Compliance

Nationwide Special Enrollment Period available to qualifying Medicare beneficiaries

Please be advised that a state of emergency was declared, impacting individuals in Arizona. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in New Mexico. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Utah. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Arizona. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Georgia. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Washington. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Texas. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Texas. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Texas. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Georgia. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in certain NY counties. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Florida. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Florida. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in all Louisiana counties. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Missouri. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was extended, impacting individuals in all NY counties. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Kansas. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Texas. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Texas. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in South Carolina. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Kansas. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Florida. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Florida. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Illinois. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Kansas. This declaration allows for a one-time Special Enrollment Period (SEP).

On February 9th, 2022, CMS provided an updated Medicare Communications and Marketing Guidelines (MCMG) document for Medicare Advantage (MA) plans, section 1876 cost plans, and Medicare Prescription Drug Plans. These requirements also apply to Medicare-Medicaid Plans (MMPs), except as modified in state-specific marketing guidance for each state’s demonstration. View the post for the full update.

This week’s topic of the week is Rewards Programs. If you are engaging with Humana, they want you to be rewarded for all that you do. The step-by-step directions are inside for the two programs that you can enroll in. These programs benefit you and your members.

This week’s topic of the week is OEP Guide and Election Codes. The guide will help you identify who qualifies to use OEP as an enrollment period and what the guardrails are around marketing. We’ve also attached the election code document to help you identify other enrollment periods that might help you with enrolling beneficiaries.

Please be advised that a state of emergency was declared, impacting individuals in all Maryland counties. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Virginia. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in certain NY counties. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in New Jersey. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in North Carolina. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Georgia. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in South Carolina. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Missouri. This declaration allows for a one-time Special Enrollment Period (SEP).

If you receive questions from your clients regarding SSBCI benefit eligibility, you can use the following information to validate eligibility and determine if a member call to Wellcare Customer Service by your client is needed.

Please be advised that a state of emergency was declared, impacting individuals in New Jersey. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Virginia. This declaration allows for a one-time Special Enrollment Period (SEP).

Beginning Jan. 15, BlueCross and BlueChoice will reimburse eligible members for the purchase of over-the-counter COVID-19 diagnostic tests that have been authorized, cleared or approved by the U.S. Food and Drug Administration. View post to see the list of qualifying tests and FAQs.

Please be advised that a state of emergency was declared, impacting individuals in Virginia. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in New Jersey. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Kentucky. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in all Maryland counties. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in all Maryland counties. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Nevada counties. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in certain California counties. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Washington. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in all Oregon counties. This declaration allows for a one-time Special Enrollment Period (SEP).

UPDATED 1/10: Please be advised that a state of emergency was declared, impacting individuals in Colorado. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in certain Alabama counties. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Washington. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Tennessee. This declaration allows for a one-time Special Enrollment Period (SEP).

Three new states have adopted the Birthday Rule for Medicare Supplement Plans for 2022. Here’s what you need to know if you are licensed to sell in Nevada, Idaho, or Illinois.

With Medicare Part B monthly premiums set to increase in 2022, now is the time to discuss the rising costs with your clients. Here’s what you—and they—need to know.

Please be advised that a state of emergency was declared, impacting individuals in Kentucky. This declaration allows for a one-time Special Enrollment Period (SEP).

The Centers for Medicare & Medicaid Services (CMS) provides for a Special Election Period (SEP) for beneficiaries impacted by a Federal Emergency Management Agency (FEMA) Emergency or Major Disaster Declaration.

Please be advised that a state of emergency was declared, impacting individuals in Hawaii. This declaration allows for a one-time Special Enrollment Period (SEP).

Medicaid, Child Health Plus and Essential Plan cases with a coverage end date through 1/31/22 will be extended for an additional 12 month period.

It's business as usual in Florida - this is the 4th year in a row Cigna has received a 5-star rating from CMS in Florida. Click the post to learn more.

The Centers for Medicare & Medicaid Services (CMS) provides for a Special Election Period (SEP) for beneficiaries impacted by a Federal Emergency Management Agency (FEMA) Emergency or Major Disaster Declaration.

Please note, Molina is providing additional clarification on the 12/3/2021 notice of updated eligibility criteria for their Michigan Medicare Plans. They apologize for any confusion and appreciate your continued support and partnership.

Please be advised that a state of emergency was declared, impacting individuals in Connecticut. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in New Jersey. This declaration allows for a one-time Special Enrollment Period (SEP).

If your sales region includes Westmoreland County, you may have already heard about UnitedHealthcare terminating their access to Excela Health for 2022.

This issue has been corrected. Please review the 2022 Wellcare Benefit Highlights Impacted Plans document for quick reference of plans included in the issue resolution.

Please be advised that a state of emergency was declared, impacting individuals in Rhode Island. This declaration allows for a one-time Special Enrollment Period (SEP).

Based on the group's feedback, BlueChoice® will make changes to their prescription drug coverage and utilization management program for large groups and CarolinaADVANTAGE legacy small groups.

