Hiring for Medicare Agents? Wait Just a Minute…

Many new members of Medicare Agent Training are coming from their independent discovery that there is a whole new world of Medicare out there that their agencies never told them about = Medicare Supplement.

Many of these agencies are running ads on Indeed and elsewhere, advertising for “jobs” that are commission-only and have various methods of contacting seniors for the SOLE purpose of selling Medicare Advantage plans.

Why is that?

The override for a new-to-Medicare Advantage client is HUGE, let me tell you (over $600 at FMO level).

Making over $150 to up to $300 per sale (the difference between what the agent will make) is a HUGE incentive to push Medicare Advantage vs. Medicare Supplement.

These new agents are discovering that they have been misled, or at least, left out of the education about the alternative to keeping Original Medicare and using a Supplement plan to fill in the gaps.

Be careful when looking for Medicare sales Jobs on Indeed!

See the video:

From Washington DC – Potential Changes For Us

Updates from this week that we spent in Washington, DC and what to expect in Medicare for this AEP and beyond..   {“@context”: “http://schema.org”,”@type”: “VideoObject”,”name”: “DCTrip1″,”description”: “This video contains DCTrip1″,”thumbnailUrl”: “https://embed.vidello.com/71/uushnj3wj97ibahk/video/splash.jpg”,”uploadDate”: “2019-08-29T12:01:16.000Z”,”duration”: 1574.29} NAHU is working on several legislative initiatives….

     


Member Login Button

Questions?

Click Here

 

Post-AEP Opportunities / OEP and SEP

This is a pretty good webinar from Humana on the opportunities beyond AEP for the Medicare Advantage space. Video: {“@context”: “http://schema.org”,”@type”: “VideoObject”,”name”: “Humana How to Navigate OEP and New SEP Opportunities”,”description”: “This video contains Humana How to Navigate OEP and…

     


Member Login Button

Questions?

Click Here

 

AEP for 2019

Update from December 8 – December 31st, 2018 See the video below MAPD people can apply now for February 1 effective date for a Medicare Supplement if they still wish to get off of Medicare Advantage. Once approved by the Medicare…

     


Member Login Button

Questions?

Click Here

 

March 2018 Medicare Update


After a meeting in Palm Springs with some top producers, I came away with some good news for those in the Medicare business.
On location in San Diego, here's my update on the industry and what's coming.

Remember, we can write a Medicare Supplement up to 6 months prior to their Part B start date.
Some notable exceptions to these include carriers that do not allow it (see your Agent Guides).
We know these to be Anthem, Humana, and Cigna (90 days).

What do you use when they have no Medicare card yet and you're writing a T65 application? See below!

See the video:

     


Member Login Button

Questions?

Click Here

 

CMS: Errors continue to plague Medicare Advantage plans’ provider directories

Angry Senior on Medicare Advantage

by Leslie Small | FierceHealthcare

Medicare Advantage organizations (MAOs) continue to do a poor job of maintaining accurate provider directories—and it’s landing some in hot water with the federal government.

In its second round of online provider directory reviews, the Centers for Medicare & Medicaid Services found that 52% of the provider directory locations listed had at least one inaccuracy.

Those errors included providers who weren’t at the location listed, providers who didn’t accept the plan at that location, providers who weren’t accepting new patients despite the directory saying that they were, and incorrect or disconnected phone numbers.

When CMS conducted its first review of MAOs’ provider directories, it found that 45% of locations listed were inaccurate. While the report does say that the first and second reviews aren’t directly comparable “due to minor updates to the review methodology,” at the very least, the latest review’s results indicate the problem isn’t getting any better.

CMS also noted that its findings were not skewed by a few organizations but instead were widespread in the sample reviewed, which was about one-third of all MAOs. “Very few organizations performed well in our review,” the agency said.

At a minimum, provider directory errors can make members frustrated with an MAO, the report noted. But they can also cast doubt on the adequacy and validity of the MAO’s network as a whole, and even more seriously, prevent members from accessing services that are critical to their health and well-being.

RELATED: Study takes stock of MA hospital networks

Based on the results of its reviews, CMS has sent 23 notices of noncompliance, 19 warning letters and 12 warning letters “with a request for a business plan” to Medicare Advantage insurers.

However, the agency emphasized that MAOs themselves “are in the best position to ensure the accuracy of their plan provider directories.” It also said it was encouraged by pilot programs aimed at developing a centralized repository for provider data that would be accessible to multiple stakeholders.

In the near term, CMS added, MAOs should perform their own audits of their directory data and develop better internal processes for members to report errors.

See the original article here:
https://www.fiercehealthcare.com/cms-chip/medicare-advantage-provider-directory-errors-network-adequacy