must fully complete and sign the application and replacement form(s), giving particular attention to the sections concerning MA disenrollment or termination/non-renewal. Applicants must confirm on the application that they intend to replace current MA coverage with the Medicare Supplement in order for the application to be accepted.
  • A Medicare Supplement policyholder who still has MA coverage in place on the policy effective date is subject to rescission.
 
  Voluntary Disenrollments  
 
  • MA enrollees cannot disenroll from their plan prior to the first day of the disenrollment period.
  • Applicants are responsible for disenrolling themselves from their MA plan and returning to Original Medicare during the enrollment periods listed above either by:
    • calling 800.MEDICARE, or
    • contacting their MA plan carrier, or
    • for MA-PD (RX) plans, by enrolling in a stand-alone Part D Plan. Note that an applicant cannot disenroll from most MA stand-alone plans (MA plans that do not include Part D coverage) by enrolling in Part D.
  • The pre-existing waiting period is waived for applicants age 65 and over disenrolling from a MA plan.
  • Applicants voluntarily disenrolling from a MA plan that has been in force less than 12 months are eligible to apply for a Guaranteed Issue policy if the applicant first enrolled in MA at age 65. Health questions must not be answered.
  • Applicants voluntarily disenrolling from a MA plan that has been in force longer than 12 months are not eligible for a Guaranteed Issue policy in a non-Guaranteed Issue state (GI rules vary by state).
 
  Involuntary Terminations  
 
  • A copy of the applicant’s MA plan disenrollment notice is required for applicants being involuntarily terminated or non-renewed by their MA plan.
  • Applicants involuntarily losing their MA Plan due to plan termination or non-renewal are eligible to apply for a Guaranteed Issue policy and must not answer health questions.
 
  Outside of the annual enrollment periods listed above, a copy of the applicant’s MA plan disenrollment or termination notice is required by the supplement carrier.

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Make AARP Medicare Supplement Enrollments Easier with Remote Signature!

Make enrollment more hassle-free.

Remote Signature via DocuSign® on LEAN is the latest tool for enrolling consumers in an AARP® Medicare Supplement Insurance Plan, insured by UnitedHealthcare® Insurance Company. Through DocuSign, your clients can sign applications digitally using a secure link from a convenient location. Simple instructions will guide them through the signing process, and you'll know that each signature captured is legally valid, unique and securely encrypted.
For a fast, simple and secure way to enroll your clients, start using Remote Signature via DocuSign on LEAN today!

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Aetna(MAPD only) and United Healthcare require e and o but they do not need the proof of policy document.  They only need the policy information included and when agents complete the contracting it asks for that info. Humana, Silverscript and the various supplement carriers dont require e and o.

Humana always required the proof of EFT to contract.

United Healthcare does not process EFT until after they contract and certify so they could just put in any routing number with fake information and it won’t be an issue.  agent can go into the UHC portal and enter their EFT info in their profile section. 

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