'j0"0",NG)1p8i{^h38R ur@msO;F$A$gOyOOr[{YxqyIJ. HXUJjz9"UQM`v$,VT,]Xh"N`%J5.rEJj`= #Ba.2EJjUHql.D`.^b1:eV=}oK/{7*v>GcxlLtttoN|,ty0wt6M[d1a.HqE2_4Emc"dRx9xz0}/h@c/4d"OM x>4iKnfqp)utAzcl(sZvtx^ 9002 Federal Register /Vol. 85, No. 32/Tuesday, February 18, How to become a Medicare agent If youre interested in how to, Online Enrollment- Enroll prospects online without the need for a face to face appointment. Vice President of Communications in Alexandria, VA for Military SUBJECT: Medicare Communications and Marketing Guidelines . In addition, an email should not be intended to steer someone into a specific plan. The new marketing material module has enhanced functionality and will provide tools to Plans to facilitate tracking its marketing materials. WHY WORK WITH US? Heres how you know. WebThe Medicare Advantage (MA) and Part D Marketing and Communications (MCMG) provides the marketing and communications requirements for Medicare Advantage (MA) plans, Lets say that your ideal client likes to listen to carol singers during the holidays, as a content creator, you could potentially create your very own festive song that describes your business and all the services you provide (health insuranc. You can decide how often to receive updates. There is no longer a rule that the SOA needs to be submitted 48 hours prior to the sales appointment. AGENT MARKETING GUIDE - Agent Pipeline Sales events, on the other hand, are designed to steer, or attempt to steer potential enrollees towards a limited set of plans. We have tried to list the more common questions and aspects of the guidelines below. Washington, D.C. 20201 .gov or or Medicare Marketing Guidelines 2021: Types of events and appointments Meetings and presentation fall under one of three categories. How Agents Influence Medicare Beneficiaries Plan Choices The consumer must also know if the plan is considered an low performing plan. 2023 medical commissions for applications one to four will be paid $0 PMPM until the agent or agency reaches five medical applications. PTC can be obtained through flyers, business reply cards, PTC forms online leads (Likes or shares on social media platforms are not valid) from vendors and other methods that prospects use to initiate contact. authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically The site is secure. Sponsors still are falling behind in their postmarket reporting, according to the FDAs yearly update on progress of postmarketing requirements/commitments. CLICK HERE TO ACCESS MEDICARE MARKETING CMS MCMG MEMO. The SOA is used to document the type of products you will be discussing once you have a meeting. WebMedicare Marketing Guidelines . <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 13 0 R 16 0 R 17 0 R 21 0 R 22 0 R 28 0 R 30 0 R 33 0 R 34 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 44 0 R 45 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 52 0 R 53 0 R 55 0 R 56 0 R 57 0 R 58 0 R 59 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Ambetter plans to expand access to their value network in Florida. If you hold or are presenting in a sales event format be sure to follow the rules: Agents are now allowed to have sales event immediately following an educational event. Communication materials do not require CMS approval. The Department may not cite, use, or rely on any guidance that is not posted We can expect to see Christmas decorations just about everywhere. means youve safely connected to the .gov website. Download the Guidance Document Final endstream endobj 563 0 obj <>stream CLICK HERE FOR UPDATED POST Because we periodically receive leads or money for leads from aRead more, Teladoc, Lasik Vision Correction, Discount Dental,Vision,Rx Sales Contract In short: This post shares some information about services available to patients throughTeladoc, Lasik Vision Correction, Discount Dental,Vision,Rx Sales Contract Teladoc is a national network of U.S.Read more, American Progressive sales seminars American Progressive is in the process of interviewing agents to run American progressive sales seminars. a new appointment will need to be made. incorporated into a contract. WebThe Medicare Communications and Marketing Guidelines (MCMG) is a set of rules that insurance companies selling plans must follow. https:// eCFR :: 42 CFR Part 422 -- Medicare Advantage Program Official websites use .govA Only light snacks and refreshments. ZbO KM~ However, the does need to have an opt out option in option to be compliant. The Guidelines are for use by Medicare Advantage Plans (MAs), Medicare Advantage Prescription Drug Plans (MA-PDs), Prescription Drug Plans (PDPs) and 1876 Cost Plans. g9fT'MzhrUJ"%$%*%\3j=)#|l_G___|~u,u*52 ]G'co%:lO>mVXIWc#$P1+/24 ( Heres how you know. CLICK HERE TO LEARN MORE ABOUT CONNECT4MEDICARE. DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Agility Agents have learned from us that incorporating trending themes into their online content strategy plan will help them achieve their marketing goals. ( ) These materials include the HPMS memorandum titled, Updates Regarding Final Part C EOB Model Templates and Implementation of the Part C EOB, the final templates and instructions, and Frequently Asked Questions regarding the Part C EOB requirements for Medicare Advantage Organizations, effective April 1, 2014. The Marketing guidelines reflect CMS' interpretation of the marketing requirements and related provisions of the Medicare Advantage and Medicare Prescription Drug Benefit rules (Chapter 42 of the Code of Federal Regulations, Parts 422 and 423). In fact, two of the plans will beRead more, Medicare Leads Available At No Cost Note: Our blog: Medicare Leads Available At No Cost program has been changed. 