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INDIVIDUAL MEDICARE NEWS: October 06, 2017
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-NEW Explorer feature for traveling clients
-Important enrollment reminder
-Aetna’s Resources for Living program
-Check out the 2018 e-kit option
-New policy for handling duplicate apps
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-Weekend service hours
-Become a 2018 Front Runner
-Compliance Connection: Reporting events
-Find providers, pharmacies, etc.
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Introducing the Explorer feature for your traveling clients
With the new Explorer feature, members get great care, even when they’re away. This new feature is available on select Aetna PPO plans in AZ, CO, DE, FL, KY, MA, ME, NV, OH, PA and UT. It allows members to receive covered services from a network provider or pharmacy outside the plan's service area, and other travel-related benefits. Click here to download a brochure you can share with your clients. You’ll find FAQs plus a list of plans that offer Explorer on page 6.
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NEW for 2018: MA/MAPD enrollment forms are plan-specific
This means each 2018 MA/MAPD enrollment form has a specific plan name pre-populated on it, and that it can only be used to enroll clients in that specific plan. As a result, no crossing out of plan names please.
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If you run out of enrollment forms for a certain plan, you cannot take a different enrollment form, cross out the pre-populated plan name and write in the new plan name. This is not an acceptable practice.
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Make sure you plan ahead for your formal, informal and one-on-one marketing/sales events and bring the appropriate number of enrollment kits with their associated enrollment forms.
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Why Aetna: Resources For LivingSM is an exciting and complimentary program for members and caregivers
Resources For Living is a unique, exciting program exclusively for your Aetna MA/MAPD clients and their caregivers. It’s a complimentary research and referral service that connects Aetna members and caregivers with local resources, services and activities that can help meet their needs. It’s available on all MA/MAPD plans starting January 1, 2018. Learn more.
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New policy for handling duplicate applications
Effective October 1, 2017, we consider the Agent of Record (AOR) to be the writing agent on the first application we receive for a beneficiary for a specific plan during a valid Medicare election period.
If we receive additional applications for the same person and plan during the same election period, we consider them duplicates. Going forward, we will no longer process duplicate applications, nor will we update the AOR on file based on duplicate applications. Read more.
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Check out the new 2018 e-kit option
There’s a new improved 2018 e-kit option for enrolling your clients in 2018 MA/MAPD and PDP plans starting October 15. It’s available through the Ascend Virtual Sales Office app. Watch an e-kit training video.
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How to find network providers and pharmacies
| Find providers |
AetnaMedicare.com/FindProvider
Coventry-Medicare.com/FindProvider |
| Find pharmacies |
AetnaMedicare.com/PharmacyHelp
Coventry-Medicare.com/PharmacyHelp |
| Check formularies |
AetnaMedicare.com/formulary
Coventry-Medicare.com/formulary |
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Sell 18 to become a 2018 the Front Runner
This AEP, you can achieve 2018 Front Runner status by selling 18 or more Aetna and Coventry Health Care Individual Medicare applications (MA/MAPD, PDP) for a January 1, 2018 effective date. Any combination of Aetna and Coventry MA/MAPD and PDP enrollments will count towards the total. This includes new sales and plan changes, but excludes auto-effectuated plan changes. Note: Telebrokers are ineligible. 2018 Front Runner agents earn free 2019 Aetna Individual Medicare certification in 2018. Learn more.
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2018 sales presentations and other materials you need
You can find everything you need for AEP on Producer World on the Individual Medicare page. This includes English and Spanish language versions of:
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Compliance Connection: Reporting educational and marketing/sales events
Please note you’re still required to report all new educational events and formal and informal marketing/sales events, as well as any cancellations and updates to Aetna following our existing reporting guidelines. Our policies for reporting educational and marketing events have not changed, and were not affected by recent updates to the Medicare Marketing Guidelines. Reporting your educational and marketing/sales events to us is an Aetna requirement that allows us to track and monitor agent events, as required by CMS. Thanks for your adherence to this policy. You can find additional resources on Producer World on the Compliance tab.
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We’re here to help -- Over the weekend too
Just contact the Aetna Medicare Broker Services Department at 1-866-714-9301 or brokersupport@aetna.com. Normal hours of operation are 8 a.m. to 8 p.m. ET. This weekend, we’re open on Saturday October 7, too. Representatives will be available to assist you between 8 a.m. and 3 p.m. ET.
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Legal Statement | Privacy Information |Contact Us
Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company and its affiliates (Aetna).
Prior to engaging in the sale of Aetna or Coventry Medicare products, producers must be ready to sell, which means certified, contracted, licensed in the applicable states, and appointed by Aetna in accordance with state law. As permitted in certain states, Aetna will order appointments after the first sale.
This communication is intended for use by brokers only and is not intended for distribution to Medicare beneficiaries. Any publication or distribution of this communication to unauthorized recipients without Aetna’s approval is prohibited.
We are located at Aetna, 2222 Ewing Road, Moon Township, PA 1510
©2017 Aetna Inc.
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