What’s your Medicare Moment?
Aetna is joining members across the country to help them on their path to better health. To celebrate their members’ journeys, they created a new digital series called “Medicare Moments.” The four-part video series features members sharing their Medicare Moments and how their plans helped them stay connected, active and healthy. Click here to view the series.
It’s easy to check application status online
To check the status of your submitted MA/MAPD enrollment applications, just go to the Individual Medicare page on Producer World and click on Reporting. The Pending Application report shows applications being processed. Once approved, applications appear on the Medicare Book of Business report. These reports are easy to review online or you can download copies of the reports to your computer.
Please note: Aetna is working to correct an issue affecting 11 MA/MAPD plans in our Producer World reports. Currently, the reports are showing the 2019 plan names for these 11 plans, instead of the new 2020 plan names. See a list of the affected plans.
Avoid processing delays: Use the correct Medicare ID number
Don’t forget, you need to use your client’s new Medicare ID number (i.e., MBI) on the enrollment form 2020 plans. CMS issued a new Medicare ID card containing a new Medicare ID numbers to all Medicare beneficiaries as of April 2019. The new ID number is a unique number for each beneficiary; to enhance security, it no longer correlates to Social Security Numbers.
Why is this important? If you use the old Medicare ID number (HICN) or guess at your client’s new ID number, it will cause a delay in processing the application, as we must research to determine what the beneficiary’s new correct Medicare ID number is. Review what the Medicare ID number looks like.
IMPORTANT: Fax numbers have changed! Update your records
Remember, fax numbers have changed for 2020. Unfortunately, Aetna is continuing to receive a high volume of enrollments into the wrong fax numbers, and this is causing significant processing delays. To determine the correct fax, you must look at the application ID number in the bottom right corner of every page of the enrollment form. The first two letters of the application ID number indicate where the application should be sent. Which fax number should you use?
Update: How to add optional supplemental benefits (OSB)
Some plans offer OSBs that allow members to enroll in additional dental, hearing or vision coverage for an additional monthly premium.
If a member wants to keep their existing MA/MAPD plan in 2020, during AEP, they still have the option of adding an OSB, if offered with their plan in 2020. To do so they can use the new one-page OSB form to have the OSB added to their policy effective January 1, 2020. Please use the link above to download an updated version of this form. Please disregard the version shared last week, as it showed the incorrect fax and email address.
If the member is already enrolled in an OSB with their current plan and wants to keep their OSB in 2020, no action is required. They don’t need to submit anything.
If your client is enrolling in a new MA/MAPD plan, they can enroll in an OSB, if available, at the same time. Just make sure you select the plan + OSB option on the enrollment form before you submit it. Learn more.
Reminder: Add 2020 star ratings to your 2020 enrollment kits
CMS requires producers to review the 2020 star ratings document with beneficiaries when presenting 2020 Individual Medicare plans. By now, all 2020 enrollment kits you use should be updated to include the new 2020 star ratings document. You can download and print the new star rating pages on AetnaMedicare.com/stars to update 2020 star ratings in your existing enrollment kits. The 2020 star ratings page automatically appears in all enrollment kits ordered as of October 28.
EOC clarification for DSNP plans
Aetna wishes to clarify some information in the Evidence of Coverage (EOC) for 2020 Aetna Medicare Dual Special Needs Plans (DSNPs). In 2020, DSNPs are available in GA, IA, KS, LA, MO, NC, NE, OH, PA, VA and WV. The EOC section describes the coverage members will receive if they lose Medicaid eligibility. Here’s what members can expect.
How to check SilverScript® PDP enrollment app status online
To check SilverScript PDP enrollment applications online, just log in to the SIlverScript Agent Portal and select the “Reports” tab. Then, click on “My Clients” from the drop down menu. It’ll take 2-3 business days for the enrollment to appear in the My Clients section after it has been submitted.
Rules of the road for marketing to your PDP clients
In November 2018, Aetna sold its individual standalone prescription drug plans (PDPs) to WellCare. Aetna will continue to administer these plans on behalf of WellCare in 2019. Here’s what you need to know:
- Effective January 1, 2020, these PDP plans will be administered by WellCare. Members will continue to be WellCare PDP members unless they elect to enroll in a different PDP.
- WellCare mailed members an ANOC letter in September. If members have questions, they can call WellCare at 1-833-207-4241.
- If you have questions, please reach out to WellCare directly at 866-822-1339.
- Aetna and CVS Health are prohibited from using enrollee data to market to the members of the plans sold to WellCare.
- There is no Aetna branded standalone PDP for 2020.
Aetna is here to help – on Saturdays too
If you have any questions, just contact your local Aetna Medicare broker manager. Or you can contact the Aetna Medicare Broker Services Department at 1-866-714-9301 or email@example.com. Normal business hours are 8 AM to 8 PM ET, Monday- Friday.
They are open on Saturdays, too, from 9 AM – 2 PM ET.
October 23: Enrollment FAQ: What is question #6?
October 18: Tips for using Plan Finder
October 11: How to print provider directory PDFs
2020 sales presentations and videos
Search for providers
Compare MA/MAPD plans and estimate costs
2020 MA/MAPD ready-to-sell requirements
2020 SilverScript PDP ready-to-sell requirements
Complete Aetna’s 2020 producer certification
How to submit 2020 enrollments
Get commission reports on Producer World
2019/2020 Aetna Medicare Producer Guide
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