3 0 obj At that time, any new medical sales commissions due will be paid, starting from the first 2023 application. Sign up to get the latest information about your choice of CMS topics. Access to all major carriers with the ability to compare plan benefits and prescription drug costs. A Scope of Appointment form is used to document the types of plans you will be discussing with the client or prospect. CMS The key focus of being of patients over the CMS requirements on the healthcare industry. If you are showing plan specific details such as benefits or premiums you are engaging in a sales event. <> U.S. Department of Health & Human Services lock The federal regulation at 42 CFR 438.104 defines marketing as any communication, from an [Medicaid managed care plan] to a Medicaid beneficiary who is not enrolled in that entity, that can reasonably be interpreted as intended to influence the beneficiary to They are even needed if the meeting did not result in a sale. American Progressive Medicare Contracting, Teladoc, Lasik Vision Correction, Discount Dental,Vision,Rx Sales Contract, Medicare Advantage vs Supplement Plans Sales, Free Medicare Lead Program (Turning 65/Med Supplement Leads), https://attendee.gotowebinar.com/recording/2899290519088332033, Report the event prior to conducting and advertising it, You can distribute and collect applications, Call attendees from the sales event if they provided permission to contact (Gave you a PTC card or flyer), You cannot offer meals. lock Guidance for Pace marketing guidelines and marketing requirements and related provisions of the Programs of All-inclusive Care for the Elderly (PACE) rules (Chapter 42 of the Code of Federal Regulations (CFR), Part 460 (See Appendix 1 for a list of related laws and regulations). "N E{8Q*~gc{;Cu6c8CVjm/i~e?]3t1. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Medicare Communications and Marketing Guidelines 3-16-2022 (PDF), CY 2016 Medicare Marketing Guidelines (PDF), Medicare Marketing Guidelines 06.28.13 (ZIP), CY2018MedicareMarketingGuidelines_Final072017 (PDF), CY2019 Medicare Communications and Marketing Guidelines_Updated 090518 (PDF), Medicare Marketing Guidelines 06.17.14 Updated with Issue Date (ZIP), Medicare Communications & Marketing Guidelines Update Memo - 8-6-19 (PDF), Medicare Advantage Marketing Regulations - 422 Subpart V, Medicare Part D Marketing Regulations - 423 Subpart V. Share sensitive information only on official, secure websites. Crowe and Associates offers a free Medicare lead program. Medicare Marketing Guidelines 2021 - Crowe & Associates To sign up for updates or to access your subscriber preferences, please enter your contact information below. 2 0 obj means youve safely connected to the .gov website. + xp0W:t|}S>6I1/FG'AoN f!ZtYR~=9Vm Cs,PCF%Q"j#j$72c}^=lF %%EOF 0 CMS replaced the models that were previously posted on this website to reflect the OMB approval number and expiration date. WebAll MA communication and marketing regulations and guidance issued by CMS, as well as other applicable laws, continue to apply to materials and activities of participating document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); With licensed sales professionals in both the investment and insurance fields, the experienced and knowledgeable team at Crowe & Associates can tend to your various needs. website belongs to an official government organization in the United States. Commissions will be paid on posted premiums applied to the agents or agencys clients eligible cases. 582 0 obj <>/Filter/FlateDecode/ID[<5F2038F586BEA94FAD73980201E44AA1>]/Index[559 140]/Info 558 0 R/Length 121/Prev 362965/Root 560 0 R/Size 699/Type/XRef/W[1 3 1]>>stream You are able to start taking/submitting applications on October 15th. Medical commissions will be paid for up to four children on the plan. Centers for Medicare & Medicaid Services Center for Medicare They are educational events, The seminarsRead more, Building A Medicare Sales Agency Building A Medicare Sales Agency: There are a number of different models you can use when you build a Medicare sales agency. Stay away from using any absolute statements on materials or during presentations. During a sales event: Sales events are an attempt to steer someone into a specific plan. Heres