Medicare beneficiaries may request to enroll in a plan over the phone when they make a call to you or during an outbound call from you. Depending on who initiated the call, your telephone enrollment activities are limited (MMG, Sections 80.2 and 80.3). There are different requirements for telephone contact, sales scripts, and sales activities.
When does permission to contact for Medicare Advantage and/or prescription drug plans expire?
When does Permission to Contact for Medicare Advantage and/or Prescription Drug Plans expire? Once contact is made or 9 months from the date the consumer provided permission (e.g. consumer signature date on BRC) or 90 days if on federal do not call list, whichever comes first.
How long does a consumer have to contact a BRC?
Once contact is made or 9 months from the date the consumer provided permission (e.g. consumer signature date on BRC) or 90 days if on federal do not call list, whichever comes first. Agent Brenda is presenting Medicare Advantage plan options to her consumer, Melanie.
How do I contact Medicare for help with my coverage?
You can call Medicare anytime for help with your coverage. The number to call is 1-800-MEDICARE (1-800-633-4227). The TTY (TeleType) number is 1-877-486-2048. This phone number is meant to be a...
What are the hours of the Medicare customer service hotline?
The customer service hotline is open 24 hours a day, 7 days a week, for your convenience. Other plans, like Medicare Advantage, Medicare Part D, and Medigap have their own phone numbers that you can call if you have additional questions.
When can telephonic contact with a Medicare eligible consumer be made quizlet?
Once contact is made or 9 months from the date the consumer provided permission (e.g. consumer signature date on BRC) or 90 days if on federal do not call list, whichever comes first. Agent Brenda is presenting Medicare Advantage plan options to her consumer, Melanie.
Which of the following is not considered unsolicited contact with a Medicare eligible consumer according to CMS?
Which of the following is not considered unsolicited contact with a Medicare eligible consumer according to CMS regulations and UnitedHealthcare's rules, policies, and procedures? Mailing a marketing brochure to the consumer via postal mail.
Which of the following describes permission to contact guidelines quizlet?
Which of the following describes Permission to Contact guidelines? It allows the agent to discuss the products identified during the marketing appointment. It does not have to be provided by the consumer, but can be provided by the consumer's spouse or adult child.
When marketing UnitedHealthcare Medicare Advantage plans to consumers which of the following must an agent do?
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 contact permission 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.
Which of the following must a consumer have to be eligible to enroll in UnitedHealthcare SCO?
UnitedHealthcare Senior Care Options (UnitedHealthcare SCO) is available to people who are 65 and older. You must be entitled to Medicare Part A and enrolled in Medicare Part B and MassHealth Standard to enroll in our Medicare Advantage Special Needs Plan. You also need to live in the service area.
How far in advance must Agents submit their events to Clover health?
21 business days inAll events must be submitted to Clover at least 21 business days in advance. All event requests must be submitted using the Agent Event Form. You will received a response stating the determination of the request within 2-3 business days. Please note: You cannot conduct the event without an approval notice.
Which election period runs from October 15 to December 7 and allows consumers to elect to join a Medicare Advantage plan or switch to a different plan?
annual open enrollment periodDuring the annual open enrollment period (October 15 – December 7), you can make a variety of changes, none of which involve medical underwriting: Switch from Medicare Advantage to Original Medicare or vice versa. Switch from one Medicare Advantage plan to another.
What types of events must an agent report to UnitedHealthcare?
What type of events must an agent report to UnitedHealthcare? Only the marketing/sales events, both formal and informal. While using LEAN to complete an enrollment application with a consumer, Agent Jeff learns the consumer does not have an email address.
What is the difference between D SNP and MMP?
An MMP is an alignment initiative in which Medicare and Medicaid benefits are offered as a single plan in a three-way contract between CMS, the state Medicaid agency (SMA), and the health plan; a D-SNP model is when a health plan holds a contract with Medicare and then a separate contract with the SMA to provide ...
Can you have Medicare and Medicaid at the same time?
Yes. A person can be eligible for both Medicaid and Medicare and receive benefits from both programs at the same time.
Which of the following elements does not need to be entered on the new event request form when reporting a new event UHC?
Which of the following elements does not need to be entered on the NEW Event Request Form when reporting a new event? The event venue manager/contact person. Which of the following statements regarding UnitedHealthcare's event cancellation reporting rules is true?
What is the Medicare phone number?
Medicare provides beneficiaries with an easy-to-remember 800 number: 1-800-MEDICARE. (That’s 1-800-633-4227.)
When can I call Medicare for help?
The toll-free phone line is staffed 24 hours a day, seven days a week. Before you dial though, remember that almost all Medicare-related questions...
When should I call 1-800-MEDICARE?
Beneficiaries can call the toll-free Medicare number to: ask whether certain services are covered, get detailed information about Medicare health a...
How else can I contact Medicare?
You can mail your questions or hard copies of documents to: Medicare Contact Center Operations PO Box 1270 Lawrence, KS 66044 Or fax Medicare at 1-...
What information can I find at Medicare.gov?
Medicare.gov contains a treasure trove of contact information and details about Medicare coverage. For contact information, visit the contact page...
