As a Medicare sales agent, you can ask for referrals, but you cannot collect phone numbers. Instead, you can ask your clients to refer you to their family members and friends. Just give your original client a few of your business cards and tell them that anyone who they meet and needs help, can contact you.
Can a Medicare agent contact potential enrollees via email?
CMS has strict guidelines around contacting Medicare beneficiaries. In general, you market through can’t unsolicited direct contact (Often r. eferred to as callingcold and includes going door-to-door.) Referred beneficiaries must contact you or the plan directly. No marketing can be conducted prior to the start of
How do I contact Medicare about my Medicare eligibility?
Call 1-800-MEDICARE For questions about your claims or other personal Medicare information, log into (or create) your secure Medicare account , or call us at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048. Phone numbers and websites for organizations in your state What state do you live in?
How do you inform potential enrollee of other Medicare plans?
Mar 27, 2012 · This includes unsolicited phone calls, emails, text messages or knocking on your door. Direct mail is allowed because you can then contact the company or representative. Door hangers, leaflets and flyers are prohibited. A representative may not approach you and ask about your Medicare eligibility or current plan. Educational Events
What is beneficiaries Services Medicare?
• The plan will contact you to make sure that you wanted to join and that you understand the plan’s coverage and rules • The agent who helped you join the plan can call you to talk about other plan options. If your agent does not follow these rules: Call 1-800-MEDICARE (1-800-633-4227) • TTY users should call 1-877-486-2048. OR
Can you text Medicare beneficiaries?
Can an agent solicit Medicare Advantage prospects through email?
What provides information for Medicare beneficiaries?
Which of the following is an allowable form of contact for prospecting for Medicare Advantage clients?
What is permission to contact guidelines?
What are CMS guidelines for referrals?
What document notifies Medicare beneficiaries of claims processing?
What does Stark law prohibit?
What other types of coverage can a beneficiary have in addition to Medicare?
- In addition to Original Medicare or an MA Plan, you may be able to join other types of Medicare health plans.
- You may be able to save money or have other coverage choices if you have limited income and resources. ...
- You may also have other coverage, like employer or union, military, or veterans' benefits.
What are the 3 main ways in which Medicare sales occur?
When can telephonic contact with a Medicare eligible consumer be made?
How do I communicate with Medicare?
For questions about your claims or other personal Medicare information, log into (or create) your secure Medicare account, or call us at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
Live Chat
Medicare.gov Live Chat is available 24 hours a day, 7 days a week, except some federal holidays.
Call 1-800-MEDICARE
For questions about your claims or other personal Medicare information, log into (or create) your secure Medicare account , or call us at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
What is marketing appointment?
From CMS guidelines: Marketing appointments are individual appointments designed to steer or, attempt to steer, potential enrollees toward a plan or limited number of plans. All individual appointments between an agent and a beneficiary are considered marketing/sales appointments regardless of the content discussed.
Is cold calling allowed in MA?
Virtually all ‘cold calling’ or unsolicited marketing of MA and PD products is prohibited. This includes unsolicited phone calls, emails, text messages or knocking on your door. Direct mail is allowed because you can then contact the company or representative. Door hangers, leaflets and flyers are prohibited.
How long does it take for Medicare to pay a claim?
When a Medicare beneficiary is involved in a no-fault, liability, or workers’ compensation case, his/her doctor or other provider may bill Medicare if the insurance company responsible for paying primary does not pay the claim promptly (usually within 120 days).
What is Medicare for seniors?
Medicare is a health insurance program designed to assist the nation's elderly to meet hospital, medical, and other health costs. Medicare is available to most individuals 65 years of age and older.
Is Medicare available to older people?
Medicare is available to most individuals 65 years of age and older. Medicare has also been extended to persons under age 65 who are receiving disability benefits from Social Security or the Railroad Retirement Board, and those having End Stage Renal Disease (ESRD).
What is the CMS?
The Centers for Medicare & Medicaid Services (CMS) is the federal agency that manages Medicare. When a Medicare beneficiary has other health insurance or coverage, each type of coverage is called a "payer.". "Coordination of benefits" rules decide which one is the primary payer (i.e., which one pays first). To help ensure that claims are paid ...
What is scope of appointment?
Scope of Appointment. Scope of Appointment means just what it says. It’s a form outlining exactly what you’ll be presenting to a client during a meeting. The SOA ensures that potential enrollees will not be pitched plans other than those they originally requested.
What is a consumer facing website?
Consumer-facing websites that promote a specific carrier or a group of carriers’ Medicare Advantage or Part D products must be submitted to CMS for approval . This is typically accomplished through the carriers. You may refer to the specific carrier’s policy regarding website review.
What is marketing material?
Marketing materials contain some plan-specific information, such as benefits, premiums, and comparisons to other plans. Marketing materials are subject to CMS review, whereas non-marketing materials are not. During presentations, you should never attempt to mislead your clients, willingly or unwillingly.
Can Medicare agents say anything during sales appointments?
The Centers for Medicare & Medicaid Services have some strict rules on what agents can and cannot say during Medicare sales appointments, but pulling them out of the dense Medicare Advantage & Part D Communication Requirements can be tough and time-consuming. Here are some examples to help simplify things!
Can you cross sell life insurance during a Medicare appointment?
Otherwise, you’re not allowed to cross-sell other, non-Medicare types of plans, like dental, vision, hearing, and hospital indemnity plans, during a Medicare appointment. You definitely cannot cross-sell life insurance, annuities, and other products not listed on the Scope of Appointment during a Medicare sales appointment.
Can Medicare cover all of its members needs?
No plan can cover all of its members’ needs. As an agent, you probably learned that early on. Don’t mislead your clients into thinking a single Medicare plan is the magic answer to better health and finances.
Does Medicare Advantage have a copay?
While certain Medicare plans (e.g., $0-premium Medicare Advantage plans) may not have a premium or copays, that doesn’t mean they’re free. Using the word “free” in association with Medicare plans is majorly misleading as these plans can still have copays, coinsurance, and deductibles above $0, as well as specific network requirements and service areas for any $0 benefits.
