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Medicare Producer News

Individual MA/MAPD, PDP: November 16, 2018

Medicare Open Enrollment Period returns in January: Join a "Rules of the Road" webinar

On November 29, we're hosting a free webinar to review the CMS guidelines for the Medicare Advantage (MA) Open Enrollment Period (OEP). During the call, we'll cover all the ins-and-outs of OEP so you're ready to assist your clients starting January 1.

What is OEP for Medicare?

From January 1 – March 31, members can make a one-time election to switch to another MA plan (with or without Part D coverage) or
to return to Original Medicare (with or without Part D coverage). Download an OEP overview flyer for more information.

During MA OEP, plan sponsors and producers aren’t allowed to solicit MA/MAPD enrollments. For details on what you can and can’t do, please review section 40.7 of CMS’ 2019 Medicare Communications and Marketing Guidelines. Attend our webinar on November 29, for in-depth look at CMS' guidelines.

Check out the 2019 Journey Handbooks

When your clients enroll in one of our 2019 MA/MAPD or PDP plans, they’ll get Journey Handbook as part of their welcome kit. The handbook helps new members make the most of their plan in 2019.

Below are links to the 2019 handbooks. Download a copy to review so you are prepared to answer your clients' questions.

Aetna MAPD handbook	Aetna Coventry MAPD handbook
Aetna PDP handbook	Innovation Health MAPD handbook

Topics in the handbooks include:

• Getting started
• Member tools
• How to find a PCP
• Behavioral health
• Urgent care vs ER
• Aetna Rx Home Delivery
• Aetna Specialty Pharmacy

• Why tiers matter
• How to read a formulary
• Understanding drug payment stages
• Case management services
• Medication therapy management
• Key terms and more

Is a fitness membership important to your clients? SilverSneakers has on-the-go options

If your clients enroll in one of our 2019 MA/MAPD plans, they can get a free fitness membership at one of the 15,000+ participating SilverSneakers® locations nationwide.

PLUS, with the new and free SilverSneakers GO™ app, it’s easy for members to exercise on the go. The app lets you:

Find nearby locations and check amenities
Schedule a workout
Select an adjustable workout program
Set reminders and log workouts

Get a discount on E&O coverage

Did you know Aetna and Aetna Coventry Medicare agents are eligible to receive a discounted rate on errors and omission (E&O) coverage? Yep. There’s a special program, administered by Gallagher MGA Insurance Services, that offers E&O coverage packages for agents and agencies. Learn more or apply online.

Need assistance? Here’s who to call (for brokers only)

Filling out enrollment applications

Aetna Medicare Broker Services Department
1-866-714-9301
8 a.m. to 8 p.m. ET, M - F
(Open Saturday, November 17,
9 a.m. to 2 p.m. ET. Closed Saturday, November 25.)

Enrollment options (fax, mail, electronic/Ascend)

Application status

Ready-to-sell status

Getting access to the Ascend app

2019 plan benefits

Select prompt 2 to be directed to 2019 plan benefits

Looking up in-network providers

Before calling the hotline, check our online tools:

• aetnamedicare.com/findprovider
• coventry-medicare.com/findprovider

Provider Lookup Hotline
1-855-242-9735
7 a.m. to 9 p.m. CT
Monday - Friday
(Available during AEP only,
for ready-to-sell brokers)

In case you missed it...

Quick links

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 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.

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