September 13, 2021 – Medicare Trivia and Carrier Updates

There are MANY scenarios in the world of Medicare. Here, we go over a few that agents VERY often get wrong. See the video: Notes from the meeting: (with time in video noted) Hannah 0:49 Video/Article resources- what topics do you wish we had videos on to answer questions to save time? Educational? Most common service issues? 3:16 Reminder: we don’t do PDP appts unless they already have a Med Supp with us. 4:44 Supporting docs - best practice is to upload them during the application where possible (vs. faxing them in after the app) Will be even more important during AEP Carriers that have upload options: 5:41 Overtime- should be rare outside of AEP Clock in/out on time. Don’t burn yourselves out before the busy season even starts 7:21 Communicate with your team. Have free time? See who needs help. Tell somebody if you are doing some of their tasks. Make everything more efficient. 8:13 Accomplish as much in one phone call as possible. Doing an approval call? Check to see if there are any calendar calls coming up. No such thing as “extra time during AEP” 9:37 All emails should have next step/call to action Calendar link Phone number Forms or other steps they need to take 11:39 Medicare Trivia: Larry is 68 and started Part B 1/01/2020. He is now leaving his employer coverage. He cannot health qualify. Which GI Plan is he eligible for? - Plan F What SEP code do we use for clients who are enrolling in a PDP because they retired and are new to Part B? -”I am losing my employer/union…” John is retiring and losing employer coverage May 31st. When is the last day he can get a drug plan? - July 31st Mary needs to enroll for Part B during GEP. During what date can she enroll? When will her coverage start? - 1/01 - 3/31 / July 1st Rodger is moving to a new state & calls to see what he should do about his Medicare coverage. What does he need to know? - Med Supp moves with you, SEP to change PDP True or False: Excess charges require the patient to pay the difference between what Medicare pays & what the provider charges. -FALSE Matthew is hospitalized for 3 weeks. He is worried about getting expensive bills. He has Plan G. How much of his Part A costs will be billed to him? - $0 Chris 21:00 Reminder on Group Coverage for a 65+ person. Large Group >20 employees, Medicare Part B and D are optional - let’s compare! Small Group <20 employees Part B is a must have, as Medicare is primary. Must get it or pay lifetime penalties. Part D is optional IF they have creditable drug coverage. 24:24 Mutual of Omaha Competitive Analysis (document opens in new window) Illinois now offers the 12% HHD. Competitive rates for Plan G & Plan N Florida has great rates from them also. 25:48 Cigna direct mail campaign (to existing clients of ours). Their call center WILL re-write and steal. Unless they are the most beneficial to the client, we will not be writing them anymore.

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