Bishop Marketing Agency Blog

Calculating the Medicare Part D Late Enrollment Penalty

Posted by Lance Hoeltke on Sat, Nov 22, 2014 @ 02:00 PM

One of the more common questions agents get asked from their Medicare clients is "what is the Medicare Part D late enrollment penalty?"  It is fairly easy to explain that if a Medicare member spends more than 63 consecutive days without having Part D or creditable drug coverage, they will be required to pay a late enrollment penalty should they choose to enroll in a Part D plan in the future.  The typical follow-up question is "will I have a late enrollment penalty?"  This is also usually pretty easy to answer, assuming the agent asks the proper questions of the client and the client responds with accurate answers about prior coverage.

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Tags: ICEP, MAPD enrollment, MAPD and PDP membership, MAPD, IEP election period, PDP enrollments, Prescription Drug Plans, Medicare Annual Enrollment Period, Humana MAPD plan, Medicare Beneficiaries, CMS, AEP, Medicare election periods, Medicare AEP, IEP, ICEP election period, CMS guidelines, Medicare Part D late enrollment penalty

A Couple Bad Apples Cause Excessive Re-certification Work for All

Posted by Lance Hoeltke on Mon, Aug 12, 2013 @ 06:36 PM
Statistically, the number of Humana's MAPD/PDP enrollments that result in an allegation against an agent is just a small fraction of a single percent.  The number of allegations that are founded as a result of investigation are just a fraction of allegations themselves, which is outstanding.  Here are my root cause reasons for these strong compliance outcomes:
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Tags: Humana Medicare Plans, Humana Medicare Agents, Humana, selling Medicare Advantage Plans, MAPD enrollment, Medicare legislation, CMS marketing guidelines, Marketing Humana Medicare Plans, certifications, CMS, AEP, CMS guidelines

Consumers will be reminded by CMS if they are on low performing plans

Posted by Lance Hoeltke on Thu, Aug 08, 2013 @ 05:27 PM
If you're working through AHIP and carrier specific training currently, you may have noticed the content on Low Performing Plans.  CMS plans to "nudge" consumers once again, with a reminder that the plan they're in, if applicable, has consistently underachieved (less than 3 stars for 3 consecutive years).  The beneficiary is directed to a variety of options for reconsideration at the bottom of the letter.  Last year there were 525,000 members across 26 plans that were impacted.  Letters go out once in October for those on these plans currently, and again in February of 2014 for those who selected a low performing plan this AEP with a 1/1/14 effective date.  
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Tags: Humana Medicare Plans, Humana, selling Medicare Advantage Plans, Humana Insurance, MAPD enrollment, Marketing Humana Medicare Plans, Humana MAPD plan, selling Medicare products, CMS, AEP, Special Election Periods for MAPD, CMS guidelines

Why you might want to knock out Medicare training this Spring

Posted by Lance Hoeltke on Mon, May 06, 2013 @ 01:56 PM

Well, I left Orb and Goldensoul off my Superfecta this Derby weekend, so I guess I won't be retiring anytime soon!  Got a chance to speak with a Humana sales leader in Colorado last Friday.  We discussed the timing and best strategies for getting an MAPD certification for marketing Humana products, if you do not have one already.  As an agent not yet certified for MAPD you should be asking yourself a couple questions:  "Is there an opportunity to enroll any beneficiaries into an MAPD plan between now and July?"  "Do I plan to represent any of the under 65 major medical products offered through exchanges in the fall?"  If you answered yes to either of these questions, now is a good time to get registered for Humana's MAPD certification training.  Here is my logic:

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Tags: Humana Medicare Plans, Humana Medicare Agents, Humana, selling Medicare Advantage Plans, Health Reform Bill, Patient Protection and Affordable Care Act, Medicare Health Plans, Marketing Humana Medicare Plans, Medicare options, certifications, Humana MAPD plan, marketing Medicare Advantage, selling Medicare products, AEP

Seniors are still choosing Medicare Advantage Plans

Posted by Lance Hoeltke on Mon, Oct 22, 2012 @ 12:32 PM

 

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Tags: Medicare choices, MAPD enrollment, MAPD and PDP membership, Health Reform Bill, MAPD, Medicare Health Plans, Medicare Advantage, Medicare Annual Enrollment Period, Medicare options, seniors choose Medicare Advantage, Medicare Advantage growth, marketing Medicare Advantage, Medicare Beneficiaries, AEP, Medicare AEP

