Bishop Marketing Agency Blog

New Medicare ID Cards

Posted by Lance Hoeltke on Thu, Jan 18, 2018 @ 10:32 AM

CMS has announced a change in Medicare ID cards that will begin to take effect in April 2018. The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 requires CMS to remove Social Security Numbers from all Medicare cards by April 2019. A new Medicare Beneficiary Identifier (MBI) will replace the SSN-based Health Insurance Claim Number (HICN) on the new Medicare cards for Medicare transactions, such as, billing eligibility status and claim status. The MBI will be confidential and should be protected as Personally Identifiable Information. The biggest reason CMS is implementing this change is to fight medical identity theft for people with Medicare.  It will better protect private health care and financial information as well as federal health care benefit and service payments. 

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Tags: medicare, insurance, Medicare Advantage, Medicare Beneficiaries, CMS

Your client is in the Medicare Part D Coverage Gap...Now What?

Posted by Lance Hoeltke on Mon, Nov 24, 2014 @ 04:25 PM

Helping your clients with Medicare Part D coverage understand the mechanics of the Medicare Part D coverage gap can be a daunting task.  We are going to cover a couple of the more difficult questions raised regarding the coverage gap in this segment.

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Tags: Humana Medicare Plans, Humana Medicare Agents, MAPD enrollment, MAPD and PDP membership, Health Reform Bill, MAPD, PDP enrollments, Patient Protection and Affordable Care Act, Prescription Drug Plans, Affordable Care Act, Coverage Gap, Part D Coverage Gap, Humana MAPD plan, Medicare Beneficiaries, CMS, CMS guidelines, health plan

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

How might the Affordable Care Act affect Medicare Advantage?

Posted by Lance Hoeltke on Tue, Feb 19, 2013 @ 11:30 AM
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Tags: Humana Medicare Plans, Bishop Marketing Agency, selling Medicare Advantage Plans, Medicare choices, MAPD enrollment, MAPD and PDP membership, Health Reform Bill, Medicare legislation, PDP, Affordable Care Act, Medicare Health Plans, Medicare Advantage, PDP enrollment, Medicare options, seniors choose Medicare Advantage, Medicare Advantage growth, Medicare Modernization Act, CMS, Lance Hoeltke

My Wake Up Call

Posted by Lance Hoeltke on Mon, Feb 18, 2013 @ 08:59 PM

We can’t forget the importance of service, ethics, and compassion for clients in our roles as insurance professionals. I was reminded of this when I fielded a call last week from a plan member, who had some legitimate concerns. I rarely speak with the members themselves, so this caught me off guard at first. The lady on the line was noticeably upset, a bit frightened even, and looking for someone that would help her. She had just received notification that her Medigap plan was going to experience a significant rate hike for both she and her husband, and while she never came out and said it, I could sense that affordability of this new premium was a major challenge. She shared that it was very difficult to reach her agent, and after several attempts, was told that there was nothing that could be done, and that the reason for the increase was “Obamacare”. Her husband, also an older gentlemen, struggles with hearing on the phone, so she was stepping up to the challenge of finding solutions on behalf of them both. This woman was very sharp, and perceptive, but obviously needed someone with the expertise to advise her of any and all options available to reduce their cost of coverage. Having recently celebrated a birthday, her research revealed that there may be some favorable rules within this time period that might allow their to select another plan in their state of residency. Her existing agent had already written this option off.

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Tags: Humana Medicare Agents, Bishop Marketing Agency, selling Medicare Advantage Plans, Medicare choices, MAPD enrollment, MAPD and PDP membership, Health Reform Bill, Medicare legislation, medicare supplemental, Medicare Health Plans, Humana’s Medicare health plans, PDP enrollment, Medicare options, Humana MAPD plan, marketing Medicare Advantage, Medicare Beneficiaries, Get to know Bishop Marketing Agency, selling Medicare products, CMS, Lance Hoeltke, testimonial, Medicare leads

Healthcare Costs Down. Medicare Advantage Enrollments Up. Correlation?

Posted by Lance Hoeltke on Fri, Feb 15, 2013 @ 08:32 AM

Earlier this week I read that our country’s spending on health care has been at historic lows for a third straight year. The conclusion was formed by comparing health spending growth rates to the overall growth of the economy, reasoning that it’s easier to keep up with the costs if the two are aligned, than if health spending surges ahead.

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Tags: Agent Testimonial, Bishop Marketing Agency, selling Medicare Advantage Plans, Medicare choices, MAPD enrollment, MAPD and PDP membership, medicare, Health Reform Bill, Medicare legislation, MAPD, Medicare Health Plans, Medicare Advantage, Humana’s Medicare health plans, Medicare options, seniors choose Medicare Advantage, Medicare Advantage growth, Medicare Modernization Act, Medicare Beneficiaries, Get to know Bishop Marketing Agency, selling Medicare products, CMS

Build relationships with physicians to increase Medicare sales.

Posted by Lance Hoeltke on Tue, Oct 02, 2012 @ 10:56 PM
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Tags: CMS marketing guidelines, marketing Medicare Advantage, CMS, CMS guidelines, Medicare lead generation, Medicare leads, physician marketing, get more Medicare leads