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Medicare Blog | Medicare News | Medicare Information

AHIP 2021: New Training Layout for the Marketing Medicare Advantage + Fraud, Waste and Abuse Program

Posted by www.psmbrokerage.com Admin on Thu, Apr 30, 2020 @ 10:14 AM

Tags: Medicare Advantage, Part D, AHIP, 2021

SEP Notice for Individuals Affected by Severe Weather

Posted by www.psmbrokerage.com Admin on Tue, Apr 07, 2020 @ 03:28 PM

Tags: Medicare Advantage, CMS, Part D

Medicare Flexes And Changes To Meet The COVID-19 Challenges

Posted by www.psmbrokerage.com Admin on Tue, Apr 07, 2020 @ 02:00 PM

Tags: Medicare Advantage, Medicare, Part D, COVID-19

Medicare Advantage plans will get a 1.66% pay bump for 2021

Posted by www.psmbrokerage.com Admin on Tue, Apr 07, 2020 @ 01:54 PM

Tags: Medicare Advantage, Medicare, Part D

CMS FACT SHEET: 2021 Medicare Advantage and Part D Rate Announcement

Posted by www.psmbrokerage.com Admin on Tue, Apr 07, 2020 @ 01:47 PM

Tags: Medicare Advantage, Medicare, Part D

Grow Your Medicare Sales with PSM

Posted by www.psmbrokerage.com Admin on Tue, Dec 31, 2019 @ 09:42 AM

Additional Updates:
 

Tags: Medicare Advantage, Medicare Supplement, Leads, Medicare Sales, Part D, Enrollment Tools, Medicare FMO, online sales

Mutual of Omaha: Maximize Your Annual Enrollment Period Success

Posted by www.psmbrokerage.com Admin on Wed, Aug 21, 2019 @ 02:43 PM

Maximize your Annual Enrollment Period success!



Annual enrollment provides health insurance producers with an opportunity to write more business in a short window than any other time of year. Make sure you are ready to maximize your success by including Mutual of Omaha’s CareAdvantage HMO (Medicare Advantage) and Mutual of Omaha Rx (Medicare Part D) in your portfolio.

Mutual of Omaha is offering Medicare Advantage plans for Plan Year 2020 in the following markets:

  • Cincinnati (OH/KY) * — Boone, Butler, Clermont, Campbell, Hamilton, Kenton and Warren counties
  • Dallas-Ft. Worth – Collin, Dallas, Denton, Rockwall and Tarrant counties
  • Denver – Adams, Arapahoe, Broomfield, Denver, Douglas, Jefferson, Clear Creek and Gilpin counties
  • El Paso – El Paso county
  • San Antonio* – Bexar county

*Also available for the remainder of Plan Year 2019

  • Mutual of Omaha Rx (PDP) plans are offered in all states except NY and the US territories.

A Few Helpful Tips to ensure for 2020 Success

  1. Get Organized– Don’t let AEP sneak up on you. Get organized before the busy period starts.
  • Become Ready-to-Sell. It’s just 3 easy steps
  • Familiarize yourself with the Mutual of Omaha CareAdvantage Plans and Benefits that are outlined in the Market Overview tear-sheets.  These can be found in Forms & Material on Sales Professional Access (SPA) mutualofomaha.com/broker
  • Organize your client information and reestablish contact if it has been a while
  • Pre-order supplies as they become available
  1. Stay Organized– Make the most of the 54-day AEP period.
  • Plan your work then work your plan
  • Keep track of appointments – it’s easy to get overextended during AEP
  • Make sure you have enough supplies on hand to cover appointments for the upcoming two weeks; or place an order to refresh your supplies.
  • Make use of electronic applications to avoid errors and speed up the enrollment process
  1. Post AEP– Now is the time to take a moment to relax – but just a moment
  • Organize your AEP book of business into a single tracking tool
  • Make yourself a Customer Relationship Manager by keeping in touch with beneficiaries to ensure they understand their benefits and how to use them
  • Watch for other enrollment period opportunities
  • Review your commission statements

AEP is just around the corner.  Are you ready?