The Six Most Common Errors that could cause an Enrollment to Pend

Posted by Lance Hoeltke on Thu, Oct 18, 2012 @ 05:09 PM

You spend a lot of time and effort during the AEP marketing and enrolling Medicare beneficiaries.  Make sure that you also spend the proper time and effort submitting error-free applications.  We have identified the six most common errors that cause enrollment applications to pend.  They are as follows:

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Tags: Humana Medicare Plans, Humana Medicare Agents, Bishop Marketing Agency, selling Medicare Advantage Plans, MAPD enrollment, Marketing Humana Medicare Plans, Medicare Advantage, Medicare Annual Enrollment Period, Humana MAPD plan, AEP, Medicare AEP, CMS guidelines

Protect your Medicare Book of Business this AEP

Posted by Lance Hoeltke on Wed, Oct 10, 2012 @ 08:26 AM

 

During the Annual Enrollment Period, it's easy to get caught up in growing your book of business and increasing that residual income stream. Make sure that your pursuit of new business does not cost you what you've already found.

 

If it's been too long since you've reached out to that client you wrote on a Medicare Advantage Plan three years ago, you may want to consider giving them a call. Ask them if they have taken a look at the 2013 benefits for their current plan. Ask them if they'd like you to review it with them. Is there a new plan in their coverage area that will better fit their needs? Are they even interested in looking?

Whatever the answer, remember that by reaching out you are accomplishing some important things:

1) You are letting your client know that you're still in the business of helping and guiding them.

2) You are protecting your book of business.

3) You are protecting your residual income stream.

 

This process may seem obvious to the veteran agent. But even the most seasoned insurance salesperson can get a little comfortable and start to take their loyal book of business for granted. When you're thinking about how to fill your time leading up to (and during) AEP, remember that those clients you helped three and four years ago still have eyes and ears. They still have mailing addresses that are being bombarded with offers from other plans and agencies. They still have TV sets advertising the latest and greatest in Medicare coverage options. A simple phone call or 15 minute appointment could ensure that your client remains your client.

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Tags: MAPD enrollment, MAPD and PDP membership, CMS marketing guidelines, Medicare Annual Enrollment Period, Medicare Beneficiaries, AEP, Medicare AEP, Medicare lead generation, get more Medicare leads

Ready for a huge AEP? Don't wait until October 15th!

Posted by Lance Hoeltke on Sun, Sep 30, 2012 @ 08:35 PM

 

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Tags: Humana Medicare Agents, Bishop Marketing Agency, selling Medicare Advantage Plans, MAPD enrollment, Marketing Humana Medicare Plans, Medicare Annual Enrollment Period, Humana MAPD plan, selling Medicare products, AEP, Medicare election periods, Medicare AEP

How well do you know your election periods? Understanding IEP2

Posted by Lance Hoeltke on Thu, Jul 05, 2012 @ 10:06 AM

Okay, so we’re all familiar with the basics... AEP runs October 15 to December 7 (six months from tax day to “A day which will live in infamy”), MADP runs January 1 to February 14 (New Years to Valentines Day, piece of cake), and the rest of the year, or ROY as they call it at Humana, runs February 15 through December 31. 

Then there’s those “other scenarios,” hundreds of them it seems. I need an overhead projector and a flow chart to make sense of them all. Well, rather than chew up our entire morning reviewing the scenarios, let’s take a look at one each day until we nail down five of the most common.

The IEP2:

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Tags: Medicare supplement plans, Humana Insurance, IEP2, ROY, Medicare Enrollment Advisors, Humana’s Medicare health plans, Humana MAPD plan, AEP, MADP

The “Get Paid Faster” Series: Practical Solutions for MAPD Distribution

Posted by Lance Hoeltke on Thu, Jun 28, 2012 @ 10:23 AM

Make certain you are appropriately licensed, appointed, and certified in Humana's systems before AEP—whether you're an agent or agency, confirming both resident and non resident licensure in the states you plan to service, as well as the appropriate appointments and certifications for the products you plan to represent, is a great way to keep submitted enrollments from pending.

Special Note** This is especially important for those markets expanding their product lines to include HMO and/or PPO in 2013. For example, pends can occur with agencies not properly appointed for HMO, even if their agents are!

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Tags: Humana Medicare Plans, HMO, PPO, Medicare Enrollment Advisors, Humana’s Medicare health plans, AEP