Allina Health | Aetna®

Individual Medicare producer newsletter:
May 10, 2019

  • Aetna RX Home Delivery has a new name
  • New contracting tool opens June 17 - Top 3 ways to prepare
  • How to stay compliant in 2019

Action required by members who requested to have their premiums withheld by SSA/RRB in 2019
We want to notify you about an issue affecting all Medicare members who elected to pay plan premiums from their Social Security Administration (SSA) or Railroad Retirement Board (RRB) check. 
 
Normally, when members select this premium payment option, the SSA/RRB withholds funds from members’ SSA/RRB checks to cover their plan premiums. Unfortunately, due to a system issue, SSA/RRB did not withhold premiums for two or more months starting February 1, 2019. This issue affected all carriers. Affected members now need to pay any past-due premium amounts to Allina Health | Aetna Medicare directly.  Learn more about this issue and review the letter members will receive.

Aetna Rx Home Delivery is now CVS Caremark® Mail Service Pharmacy
We’re excited to share with you that Aetna Rx Home Delivery is now CVS Caremark® Mail Service Pharmacy. We expect this change to be seamless for our members. There's nothing they need to do differently to get their prescriptions. The only difference they'll see is now there will be a new logo on their prescription bottle and their billing statements will come from CVS Caremark. 

Top 3 ways to prepare for the new contracting tool
As a reminder, we're replacing our existing contracting system for MAPD products with an improved tool starting June 17. The new contracting tool will expedite the contracting process and improve onboarding/contracting for new producers. (Currently contracted producers won’t need to take any action to recontract.) Here's three ways you can start to prepare for the new contracting tool:
 

Update your information in NIPR: Your demographic and state license information in NIPR will automatically update in to our new contracting tool. Make sure your personal information is up-to-date on the NIPR website


If you’re an upline, register for Producer World: Uplines will need to be registered on Producer World in order to access the new Medicare contracting tool to onboard new agents and agencies.  If you’re not already registered, go to
aetna.com/producer_public/registration/info.html


Make changes to nomoreforms early: There will be a short blackout period for submitting new contracts and making hierarchy changes to your current contract from June 3 - 16. Please note: During this period, you’ll still be able to submit demographic and banking updates through Producer World, and these updates will be made. 


Compliance Connection: How to stay compliant in 2019
As an Allina Health | Aetna Medicare producer, you're responsible for knowing and complying with our policies and CMS's regulations when assisting Medicare beneficiaries. Below are just some of the tools you can use to help stay compliant in 2019. You can find all of these materials on Producer World.
Remember to always refer to, and follow, the complete and current CMS Medicare Communications and Marketing Guidelines (MCMG).
Review this presentation for high-level compliance information you need to know before selling our Medicare products.
Every time you meet with a beneficiary to discuss our MA/MAPD products (including formal events and one-on-one appointments), you must:
(Using the sales presentation video is optional. If you choose to use the video, you must use it with the sales presentation deck.)
You’re required to read and follow this code of conduct. It outlines prohibited activities for agents selling our Medicare products. You'll also need to comply with Aetna’s Code of Conduct and Medicare Compliance Program Policies & Procedures.
This document summarizes specific rules and regulations you need to know and follow from the CMS MMG. Carry this portable list with you as a reference tool when selling Medicare products.

Questions? We're here to help!

If you have any questions, just contact your Medicare Broker Manager in Minneapolis listed below. Or you can contact the Aetna Medicare Broker Services Department at 1-866-714-9301 or brokersupport@aetna.com. Business hours are 8 a.m. to 8 p.m. ET, Monday - Friday.

Amy Banker
Allina Health | Aetna Medicare Broker Mgr.
(612) 251-6644
BankerA@AllinaHealthAetna.us.com
Drew Jessen
Allina Health | Aetna Medicare Broker Mgr.
(612) 423-4451
JessenD@AllinaHealthAetna.us.com

Quick links

Compare plans and estimate costs
Complete 2019 producer certification 
Sign up for 2019 MAPD market-specific training
2019 How to submit enrollments
2019 Aetna Medicare Producer Guide

Allina Health | Aetna is the brand name used for products and services provided by Allina Health and Aetna Insurance Company. Health plans are offered, underwritten or administered by Allina Health and Aetna Insurance Company (Allina Health | Aetna). Allina Health | Aetna is an affiliate of Aetna Life Insurance Company and its affiliates (Aetna). Allina Health | Aetna has sole responsibility for its products and services. Aetna provides certain management services to Allina Health | Aetna.

For more information about Allina Health | Aetna plans, refer to allinahealthaetnamedicare.com.

Prior to engaging in the sale of Aetna or Allina Health | 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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