medicare advantage presentation how ti

by Prof. Robbie Muller Published 3 years ago Updated 2 years ago

How to market Medicare Advantage?

This presentation will help you understand Original Medicare and how it compares to Wellcare Medicare Advantage plans. Medicare has four different parts: Every year, Medicare evaluates plans based on a 5-star rating system. Ask your licensed representative for details. STAR RATINGS PART A Hospital Insurance PART B Medical Insurance PART D Prescription Drug …

What are the advantages of Medicare?

Dec 01, 2021 · Medicare Advantage EPs must furnish at least 80 percent of their Medicare-related professional services to enrollees of the MA organization and must furnish, on average, at least 20 hours per week of patient care services. Medicare Advantage EPs cannot directly receive an incentive payment through the Promoting Interoperability Programs.

How to join a Medicare Advantage plan?

Medicare Advantage and Other Medicare Health Plans. ... It can be easily adapted for presentations to people with Medicare. The module consists of 64 PowerPoint slides with corresponding speaker’s notes and check-your-knowledge questions. It can be presented in about 45 minutes. Allow approximately 15 more minutes for discussion, questions ...

What is Medicare Advantage plan?

Module 1Understanding Medicare. This session provides an overview of the basics of the Medicare Program, including Part A (Hospital Insurance), Part B (Medical Insurance), Medicare Supplement Insurance (Medigap) policies, Medicare Advantage (MA), Part D (Prescription Drug Coverage), appeals and programs to help people with limited income and resources, and …

When can you present a Medicare Advantage plan?

Sign up for a Medicare Advantage Plan (with or without drug coverage) or a Medicare drug plan. During the 7‑month period that starts 3 months before the month you turn 65, includes the month you turn 65, and ends 3 months after the month you turn 65.

Can you market Medicare Advantage via email?

Due to a change reflected in the 2019 MCMG and now in the Medicare Advantage & Part D Communication Requirements, agents are permitted to make unsolicited direct contact with potential enrollees via email. However, the email must have an opt-out option in order to remain compliant.

What is Medicare Advantage in simple terms?

Medicare Advantage is a type of Medicare health plan offered by private companies that are Medicare-approved. They are considered an alternative to Original Medicare and cover all the expenses incurred under Medicare. They include the same Part A hospital and Part B medical coverage, but not hospice care.

What is an example of a Medicare Advantage plan?

Many Medicare Advantage plans go beyond Original Medicare coverage. For example, most plans include prescription drug coverage, which is limited under Part A and Part B. Some plans include routine dental coverage, SilverSneakers fitness programs, and/or other benefits.

Can social media be used to promote Medicare Advantage plans?

Most carriers require that the agent set up a business page on social media rather than use their personal page. Agents CAN list the name and address of their business and indicate the type of products offered (e.g., Medicare Advantage, Prescription Drug Plans, Medicare Supplement insurance plans, etc.) offered.

Which of the following must you not do when marketing UnitedHealthcare Medicare Advantage?

Mailing a marketing brochure to the consumer via postal mail. As an agent, you must not do which of the following when marketing UnitedHealthcare Medicare Advantage plans to consumers? Use providers or provider groups to distribute printed information comparing benefits of different health plans without approval.

What are 4 types of Medicare Advantage plans?

Below are the most common types of Medicare Advantage Plans.

Health Maintenance Organization (HMO) Plans.
Preferred Provider Organization (PPO) Plans.
Private Fee-for-Service (PFFS) Plans.
Special Needs Plans (SNPs)

What are the negatives of a Medicare Advantage plan?

Medicare Advantage can become expensive if you're sick, due to uncovered copays. Additionally, a plan may offer only a limited network of doctors, which can interfere with a patient's choice. It's not easy to change to another plan; if you decide to switch to Medigap, there often are lifetime penalties.

What are the disadvantages of a Medicare Advantage plan?

Cons of Medicare Advantage

Restrictive plans can limit covered services and medical providers.
May have higher copays, deductibles and other out-of-pocket costs.
Beneficiaries required to pay the Part B deductible.
Costs of health care are not always apparent up front.
Type of plan availability varies by region.

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Dec 9, 2021

What is the most popular Medicare Advantage plan?

AARP/UnitedHealthcare is the most popular Medicare Advantage provider with many enrollees valuing its combination of good ratings, affordable premiums and add-on benefits. For many people, AARP/UnitedHealthcare Medicare Advantage plans fall into the sweet spot for having good benefits at an affordable price.Feb 16, 2022

What are the two types of Medicare Advantage plans?

Most Medicare beneficiaries who get an Advantage plan enroll in one of two types:

HMO (health maintenance organization) plans.
PPO (preferred provider organization) plans.

Aug 19, 2021

Can you switch back and forth between Medicare and Medicare Advantage?

Yes, you can elect to switch to traditional Medicare from your Medicare Advantage plan during the Medicare Open Enrollment period, which runs from October 15 to December 7 each year. Your coverage under traditional Medicare will begin January 1 of the following year.

Is Medicare a primary payer?

Medicaid eligibility is based on income and resources. Medicare is the nation’s primary payer of inpatient hospital services to the disabled , elderly, and people with ESRD. Medicaid is the nation’s primary public payer of acute health, mental health, and long-term care services.

How much is Medicare late enrollment penalty?

Medicare calculates the late enrollment penalty by multiplying 1% times the number of full, uncovered months you didn’t have Part D (once you were eligible) or creditable drug coverage times the current “national base beneficiary premium” ($32.74 in 2020).

How long does Medicare cover ESRD?

Regardless of the number of employees and whether the coverage is based on current employment status, Medicare is the secondary payer of benefits for the first 30 months of Medicare eligibility (known as the 30-month coordination period) for people with ESRD who have employer or union group health plan (GHP) coverage.

How many people are covered by medicaid?

Medicaid provides health coverage to an estimated 75.1 million people (in 2018), including children, pregnant women, parents, seniors, and individuals with disabilities.

What is ESRD insurance?

Health insurance for people 65 and older, people under 65 with certain disabilities, or any age with End-Stage Renal Disease (ESRD) Health insurance for people based on need—financial and non-financial requirements . Nation’s primary payer of inpatient hospital services to the disabled, elderly and people with ESRD.

What is HI trust fund?

Hospital Insurance (HI) Trust Fund . Funded through payroll taxes paid by most employees, employers, and people who are self-employed; income taxes paid on Social Security benefits; interest earned on the trust fund investments; and Medicare Part A premiums from people who aren’t eligible for premium-free Part A.

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