Recertify for renewal payments by Dec. 31
If you’re just looking to maintain your existing book of business without selling any 2019 effective business, don’t forget that you still need to complete the annual certification process by December 31 to receive renewal commissions in January.
If you recertify after December 31, renewal commission payments to you will resume the first month after certification is complete. You will not be eligible for any missed commission payments during your lapse period. For details on requirements to receive renewal commissions, please refer to the Aetna Medicare Producer Guide.
Open Enrollment Period (OEP) starts Jan. 1
The Medicare Advantage OEP runs from January 1 – March 31. During this period, MA/MAPD beneficiaries have a one-time opportunity to change plans. Remember, you’re not allowed to advertise this option, or encourage beneficiaries to switch plans during OEP. But if an MA/MAPD client contacts you and wants to make a change, if eligible, they can. Here are some resources to help you navigate OEP:
- 2019 OEP overview flyer
- OEP Rules of the Road
- OEP Rules of the Road audio
- OEP Rules of the Road transcript
Helping clients who qualify for an SEP
When certain events happen, your Medicare-eligible clients may qualify to change their plan outside of the AEP. These are Special Enrollment Periods (SEPs). CMS determines what events and criteria qualify for an SEP. Each one has different rules for the types of plan changes people can make. Below are a few example scenarios that would make a beneficiary eligible for an SEP:
- You move out of your plan’s service area.
- You have (or lose) Medicaid.
- You qualify for (or lose) Extra Help.
- You live in an institution (like a nursing home)
When assisting your client with an SEP, make sure you correctly identify your client’s SEP on the enrollment form, in the Confirm Your Enrollment Period section. Download an educational flyer about SEPs.
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