Drug Help, Control the AEP Conversation – Mtg 10-30-23

Vetted places that clients can go to save money on drugs.. The significant 2024 impact of the Inflation Reduction Act (Max OOP on RX, already) How to take back control of long-winded AEP conversations and more.. AGENDA Chris Drug programs - Make sure to alert them about the MAPD pitch (GoodRX owned by GoHealth) Xarelto - Allows clients, once they fall into the donut hole, to get Xarelto direct from Janssen for $240 for a 90 day supply. https://www.janssencarepath.com/patient/xarelto/cost-support Cost Plus Drug Company, GoodRX Synthroid Delivers, Blink Health, GoGoMeds The Canadian MedStore, Bristol Myers Squibb Patient Assistance Program MyFreePharmacy 2024 Part D, KFF Article “In 2024, once Part D enrollees without low-income subsidies (LIS) have drug spending high enough to qualify for catastrophic coverage, they will no longer be required to pay 5% of their drug costs, which in effect means that out-of-pocket spending for Part D enrollees will be capped. In 2024, the catastrophic threshold will be set at $8,000. This amount includes what Part D enrollees spend out of pocket plus the value of the manufacturer price discount on brands in the coverage gap phase. At this amount, Part D enrollees who take only brand-name drugs in 2024 will have spent about $3,300 out of their own pockets and will then face no additional costs for their medications.” If the person goes for the brand name drugs and rush to catastrophic threshold, they are done spending for the whole year. Mostly with the high-tier drugs. Pay all you can and then coast the rest of the year. So many people are gonna sign up for the Wellcae $0 premium plan; not realizing the cost share went through the roof. Projected problem for 2024. A lot of networks are pulling out of MAPD for 2024: CMS policy, if a significant portion is affected they will create an SEP (extremely rare). They will still have to HQ for plans they cannot GI into. In CA, we have options the BS of CA UW holiday. Premium will be high but then we can utilize the CA birthday rule to switch them over. Mikayla Youtube Links: If a YouTube video is on our website, send the client/ lead the website link instead of the YouTube link Control the Conversation: Tips for taking control of conversation - admin team how to get the appointment booked and off the phone quickly Let them know you have an appointment, another call, an meeting etc. It is OKAY. Urgency: ‘I wanna get back to you tomorrow?” - “Well this is our busy season we have over 400 hundred of people asking for our services, with that number getting larger every day and 54 days to get it done, it would be best to get it done now, I don’t want you having to wait to get your coverage settled.” Lead Advantage Pro: When creating la pro and verifying they submitted their drugs and doctors make sure to go into the quote portion and see that it has been updated as of the most recent date, don't just go off of the box that says they submitted it. Vague Questions: When asking questions in chat, please provide as much information as possible, so we don't waste time going back and forth on how we can help answer the question or assist NLVM at 396 and CCVM at 15 Sales Meeting New Wellabe Signature option https://myemail.constantcontact.com/New-MyEnroller-signature-option-coming-soon.html?soid1107377459111&aid70_Zy7smIBA Nov 1. Starts their GI for Hospital Indemnity Book for them a time after AEP to go over their auxiliary options Plant the seed and send booking link. USE THE CALENDAR LINKS Sell any two ancillary products (per person) in one call, you get a gift card United Healthcare: you only have 24 hours to submit the signature, or you have to redo the whole application same for if they want to change their signature process, you need to redo the whole application Find out their budget first. Need to screen the client. Does a PDP work with their budget? So what happens if a PDP doesn’t work with their budget? Start high then go low, it helps us figure out which plan would work best for THEIR situation. Sell them anything now and plant the seeds for later (we know this is good for your budget, so lets go with this now.) AKA an Escape Route. Remind them of enrollment periods when they CAN change. “Do the hard thing later.” Five minutes before 9am, agent huddle just so we can get a feel for the appointments, clients, any concerns, etc. Let us know if we get a call-in from the Billboard. Could be “other” in how you heard about us.

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