Not appointed to sell Mutual of Omaha Medicare Advantage plans? Request details here

Note The plan information described are pending CMS approval and subject to change. Not intended for use as marketing material.  Do not distribute reproduce, edit or delete any portion of this document without the express permission of Omaha Health Insurance Company, Mutual of Omaha Medicare Advantage Company and Medicare Advantage Insurance


Navigating the MA Product Training Site
Ready to Sell Guidelines


Not appointed to sell Mutual of Omaha Medicare Advantage plans? 
Request details here

Additional Updates:
 

Tags: Annual Enrollment Period, Medicare Advantage, Part D, AEP, mutual of omaha

Mutual of Omaha 2020 Medicare Advantage and Part D Market Overview Released

Posted by www.psmbrokerage.com Admin on Tue, Jul 02, 2019 @ 01:33 PM

Mutual of Omaha 2020 Medicare Advantage
and Part D Market Overview Released


 

Mutual of Omaha Medicare Advantage and Part D Market Overview Released

They’re here!! Mutual of Omaha Medicare Advantage Company (MOMAC), Omaha Health Insurance Company (OHIC) and Medicare Advantage Insurance Company of Omaha (MAICO) market overview information has been posted on Forms & Materials on Sales Professional Access (SPA) www.mutualofomaha.com/broker.  This is your opportunity for a sneak peek at the service areas, provider networks and benefits that are anticipated for Plan Year 2020.  You won’t want to miss out on this!

Because plan information is pending CMS bid approval, these documents are available as download only. Also, keep in mind, plan design and service areas are pending government approval and are subject to change. The posted material is for producer use only and cannot be shared with the general public.

AHIP and Product Training

America’s Health Insurance Plans (AHIP) Certification, Medicare Advantage product training and Part D Prescription Drug Plans (PDP) product training is now available on SPA: www.mutualofomaha.com/broker

  • Medicare Advantage – The certification and training links will appear on the MA product page.  To access simply go to Products > Medicare Solutions > Medicare Advantage
  • Prescription Drug Plans – Both of the links appear on the PDP product page. Go to Products > Medicare Solutions > Prescription Drug Plans
  • Please note: If you are taking Medicare Advantage training for the Denver market, you will see a banner that advises you that the product is not available. This is because the new market is pending CMS approval of plan benefits. You can still take the training

Even better, your AHIP Certification results can now be submitted electronically to Mutual of Omaha. No need to fax or mail your certificate. If you have completed the assessment using another carrier, you can still have the results conveniently sent to us. Just navigate to the AHIP site using the link on SPA.  You will find instructions on how to transmit your results electronically. You will not have to pay or take the assessment again.

Not appointed to sell Mutual of Omaha Medicare Advantage plans? 
Request details here

It’s time to get Ready to Sell for 2020 Medicare Products

Get Ready to Sell our Medicare Advantage and PDP products in just 3 easy steps!!  Start the process today.

  1. Contract to sell Mutual of Omaha’s Medicare Advantage and Prescription Drug Plans.
  2. Successfully complete the 2020 America’s Health Insurance Plans (AHIP) annual certification course that meets the requirements established by The Centers for Medicare & Medicaid Services (CMS).
  3. Successfully complete the 2020      Medicare Advantage and Prescription Drug training courses.  There is no cost to take the courses.

That’s all there is to it!

Re-contracting for Mutual of Omaha’s MA market expansion

If you are currently contracted for Medicare Advantage through Mutual of Omaha Medicare Advantage Company (MOMAC), a Medicare Advantage Insurance Company of Omaha (MAICO) Amendment will be required if you are planning to sell outside the current MOMAC markets. This new company is for Medicare Advantage plans rolling out this year in the following markets: Denver, Dallas/Fort Worth and El Paso.

And remember, to earn renewal compensation you will need to be Ready-to-Sell for the plan year compensation is to be paid.


