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2024 Medicare OEP Details

Posted by www.psmbrokerage.com Admin on Thu, Dec 07, 2023 @ 12:20 PM

Medicare OEP

The Medicare Open Enrollment Period (OEP), which runs from January 1st to March 31st each year, is an important time for Medicare beneficiaries. It allows individuals enrolled in Medicare Advantage plans to make certain changes to their coverage.

Here are key rules and guidelines for the Medicare OEP:

Medicare Advantage Plan Changes:
Beneficiaries enrolled in a Medicare Advantage plan as of January 1 can switch to another Medicare Advantage plan or return to Original Medicare (Part A and B). This can be done only once during the OEP.

Prescription Drug Plan Changes:
If a beneficiary switches to Original Medicare during this period, they can also join a Medicare Prescription Drug Plan (Part D) to add drug coverage.

No Changes for Standalone Part D Plans:
Beneficiaries who have Original Medicare with a standalone Part D plan cannot use this period to switch their Part D plan.

No Effect on Medigap Policies:
The OEP does not provide an opportunity to purchase or switch Medigap (Medicare Supplement) policies. Medigap enrollment rules are separate and not tied to the OEP.

One-Time Change:
Each beneficiary is allowed one plan change during the OEP. Once a change is made, the beneficiary cannot make another change until the next Annual Enrollment Period, unless they qualify for a Special Enrollment Period.

Coverage Effective Dates:
Changes made during the OEP take effect on the first day of the month after the plan receives the enrollment request. For example, a change made in February will take effect on March 1st.

No New Enrollments for Medicare:
The OEP is not for individuals who are newly eligible for Medicare to enroll in Medicare Advantage or Part D. New enrollees have separate initial enrollment periods.

Marketing Restrictions:
There are specific rules restricting insurance providers from actively marketing to beneficiaries during OEP. This includes no unsolicited marketing materials specifically about the OEP.

Royal Neighbors AnnuitiesUnderstanding these rules is crucial for anyone working with Medicare beneficiaries, especially insurance agents and healthcare advisors, to ensure compliance and provide accurate guidance.

After the Annual Enrollment Period (AEP), there are several effective sales strategies you can employ to maintain momentum and continue growing your business.

Check out a summary of ideas here.

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Tags: Medicare Advantage plans, OEP, Compliance

Essential MA OEP Reminders

Posted by www.psmbrokerage.com Admin on Thu, Dec 07, 2023 @ 12:18 PM

oep2

In January, some clients who recently enrolled in new Medicare Advantage plans may contact you, expressing uncertainty about their decision. Moving from a familiar plan to an unfamiliar one can be daunting. Fortunately for your client, they're not locked into their new coverage. Shortly after the Annual Enrollment Period (AEP), beneficiaries in Medicare Advantage plans have the option to reconsider their plan choice.

Today we'll look into what options beneficiaries have, as well as a few points to consider as it relates to restrictions on marketing during this time.

As you might be aware, the Medicare Advantage Open Enrollment Period (MA OEP) is designed for two specific groups:

  • Clients who are new to Medicare and have chosen to enroll in a Medicare Advantage (MA) plan during their Initial Coverage Election Period (ICEP). These beneficiaries are granted a three-month OEP, which initiates in the same month they become eligible for both Part A and B of Medicare.
  • Clients who have already enrolled in MA plans starting on January ,. For these clients, an OEP is available from January 1 to March 31.

This means that clients who contact you in January, expressing dissatisfaction with their new plan, have the opportunity to make a one-time switch in their coverage. So, what alternatives do they have?

Keep in mind that Part D changes during the MA 0EP are tied to MA plan changes. Clients can modify their drug coverage by switching to a different MAPD plan, transitioning from MA to MAPD, or returning to Original Medicare with a standalone Part D plan. However, if someone has Original Medicare with a Part D plan, they cannot switch to a different drug plan during the MA 0EP; they must wait for a Special Enrollment Period (SEP) or the next Annual Enrollment Period (AEP).

Restrictions on Marketing

One major point to consider is the restriction on marketing during the MA OEP window. 