Where else can I get Medicare advice?
State Health Insurance Assistance Programs (SHIPs) are free volunteer-based Medicare counseling services available in each state. These programs pr...
When should I call Social Security instead of 1-800-MEDICARE?
Although Social Security and Medicare are linked in many ways, the Social Security Administrations manages enrollment and eligibility for Medicare...
When should I not call 1-800-MEDICARE?
Do not call 1-800-MEDICARE if you have specific questions about your Medicare Advantage (Part C) or Part D plan. Because these policies are adminis...
Can you enroll in a plan through a phone call?
You can only complete a telephone enrollment during an inbound call from a beneficiary. A beneficiary may initially call for plan information and then request to enroll, at which time you must confirm if the individual wants to proceed with enrollment.
Can you transfer a Medicare beneficiary to an inbound phone line?
Additionally, you can’t transfer the beneficiary to an inbound telephone line to complete the enrollment. In this situation, you can let the beneficiary know that Medicare only allows telephone enrollments via inbound calls. You can ask the beneficiary to call you. Another option is to set up a face-to-face meeting to provide application assistance.
Can Medicare enroll over the phone?
Medicare beneficiaries may request to enroll in a plan over the phone when they make a call to you or during an outbound call from you. Depending on who initiated the call, your telephone enrollment activities are limited (MMG, Sections 80.2 and 80.3 ). There are different requirements for telephone contact, sales scripts, and sales activities.
What is the number to call Medicare?
You can call Medicare anytime for help with your coverage. The number to call is 1-800- MEDICARE (1-800-633-4227). The TTY (TeleType) number is 1-877-486-2048. This phone number is meant to be a general resource for questions you have about your Medicare coverage. You can check the status of your claims, inquire about your premium ...
How to prepare for a Medicare call?
How to prepare for a call to Medicare. When you call the Medicare hotline, you will first be directed to an automated system. The automated system will give you some options and will collect information about your request.
How to report lost Medicare card?
The SHIP national hotline is 1- (800)-701-0501. To report a lost Medicare card or if you are trying to change your address with Medicare, you may need to call the Social Security Administration office. Their national hotline is 1 (800) 772-1213.
How to contact Medicare about disability?
Preparing for your call. Bottom line. Medicare has a helpline with staff available 24/7 to answer your questions : 1-800-MEDICARE (1-800-633-4227) or TTY (TeleType): 1-877-486-2048. The State Health Insurance Assistance Program (SHIP) offers help navigating Medicare in each state. They have a national helpline that can ...
How to answer Medicare questions?
Write down your questions before you call. Take down the name of the person you are talking to and the time of your call, and write down answers to your questions so that you don’t have to call back again.
What is the VA number?
Their nationwide phone number is 1- (800) 827-1000.
Does Medicare Advantage offer online chat?
Many of the largest Medicare Advantage providers now offer online chat options where you can communicate with a person who will answer your questions in real time, over the internet.
How long does it take for a consumer to contact Bethany?
Once contact is made or 9 months from the date the consumer provided permission (e.g., consumer signature date on BRC) or 90 days if on federal do not call list, whichever comes first. Consumer Gary gives his friend's telephone number and email address to agent Bethany.
What is an AEP in Medicare?
Only the marketing/sales events, both formal and informal. Annual Election Period (AEP) is a time when: Consumers can elect to join a Medicare Advantage Plan or switch to a different plan. Dino, an agent, received a phone call on September 29 from a consumer interested in Medicare Advantage plans for the new plan year.
What is the purpose of a provider group?
Use providers or provider groups to distribute printed information comparing benefits of different health plans without approval. As an agent, you have an obligation to only enroll a consumer in a product: That is suitable for the consumer's needs, goals and financial resources.
What is telehealth in CPT?
A1: Telehealth services are live, interactive audio and visual transmissions of a physician-patient encounter from one site to another using telecommunications technology. They may include transmissions of real-time telecommunications or those transmitted by store-and-forward technology. Telephone calls, which are considered audio transmissions, per the CPT definition, are non-face-to-face evaluation and management (E/M) services provided to a patient using the telephone by a Physician or Other Qualified Health Care Professional, who may report evaluation and management services.
Do you need to use POS 02 for telehealth?
A3: Yes. Prior to Public Health Emergency temporary change, telehealth services were required to be billed with POS 02 to identify them as telehealth services. We are suspending this requirement. In order to identify telehealth or telephone services that were historically performed in the office or other in person setting (E.g. POS 11, 19 and 22) a modifier GT or 95 (or GQ for Medicaid) must be used. Place of Service 02 will reimburse at traditional telehealth rates.
Is ConnectiCare a CMS?
A2: ConnectiCare is temporarily waiving the Centers for Medicare & Medicaid Services (CMS) and state-based originating site restrictions, where applicable and permitted, for Medicare Advantage and comprehensive medical commercial members for in-network providers. Health care providers will be able to bill for telehealth services performed while a patient is at home. This change will apply immediately and be effective until May 31, 2020. It may be effective longer under subsequent written guidance, if it’s determined necessary.