During the past few weeks, Molina has received several questions concerning eligibility for the Molina DSNP plans in Michigan. Click the post to view an update from the carrier.

CareValue can help brokers get certified - NY State of Health Announces 2022 Enrollment is Open – New Yorkers Urged to Enroll in a Health Plan or Renew Their Coverage Starting Today!

Click the post to view a detailed product availability chart from Cigna Supplemental Benefits for all states.

Inside, find an article from CMS regarding the Social Security COLA increase, Medicare premiums and deductibles, along with an article from Bloomberg regarding one of several reasons for the increases and more.

You may have recently heard that Cigna announced an agreement with Molina Healthcare, allowing Molina to acquire Cigna’s Texas Medicaid contracts and certain operating assets.

Please be advised that a state of emergency was declared, impacting individuals in New Jersey. This declaration allows for a one-time Special Enrollment Period (SEP).

The University of New Mexico Hospital is now in the Wellcare Network and can be found in the Find A Provider Tool.

Wellcare has identified an issue with the printed version of the 2022 Wellcare Benefit Highlights. The PPO In-Network Hearing Services benefit reflects a misprint of a lower benefit amount for both packages.

As of 10/7/2021, Centene has discontinued the sales of the Hearing, Vision, and Dental buy-up packages linked with Health Net Medicare Supplement plans. View post for a snapshot of the packages.

Please be advised that a state of emergency was declared, impacting individuals in certain NY counties. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in New Jersey. This declaration allows for a one-time Special Enrollment Period (SEP).

You must swap out the 2021 Star Ratings sheets in all your enrollment kits with the 2022 Star Ratings Sheets as of this communication. Please see the 2022 Star rating PDFs attached (EN- English, SP-Spanish).

Please see inside for a list of 2022 UHC 5-star plans. There are quite a few! These will be able to be sold year-round in 2022.

Click the post to view the Northeast plans in the 2022 Star Rating document for Humana. States include New York, Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island and Vermont.

Independent agents are some of the most common targets for cybercriminals who target data to sell, hold for ransom, or exploit for monetary gain. As a trusted guardian of your members’ personal and health information, protecting data in the age of cyber insurance is crucial.

Highmark Blue Shield of Northeastern New York is pleased to announce that they are maintaining a 5 STAR CMS Rating for their PPO products throughout 2022.

Please be advised that a state of emergency was declared, impacting individuals in Hawaii. This declaration allows for a one-time Special Enrollment Period (SEP).

Please be advised that a state of emergency was declared, impacting individuals in Hawaii. This declaration allows for a one-time Special Enrollment Period (SEP).

Wellcare has identified an issue with the printed version of the 2022 New Jersey Wellcare Dual Liberty Summary of Benefits documents contained within the 2022 Enrollment Guide.

UPMC for Life earned an excellent 5 out of a possible 5 overall star rating for its HMO and PPO plans from the Centers for Medicare & Medicaid Services (CMS) for 2022. And that’s not all. View the flyer inside for details.

Please be advised that a state of emergency was declared, impacting individuals in Michigan. This declaration allows for a one-time Special Enrollment Period (SEP).

The 2022 Star Ratings are now available to order. Once you receive them, please replace the 2021 Star Rating in your MA and Dental kits with these 2022 Star Ratings.

UPMC for Life earned an excellent 5 out of a possible 5 overall star rating for its HMO and PPO plans for 2022 from the Centers for Medicare & Medicaid Services (CMS).

Cigna's Medicare Advantage plans rank better than ever. For 2022, they expect 89% of their Medicare Advantage and Prescription Drug Plan (MAPD) customers will be in a 4 Star rated plan or higher – up 12% in just three years.

UHC is updating the Benefit Highlight Brochures and Shopping Sheets for all Medicare Advantage Plans to ensure accurate benefit information is available for consumers.

In an effort to better assist you, WellCare has shared PDF's of their 2022 benefit highlights for the state of Massachusetts. Click the post to view & download.

The Centers for Medicare & Medicaid Services (CMS) released the 2022 Star Ratings for Medicare Advantage (Medicare Part C) and Medicare Part D prescription drug plans to help people with Medicare compare plans ahead of Medicare Open Enrollment, which kicks off on October 15.

CMS is particularly concerned with national advertisements promoting MA plan benefits and cost savings, which are only available in limited service areas or for limited groups of enrollees, as well as using words and imagery that may confuse beneficiaries or cause them to believe the advertisement is coming directly from the government.

Effective 10/20/2021, premiums for the Grow-Up plan will increase. Electronic applications submitted on the Gerber Life Agent Portal on or after 10/20/2021 will be issued with the new rates.

Humana identified additional information to be included within the Part D Savings Model or Humana’s Insulin Savings Program page within applicable MAPD and PDP Premier Enrollment book plans.

If you were unable to attend a LIVE or Virtual AEP Rollout, attached are the slides that were presented for UnitedHealthcare's 2022 Medicare Plans.