Agents cannot knowingly target or send unsolicited marketing materials to MA or Part D enrollees during the MA OEP 0anuary 1 to March 31). It's important to note that "knowingly" takes into account the intended recipient as well as the content of the message.

SureBridge Dental PlansUnderstanding these rules is crucial for anyone working with Medicare beneficiaries, especially insurance agents and healthcare advisors, to ensure compliance and provide accurate guidance.

After the Annual Enrollment Period (AEP), there are several effective sales strategies you can employ to maintain momentum and continue growing your business.

Check out a summary of ideas here.

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Tags: Medicare Advantage plans, OEP, Compliance

Benefits of Taking Your Medicare Business Digital

Posted by www.psmbrokerage.com Admin on Thu, Nov 02, 2023 @ 01:33 PM

lEVEL uP

Selling Medicare insurance online offers a host of compelling advantages for both insurance agents and seniors alike. The digital platform provides a broader reach, allowing agents to connect with potential clients regardless of geographical boundaries.

This convenience extends to seniors, who can explore Medicare plans, compare options, and even enroll from the comfort of their homes, eliminating the need for in-person visits. The 24/7 availability of online resources ensures that information is accessible at any time, accommodating different schedules.

Additionally, the efficiency of online operations reduces overhead costs and paperwork, allowing agents to allocate resources more effectively. Through data-driven strategies, agents can deliver personalized recommendations based on clients' needs, enhancing their experience.

With real-time communication, rapid updates, and scalability, selling Medicare insurance online not only streamlines the enrollment process but also provides a dynamic and tailored approach that aligns with the digital age, benefiting agents and seniors alike.

Welcome to a NEW ERA in Medicare enrollment.

PSM has teamed up with SunFire to bring you a revolutionary new tool to write more Medicare business. With our all-inclusive platform, you can sell Medicare plans on your terms. Offer top carriers, receive the best commissions, all with industry-recognized service and support.

SunFire Enrollment Center-2

View our Medicare Solutions portfolio today:

Medicare Supplement Plans  |   Medicare Advantage Plans   |   Part D Prescription Plans

Discover an unparalleled array of valuable resources tailored exclusively for insurance agents serving the senior market. From personalized marketing materials to interactive sales strategies, our goal is to empower agents with the latest tools, technology and mentorship to achieve new levels of success. View Resources.

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Tags: Medicare Advantage plans, medicare supplement insurance, Marketing, Best Practices

Preparing for the 2024 Annual Enrollment Period

Posted by www.psmbrokerage.com Admin on Thu, Sep 07, 2023 @ 03:58 PM

Prepare for AEP

Preparing for the 2024 Annual Enrollment Period (AEP)

Preparing for the 2024 Annual Enrollment Period (AEP) in the Medicare market requires strategic planning and a proactive approach to effectively meet the needs of beneficiaries. As this critical period approaches, there are several key steps to consider in order to maximize your success and provide valuable services to your clients.

First and foremost, staying updated on changes to Medicare regulations, plan offerings, and industry trends is paramount. The healthcare landscape is constantly evolving, and being well-informed positions you as a reliable source of information for beneficiaries seeking the right coverage. Attend seminars, webinars, and training sessions provided by insurance carriers to ensure you're up-to-date with the latest developments.

Reviewing your marketing and outreach strategies is essential to engage potential clients during the AEP. Refresh your online presence by updating your website, social media profiles, and other digital channels. Consider creating informative content such as blog posts, videos, and downloadable guides that address common questions and concerns about Medicare plans. Tailoring your messaging to highlight the advantages of different plans can help beneficiaries make informed decisions.

Focusing on compliance is also crucial during the AEP. Familiarize yourself with the Medicare Marketing Guidelines issued by the Centers for Medicare & Medicaid Services (CMS). These guidelines outline the dos and don'ts of marketing Medicare plans. Ensuring that your marketing materials are accurate, transparent, and compliant will maintain your reputation and prevent potential legal issues.

Lastly, anticipate the surge in inquiries and be prepared to offer personalized assistance to beneficiaries. Consider implementing systems to manage incoming queries efficiently, whether through your website, email, or phone. Providing clear and concise information, as well as addressing concerns promptly, can set you apart as a trustworthy advisor. By offering exceptional customer service, you'll establish strong relationships with clients that extend beyond the AEP.

