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​THE RESOURCE

Connect with us. 

What can your clients do during the Medicare Annual Enrollment Period?

10/16/2019

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Every year between October 15th and December 7th Medicare beneficiaries have the opportunity to make changes to their existing policies and change their benefits with regard to Medicare Supplement plans, Medicare Advantage plans and Prescription Drug plans. It can be an overwhelming time for seniors as they sift through all the literature that has been mailed to them, and all the plans they've been researching online.

​Your clients should have received their 'Annual Notice of Change' from their insurance company. This notice will list any changes in their policy, such as possible increase in costs or coverage. The notice should compare the benefits they currently have and what they will be in 2020. Their prescription drug plans should also be reviewed at this time of year to ensure that their medications will still be covered.

​As their insurance agent, you can assist them with making the best decision regarding their policies for the next year or even longer. We've laid out everything your clients can do during this enrollment period below.
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So what exactly can your clients do? ​

  1. They can change from original Medicare to a Medicare Advantage plan, or vice versa. (If they switch to original Medicare they'll likely need a Medicare Supplement plan, and unless they happen to be in their Initial Enrollment period, they'll have to answer health questions. Learn more about the Initial Enrollment period and Guaranteed Issue rights.)
  2. They can switch from one Medicare Advantage plan to another Medicare Advantage plan.
  3. They can switch from a Medicare Advantage plan that doesn't have drug coverage to one that does offer drug coverage, or vice versa.
  4. They can join a Medicare Prescription Drug Plan (PDP).
  5. They can switch from one Prescription Drug Plan (PDP) to another PDP.
  6. They can drop Medicare Prescription Drug coverage completely.
Source: CMS.gov
​There are so many options for your clients, and it can be a daunting process to assist them with their choices, but utilizing our tools and resources will help make the process smoother. Some of these tools include using our rate and underwriting tool which will allow you to cost compare Medicare Supplement and Medicare Advantage plans for them. If you don't have access to our Resource for Rates tool, you can request access and receive a 30 day trial. Our contracted agents always have full access to this tool. It's also available as an app in the App Store and on Google Play. Use your login credentials for the desktop version to access quotes on the go.

Reviewing our new Medicare & Part D Plan Finder guide will help you if you're not AHIP certified and selling prescription drug plans to your clients. It's a step-by-step guide to the newly launched site on Medicare.gov. The new plan finder has a much simpler, and user-friendly interface; however, it does encourage Medicare beneficiaries to create a My Medicare account and to login with their credentials so they can save their prescriptions. It is not necessary to have them create an account if they do not wish to; you'll still be able to assist them with their drug choices.

In some cases, your clients may already have the best plans, and they won't need to do a thing. However, this is your opportunity to review their policies and determine if they'd be better off with another plan. It also provides the opportunity to open up the discussion about other types of insurance they may need.
By Carolyn Portanova
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Are You Reminding Your Prospects of This?

9/25/2018

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​Reminding your prospects that using your services doesn’t cost them a dime is something that may slip your mind. When seniors are overwhelmed with phone calls and postcards before their 65th birthday, they go to the internet to research their Medicare options. And as you know, many seniors purchase their policies online directly from the carrier without any real guidance.
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There is no fee for using a reputable, knowledgeable insurance agent to guide you to the best insurance decision

​This one crucial element can help you secure more clients in that it shows them your value. Seniors are overwhelmed by the amount of information available to them on the topic of Medicare. And it’s not an easy topic to understand. There are so many nuances when it comes to understanding the intricacies of Medicare and the different parts, deductibles and options available to cover gaps.
 
Your value is that you can explain Medicare in layman’s terms and research the best options for your clients based on their health, age and state of residence. Choosing the wrong plan with a fly by night carrier is a recipe for disaster. Seniors need to understand that Medicare is not like employee-based coverage. Helping your clients and prospects understand Parts A, B, C and D is the value you bring.
 
Many seniors are apt to dive into a Medicare Advantage plan because of the cost savings. However, if their health takes a turn for the worse, or their network pulls out of their county, they’re in big trouble. Explaining the differences between Medicare Advantage plans and Medicare Supplement plans is a huge value add. For some, the cost savings is paramount on a fixed income, and a supplement plan is not a viable option. But for those who can afford it? Explaining that they can use any doctor or hospital they choose without being confined to a network is peace of mind for the premium they’ll pay.
 
The next time you approach a prospect, remind them that prices for Medicare Supplement and Medicare Advantage plans are set. There is no additional fee by using your services. It may well be the deciding factor for them. 
By Carolyn Portanova
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Questions About Open Enrollment vs. Guaranteed Issue Rights?

