What are the marketing guidelines for Medicare Advantage?
Sep 05, 2018 · 3. A letter is sent to enrollees to remind them to get their flu shot. The body of the letter says, “Swell Health enrollees can get their flu shot for $0 copay at a network pharmacy…” Marketing or Communication? Communication. While the letter mentions cost sharing, the intent is not to steer the reader into making a plan selection or to stay
Is there a Medicare supplement prospecting letter for insurance?
Jun 28, 2013 · The Guidelines are for use by Medicare Advantage Plans (MAs), Medicare Advantage Prescription Drug Plans (MA-PDs), Prescription Drug Plans (PDPs) and 1876 Cost Plans. The guidelines allow organizations offering both Medicare Advantage and Prescription Drug Plans the ability to reference one document when developing marketing materials.
Where can I find Medicare marketing mailers and flyers?
Mar 05, 2018 · If you would like your own letter or a series of letters for insurance marketing you can contact us. Dear (Name), If a trusted friend mentioned to you that it was possible to save $300-$600 annually by switching to a different Medicare supplement plan, you would probably say, “Yes, but what’s the catch?”
How do I contact Medicare about my Medicare eligibility?
1. Use “you” and “your.” These are powerful words. You want your clients to know that AEP is about them and their choices. Speak directly to them. 2. Keep language simple. Avoid overly long sentences or difficult vocabulary. You want your letter to be something that people can read quickly and understand. 3. Use white space to your advantage.
What is considered marketing material by CMS?
CMS Model Marketing Materials Model marketing materials include: the standardized Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) templates and instructions, ANOC/EOC Errata, and Provider Directory.Dec 1, 2021
Can you market Medicare through 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 must all Medicare Advantage sponsors have in place in order to meet CMS guidelines?
Medicare Advantage Plans Must Follow CMS Guidelines In the United States, according to federal law, Part C providers must provide their beneficiaries with all services and supplies that Original Medicare Parts A and B cover. They must also provide any additional benefits proclaimed in their Part C policy.
What can plan sponsors market to current Medicare Advantage plan members?
CMS uses the term “plan sponsor” to describe an organization that has an approved, active contract with the federal government to offer Medicare Advantage plans, prescription drug plans, and 1876 cost plans. A plan sponsor can be an employer, a union, or a health insurance carrier.Oct 19, 2017
What actions are prohibited during marketing sales events?
The following activities are prohibited during sales events and appointments.Conducting health screenings and similar activities that give the impression of “cherry-picking”Require enrollees to provide their contact information before they can attend a sales event.More items...•Mar 1, 2018
How do I advertise with Medicare?
⍟ 14 Ways to Generate Medicare Supplement LeadsBuild & Maintain a Website. ... Social Media Presence. ... Video Marketing. ... Blogging, Writing Articles. ... Email. ... Online Events: Live webinars, podcasts. ... Direct Requests / Client Referrals. ... Lead Swapping Partnerships (Asking other professionals for referrals)More items...
How does CMS define a Medicare Advantage Plan?
Medicare Advantage is an “all in one” alternative to Original Medicare. These “bundled” plans include Part A, Part B, and usually Part D. Plans may have lower out-of- pocket costs than Original Medicare. In many cases, you'll need to use doctors who are in the plan's network.
Do Medicare Advantage plans have to follow original Medicare guidelines?
“While Medicare Advantage Plans are required to furnish all medically necessary, Medicare-covered DME, they are not required to follow original Medicare payment rules in furnishing those services.Nov 19, 2020
What are the three main ways in which Medicare sales occur?
There are three different types of Medicare products sold by agents and brokers: Medicare Supplement plans (Also called Medigap plans), Medicare Advantage plans and Medicare Part D Rx plans. While some agents sell all three, others prefer to specialize in only one – either Medicare Advantage or Medicare Supplement.Mar 10, 2017
Which of the following must you not do when marketing UnitedHealthcare Medicare Advantage?
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.
How can I attract more people to my Medicare?
Marketing Medicare Advantage to prospective new patients as they turn 65Mailers to people turning 65.Hospital newsletters.Community events.Retargeting and pay-per-click ads.Facebook and other social media ads.
What is a Part D plan sponsor?
Part D plan sponsors are nongovernmental entities under contract with CMS to offer prescription drug benefits through PDPs, MA-PDs, PACE plans, or cost plans offering qualified prescription drug coverage.
What are the Medicare marketing guidelines?
The Marketing guidelines reflect CMS' interpretation of the marketing requirements and related provisions of the Medicare Advantage and Medicare Prescription Drug Benefit rules (Chapter 42 of the Code of Federal Regulations, Parts 422 and 423).
Can Medicare Advantage and Prescription Drug Plans use one document?
The guidelines allow organizations offering both Medicare Advantage and Prescription Drug Plans the ability to reference one document when developing marketing materials.
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.
Does Medicare cover all drugs?
If your doctor accepts Medicare, she accepts this plan. There are no limits on services. We cover all drugs and have no formulary restrictions. If you don’t like this plan, you can stop paying your premium and return to original Medicare anytime. It is better to choose a different company if you are sick.