By strategically approaching this period, you'll not only serve your clients effectively but also position yourself as a knowledgeable and reliable Medicare advisor.

qUOTE-Aug-15-2023-06-22-05-9578-PM

At PSM, we are committed to providing our agents with a range of resources and support to help them succeed. From personalized marketing materials to interactive sales strategies, our goal is to empower agents with the latest tools, technology and mentorship to achieve new levels of success this AEP.

AEP Resources:

Powerful Partnerships:

We are committed to providing our agents with a range of resources and support to help them succeed: Our powerful partnerships include:

Strong relationships with insurance carriers and industry experts to provide agents with access to the best products, tools, and support.

Capital infusion and acquisition strategies to help agents expand their business and reach their ultimate goals.

Dedicated service and mentorship from experienced professionals to help agents build a successful business.

Proprietary lead, training, marketing and enrollment platforms to streamline your sales process and business practices.

Compliance oversight to ensure agents are meeting regulatory requirements and operating ethically.

Succession planning and agency building support to help agents plan for the future and achieve long-term success.

AEP Helpful Guides:

AHIP Certificationmedicare enrollment periodsSEP Guide

Best Practices for Medicare Sales or Educational EventsSell Medicare Plans Onlinean agents guide to dual eligible special needs plans (DSNP) 

Cross-Selling Hospital Indemnity Plans GuideSelling Medicare Supplement PlansSelling Medicare Advantage Plans

We are here to support!

As a reminder, We pride ourselves on a "Do the Right Thing" approach and will go above and beyond to service the needs of our agents. We look forward to having a successful AEP and supporting you with products, technology and the personalized service you have come to expect from PSM. We appreciate the opportunity to earn your business and wish you the best!

 

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Tags: Medicare Advantage plans, CMS, AEP, medicare supplement insurance, Compliance, Marketing, Best Practices, 2024

Navigating Success: Best Practices When Selling Medicare Insurance to Seniors

Posted by www.psmbrokerage.com Admin on Mon, Aug 14, 2023 @ 01:21 PM

Best Practices - Medicare Sales

Selling Medicare insurance to seniors is a significant responsibility that requires a delicate balance of understanding, empathy, and expertise. As seniors approach retirement and healthcare becomes a central concern, your role in guiding them through their Medicare options is invaluable.

To excel in this field, here are essential best practices to consider:

1. In-Depth Knowledge: Medicare is a complex program with multiple parts and options. To gain seniors' trust, you must have a thorough understanding of the various plans, coverage options, enrollment periods, and eligibility criteria. Be prepared to explain these intricacies clearly and simply.

2. Educational Approach: Seniors may be unfamiliar with the nuances of Medicare. Offer educational resources, seminars, or workshops to provide insights into how Medicare works, the differences between Part A, B, C, and D, and the potential out-of-pocket costs. Empower them to make informed decisions.

3. Personalized Consultations: Every senior's healthcare needs are unique. Schedule one-on-one consultations to assess their medical history, current health conditions, and prescription drug requirements. This information will help tailor your insurance recommendations to their specific needs.

4. Build Trust Through Transparency: Honesty and transparency are crucial. Clearly outline the benefits, limitations, and potential costs associated with each Medicare plan. Highlight any potential gaps in coverage and explain how supplementary insurance, such as Medigap or Medicare Advantage, can fill those gaps.

5. Address Affordability Concerns: Many seniors are on fixed incomes, so cost considerations are paramount. Explain the cost structures of different plans, including premiums, deductibles, co-pays, and out-of-pocket maximums. Discuss ways to manage costs while ensuring comprehensive coverage.

6. Communicate Effectively: Seniors may have varying comfort levels with technology. Offer multiple communication channels, including in-person meetings, phone calls, and printed materials. Adapt your approach to their preferences to ensure clear and effective communication.

7. Emphasize Preventive Care: Seniors often prioritize maintaining good health. Highlight Medicare's emphasis on preventive services, wellness visits, and screenings that can help them proactively manage their well-being.

