What are 3 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.
What actions are prohibited during marketing sales events for Medicare?
Cannot send unsolicited text messages and leave voicemail messages. May call or visit beneficiaries who attended a marketing/sales event prior permission is given and documented. Cannot approach beneficiaries in common areas (i.e. parking lots, hallways, lobbies, sidewalks).
What must all Medicare Advantage sponsors have in place in order to meet CMS compliance 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.
Which of the following is an allowable form of contact for prospecting for Medicare Advantage clients?
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.
When conducting an event agents should select a site that is compliant?
It needs to be reported to UnitedHealthcare prior to advertising and not less than 7 calendar days prior to the date of the event. When conducting an event, agents should select a site that is compliant with the Americans with Disabilities Act (ADA).
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 do I ensure Medicare compliance?
Seven steps to complianceDevelop standards of conduct. ... Establish a method of oversight. ... Conduct staff training. ... Create lines of communication. ... Perform auditing and monitoring functions. ... Enforce standards and apply discipline. ... Respond appropriately to detected offenses.
What does CMS require to implement an effective compliance program?
Implementing and maintaining an effective compliance program requires a substantial commitment of time, energy and resources. CMS recognizes, however, that each Contractor must tailor its compliance program to its own business model, including the size of the entity.
Are Medicare Parts C and D sponsors required to have a compliance program?
Medicare Parts C and D plan Sponsors are not required to have a compliance program. Standards of Conduct are the same for every Medicare Parts C and D Sponsor.
What are CMS guidelines for referrals?
In a CMS compliant situation, you would 1) ask for referrals without mentioning any benefit to the enrollee and then 2) present a thank-you gift for the referrals he or she has provided. Second, the gifts you provide must be of a nominal value.
Can you solicit Medicare Advantage prospects through email?
The only caveat: If you are initiating contact via email, you're required to include an opt-out opportunity. Direct unsolicited contact, such as text and direct messaging over social media, falls into the same category as unsolicited phone calls and door-to-door solicitation. This means it is not permitted.
What is Medicare permission to contact guidelines?
What Does it Cover? Specifically, the Medicare Permission to Contact (PTC) rule outlines when it is okay to contact a current or potential Medicare beneficiary, the specific products they are giving you permission to contact them for, how you can approach them, and when you can contact them.