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Medicare Blog | Medicare News | Medicare Information

CMS - Flexibility vs Equality

Posted by www.psmbrokerage.com Admin on Wed, Feb 10, 2021 @ 08:55 AM

Tags: Medicare Advantage plans, Medicare News

Medicare Advantage enrollment in chronic illness benefits tripled in 2021

Posted by www.psmbrokerage.com Admin on Tue, Feb 09, 2021 @ 10:00 AM

Tags: Medicare Advantage plans, Medicare News, DSNP, Special Needs Plans, CSNP

Google search activity for "Medicare Advantage" is up

Posted by www.psmbrokerage.com Admin on Wed, Dec 09, 2020 @ 04:38 PM

Tags: Medicare Advantage plans, google

New Study Shows Why the Coronavirus Pandemic is Leading Many Americans to Enroll in a Medicare Advantage Plan For 2021

Posted by www.psmbrokerage.com Admin on Wed, Dec 09, 2020 @ 09:41 AM

Tags: Medicare Advantage plans, COVID-19

Learn How Your Efforts Help Support Feeding America

Posted by www.psmbrokerage.com Admin on Thu, Nov 19, 2020 @ 09:57 AM

Tags: Medicare Advantage plans, Online Enrollment, Medicare Part D, YourMedicare

2021 Medicare Advantage Open Enrollment Period (OEP)

Posted by www.psmbrokerage.com Admin on Thu, Nov 19, 2020 @ 09:37 AM

Tags: Medicare Advantage plans, Medicare Part D, OEP, 2021

Supplemental Benefits in 64% of Medicare Advantage

Posted by www.psmbrokerage.com Admin on Thu, Nov 19, 2020 @ 08:51 AM

Tags: Medicare Advantage plans

Marketing for 2021 Annual Enrollment Period - Reminder

Posted by www.psmbrokerage.com Admin on Mon, Sep 14, 2020 @ 03:01 PM

Tags: Medicare Advantage plans, Medicare, Medicare Supplement, Medicare Part D, CMS, 2021 aep

Highmark Medicare plans will lose in-network access to UPMC in 2019

Posted by www.psmbrokerage.com Admin on Tue, Aug 07, 2018 @ 03:57 PM

Highmark Medicare Plans will lose in-network
access to UPMC in 2019

Highmark Medicare plans will lose in-network access to UPMC in 2019Thousands of seniors with Highmark’s Medicare Advantage plans will lose in-network access to UPMC hospitals a year earlier under a Wednesday state Supreme Court decision than they would have under a lower court’s ruling.

Seniors with the plans will lose in-network access at the end of June 2019, when a state-brokered consent decree between the two health care giants expires. A Commonwealth Court judge had interpreted the consent decree to mean UPMC would have to continue to accept the insurance through June 2020.

highmark“We are disappointed in today’s Pennsylvania Supreme Court ruling,” Highmark spokesman Aaron Billger said in an emailed statement. “While this is not how we interpreted the consent decrees intended to guide the Highmark and UPMC relationship, we will work in full compliance with the ruling and trust UPMC will do the same.”

Doctor visits and hospital services typically cost much less when the doctors and hospitals are in an insurer’s network than when they aren’t. Seniors with Highmark Medicare Advantage plans who see UPMC doctors will have to either switch doctors or pay much higher prices to see their UPMC doctors as of next July. Or they can switch insurers during the open enrollment period for the plans, which will run from Oct. 15 to Dec. 7, to pick a plan that includes their UPMC doctors and hospitals.

Some Highmark Medicare Advantage plans include access to UPMC hospitals and doctors and some don’t. About 50,000 seniors living in Allegheny and Erie counties have Security Blue and Freedom Blue plans, which include UPMC, Billger said. People with Community Blue plans, which don’t include UPMC, won’t see any changes, he said. About 17,000 seniors in Westmoreland County have Medicare Advantage plans that provide access to UPMC.

UPMC“UPMC is grateful the Supreme Court expeditiously reached this decision, allowing seniors ample time to make the best choices for their health care,” UPMC spokesman Paul Wood said in an emailed statement.

The change to networks coming in the middle of the plan year could create confusion for seniors who don’t know it’s coming, said Bill McKendree, coordinator for the Allegheny County APPRISE program, which helps seniors with enrollment.