Do all Medicare representatives have to take yearly training?
All representatives must take yearly training and pass tests to confirm their knowledge of the do’s and don’ts of selling MA and PDP products. All of the rules help promote a stress free environment for the Medicare beneficiary to make the right decision for his or her situation. Medicare Options.
What is generic marketing material for Medicare?
What is considered generic marketing material for Medicare? Generic material, by MMG definition, is any marketing material that is free of the plan or product information, brands or carrier logos. These types of pieces do not need to be approved but must comply with CMS guidelines.
What materials are used to market Medicare Advantage?
Materials used to market Medicare Advantage, and Part D plans (including but not limited to, letters, postcards, brochures, scripts, radio and television ads, billboards, banners, signs, yellow page ads, church bulletin ads, ...
Does Agent Pipeline have Medicare?
Agent Pipeline has several pre-approved Medicare marketing mailers, flyers, postcards, business-reply-cards and other materials available for our agents to use. You can also customize many carrier pieces by visiting their Agent Portal. If you need more information on customizing your materials, submitting them for approval, ...
What does Medicare mail?
1. Medicare mail you get from insurance companies. There are many insurance companies out there that sell Medicare-related insurance policies. You can read more about them on our blog, but as a quick primer, here’s what you need to know. Original Medicare only pays for about 80% of your medical bills.
When will Medicare cards be mailed?
New Medicare card (cards are being mailed April 2018-April 2019) All people with Medicare are getting new Medicare cards. These new cards have a new Medicare Number that's unique to each person with Medicare, instead of their Social Security Number.
What is the Medicare handbook?
The "Medicare & You" handbook is mailed to all Medicare households each fall. It includes a summary of Medicare benefits, rights, and protections; lists of available health and drug plans; and answers to frequently asked questions about Medicare.
What is the difference between Medicare Advantage and Original Medicare?
Insurance companies – regulated by the government – sell these supplements, and they might send you mail about them. Medicare Advantage is the alternative to Original Medicare.
What does it mean when you get a yellow notice?
If you get this yellow notice, it means you automatically qualify for Extra Help with a retroactive (in the past) effective date because of one of the following: 1) You qualify for Medicare and Medicaid, or 2) You get Supplemental Security Income (SSI).
When do you get a 1095-B from Medicare?
If you have Part A, you may get IRS Form 1095-B from Medicare in the early part of the year. If you don't get Form 1095-B, don't worry. Not everyone will get this form from Medicare, and you don't need to have it to file your taxes. LIS Choosers Notice (Mailed in November)
Is Medicare mail junk mail?
They may be labeled as coming from CMS, which we’ll cover in the next section, but either way, this is not junk mail, and you should keep it.
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 an agent hold a sales event immediately following an educational event?
Agents are now permitted to schedule and hold a sales event immediately following an educational event. The attendees must be made aware of a change from educational event to marketing event and given the opportunity to leave prior to the event beginning.
Can agents improvise their presentation?
Additionally, agents are allowed to improvise their delivery of the presentation and content they’d like to cover before accepting an application at a sales appointment. Now only “talking points” need to be submitted to CMS by the carriers, allowing agents the freedom to conduct a more interactive sales presentation.
Can an agent contact potential clients via email?
Due to a change reflected in the 2019 Medicare Communications and Marketing Guidelines (MCMG) and now updated in CFR 42, 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. Additionally, the content of any unsolicited email cannot intend to steer a recipient into choosing or retaining a plan. A compliant email would promote your services rather than any specific plans.
What is the importance of following up with Medicare clients?
Following up with clients is a critical part of being a successful Medicare sales agent. If you’re not currently doing it, now’s the time to start. By not following up with Medicare clients, you could be losing potential business. More importantly, checking in with clients can show them that you care if they’re happy with their plans.
When is the OEP for Medicare?
Because of this, it’s important to understand the do’s and don’ts of following up during the Medicare Advantage OEP, which takes place from January 1 to March 31 for individuals enrolled in an MA plan as of January 1 to make a one-time change.
What should be the first two follow ups on day 3 and day 30?
The first two follow-ups on day three and day 30 should be mostly to see if your client has any immediate needs. You can start off by thanking them for enrolling in the plan and giving them a brief overview of what to expect during the first couple weeks of their enrollment.
How to accommodate clients after enrolling in a plan?
A great way to accommodate clients and make sure you don’t forget about them after they’ve enrolled in a plan is to schedule a follow-up appointment with them at the initial appointment. That way, you’ll both have it marked in your calendars.
Can you follow up on Medicare?
Remember, every client is different, as is their Medicare plan, which means you can’t follow the same exact script for every follow-up call or email. During follow-ups, it’s important to let your client lead the conversation and make sure all their questions get answered. Do your best to communicate effectively with your clients and try not to sound robotic!
Can you switch to a different Medicare Advantage plan?
During the OEP, beneficiaries can switch to a different Medicare Advantage plan or disenroll from their Medicare Advantage plan and return to Original Medicare. They can also pick up a stand-alone Part D plan (if needed) and a Medicare Supplement plan.
