Are you ready for the Open Enrollment Period (OEP)?
When is OEP? January 1 through March 31 each year.
Who is Eligible?
Individuals enrolled in an MA-Only or MAPD plan CAN:
use the OEP to switch to or get a different MAPD plan, an MA-only plan, or Original Medicare (with or without a PDP).
Individuals enrolled in Original Medicare CANNOT:
use the OEP to join an MA or MAPD plan, add a PDP, or change their PDP.
In addition, the OEP is not available to those enrolled in Medicare Savings Accounts or other Medicare health plan types (such as cost plans or PACE).
Broker Do’s and Don’ts
Producers May NOT:
Send unsolicited materials advertising the ability/opportunity to make an additional enrollment change or referencing the OEP
Specifically target beneficiaries who are in the OEP because they made a choice during AEP, by purchase of mailing lists or other means of identification
Engage in or promote agent/broker activities that intend to target the OEP as an opportunity to make further sales
Call or otherwise contact former enrollees who have selected a new plan during the AEP
Use marketing pieces that highlight the OEP or the opportunity to change plans during the OEP
Make assumptions on which election period to use.
Producers May:
Educate consumers about the OEP if you are enrolling them into a plan, or they have reached out to you about their dissatisfaction with their current plan
At a beneficiary’s proactive request, send marketing materials, have one-on-one meetings, and provide information on the OEP
Market to age-ins (who have not yet made an enrollment decision)
Market to dual-eligible and low-income subsidy (LIS) beneficiaries who, in general, may make changes once per calendar quarter during the first nine months of the year
PRODUCERS MUST:
Determine if the consumer has a valid election period and which election period is best for the consumer’s circumstances.
We hope you take advantage of this additional enrollment period happening in Q1 2020. Below are links to carrier information sheets to further clarify the do’s and don’ts you need to follow to ensure you remain compliant. Happy New Year!
People will need your help more than ever and you’ll grow your book of business.
GarityAdvantage Agencies is excited to introduce a new Rhode Island carrier!
What does this mean for you? People will need your help more than ever as more carriers and plans will create more confusion and competition within the Medicare market.
Plus – we’ve got leads, co-op dollars and provider marketing opportunities to help jumpstart your AEP!
You don’t want to miss out on this opportunity to grow your book of business!
Introducing Commonwealth Care Alliance
Dedicated to providing healthcare choice for individuals with significant needs
Currently serving 40,000 SCO (DSNP) in Massachusetts
Opening up to brokers in Massachusetts and Rhode Island for 2022!
GarityAdvantage provides contracted agents with no-cost and co-op lead programs, live and virtual training, personalized marketing collateral, client retention programs, a virtual selling platform and a knowledgeable team to help you every step of the way. Be sure to request your contracting today to gain access to these valuable marketing tools – plus all the service and support.
People will need your help more than ever and you’ll grow your book of business.
GarityAdvantage Agencies is excited to introduce FIVE carriers (2 new/3 existing) now available for broker distribution in Massachusetts!
What does this mean for you? People will need your help more than ever as more carriers and plans will create more confusion and competition within the Medicare market.
Plus – we’ve got leads, co-op dollars and provider marketing opportunities to help jumpstart your AEP!
You don’t want to miss out on this opportunity to grow your book of business!
Contracting with Tufts now available to Garity brokers!
Competitive PPO and HMO options with supplemental benefits
Committed to making healthcare better through innovation and by creating easier access to resources of UMass Memorial Health
Broker focused enrollment approach including value based enrollment (HRA)
Access to more than 1,500 providers in the region
*Mass Advantage has applied to the Centers for Medicare & Medicaid Services (CMS) to offer a Medicare Advantage plan in Worcester County in 2022. Mass Advantage does not yet have an executed contract with CMS to offer this plan but anticipates having a signed contract in late August or early September.
GarityAdvantage provides contracted agents with no-cost and co-op lead programs, live and virtual training, personalized marketing collateral, client retention programs, a virtual selling platform and a knowledgeable team to help you every step of the way. Be sure to request your contracting today to gain access to these valuable marketing tools – plus all the service and support.
GarityAdvantage Agencies will be closed on Friday, July 23 for a company meeting.
Note: Carrier deadlines for enrollments still apply.
Please plan accordingly as any enrollments sent to the enrollment department after 5:00 PM Thursday, July 22, will not be processed until Monday, July 26.
Please use the links below for directions on how to submit your applications to the carriers directly after 5:00 PM Thursday, July 22.
To ensure compliance with CMS enrollment time-frames, you should always submit your enrollments the day they are received. This is especially important now because CMS requirements do not allow additional days for weekends and holidays.
For enrollments that are NOT time-sensitive, our Agent Dashboard and Enrollment Fax lines are open 24 hours to accept your enrollments. We will resume processing again on Monday, July 26.
