Starting in 2023, many of the top medications taken by Aetna Medicare members will be on a lower drug tier, Tiers 1 and 2. In fact, nearly 300 drugs are moving to a lower drug tier. Checkout the details on the formulary enhancements for 2023.
Based on CMS communications this year and guidance, telephonic enrollments may be conducted via outbound call with prospects in cases where the beneficiary or his or her authorized representative initiated contact. Unsolicited contact, i.e. cold calling without the beneficiary initiating contact, is still prohibited. See examples and learn more about outbound telephonic enrollment.
CMS requires you to replace the 2022 Star Ratings document (currently on yellow paper inside your MA/MAPD kits) with the new 2023 Star Ratings page in any enrollment kits in your possession by October 27. You’re also required to review the 2023 Star Ratings document with beneficiaries when presenting Aetna MA/MAPD and SilverScript PDP plans.
Through Think Agent, Aetna's electronic enrollment tool, you can now create a shareable URL. Clients can use your personal URL to shop for Aetna Medicare plans, and enroll online –and you'll receive credit for the sale. Watch a 5-minute video and get details on how to get started.
Our AOR retention policy helps ensure you keep your renewal commission for your clients. Whether you re-enroll members in a new plan, or enroll new members by phone, online, by paper or directly by you, we'll support your AOR status. The only exception is if the member enrolls through a different agent or through a national non-Aetna call center. Visit Producer World for details.
Looking for answers to questions regarding the new CMS requirements? CMS created an FAQ page covering answers to questions about recording calls between beneficiaries and Third-Party Marketing Organizations (TPMOs) as well as the requirements related to the TPMO disclaimer. Learn more.
Aetna is launching an industry-first effort to strengthen the connection between a member’s ID card and the benefits it represents for the 2023 plan year. Learn more.
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AEP ends December 7: Guidance and deadlines
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