The Part D Senior Savings Model (SSM), which reduces member spending on insulin, will be offered on the Value Script and Value Plus products. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.. What type of events need reported: You cannot discuss plan options for the next plan year until Oct. 1. Filing A Dispute. Which stage of coverage is referred to as the "donut hole" as the member is paying the most for drug coverage: Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing: Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? The agent of record will not remain with the member after the consolidation. A Detailed Explanation of Non-Coverage (DENC) is given only if a beneficiary requests an expedited determination. Reporting template and e-mail address: Prior to advertising or 10 calendar days prior to the event, whichever is earlier. ( ), Give away promotional items that include plan name, logo, toll-free number, and/or carrier website, Use contact information provided by attendees for raffles or drawings for any other purpose, Provide refreshments or light snacks (e.g., coffee, soda, fruit, crackers), Hand out objective educational materials on Medicare Advantage, Part D, and other Medicare programs, Offer or subsidize meals or a combination of foods and beverages that could make it seem like youre offering meals, Distribute Star Ratings information, Summary of Benefits, Pre-Enrollment Checklist, and the Multi-Language Insert with any enrollment form, Require attendees to fill out a Scope of Appointment form or enrollment forms, Collect lead cards and business reply cards, Use the necessary TPMO disclaimer on printed marketing materials, Freely give out your business card to any attendee, Arrange follow-up appointments & collect Scope of Appointment forms for future appointments, Call attendees who attended a sales event if they gave express permission at the event for a follow-up call (you must have documented permission to contact), Within 48 hours of its originally scheduled date and time for any reason (including zero attendance), At least 48 hours in advance of its originally scheduled date and time. Below is a good reminder about what activities are considered marketing and must wait until October 1 or later. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government. A grievance is an expression of dissatisfaction(other than an organization determination) with any aspect of the operations, activities, or behavior of a Medicare health plan, or its providers, regardless of whether remedial action is requested. Check the carrier's website/portal for the most current procedures. FALSE Ascend is a fast, easy, and compliant way for agents to submit agent-assisted electronic enrollments. For virtual events, use Aetna Medicare seminar reporting template, and in the address column provide the URL, call-in number and meeting codes for the event.
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