10 Cities. 9 Months. 8% Roadshow.How do successful people think? From the professional to the personal realm, hear how you can better overcome challenges and develop a winning mindset. A destination without a path is unreachable. Learn what leaders from your industry and others did to pave their way to your dream lifestyle.
![]() NETWORKINGHave you ever heard the term, “It’s not what you know, it’s who you know?”One of the greatest things about the 8% Nation conference is the attendees themselves. Friendships, partnerships, and mentorships have all happened from agents just like yourself who happened to bump into the right person in the audience. By connecting with the person to your left or your right (or both) at our conference, you can hold each other accountable to your new goals, challenge yourselves to do more every day, and help each other to keep a growth mindset. It’s important to keep successful people around you if you want to achieve your goals and the people who attend 8% Nation are the ones who are committed to doing something big with their lives. ![]() |
Medicare Blog | Medicare News | Medicare Information
Join us in Orlando! Road to 8% Nation Tour
Posted by www.psmbrokerage.com Admin on Mon, Oct 25, 2021 @ 02:51 PM
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Tags: Success Tips, Professional Networking, sales advice, Entrepreneurship, Insurance Marketing, Leadership
CMS Memo - 3rd Party Marketing - Oct. 8, 2021
Posted by www.psmbrokerage.com Admin on Tue, Oct 19, 2021 @ 11:01 AM
CMS Memo - 3rd Party Marketing - Oct. 8, 2021
A last-minute October surprise from CMS. Get ready for some lead disruption and intense carrier and CMS oversight this AEP.
MEMO:
CMS reminds Medicare Advantage Organizations (MAOs) that, under 42 CFR §§ 422.504(i), they are responsible for first tier, downstream or related entities (FDRs) adherence to all terms and conditions of the organization’s contract with CMS, including compliance with all applicable Medicare laws and regulations, when acting on the plan’s behalf. This includes, but is not limited to, the requirements that all marketing materials be submitted to CMS prior to use, pursuant to 42 CFR § 422.2261(a), and that Medicare Advantage (MA) plans may not mislead, confuse, or provide materially inaccurate information to current or potential enrollees, pursuant to 42 CFR 422.2262.
Advertisements intended to draw a beneficiary's attention to an MA plan or plans and include or address content regarding plan premiums, cost-sharing, or benefit information, including those not mentioning a specific plan by name (as well as instances where such advertisements are made on behalf of multiple MA organizations), are marketing as defined under 42 CFR §422.2260. Thus, these advertisements, as marketing materials, must be submitted to CMS prior to their use.
CMS is particularly concerned with national advertisements promoting MA plan benefits and cost savings, which are only available in limited service areas or for limited groups of enrollees, as well as using words and imagery that may confuse beneficiaries or cause them to believe the advertisement is coming directly from the government. In addition, CMS receives complaints from beneficiaries and caregivers that highlight sales tactics designed to rush or push beneficiaries into enrolling into a plan.
MA organizations are accountable and responsible for their marketing materials and activities, including marketing completed on a MA plan’s behalf by an FDR. Where such marketing materials and activities fail to meet our requirements, the MA plan may be subject to compliance or enforcement actions. CMS has identified and strongly encourages MAOs to adopt the following best practices:
• Utilizing outbound phone calls to beneficiaries, as opposed to letters, when complying with 42 CFR §422.2272(b) to establish and maintain a system for confirming that enrolled beneficiaries have, in fact, enrolled in the MA plan, and understand the rules applicable under the plan.
• Reviewing rapid disenrollments to identify trends associated with “bad players.” In
addition to recouping agent/broker compensation for rapid disenrollments as required
under 42 CFR §422.2274(d)(5)(ii)(A), recouping any administrative payments paid to an
FDR where rapid disenrollment occurs.
• Reviewing actual marketing and enrollment calls between beneficiaries and call centers/agents to ensure compliance with the communications and marketing requirements under 42 CFR Subpart V.
• Requiring FDRs to identify the origin of the enrollment lead (e.g., call in based on TV ad,
response to mailing).
• Recording the entire sales call in additional to all telephonic enrollments, as described
under Section 40.1.3 (Enrollment via Telephone) of Chapter 2 - Medicare Advantage
Enrollment and Disenrollment of the Managed Care Manual.
• Requiring FDRs to disclose all contracted third-party relationships. CMS is monitoring the “chain of enrollment,” which includes the marketing materials, lead generating activities, sales talks, and enrollment process to ensure these activities are completed in accordance with all applicable requirements. We are also working with other federal agencies regarding the appropriateness of the content of certain advertisements.
End Memo
Additional Updates:
- Medicare Marketing Guidelines
- MACRA 2020 What The Changes Mean For Agents
- What is AHIP Certification and How do I Get it?
Tags: CMS
Best companies for Medicare Advantage in 2022
Posted by www.psmbrokerage.com Admin on Mon, Oct 18, 2021 @ 03:28 PM
The highest-ranked (US News) Insurance Company for Medicare Advantage Plans is defined as a company whose plans were all rated as at least three out of five stars by CMS and whose plans have an average rating of 4.5 or more stars within the state.
U.S. News analyzed insurance companies’ offerings in each state based on their 2022 CMS star ratings, and below provides a list of the top-rated insurance companies for Medicare Advantage plans in each state.
Click the links to view the individual plans and their rating details.
