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Aetna Medicare Retail Program

Posted by www.psmbrokerage.com Admin on Mon, Aug 12, 2019 @ 01:34 PM

Aetna Retail blog


Aetna has just released details on their 2020 retail program and you do not want to miss out on this exciting opportunity. Below are some highlights.

Why should I participate?

  • Access to high traffic retail locations that can drive leads and sales
  • Program requirements that are more relaxed than industry norms
  • Cost efficient bundles that are competitively priced
  • Agents have the opportunity for a $100 MMS credit

How much does it cost?

  • CVS location will cost $275
  • All other retail locations will cost $175

Request details today and one of our marketing representatives with send you all the details on how to participate.


Additional Updates:

Tags: Medicare Advantage, Medicare Part D, aetna, Retail Program

2020 AHIP and Carrier Certifications: Tips and Reminders

Posted by www.psmbrokerage.com Admin on Mon, Aug 12, 2019 @ 11:03 AM

2020 AHIP and Carrier Certifications: Tips and Reminders

Prepare. 2020 AHIP and Carrier Certifications take time and brain power. It's a good idea to set aside a sufficient amount of time and energy to thoroughly comprehend and complete the required training.

Pace yourself. Rushing though certifications can greatly hinder you from learning essential information. It can also decrease the likeliness of passing the course. Taking small breaks between sections is an effective way to pace yourself throughout the training.

Pay attention. There are oftentimes important updates within the certification training. It is imperative that agents grasp the information being shared. These certifications also serve as excellent refreshers. Take advantage of the materials provided and challenge yourself to learn the information rather than simply pass the tests. 

Don't procrastinate! These certifications are not only helpful to you as an agent, but most are required for agents to complete in order to sell the products. The longer you wait, the more opportunities you'll miss out on.

Remember! Do not write any new business until you receive the carrier's "Ready to Sell" notification.

For more information regarding AHIP's Medicare Course, and a discount for the AHIP certification,visit our AHIP Information page

Additional Updates:

Tags: Medicare Advantage, Medicare, Medicare Supplement, Medicare Part D

State of Medicare Advantage

Posted by www.psmbrokerage.com Admin on Tue, Aug 06, 2019 @ 01:09 PM


Every day 10,000 seniors age into Medicare.

According to the US Census Bureau, the number of Americans over age 65 is projected to double over the next four decades, growing from nearly 48 million seniors today to about 98 million by 2060.1


By 2030, the entire baby boom generation will be older than age 65, meaning one in five U.S. residents will be over 65. In 2035, just five years later, roughly 78 million Americans will be over age 65.2

Not only is the aging population growing but older adults are also living longer, and many are living with serious chronic conditions. 67% of Medicare beneficiaries have two or more chronic conditions. Nearly all health costs are driven by patients with chronic conditions, for whom the federal government is the dominant payer. Individuals with multiple chronic conditions account for 94% of Medicare spending.3

As health care costs continue to increase and consumer costs rise, there is an urgency to improve quality and manage costs. The future of Medicare is the move away from traditional fee-for-service (FFS) models, which reimburse care based on volume of services provided. Medicare Advantage instead rewards the value of health outcomes delivered, which is essential to achieve better outcomes and better costs. Medicare Advantage, the modern, private-public option, is the future of Medicare.3

Medicare Advantage is leading the innovative use of value-based care offering beneficiaries the choice of an integrated care plan, with a focus on patient-centered primary care, early intervention, and care coordination. It means greater simplicity, affordability, and enhanced benefits to improve health and well-being for the millions of individuals.

Today, one in three Medicare beneficiaries are enrolled in Medicare Advantage, benefiting from a higher quality of care at lower consumer costs.4

Source: https://www.bettermedicarealliance.org/about-medicare-advantage/state-medicare-advantage

Image: Canva

Additional Updates:

Tags: Medicare Advantage, Medicare, Medicare Supplement, Medicare Part D

New Report Examines Medicare Advantage Supplemental Benefit Policies

Posted by www.psmbrokerage.com Admin on Mon, Aug 05, 2019 @ 03:32 PM


A new report from the AARP Public Policy Institute examines changes to Medicare Advantage (MA) supplemental benefit policies and the implications for people with Medicare.
MA plans have long been able to offer benefits beyond what is required by law. However, the Balanced Budget Act of 2018 and recent regulatory decisions, including those in the 2019 Part C and D final rule and the Final Call Letter for 2019, have greatly increased this authority.
Among the reforms with significant consequences for consumers are those that expand the array of benefits MA plans can offer and grant the insurers more latitude to design and target those packages.