how you know. %PDF-1.7 % lock @ 1 0 obj 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Marketing Models, Standard Documents, and Educational Material, CY2018MedicareMarketingGuidelines_Final072017 (PDF), CY2019 Medicare Communications and Marketing Guidelines (PDF), Medicare Marketing Guidelines 06.17.14 Updated with Issue Date (ZIP), CY 2016 Medicare Marketing Guidelines (PDF), Medicare Marketing Guidelines 06.28.13 (ZIP). Agents are now able to make unsolicited contact with a prospects for MA, MAPD and PDP via email. Medical Insurance Commissions Medical commissions apply to all metal They are educational events, sales events and individual appointments. Providing general information about the Medicare program would be considered an educational event. Provider Medicare Training & Marketing Guides | Health Net Skip to Main Content Healthnet.com uses cookies. Sign up to get the latest information about your choice of CMS topics. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. TI3*=0 But how is this fact going to help you sell more health insurance? sH2jy + a&@GJh& +%V,fpt!9'cfO+Ip|L2\1 You can decide how often to receive updates. Same day scopes of compliant. You need a scope for any type of sales event. This section includes standardized outreach and educational material for Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, and 1876 Cost Plans. SOAs are needed for every face to face meeting. For starters, you must wait until October 1 to market, talk about or review the new plans for the coming year for AEP. If they would like to review non health related products such as life insurance, LTC, annuity, etc. Meetings and presentation fall under one of three categories. And dont get me started on the unofficial holiday song that was released back in 1994 (yes, we are talking about Mariah Careys single: All I want for Christmas is you). It should focus more on promoting your services and general information about Medicare. CMS 422.2265: Websites. _n("<>E$mmZ4i57c]8~89jMJ0SL8,4B`i(e The guidelines allow organizations offering both Medicare Advantage and Prescription Drug Plans the ability to reference one document when developing marketing materials. %%EOF Medicare Marketing Models, Standard Documents, and Educational HHS is committed to making its websites and documents accessible to the widest possible audience, Web( 2) The material has been deemed approved; that is, CMS has not rendered a disposition for the material within 45 days (or 10 days if using CMS model or standardized marketing } A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. This post will outline two of the moreRead more, Medicare Advantage vs Supplement Plans Sales As you can see in this post, Medicare Advantage vs Supplement Plans Sales have a few differences. The guidelines allow organizations offering both Medicare Advantage and Prescription Drug Plans the ability to reference one document when developing marketing materials. While CMS guidelines no longer include requirements of 12pt font on marketing materials, due to the vision realities of people as they age, it is still recommended and the CMS Requirements On January 19, 2021, CMS issued a final rule entitled Medicare and Medicaid Programs; Contract Year 2022 Policy and Technical Changes to the Medicare Medicare Communications and Marketing Guidelines Before sharing sensitive information, make sure youre on a federal government site. Agents and brokers must record all calls (inbound and outbound calls) in their entirety, including calls to inform or educate clients about the event, as well as any post-event discussions. Toll Free Call Center: 1-877-696-6775. In addition, they can compare drug plans in a manner similar to the Medicare drug plan finder site. Prospects can use the site to compare plans, check doctors, run drug comparisons and enroll in plans. The Vice President of Communications oversees the organization's communications, editorial, media, design and advertising sales functions to produce a wide range of high-quality, accessible and compelling communication products and content for a diverse set of member and external audiences. https:// i !q Pf`qH X$AQ e&ExLL^LLA+nLuI-t)P&|neJrX!q@?,@mA Medicare Marketing Guidelines - Centers for Medicare hbbd```b``"@$c*dHR0,f@0y,"IK 6w % $fk00120 FIGG website belongs to an official government organization in the United States. Communication pieces are more general and provide non specific information. Qu4 8q ]8!FaO6{dB>8ws#%=MK%E,E*e*!*O|?Q4RRRRSiRiS]O8kgn^0N.iP~3nOF"FD"yza4={ o?l)$Fq\xH*QDEl IU%QJ(D* In addition, we are also providing clarification to the existing guidance. As part of CMS implementation of the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008, CMS has revised the Medicare Marketing Chapter to include the latest provisions in the current guidance. The Marketing guidelines reflect CMS' interpretation of the marketing requirements and related provisions of the Medicare Advantage and Medicare Prescription Drug Benefit rules (Chapter 42 of the Code of Federal Regulations, Parts 422 and 423). Official websites use .govA means youve safely connected to the .gov website. The Centers for Medicare & Medicaid Services (CMS) received OMBs approval for the latest ANOC and EOC models through 12/31/21. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. By continuing to use our site, you agree to our Privacy Policyand Terms of Use. General information is followed by state-specific information, which is alphabetized by state name. Medicare Marketing Guidelines Marketing Models, Standard Documents, and Educational Material This section includes standardized outreach and educational material All Rights Reserved. Guidance for this document can be located at https://www.cms.gov/Medicare/Health-Plans/Managed Care Marketing/Final Part C Marketing Guidelines. Chapter 3. Medicare Marketing Guidelines | Guidance Advancing is not available. endstream endobj startxref website belongs to an official government organization in the United States. But before creating any type of content, insurance agents must be able to identify the key traits that characterize their ideal audience. 1, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, Employer/Union-Sponsored Group ) 559 0 obj <> endobj This works for health type products only however. https:// eCFR :: 42 CFR Part 422 Subpart V -- Medicare Advantage Issued by: Centers for Medicare & Medicaid Services (CMS). The purpose of the SOA is to ensure you will not be discussing products with the client/prospect other than those chosen prior to the appointment. CMS also has rules for when you are allowed to market products and the way you can do it. lock 4 0 obj lock DISCLAIMER: The contents of this database lack the force and effect of law, except as Federal government websites often end in .gov or .mil. We provide agents with their own compliant website through Connect4Medicare. Medicare Communications and Marketing Guidelines FAQ The .gov means its official. In other words, if you are talking Medicare with someone get a scope. ( An official website of the United States government. [M7XRM v:rY DXF4UbT+"J%p$ 189 0 obj <>/Filter/FlateDecode/ID[<731268243A464E09A5CB70A201055789>]/Index[159 61]/Info 158 0 R/Length 118/Prev 733811/Root 160 0 R/Size 220/Type/XRef/W[1 2 1]>>stream U.S. Department of Health & Human Services Sales made during an Open Enrollment or a Special Enrollment Period are eligible. For example, the same PTC can be used during AEP and OEP. Each year CMS and states participating in the Financial Alignment Initiative (FAI) jointly update state-specific marketing guidance and model member materials required for use by Medicare-Medicaid Plans (MMPs) and Minnesota Senior Health Options (MSHO) Plans. Heres how you know. Issued by: Centers for Medicare & Medicaid Services (CMS). View the Agent/Broker Training & Testing Guidelines in the Downloads section below. or Medicare Official websites use .govA stream Prospects and clients can compare plans (Advantage, supplement and part D), check on benefits, check doctors and Medications. on the guidance repository, except to establish historical facts. Lastly, prospects can enroll through the site into any of the plans you are certified to offer. For Medicare Advantage Plans. WebChapter 3 Medicare Marketing Guidelines For Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, and 1876 Cost plans means youve safely connected to the .gov website. 698 0 obj <>stream While plans may deplete existing hard copy stock, they should add the approval number and expiration date to the online versions and newly produced hard copies by January 1, 2020. <> Agents are credited for all enrollments. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Medicare-Medicaid Plan (MMP) Marketing Information & Resources, List of Covered Drugs - English & Spanish, Provider and Pharmacy Directory - English & Spanish, Medicare-Medicaid Plan (MMP) Application & Annual Requirements, Medicare-Medicaid Plan (MMP) Reporting Requirements, Medicare-Medicaid Plan (MMP) Audit Programs, Medicare-Medicaid Plan (MMP) Encounter Data Reporting, Medicare-Medicaid Plan (MMP) Quality Withhold Methodology & Technical Notes, Medicare-Medicaid Plan (MMP) Chronic Care Improvement Programs & Quality Improvement Projects, CY 2023IllinoisMMP Model Materials Memo (PDF), CY 2023Illinois MMP Marketing Guidance (PDF), CY 2023 MassachusettsMMP Model Materials Memo (PDF), CY 2023Massachusetts MMP Marketing Guidance (PDF), CY 2023 Michigan MMP Model Materials Memo (PDF), CY 2023Michigan MMP Marketing Guidance (PDF), CY 2023Minnesota Plan Model Materials Memo (PDF), CY 2023Minnesota PlanMarketing Guidance (PDF), CY 2023 New York FIDA-IDD MMP Model Materials Memo (PDF), CY 2023New York FIDA-IDD MMP Marketing Guidance (PDF), CY 2023 Ohio MMP Model Materials Memo (PDF), CY 2023Ohio MMP Marketing Guidance (PDF), CY 2023 Rhode Island MMP Model Materials Memo (PDF), CY 2023Rhode Island MMP Marketing Guidance (PDF), CY 