8. Address Prescription Drug Coverage: Many seniors rely on prescription medications. Explain how Medicare Part D covers prescription drugs and discuss the importance of enrolling in a plan that aligns with their medication needs.

9. Simplify the Enrollment Process: The enrollment process can be overwhelming. Provide step-by-step guidance to help seniors navigate the paperwork and deadlines associated with Medicare enrollment.

10. Showcase Your Expertise: Highlight your experience and expertise in the Medicare insurance domain. Share case studies or success stories that showcase how your guidance has benefited other seniors.

11. Stay Up-to-Date: Medicare regulations and policies evolve. Stay informed about the latest updates and changes to ensure your advice is current and accurate.

12. Offer Post-Sale Support: Your relationship with seniors doesn't end after they enroll in a Medicare plan. Be available to address their questions, assist with claims, and provide ongoing support as their healthcare needs evolve.

Selling Medicare insurance to seniors goes beyond selling a policy – it's about offering a compassionate service that enhances their quality of life. By demonstrating your deep understanding of their healthcare concerns, presenting clear options, and providing continuous support, you become a trusted partner in their healthcare journey. Remember, every interaction is an opportunity to make a meaningful difference in the lives of the seniors you serve.

 

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Tags: Medicare Advantage plans, medicare supplement insurance, Marketing, Best Practices

Sell Medicare Plans Over the Phone - Telesales for Medicare Plans

Posted by www.psmbrokerage.com Admin on Thu, Mar 30, 2023 @ 04:32 PM

Medicare Phone Sales Opportunity-1

The Medicare market presents a significant phone sales opportunity for insurance agents. Here are some reasons why:

Large and growing market:
According to the Centers for Medicare & Medicaid Services, more than 61 million people were enrolled in Medicare in 2020, and this number is expected to grow in the coming years as the baby boomer generation reaches retirement age.

High demand for supplemental coverage:
Medicare covers many medical expenses, but there are still gaps in coverage that can leave beneficiaries with significant out-of-pocket costs. As a result, there is a high demand for supplemental insurance coverage, such as Medicare Advantage plans, Medigap policies, and prescription drug plans.

Convenience for beneficiaries:
Many beneficiaries prefer the convenience of purchasing insurance over the phone, as it allows them to compare plans and enroll from the comfort of their own homes.

Opportunity for cross-selling:
Selling Medicare insurance over the phone can also provide an opportunity to cross-sell other insurance products, such as life insurance, long-term care insurance, and annuities.

Compliance:
The Centers for Medicare & Medicaid Services has strict rules and regulations governing the marketing and sale of Medicare insurance products, including specific requirements for phone sales. However, with proper training and compliance procedures in place, agents can successfully navigate these regulations and grow their business.

PSM has teamed up with YourMedicare ℠ to bring you a revolutionary new Medicare enrollment platform to write more Medicare business. With our all-inclusive platform, you can sell Medicare Advantage and Part D plans on your terms.

Quote and enroll your clients online with our free platforms - View details

In summary, the Medicare market presents a significant phone sales opportunity for insurance agents, with a large and growing market, high demand for supplemental coverage, convenience for beneficiaries, opportunity for cross-selling, and compliance regulations in place to ensure ethical and responsible sales practices.

Source: https://chat.openai.com/ 

 

Tags: Medicare Advantage plans, Online Enrollment, Success Tips, medicare supplement insurance, online sales

VOICE SOA (Scope of Appointment)

Posted by www.psmbrokerage.com Admin on Thu, Oct 27, 2022 @ 02:43 PM

 

Tags: Medicare Advantage plans, CMS, Scope of Appointment

Medicare Market Insights and Plan Competition for 2023

Posted by www.psmbrokerage.com Admin on Thu, Oct 27, 2022 @ 10:28 AM

Tags: Medicare Advantage plans, CMS

Attention: Humana Introducing the new 2023 Honor Plans

Posted by www.psmbrokerage.com Admin on Thu, Sep 22, 2022 @ 03:37 PM

Tags: Humana, Medicare Advantage plans

House passes bill to install electronic prior authorization in Medicare Advantage plans

Posted by www.psmbrokerage.com Admin on Thu, Sep 22, 2022 @ 03:03 PM

Tags: Medicare Advantage plans

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