Tags: Medicare Advantage News
![]() PSM would like to wish you a great 2022 AEP! AEP is officially here and kicks off this Friday! With the amazing growth of the Medicare Advantage market including expanded footprint and added benefits, we expect this to be a very active AEP. And Precision Senior marketing is here to help you! From our amazing tech platforms to streamline your sales process to our marketing incentives we want to help you make this AEP your best yet! Give us a call today and let’s make sure you’re not missing any important tools or products.
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Aetna Supplemental: Your reward, your way
Posted by www.psmbrokerage.com Admin on Thu, Oct 07, 2021 @ 08:42 AM
![]() ![]() For this year's Aetna Supplemental rewards program, if you qualify, you can choose to travel or receive your reward payout. If you travel, you’ll get a voucher to redeem for a vacation wherever you like. There are no travel restrictions, and you can upgrade or add to a chosen trip, all using a special concierge service for booking. How to qualify: The application date on qualifying production must be between January 1 and December 31, 2021. Qualifying production is based on all new, issued annualized premium, and each qualified policy must be issued on or before January 15, 2022, and be in force on or before February 1, 2022.
View complete details here. Not contracted with Aetna Supplemental, Request info here. ![]() |
Tags: Aetna Supplemental, Bonus Program
Wellcare Announces Largest Medicare Advantage Expansion to Date
Posted by www.psmbrokerage.com Admin on Wed, Oct 06, 2021 @ 04:24 PM

![]() Wellcare Medicare Offerings Available in 1,575 Counties across TAMPA, Fla., Oct. 6, 2021 /PRNewswire/ -- Wellcare, a wholly owned subsidiary of Centene Corporation, announced today its largest Medicare Advantage expansion to date. Wellcare will now offer its wide range of Medicare Advantage plans in 1,575 counties across 36 states during the 2022 Medicare Annual Enrollment Period (AEP), beginning Oct. 15. "At Wellcare, we are committed to expanding choice and access to high-quality, affordable Medicare plans," said Rich Fisher, SVP and CEO of Medicare for Centene, Wellcare's parent company. "As we continue to expand our Medicare footprint, we are pleased to continue offering a wide range of Medicare Advantage plans that include benefits with every beneficiary in mind." Reaching More Communities Highlights of Wellcare's 2022 Benefit Offerings For 2022, Wellcare has lowered many of its Medicare Advantage prescription copays by $5 to $10 dollars when members use preferred pharmacies, including CVS, Walgreens, and other major grocery store chains.† Additionally, Wellcare has expanded many of its innovative benefit offerings such as its Flex Card, which can be used for out-of-pocket costs for dental, vision, and hearing. Special Supplemental Benefits for the Chronically Ill (SSBCI) will now include options like a food benefit, a utility benefit, and a care concierge benefit for a number of personal services. And for those looking for standalone prescription drug coverage, Wellcare's PDPs are available across all 50 U.S. states. Wellcare will offer three types of standalone plans, all of which include $0 Tier 1 medicines and access to a preferred pharmacy network, including retailers such as Walgreens, CVS, and major grocery store chains.† Wellcare's Brand Realignment & Brand Ambassador Joe Montana Wellcare also announced Hall of Fame quarterback Joe Montana will serve as the company's brand ambassador.i Montana will collaborate with Wellcare on TV commercials, digital ads, social media, and other communications to help seniors understand their Medicare options. "We are pleased to share our new refreshed Wellcare brand, which is part of our larger corporate strategy to transform and modernize how we engage with our Medicare members about their health," said Suzy DePrizio, Centene's SVP and Chief Marketing Officer. "We're also proud to have legendary quarterback Joe Montana join our team as we partner with him to help seniors and their families better understand their Medicare benefits." To learn more about Medicare options with Wellcare, visit www.wellcarenow.com. About Wellcare About Centene Corporation Centene uses its investor relations website to publish important information about the Company, including information that may be deemed material to investors. Financial and other information about Centene is routinely posted and is accessible on Centene's investor relations website, https://investors.centene.com/. ![]() |
Tags: WellCare
Medicare Advantage and Prescription Drug Premiums for 2022
Posted by www.psmbrokerage.com Admin on Wed, Oct 06, 2021 @ 04:23 PM
Medicare Advantage and Prescription Drug Premium$ for 2022
CMS recently released premiums and cost-sharing information for Medicare Advantage(MA) and Prescription Drug Plans.
The average premium for MA plans will be lower in 2022 at only $19 per month, compared to $21.22 in 2021. As previously announced, the average 2022 premium for Part D coverage will be $33 per month, compared to $31.47 in 2021.
Enrollment in MA in 2022 is projected to reach 29.5 million people compared to 26.9 million enrolled in a Medicare Advantage plan in 2021.
MA plans will continue to offer a wide range of supplemental benefits in 2022, including eyewear, hearing aids, both preventive and comprehensive dental benefits, access to meals (for a limited duration), over-the-counter items, fitness benefits, and worldwide emergency/urgent coverage.
In addition, the percentage of plans offering special supplemental benefits for chronically ill individuals will increase from 19% to 25%.
CMS will continue to test the Part D Senior Savings Model in more than 2,100 plans in 2022, increasing access and affordability to select insulins for seniors.
Over 500 new MA and Part D prescription drug plans, and two new pharmaceutical manufacturers of insulin, are joining the model this year to provide even more opportunities for eligible seniors to reduce their out-of-pocket spending on insulin.
Read the full report - https://www.cms.gov/newsroom/press-releases/cms-releases-2022-premiums-and-cost-sharing-information-medicare-advantage-and-prescription-drug