2023 South Carolina MMP Model Materials Memo (PDF), CY 2023South Carolina MMP Marketing Guidance (PDF), CY 2023 Texas MMP Model Materials Memo (PDF), CY 2023Texas MMP Marketing Guidance (PDF), Explanation of Benefits - Integrated & Drug-Only, Provider& Pharmacy Directory - English & Spanish, Annual Notice of Change - English & Spanish, Explanation of Benefits (EOB) - Drug Only & Integrated, Annual Notice of Change - English& Spanish, Explanation of Benefits (EOB) - Drug Only, Integrated Coverage Determination Notice (ICDN) Models, Provider & Pharmacy Directory - English & Spanish. .gov Schedule marketing appointments immediately after the meeting You cannotdo the following: Require anyone to sign on or provide contact information Hand out or take applications or other plan specific information- (This is a marketing event) Give away cash prizes Provide or take enrollment forms Discuss carrier specific information Medicare Advantage Marketing: Understanding CMS Guideline .gov Marketing A federal government website managed by the PTC forms can now be used for more than one enrollment period. X;/?~I(A@%EOMG1Rc9 5:E[0n8 If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov. %PDF-1.6 % Click Here, We do not offer every plan available in your area. Most people who write articles haveRead more, Your email address will not be published. Agents are still not able to make unsolicited contact to prospects for MA, MAPD or PDP by phone or in person in common areas. To date, CMS has not released an update or memo for 2021. /0U4,P9L&009 =\.gi'Jo-=5I9)zwf?PGsr oom0\jd Z.F kD db3u2 An official website of the United States government. The Guidelines are for use by Medicare Advantage Plans (MAs), Medicare Advantage Prescription Drug Plans (MA-PDs), Prescription Drug Plans (PDPs) and 1876 Cost Plans. Stay up to date with Medicare Marketing Guidelines by attending our Medicare Training Series live events! x]nI}7\E23w=DHgs3"(JY'%PNFfV{g>7vu}6ULTugO'w~O]}'??.9{O~U5{`nv.!UMZ1C(=kUUh1/_f^J|giqT_^.'Z_. They cannot include plan specific information and cannot be intended to steer someone towards a specific plan. The agent will be the broker of record on any enrollment. WebMarketing rules for Medicare plans People representing Medicare plans aren't allowed to: Ask for your personal information (like your Medicare, Social Security, bank account, or credit card numbers) over the phone unless its needed to verify membership, determine enrollment eligibility, or process an enrollment request. You also must discuss the current star rating of plans and let the prospect know that it is out of 5 stars. Medicare American Progressive Medicare Contracting American Progressive Medicare Contracting: American Progressive will be offering 3 new plans in NY for 2016 in Westchester, Putnam, Dutchess and Ulster counties. 200 Independence Avenue, S.W. (You can offer meals at educational events), Avoid absolute statements This is the best Medicare Advantage plan, You must have a sign in sheet but cannot require anyone to sign in. WebEach year CMS and states participating in the Financial Alignment Initiative (FAI) jointly update state-specific marketing guidance and model member materials required for use by Share sensitive information only on official, secure websites. .gov Click for updated Medicare Lead Program Free Medicare Lead Program (Turning 65/Med Supplement Leads) We have made some changes toRead more, How To Start Selling Medicare Insurance How To Start Selling Medicare Insurance: There are a number of articles on the web advising How To Start Selling Medicare Insurance. This revision replaces Chapter 3, Medicare Marketing Guidelines for Medicare Advantage, Medicare Prescription Drug Plans, Prescription Drug Plans and 1876 Cost plans with a new revised Chapter 3. Full commission (directly from the carriers) and no minimum production needed to start. Take a look for yourself below. endobj 0 WebMarketing Guidelines such that the MAO cannot comply with both, the MAO must comply with 2021, a communication plan and all draft communication(s) for that change, must be All other CMS requirements relating to the review of marketing materials under 42 C.F.R. endstream endobj startxref Medicare Marketing Guidelines | CMS endobj Among the salient points: Medicare Advantage Organizations are responsible for first tier, downstream or related entities (FDRs) adherence to all terms and conditions of the organizations contract with CMS The Department may not cite, use, or rely on any guidance that is not posted hbbd``b`>$ &$ .+ bX1 $"pH, $")s@Lz@`!3u>0 '` Medicare Marketing Guidelines For Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, Employer/Union-Sponsored Group Health Plans, Medicare-Medicaid Plans, and Section 1876 Cost Plans. LEARN WHAT WE HAVE TO OFFER HERE. Be careful not to confuse a PTC with a Scope of appointment form. Medicaid managed care plans contract with the state Medicaid agency. The Medicare Marketing Guidelines 2021 are the same as the 2020 MCMG.