Blog Archives

How To: Online Enrollments for Regence BCBS (aka Cambria)

Subject: 2017 Online MA/PDP Enrollment Links Dear Valued Medicare Producer, For the Regence Medicare Advantage online enrollments, agents will have a separate Personal URL link (PURL) to use for the 2017 plans.  This gives agents the control to send their

Posted in Agent Only, Medicare Tagged with: , ,

PHI Specified

PHI is health information that contains one or more of the following identifiers:           a.       Names of individuals and relatives           b.       Postal addresses           c.       All elements of dates, like birthdates           d.       Telephone and fax numbers           e.       E-mail addresses           f.        Social Security and Medicare numbers           g.       Medical Record numbers

Posted in Government Tagged with:

Protected: 2017 MAPD Street-Level Commissions Mandated by CMS

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Posted in Agent Only, Government, Medicare Tagged with:

2017 Medicare Part D Coverage Gap Explained

From Regence BCBS Training on the way that CMS dictates that the coverage gap will work in 2017.

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Protected: 2017 MAPD Sneak-Peek Comparison (Utah)

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Posted in Agent Only, Insurance

Glossary of Terms for the Boomer Market (Ongoing Construction)

This glossary is for Medicare agents (or Medicare beneficiaries) who want to understand the jargon being tossed around by people in the Medicare system: government bodies, government employees, insurance companies, online-call-and-enrollment centers, advocacy groups, insurance agents, and advisers. The glossary

Posted in Boomer Products, Government, Insurance, Medicare Tagged with: , , , , , , , ,

Medicare Part D Standard Benefit or Actuarial Equivalent (2017)

Part D plans must cover at least the Part D standard benefit or its actuarial equivalent. For 2017, the standard benefit requires the beneficiary to pay the following share of total coverage: $400 deductible 25% of prescription drug costs between $400 and

Posted in Government, Insurance, Medicare Tagged with: , , , ,

Categories of Dual-Eligible Beneficiaries (A Reminder)

Here are the categories of dual eligible beneficiaries and out-of-pocket costs that are paid by Medicaid: QMB (only) (Qualified Medicare Beneficiary) – Medicare Part A and Part B premiums; cost sharing for Part A & Part B benefits. QMB Plus –

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2017 Medicare Certification Instructions (Ongoing Construction)

Aetna 2017 Certification Products: Medicare Advantage (MA) Medicare Advantage Prescription Drug (MAPD) Prescription Drug Plans (PDPs) Certification Start Date: Live What’s Required to Sell 2017 MA/MAPD and PDP Plans? Agents must successfully complete the Aetna Individual Medicare annual certification process

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$1 Billion Medicare Fraud Scheme in Miami Busted by Feds

by Precise Leads August 2, 2016 Last week, prosecutors revealed that federal authorities have broken up the largest Medicare scam in U.S. history, in which the three defendants stole more than $1 billion over 14 years. Three Florida residents have been

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