Navigating the MA Product Training Site
Ready to Sell Guidelines


Not appointed to sell Mutual of Omaha Medicare Advantage plans? 
Request details here

Additional Updates:
 

Tags: Annual Enrollment Period, Medicare Advantage, Part D, AEP, mutual of omaha

Medicare Advantage and Part D Commission Rates

Posted by www.psmbrokerage.com Admin on Wed, May 29, 2019 @ 01:48 PM

Contract Year 2020 Agent and Broker Compensation Rate-1

Medicare Advantage and Part D Commission Rates


DATE: 
May 24, 2019

TO: Medicare Advantage Organizations, Prescription Drug Plan Sponsors, Section 1876 Cost Plans, and Medicare-Medicaid Plans

 FROM: Kathryn A. Coleman / Director

SUBJECT: Contract Year 2020 Agent and Broker Compensation Rate, Referral/Finder’s Fees, Submissions, and Training and Testing Requirements

This memorandum provides contract year (CY) 2020 compensation and referral/finder’s fee limits for agents and brokers, directions for submitting amounts into the Health Plan Management System (HPMS), as well as training and testing requirements.

Compensation Rates and Referral/Finder’s Fees for CY 2020

As provided in 42 C.F.R. §§422.2274(b)(1) and 423.2274(b), the compensation amount an organization pays to an independent agent or broker for an enrollment must be at or below the fair market value (FMV) cut-off amounts published yearly by the Center for Medicare and Medicaid Services (CMS).

42 C.F.R. §§422.2274(h) and 423.2274(h) states that referral/finder’s fees paid to independent, captive, or employed agents may not exceed a CMS specified amount. Additionally, referral/finder’s fees paid to independent agents/brokers must be included in FMV for that CY.

The CY 2020 FMV cut-off amounts for all organizations and referral/finder’s fees are as follows:

2020 MA PAY RATES-1


Agent Fair Market Value Payment History:

Year

National

CT, PA, DC

CA, NJ

PR

PDP

2015

408/204

461/230

510/255

280/140

56/28

2016

429/215

483/242

536/268

294/147

63/32

2017

443/222

498/249

553/277

304/152

71/36

2018

455/228

511/256

567/284

312/156

72/36

2019

482/241

542/271

601/301

331/166

74/37

2020

510/255

574/287

636/318

350/175

78/39


NOTE: The FMV amounts for CY 2020 may be rounded to the nearest dollar. The Initial Year amount is the maximum allowable amount that organizations may pay for enrollments during compensation cycle-year 1.

The renewal amount is the maximum allowable amount that organizations may pay for enrollments during compensation cycle-years 2 and beyond.

Compensation Rate Submission for CY 2020

As in past years, all organizations must inform CMS via HPMS whether they are using employed, captive, or independent agents.

Organizations that use independent agents must provide the initial and renewal compensation amount or range of amounts paid to these agents.

Additionally, if an organization pays referral/finder’s fees, the organization must disclose the amount. CMS has provided instructions for data entry in the HPMS Marketing Module User Guide.

Organizations must submit their agent/broker information in the HPMS Marketing Module between June 1, 2019 and July 26, 2019, 11:59 pm EST. Please note that CMS does not consider the submission process complete until the organization’s CEO, COO, or CFO has completed the attestation in HPMS.

Organizations that fail to submit and attest to their agent and broker compensation data by July 26, 2019 will be out of compliance with CMS requirements.

Organizations will not be able to make changes to those submissions after the July 26, 2019 deadline.

CMS expects organizations to keep full records documenting that they are updating compensation schedules and paying agents and brokers according to CMS requirements.

Please note that CMS will make the CY 2020 organization-submitted compensation information available for the public to view on www.cms.gov prior to the annual election period for CY 2020.

Curricula for Training and Testing Agents and Brokers for CY 2020

Regulations at 42 C.F.R. §§422.2274 and 423.2274 require that organizations train and test all agents and brokers selling Medicare products, including employees, subcontractors, downstream entities, and/or delegated entities annually on Medicare Parts A, B, C, D, and plan specific information.

CMS further requires that all agents and brokers obtain an 85% passing rate on the test.

In order to ensure the quality of agent and broker training and testing programs, CMS annually provides minimum training and testing requirements to organizations.

Organizations should review these requirements before developing their own agent and broker training and testing programs to ensure compliance with CMS requirements.

CMS permits and encourages organizations and third-party training and testing vendors to include other relevant topics, in addition to the minimum required elements.

PDF Link to announcement

Image: www.Canva.com

Additional Updates:
 

Tags: Medicare, Part D, medicare advantage enrollment,

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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