9/20/2017

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Medicare Open Enrollment vs Guaranteed Issue Rights
Medicare Supplements (Medigap policies) have two different types of enrollment periods that don’t require you to answer health (medical) questions.  These different periods of time are called a few different names which can be obscure.  Here is a break down to better understand the different terms and their specific rules.

Medicare Supplement (Medigap) Open Enrollment
This period is considered your “initial enrollment period”.  Thus the reason it is called your “initial enrollment period” is that many confuse the Medigap Open Enrollment period with the Medicare Open Enrollment period.  Medicare Open Enrollment permits someone to change their Medicare Drug or Medicare Advantage plan each year, whereas Medigap’s Open Enrollment normally only allows you ONE guaranteed enrollment period, regardless of preexisting conditions.This period lasts six months and begins the first day of the month in which you are 65 or older and enrolled in Medicare Part B. So if you turn 65 on April 3 but don’t join Medicare B until May 25, your Medigap Open Enrollment Period will start on June 1, which is the first day of the month in which you are both 65 and enrolled in Part B.  (Some States such as CA, have a 30 day Medigap Birthday rule that allows you to switch Medigap plans to an equal or lesser value than your current Medigap plan during your birth month-without answering health questions).

Medigap Guaranteed Issue Rights
The chart below describes the situations, under federal law, that give you a right to buy a policy, the kind of policy you can buy, and when you can or must apply for it.  States may provide additional Medigap guaranteed issue rights.
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You have a guaranteed issue right if…
You have the right to buy…
You can/must apply for a Medigap policy…
​You’re in a Medicare Advantage Plan (like an HMO or PPO), and your plan is leaving Medicare or stops giving care in your area, or
you move out of the plan’s service area.
Medigap Plan A, B, C, F, K, or L that’s sold in your state by any insurance company.
You only have this right if you
switch to Original Medicare
rather than join another
Medicare Advantage Plan.
​As early as 60 calendar days before the date your health care coverage will end, but no later than 63 calendar days after your health care coverage ends. Medigap coverage can’t start until your Medicare Advantage Plan coverage ends.
You have Original Medicare and an employer group health plan (including retiree or COBRA coverage) or union coverage that pays after Medicare pays and that plan is ending.
 
Note: In this situation, you may have additional rights under state law.
Medigap Plan A, B, C, F, K, or L that’s sold in your state by any insurance company.
If you have COBRA coverage,
you can either buy a Medigap
policy right away or wait until
the COBRA coverage ends.
No later than 63 calendar days after the latest of these three dates:
1. Date the coverage ends
2. Date on the notice you get telling you that coverage is ending (if you get one)
3. Date on a claim denial, if this is the only way you know that your coverage ended.
You have Original Medicare and a Medicare SELECT policy. You move out of the Medicare SELECT policy’s service area. Call the Medicare SELECT insurer for more information about your options.
Medigap Plan A, B, C, F, K, or L that’s sold by any insurance company in your state or the state you’re moving to.
​As early as 60 calendar days before the date your Medicare SELECT coverage will end, but no later than 63 calendar days after your Medicare SELECT coverage ends.
(Trial right) You joined a Medicare Advantage Plan (like an HMO or PPO) or Programs of All-inclusive
Care for the Elderly (PACE) when you were first eligible for Medicare Part A at 65, and within
the first year of joining, you decide you want to switch to Original
Medicare.
Any Medigap policy that’s sold
in your state by any insurance
company.
As early as 60 calendar days before the date your coverage will end, but no later than 63 calendar days after your coverage ends.
 
Note: Your rights may last
for an extra 12 months
under certain circumstances.
(Trial right) You dropped a
Medigap policy to join a Medicare Advantage Plan (or to switch to a Medicare SELECT policy) for the first time, you’ve been in the plan
less than a year, and you want to switch back.
The Medigap policy you had before you joined the Medicare Advantage Plan or Medicare SELECT policy, if the same insurance company you had before still sells it.
If your former Medigap policy isn’t available, you can buy Medigap Plan A, B, C, F, K, or L that’s sold in your state by any insurance company.
As early as 60 calendar days before the date your coverage will end, but no later than 63 calendar days after your coverage ends.
 
