Lately, the hot topic of concern has been around members getting dis-enrolled from their plan unknowingly and calling agents in a panic.
First let’s talk compliance. If a member has already dis-enrolled and the term date has passed – it is non-compliant to reach out to find out why. If they are no longer active – they are no longer a customer of yours. The one exception is if you have other pieces of business with them at which point you can contact them but not discuss their Medicare choices unless they bring it up. If a termed member calls you, you are good to go as normal.
What can you do? Identify them on Vantage before they term! In Vantage in your “My Humana Business” in the right-hand column there is a way to view future terms. This means they are still a client of yours until the term date and you can reach out to be sure that they understand that their plan is going to term and help make sure it was their choice. Protecting members is Humana’s top priority and this will also help reduce term rates and create loyal members.
Humana values you and your members and would love to help reduce noise for the member around this topic and protect them.
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