The Medicare and Medicaid Eligibility Lookup tool allows you to determine Medicare and Medicaid eligibility for members and consumers with ease and convenience.
Medicaid searches also provide a list of plans available for enrollment. Knowing which plan a consumer is eligible for, prior to the enrollment, provides the following benefits:
Partial Dual Status for Pennsylvania, South Carolina, Texas, Virginia and West Virginia.
Agents with members in Rhode Island must call PHD for Medicaid verification related to full and partial dual eligibles.
Delegates may NOT engage in licensed sales activity. This includes, but is not limited to:
During AEP, the Producer Help Desk (PHD) will be open:
Keep your place in line by taking advantage of our callback feature. There’s no waiting on hold as a PHD professional will call you back as soon as it’s your turn.
UnitedHealthcare is committed to delivering on quality, with easy access to care, industry leading benefits and a distinctive, positive experience for the members we’re privileged to serve. On Oct. 13, the Centers for Medicare & Medicaid Services (CMS) released UnitedHealthcare’s 2024 Star Ratings plan year performance for Medicare Advantage plans (including individual, Group Retiree and Dual Special Needs Plans) and Prescription Drug Plans (Part D). We continue to have more people in 4 and 4.5-star plans or higher than any other carrier in the industry and over half of our members are in a 4.5-star plan or higher. For 2024 Star Year Ratings, 79% of our Medicare Advantage members are in 4-star plans or higher.
While these results may differ from previous years, it is important to note they reflect expected movements from our prior year Star Ratings due to CMS policy and performance calculation changes to the stars program, which increased the threshold for the 4-star rating, with industry average at 71%. Star Ratings will come up in conversations with consumers during the Annual Enrollment Period (AEP). For more information, including what this means for you, click below to read more and refer to the Star Ratings Agent FAQ at Jarvis > Knowledge Center > Learning Lab > Content Library > Star Ratings.
Looking for a new way to capture a consumer’s attention and start conversations? Look no further than the new videos in the UHC Agent Toolkit. Use these short videos at your community meetings or when meeting 1:1 with prospects. To set an upbeat tone, run them on a loop as your attendees are gathering in the meeting room, or play them individually as a lead-in to your conversation about UnitedHeatlhcare’s ancillary benefits.
Find these materials on Jarvis> Sales Tools > Sales Materials > UHC Agent Toolkit:
The UHC Agent Toolkit, accessible via Jarvis, is your go-to source for AEP materials.
Don't have a MedCareValue page yet?
Get Your FREE Site >Memorial Sloan Kettering Cancer Center (MSK) and Anthem Blue Cross of New York (Anthem) have reached a new multi-year agreement.
Please follow the steps below whenever you are submitting a PDP application via fax.
Highmark is aware that Steward Health Care has announced they will be closing some or all the facilities at Sharon Regional Health System in northwest Pennsylvania.
Season’s Greetings | Automatic Payment Error Impact | 2025 Broker Guide Is Here
Resources to support members, commission info and more
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