Additional Updates:

Tags: Medicare Advantage, Medicare, Medicare Supplement, Medicare Part D

Medicare Plan Finder Being Updated

Posted by www.psmbrokerage.com Admin on Mon, Aug 05, 2019 @ 03:10 PM


Process is too complex for beneficiaries to use it effectively

The CMS is planning to launch updates to its Medicare Plan Finder this month after a report from a government watchdog flagged significant usability concerns with the tool. The GAO analyzed the experience of comparing plans on MPF and found 58% of beneficiaries described the process as “difficult” while just 13% of beneficiaries said it was easy. “These selections can be difficult due to the Medicare program’s complexity, and can have important implications for beneficiaries’ out-of-pocket costs and access to providers,” the GAO said. This can limit a beneficiary’s ability to compare their options in traditional Medicare fully with Medicare Advantage plans, according to the report. The tool also lacks information on provider networks offered in M/A plans, which can also confuse the selection process, since it requires a beneficiary to visit individual plan websites to find that information.

Additional Updates:

Tags: Medicare Advantage, Medicare, Medicare Supplement, Medicare Part D

Answers to Everything Medicare

Posted by www.psmbrokerage.com Admin on Mon, Aug 05, 2019 @ 02:14 PM


In its annual Data Book report, MedPac’s exhaustive 206-page report on All Things Medicare addresses pretty much anything and everything you ever wanted to know about Medicare. Such as: the Congressional Budget Office projects nearly half of all Medicare beneficiaries (47%) will be in a Medicare Advantage plan by 2029; Medicare paid M/A plans about $230 billion in 2018 to cover Part A and Part B services for M/A enrollees; the number of M/A plans from which beneficiaries may choose in 2019 is higher than at any time since 2012; in 2019, beneficiaries may choose from an average of 23 M/A plans operating in their county.

Medicare Advantage Enrollment: 2003-2019

In 2017, 88% of Beneficiaries Were Enrolled in Part D


In 2017, more than three-quarters of Medicare beneficiaries either signed up for Part D plans or had prescription drug coverage through employer-sponsored plans. Other enrollees in stand-alone PDPs accounted for 30% of all Medicare beneficiaries. Another 22% of beneficiaries were enrolled in MA–PDs and did not receive low-income subsidies.

Additional Updates:

Tags: Medicare Advantage, Medicare, Medicare Supplement, Medicare Part D

Countdown to the 2020 AEP: AHIP, Company Certifications, Expansions and First Looks

Posted by www.psmbrokerage.com Admin on Mon, Jun 17, 2019 @ 12:19 PM

With the 2020 AEP upon us, now is a great time to make sure you are preparing and staying ahead of the curve. AHIP Medicare Training has been released and we are also starting to get details on carrier specific certifications as well as 2020 plan benefits and roll out dates. Take a look at what is available now and keep a look out for future updates as we get closer to AEP.

✪ 2020 AHIP Training

Precision Senior Marketing is proud to be able to help support our agents that sell Medicare Advantage and Prescription Drug Plans. That's why our agents will be able to access AHIP's 2020 Medicare certification for only $125. That's a $50 savings to you just for being part of our team.


As an added "Thank You" to our writing agents we would like to pay for 100% of your AHIP costs after you have five issued 2020 Medicare Advantage enrollments. Ask your Marketer for details. *This is only available to street level agents contracted directly with Precision Senior Marketing.

✪ 2020 Carrier Specific Certifications

To keep things simple, we have all the carrier specific certification instructions available on our certification page. Most will require you complete AHIP in advance, but not all. Please take the time to review the requirements for the different carriers you represent.

Carrier Specific Certification Instructions

✪ 2020 Medicare Advantage and PDP First Looks

As we receive first looks and product information from the carriers we represent, we will be sharing those details with our agents. You can sign up to receive this information by visiting the following web page and completing the form. You can also call one of our marketing representatives at 800-998-7715 and ask for more details.

✪ Online Quoting Tools and Submission Platforms

PSM Has made significant investments to make sure our agents have access to the best in class quoting tools and online submission platforms. Even better, these tools are provided at  no cost to our contracted agents. Please visit the following web page for more details and to request access.

✪ Lead Incentives and Opportunities

PSM is proud to be able to help support our directly contracted Medicare agents.For every ten (10) Medicare Supplement* or Medicare Advantage enrollments placed and issued, you will qualify for a complimentary 1,000 piece lead mailer*. This offer includes the postage, printing, mailing data and return postage on all submitted business return cards ~ ZERO cost to you!

View more details by visiting our Lead Incentives web page

For agent use only. Not for use with consumers. Certain exclusions and limitations may apply. Not affiliated with the United States government or the federal Medicare program. Enrollments for this promotion must be with carriers the agent is appointed with through Precision Senior Marketing. Eligibility for this program will be determined by PSM. Only directly contracted writing agents may participate. Lead vendor and mailers for this program will be determined by PSM, and cash equivalents and reimbursements will not be offered. Agent must be trained and certified and must abide by PSM’s compliance program.

