Medicare Producer News

SEP opportunity may be available to Medicare beneficiaries impacted by the COVID-19 major disaster

CMS provides a special enrollment period (SEP) for individuals affected by a major disaster who need to enroll in, disenroll from or switch Medicare health or prescription drug plans and have missed another enrollment period due to the major disaster. For those who qualify, the SEP begins on the first day of the incident period and runs for four full months from the beginning of the incident period. Here's what you need to know.

Your new go-to resource for the latest COVID-19 information

Aetna is working with CMS and our clinical experts to offer our members the information, coverage and services they need. Please encourage your clients to visit aetnamedicare.com/coronavirus for the latest information. The site is updated daily. There, members can learn about telemedicine, extra benefits, facts about coronavirus, and Aetna resources to give them the support they need.

Policy update: You can now request PCP changes

Effective immediately, agents may now request Primary Care Physician (PCP) changes for members they represent. To request a PCP change, you must be the assigned broker for the member, and you must be able to fully authenticate the member by providing the member’s name, member ID, date of birth and address.

PCP changes will be completed by Member Services. You can find the Member Services number on your client’s member Id card. Or, you can call the Aetna Medicare Broker Services Department at 1-866-714-9301 and they will warm transfer you to the appropriate Member Services team.

Have you tried e-kits? They're easy to use

Do you have clients who want to move forward with enrollment, without having an agent enter their home? When you use e-kits, available through the Ascend Virtual Sales Office app, your clients can enroll in an Aetna Medicare (MA/MAPD) and SilverScript PDP product online -- and you'll be maintained as the writing agent. E-kits work with any laptop, and no special setup or training is required. All you need is access to the Ascend Virtual Sales Office app. To request access to the Ascend app, just fill out an Ascend app request form on Producer World. (Please note that it can take up to 2-7 days to process new user requests for Ascend.)

FYI: The SilverScript agent of record change form will be discontinued on April 1

Going forward, the process to change the agent of record for SilverScript PDP members will follow what is outlined in the Aetna Individual Medicare Producer Guide. The process will be the same for Aetna MA/MAPD and SilverScript PDP products. For more information, please see pages 84-89 of the Producer Guide.

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 and its affiliates (Aetna).

Prior to engaging in the sale of Aetna 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.


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