Note: Your rights may last
for an extra 12 months
under certain circumstances.
Your Medigap insurance company goes bankrupt and you lose your coverage, or your Medigap policy coverage otherwise ends through
no fault of your own.
Medigap Plan A, B, C, F, K, or L that’s sold in your state by any insurance company. Medigap.
No later than 63 calendar days from the date your coverage ends.
You leave a Medicare Advantage Plan or drop a Medigap policy because the company hasn’t followed the rules, or it misled you.
Medigap Plan A, B, C, F, K, or L that’s sold in your state by any insurance company.
​No later than 63 calendar days from the date your coverage ends.
Source: 2017 Choosing A Medigap Policy
By Cassandra Bennett
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Why hurry to buy a Medicare Advantage plan?

9/26/2016

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Every year from October 15th until December 7th seniors look to make changes to their Medigap coverage. Many rush into a Medicare Advantage plan as they are affordable and often times they get automatically enrolled by their healthcare provider (with written notice).

​As an advisor, it’s crucial to inform your clients about the differences between Medicare Supplement plans and Medicare Advantage plans.
| The name may have “advantage” in it, but is it truly advantageous?
Medicare Supplement plans can be very affordable. They don’t have to cost your clients thousands of dollars a year. Many seniors on fixed incomes look to Medicare Advantage plans because they see the difference in pricing. However, these “advantageous” plans change from year to year. One year your client may be covered and have their physicians and hospital of choice in network, and the following year that can all be taken away from them.

​Medicare Supplement plans can never be changed or altered. Unless your client lapses on policy payments, they will never have to worry about being covered for their healthcare costs. That one, simple fact provides peace of mind for countless seniors. If given the choice to pay slightly more for a plan that will never knock them out of network, why wouldn’t they choose that option?
| Medicare Supplement plans offer freedom of choice to select any doctor…anywhere.
We believe that Medicare Supplement plans are truly the best coverage for seniors bridging the gap that traditional Medicare doesn’t cover for certain healthcare costs. The plans are stable and the carriers we offer are all A rated.

​We welcome your questions and concerns, and can sit down with you and explain in detail the pros and cons of Medicare Supplement vs. Medicare Advantage. Allowing you to then inform your client with carefully considered options.
| Your clients may only get this one opportunity to make the best choice.
Posted by Carolyn Portanova
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Have you hit a brick wall with your insurance business?

10/5/2015

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From October 15th - December 7th, you have the ability to increase your income dramatically.

Many agents write 1/3 - 1/2 of their annual Medicare Supplement business in the 4th quarter every year. Do you? Why does this happen? Additional money for the holidays?

More likely it is because of the constant Medicare Advantage Annual Election period buzz that begins in September and continues unabated until December. Tens of millions of direct mail pieces, TV, radio and print ads all help stir up the crowds. 

Agents who write Medicare Supplement can capitalize on all of this free marketing by reaching out to their clients and prospects. This is an opportune time for agents to reassess their current clients' Medicare Supplement plans to be sure they still have the best plan for their needs, AND, to assist prospects with their needs.

Medicare Supplement Agent Benefits

Medicare Supplement Client Benefits
Medicare Supplement plans can NEVER be cancelled or changed by anyone other than the policy holder, although rates can change annually.

Medicare Supplement plans offer the freedom to select any doctor anywhere. The insurance company does not decide which doctors your clients must use.

Medicare Supplement plans limit the out-of-pocket expenses incurred by policy holders. 
  • Plan F:  $0
  • Plan G:  $147/year (Part B deductible)
  • Plan N:  $20/office visit + $147/year (Part B deductible)

Medicare Advantage plans require policy holders to enroll each year and they receive that year's benefits, providers and cost.

Your Role as an Advisor
​Our Senior Solutions Managers can offer you guidance with which plans are best for your clients' needs. They can assist you with using our quote tool to determine the best plan, depending on your clients' location, health and budget.
​Advising your clients and showing them the differences between the Medicare Advantage and Medicare Supplement product, and then recommending the best solution(s) for them, while advising and helping them navigate the complexities of the Medicare program is what they need and expect.
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Our Senior Solutions Managers

Our Proprietary Quote Tool for Senior Health Coverage
​To learn more about this FREE tool that provides current information and rates that are updated daily for quotes, NAIC carrier information, carrier-specific medical impairment guides for 90+ different medical conditions, and each carrier's state-specific Medicare Supplement applications, please click below. This tool is available 24/7 with an internet connection, and is complimentary to our contracted agents. However, we do offer a FREE trial access period.  ​
Learn More
By Carolyn Portanova and Sam Corey, Jr.
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    Carolyn Portanova is the Director of Marketing at The Brokerage Resource and has been with the firm since 2012. 

    She oversees all marketing and communications for The Brokerage Resource.

    Additionally, she works closely with the firm's independent insurance agents to teach them how to promote their own brands and in turn, grow their businesses.

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