✪ Service and 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!

thank you

Additional Updates:

Tags: Medicare Advantage, Medicare Part D, AEP, certification, AHIP

Mutual of Omaha: Medicare Solutions Product Portfolio

Posted by www.psmbrokerage.com Admin on Wed, Jun 12, 2019 @ 01:04 PM


As people approach age 65, they’re bombarded with insurance offers. While some companies continue to add to the clutter and confusion, Mutual of Omaha is focused on helping you guide your clients through the complexity of selecting Medicare coverage. So, when they turn to you for help, turn to Mutual of Omaha’s Medicare Solutions portfolio.

Medicare-age clients are looking to stay physically and financially healthy. Considering they need to make their savings last, they want to know what’s covered and how much things will cost. They want to feel confident that the coverages they choose will help protect their health and budget.

Mutual of Omaha’s Medicare Solutions can do just that.

Take a look at their products that help solve your clients’ needs during their retirement years:

  • Medicare Supplement Insurance. Competitive pricing, premium savers and fast policy issue
  • Dental Insurance. Guaranteed issue, two plans available (both with optional vision rider), backed by a network of about 375,000 provider locations
  • Mutual of Omaha Rx. Two national prescription drug plans with affordable premiums, Value plan has $0 deductible for Tiers 1 & 2 prescriptions
  • Cancer, Heart Attack/Stroke Insurance. Limited underwriting, direct payment upon diagnosis, policies up to $100,000

Mutual of Omaha’s great senior product offerings and unparalleled service are the perfect complement to your clients’ needs.

If you have questions or would like to get contracted, please call us at (800) 998-7715 or complete our online request form.

Mutual of Omaha Rx (PDP) is a prescription drug plan with a Medicare contract. Enrollment in the Mutual of Omaha Rx plan depends on contract renewal.

Additional Updates:

Tags: Medicare Supplement, Medicare Part D, Mutual of Omaha Medicare Supplement, dental plans, MACRA

Payment Glitch Interrupts Automatic Medicare Advantage and Part D Premium Withdrawals

Posted by www.psmbrokerage.com Admin on Mon, Jun 10, 2019 @ 04:35 PM

Payment Glitch Interrupts Automatic Medicare Advantage and Part D Premium Withdrawals

Earlier this year, a federal government systems issue prevented Medicare Advantage and Part D premiums from being automatically deducted from the Social Security payments of some people with Medicare. Normally, if a beneficiary elects, Social Security deducts the premiums and sends them directly to the plan. In this instance, the payments were not sent to the plans, and beneficiaries did not know that their plans were not receiving them.

While the issue has since been resolved and premium payments should be processed correctly moving forward, Medicare Rights remains concerned about the scope of the processing error and the potential impacts on beneficiaries—including confusion, financial hardship, and coverage losses.

According to the Centers for Medicare & Medicaid Services (CMS), affected individuals include those who were “enrolled either in a Medicare Advantage Plan or in a Medicare Prescription Drug Plan for coverage starting January 1, 2019” and chose to have their premiums automatically deducted from their monthly Social Security benefit, rather than pay the plan directly.

However, it’s not yet clear how many of these enrollees were affected, if those who were have been made aware, or how much they might owe. The Social Security Administration (SSA) notes that “Plans will be sending premium bills to those affected. If you are affected and haven’t already received a bill in the mail, you will soon. The first bill will likely be for a larger amount than usual to make up for the unpaid premiums.”

Importantly, plans must offer enrollees a “grace period” to repay the missed premium payments, which must last at least as long as the delay in billing. Plans also have the option not to pursue these outstanding payments.

CMS advises beneficiaries to call their plan directly with any questions or concerns. Medicare Rights’ Helpline counselors are also available at 800-333-4114, and enrollees may want to contact their local SHIP or 1-800-Medicare for assistance.

Medicare Rights appreciates federal agency and plan efforts to educate affected enrollees and we encourage them to continue to work together to hold beneficiaries harmless.

Read the CMS notice.

Image: www.Canva.com

Additional Updates:

Tags: Medicare Advantage, Medicare, Medicare Part D

Spending on Pharmaceuticals to Soar past $370B in 2019

Posted by www.psmbrokerage.com Admin on Wed, May 29, 2019 @ 10:44 AM

Pharmaceutical Spending Will Reach $370B in 2019

Pharmaceutical cost-1


U.S. pharmaceutical spending is expected to grow by 2.5% in 2019, topping $370 billion, while overall healthcare spending is projected to grow by 4% and reach $3.6 trillion, according to a Fitch Solutions report released Monday.

By 2023, Fitch Solutions estimates pharmaceutical sales will top $420 billion, account for nearly 1.7% of the national GDP, and 9.7% of overall health expenditures.

Overall healthcare spending is expected to reach $4.3 trillion during the same period of time.

Source: https://www.healthleadersmedia.com/finance/pharmaceutical-spending-top-370b-2019

Additional Updates:

Tags: Medicare Part D, Part D, Prescription Drugs

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