CMS Accusation Against Our Agent | 11-13-23 Meeting

One of our external agents has been accused by CMS of handling a Medicare case wrongly. What is the right way to do it? What is the wrong day to do it? Also, an update on Wellabe applications and other things we've discovered. Notes under the video: Chris 2024 Current Client Email Template in Radius for All Existing Clients want Reviews now. CMS complaint against a downline agent who had a client with a Med Supp & PDP. He put them on an Honor HMO plan with Humana. Those do not have a Part D component. Alleged that he did not tell them they could not keep their PDP, but instead said they could keep their old one. You cannot have an MA-ONLY (no Part D) plan and keep a separate Part D plan, too.. These plans work well with the VA, they get a certain amount back from these MAPD plans, as well as can be used within the VA and outside of the VA (technically two networks). Asking someone to call into the office during AEP, because we need information from them is a non-starter. We ask them to leave detailed information on our voicemail so we can prioritize, respond, and route them where appropriate. Similarly, tell them what we need and how to get it to us vs. telling them just to call in here. That is 100% guaranteed to anger anyone trying that right now. Also, forms were submitted with email and phone numbers. We are only texting the number, assuming they can get texts and not send them to their email. This gives us a 50% chance or reaching them, even though they gave us both options. Every form we have needs to be edited (by putting your information here you are permitting us to text you.) Why did you email us the template?? JD try to get them off the suppression list (try to get them to unblock us). Cards for CW’s cousins Brochures - for doctors' offices and maybe senior centers?? “Seniorsavingsnetwork/why”? - Is this a website we can use to support the vague voicemails about why they left a voicemail and what YOU need help with? New CRM - they fill out the form, all of their information is inputed into an account and is linked to the calendar (all in one program). Sydney - Talk to us about the dental programs we offer and why. Ameritas is cheaper. Most of the amount of their benefits for dental is anywhere from $20-$40 a month No waiting periods on vision Ameritas does cover the extra codings Can have two separate policies: Dental separate from vision and vice versa. Ameritas Dental $750 per year one has to wait a year to get the full-year Preventative is not taking out of the benefit amount Most of them but not all of them. Whereas MLIC starts around 30 Does not cover extra codings Waiting periods on the vision and hearing People don’t like to submit claims themselves (the seniors don’t like it). NCD is not as good as we are hoping PM is pretty good and straightforward, and will cover 100% if the dentist is in network Easy to explain and understand Whatever you need that percentage Dental-only, you can add Vision and Hearing NG can confidently talk that the Physician’s Mutual dental makes sense. Easier to explain and more accessible for the clients to understand. People like the no max, no ded, and not having to choose the benefit amount. From Jennie: Saving Wellabe applications must happen BEFORE the signature (before hitting SUBMIT) or after approval. We cannot download it after it has been signed until approved. Wellabe does not draft upon approval, but it is whatever draft day you use. If you choose the 15th, the premium will draft on the 15th of the first month of your policy. PRIORITY - When someone is in a buying mode, they want to do that right now. Dec 1st Jan 1st Feb T65 March-April T65 Mikayla Entering Medications in LA PRO: Please make sure we are entering them correctly. Clicking a tablet instead of a capsule can make a massive difference in the price of the drugs If you are not positive, please make notes stating you weren't sure to have the agent verify while they are on the call No smoking in the office, including vaping. Sorry - people have allergies, and it’s causing problems. Nonsmoking Policy: Senior Savings Network is concerned about the effect that smoking and secondhand smoke inhalation can have on its employees and clients. Smoking in the office, client areas, and restrooms is prohibited. Sales Meeting Devoted Sales - Kristina is still the only one to sell Devoted policies She has sold four She discusses that the devoted rollout told us “this is what we will do for your client” They are not the best in SC, but, in the rest of the country, they are doing well. The honor plans are good with Devoted for the money back. Ohio has a bunch of five-star plans Cali MAPD rule: If there are any negative changes in an MAPD, they can potentially get the GI BUT they have to go back to the carrier to the company they have their MAPD with to get a supplement.

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