Support your client’s move to a new or enhanced Aetna Medicare plan in 2021
This AEP, Aetna is encouraging some Aetna Medicare members to move to a new or alternative Aetna MAPD plan that may better fit their needs in 2021. The new plan options they’re recommending may help members save money through lower copays or coinsurance, and enhanced allowances for benefits like dental, hearing and vision.
The Agent of Record retention policy
The AOR retention policy supports the vital role you play. It also helps ensure you keep your renewal commission when you help your existing clients change plans. Here’s what you need to know:
- Regardless of how members enroll in a new plan this AEP – whether telephonically, online, by paper, or directly with you as their AOR – Aetna will maintain the AOR status (The only exception is if the member enrolls through a different agent.)
If your clients enroll in a new plan through one of the alternative enrollment
channels (telephonically, online, or by submitting a paper application on their own), depending on CMS processing time, it usually takes about two weeks for them to appear in Producer World reports. This AEP, Aetna will also have reports that list your pending applications which cannot be submitted to CMS until additional information is collected. Rest assured, they have multiple processes in place to ensure the original AOR is maintained for these members, even though it may take slightly longer for these enrollments to show up in your reports.
What members can expect after they enroll in a new plan
When a current Aetna Medicare member enrolls in a new Aetna Medicare plan for 2021, they will receive:
- Letter confirming their disenrollment from their 2020 contract effective Dec. 31, 2020
- Letter confirming their enrollment into a new contract for 2021, effective Jan. 1, 2021
- New Aetna Medicare member ID card. Encourage your clients to use the most recent ID card when they obtain services in 2021. The date is printed in the lower left hand corner of the ID card
- A welcome packet containing other supporting plan information
Please note that the disenrollment and enrollment confirmation letters will be mailed very close together, as required by CMS, and this may confuse some members. Please reassure your clients that no additional action is required. Their 2020 plan will remain in effect through December 31 and their new plan will take effect starting January 1. Encourage them to watch for a letter containing their new member ID card; followed by a welcome packet mailing.
Frequently asked questions
Are these members’ plans terminating? No, these members’ plans will still be available in 2021. Instead, Aetna is simply educating these members about different plan options that may better meet their needs and inviting them to voluntarily enroll in a new plan for 2021.
Which plans are part of this initiative? Here’s a list of impacted 2020 plans, and the new or enhanced plan Aetna is recommending these members to enroll in for 2021.
What action do members need to take? To change plans, members must actively enroll in the new plan.
How can these members enroll in a new plan? Aetna offers several convenient options. Members can enroll:
- By calling Aetna at 1-833-570-6812 (TTY: 711)
- Online, by going to TakeAction.AetnaMedicare.com
- By submitting an enrollment form on their own through mail or fax
Can my client keep their current doctor if they change plans? In most cases, yes they can keep their current doctor. If the Member needs to update their doctor for any reason, they can easily call member services to have this done and a new Aetna member ID card will be issued with the updated provider information.
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