McKendree said the federal Centers for Medicare and Medicaid Services could decide to create a special window in which seniors losing access to UPMC doctors could switch plans after June 30. Or CMS might not do that, he said.

“This is a big old question mark,” he said.

UPMC Health Plan, Aetna, Cigna and United Healthcare have all sold Medicare Advantage plans in the region in previous years. Highmark owns Allegheny Health Network and includes its hospitals in its plan networks.

Seniors may also elect to enroll in traditional Medicare, rather than the Medicare Advantage plans. The traditional program includes all hospitals and doctors in the country who accept Medicare. McKendree advises seniors considering traditional Medicare to think about getting a Medigap supplemental plan, which covers many of the co-pays, deductibles and other costs of traditional Medicare. McKendree said all hospitals and doctors who accept Medicare must accept Medigap.

The state brokered the consent decree between Highmark and UPMC in 2014 to govern relations between them until 2019. The two nonprofits had been unable to resolve contract disputes on their own that arose after Highmark Inc. announced it was buying the former West Penn Allegheny Health System to form the basis of Allegheny Health Network. UPMC said it wouldn’t contract with an organization owning competing hospitals.

Source

Additional Updates:
  • Gen Re Medicare Supplement Survey results - View / PDF
  • Aetna releases new telephonic enrollment tool for Medicare Advantage sales - View
  • Payments to Medicare Advantage plans has nearly doubled - View
  • Fed to allow short-term health plans - View
  • 2019 Medicare Advantage / Part D Certifications now available - View
  • 2019 First Looks now available for all major carriers - View
  • 2019 AEP Road Map - Start planning today - View
  • Increase your sales with our complimentary tools and tech - View
  • Express: Mutual of Omaha weekly updates - View
  • VALUES Quote of the Week - View
  • Current agent incentive trips and contests - View

Tags: Medicare Advantage plans, Medicare

Aetna releases New telephonic enrollment option for Medicare Advantage Sales

Posted by www.psmbrokerage.com Admin on Tue, Aug 07, 2018 @ 01:43 PM

Aetna releases New telephonic enrollment option for Medicare Advantage sales

Aetna releases New telephonic enrollment option for Medicare Advantage Sales


The Remote Agent Telephonic Enrollment (RATE) tool is a powerful, new feature that lets you enroll your clients by phone, after you’ve completed the initial face-to-face meeting with them. It’s available through the Ascend Virtual Sales Office app.

To use RATE, you must have an iPad. You’ll also need to complete a short user training and quiz. Just contact us at 800-998-7715 to schedule a training session.

How it works

Step 1: First, you meet with your client and provide the required sales presentation and materials. (Please note that RATE does not replace your one-on-one client appointments.) If your client decides to enroll sometime after that meeting, you can schedule an appointment to complete the enrollment by phone.

Step 2: At the scheduled date and time, your client will call you on your unique RATE-specific 1-800 phone number. You’ll receive that call on your iPad.

Step 3: Next, you’ll walk them through an approved telephonic enrollment script that’s built into RATE to complete the enrollment. The calls are instantly and automatically recorded.

What are the benefits?

  • Save money — Enrolling by phone saves you from driving back to clients’ homes to complete their enrollment. You’ll save on gas, tolls and vehicle wear and tear.
  • Save time — RATE helps shorten the sales cycle, so you can see more clients.
  • Ensures compliant selling — When you use this option, the enrollment call is instantly and automatically recorded, which can help protect you from complaints

Read the full PDF document here

Additional Updates:
  • Thrivent Medicare Supplement coming to Florida with great rates - View
  • Ameritas Dental Plans - The perfect sidekick for your Med Supp sales - View
  • 2018 Choosing a Medigap Policy Guide now available - View
  • More drug discounts available for beneficiaries in the Donut Hole - View
  • 2019 Medicare Advantage / Part D Certifications now available - View
  • 2019 First Looks now available for all major carriers - View
  • 2019 AEP Road Map - Start planning today - View
  • Increase your sales with our complimentary tools and tech - View
  • Express: Mutual of Omaha weekly updates - View
  • VALUES Quote of the Week - View
  • Current agent incentive trips and contests - View

Tags: Medicare Advantage plans, Medicare, aetna

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