Medicare Marketing Guidelines For Providers
|
|
|
- Ashlee Sims
- 3 years ago
- Views:
Transcription
1 Medicare Marketing Guidelines All providers who contract with Blue Cross and Blue Shield of Montana (BCBSMT) to provide Medicare Advantage services are expected to abide by the Centers for Medicare and Medicaid Services (CMS) rules for marketing when it involves BCBSMT or Blue Cross Medicare Advantage (PPO) products or benefits. View the guidelines below that are applicable to providers Chapter 3 Medicare Marketing Guidelines Provider Marketing Guidelines Excerpt ( Issued: ) Marketing in the Health Care Setting 42 CFR (j) and (k), (j) and (k) Plans/Part D Sponsors and providers with whom they have a relationship(contractual, co-branding or otherwise) that assist beneficiaries with plan selection should ensure that provider assistance results in plan selection that is always in the best interest of the beneficiary. Plans/Part D Sponsors may not conduct sales activities in healthcare settings except in common areas. Common areas where marketing activities are allowed include areas such as hospital or nursing home cafeterias, community or recreational rooms, and conference rooms. If a pharmacy counter area is located within a retail store, common areas would include the space outside of where patients wait for services from or interact with pharmacy providers and obtain medications. Plans/Part D Sponsors are prohibited from conducting sales presentations, distributing and accepting enrollment applications, and soliciting Medicare beneficiaries in areas where patients primarily receive health care services or are waiting to receive health care services. These restricted areas generally include, but are not limited to, waiting rooms, exam rooms, hospital patient rooms, dialysis center treatment areas (where patients interact with their clinical team and receive treatment), and pharmacy counter areas (where patients interact with pharmacy providers and obtain medications). The prohibition against conducting marketing activities in health care settings extends to activities planned in health care settings outside of normal business hours. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.
2 Plans/Part D Sponsors are only permitted to schedule appointments with beneficiaries residing in long-term care facilities (including nursing homes, assisted living facilities, board and care homes, etc.) upon request by the beneficiary. Plans/Part D Sponsors may use providers to make available and/or distribute plan marketing materials as long as the provider and/or the facilities distributes or makes available Plan/Part D Sponsor marketing materials for all plans with which the provider participates. CMS does not expect providers to proactively contact all participating plans; rather, a Plan/Part D Sponsor must only ensure that a provider agrees to make available and/or distribute plan marketing materials they should do so if the Plan/Part D Sponsor indicates the provider must accept future requests from other Plans/Part D Sponsors with which the providers participate. Plans/Part D Sponsors may also provide materials for providers to display posters or other materials in common areas such as the provider s waiting room. Additionally, Plans/Part D Sponsors may provide materials to long-term care facilities to provide materials in admission packets announcing all plan contractual relationships. SNP plans may provide to long term care facility staff, for distribution to residents that meet the I-SNP criteria, an explanatory brochure for each I-SNP with which the facility contracts. The brochure can explain about the qualification criteria and the benefits of being enrolled in an I-SNP. The brochure may have a reply card or telephone number for the resident or responsible party to call to request a meeting or request additional information Provider-Based Activities 42 CFR (e) and (j), (e) and (j) CMS is concerned with Plans/Part D Sponsors engaging in provider-based marketing activities because: Providers may not be fully aware of all plan benefits and costs. Providers may confuse the beneficiary if the provider is perceived as acting as an agent of the plan versus acting as the beneficiary s provider. Providers may face conflicting incentives when acting as a Plan/Part D Sponsor representative. We recognize that Plans/Part D Sponsors have agreements with providers in connection with plan activities and expect those agreements to address marketing activity in a manner consistent with Medicare regulations. This
3 includes ensuring that if a provider advertises non-health related items or services, the advertisement makes it clear that those items/services are not covered by the Plan/Part D Sponsor. To the extent that the Plan/Part D Sponsor ensures that a provider assists a beneficiary in an objective assessment of his/her needs and potential options to meet those needs, the Plan/Part D Sponsor may use providers for such activities. Plans/Part D Sponsors may allow contracted providers to engage in discussions with beneficiaries should a beneficiary seek advice. However, Plans/Part D Sponsors must ensure, through their agreements with providers, that contracted providers are advised of the need to remain neutral when assisting with enrollment decisions and that providers do not: Offer scope of appointment forms. Accept Medicare enrollment applications. Make phone calls or direct, urge or attempt to persuade beneficiaries to enroll in a specific plan based on financial or any other interests of the provider. Mail marketing materials on behalf of Plans/Part D Sponsors. Offer anything of value to induce plan enrollees to select them as their provider. Offer inducements to persuade beneficiaries to enroll in a particular plan or organization. Conduct health screening as a marketing activity. Accept compensation directly or indirectly from the plan for beneficiary enrollment activities. Distribute materials/applications within an exam room setting. Plans/Part D Sponsors may use and allow contracted providers to: Provide the names of Plans/Part D Sponsors with which they contract and/or participate (See section for additional information on provider affiliation). Provide information and assistance in applying for the LIS. Make available and/or distribute plan marketing materials. Refer their patients to other sources of information, such as SHIPs, plan marketing representatives, their State Medicaid Office,
4 local Social Security Office, CMS website at or MEDICARE. Share information with patients from CMS website, including the Medicare and You Handbook or Medicare Options Compare (from or other documents that were written by or previously approved by CMS New or Continued Provider Affiliation Announcements 42 CFR (a), , (a), Plans/Part D Sponsors may permit their providers to announce new or continuing affiliations between providers and specific Plans/Part D Sponsors through general advertising, (e.g., radio, television, websites). Plan/Part D Sponsors materials (including materials provided to providers) that describe plan benefits, premiums, or cost sharing must be submitted through HPMS. Materials that only announce the affiliation or continuing affiliation do not need to be submitted through HPMS. New Affiliations A new affiliation announcement may be made once within the first 30 days of a new contract agreement (in these announcements, Plan/Part D Sponsors may allow contracted providers to name only one Plan/Part D Sponsor). This may be done through direct mail, , by telephone, or advertisement. Neither the Plan/Part D Sponsor nor the contracted provider needs to notify beneficiaries that the provider may contract with other Plans/Part D Sponsors. Continuing Affiliations Continuing affiliation announcements may be made through direct mail, , phone or advertisement. Continuing affiliation announcements must clearly state that the provider may also contract with other Plans/Part D Sponsors SNP Provider Affiliation Information Plans/Part D Sponsors may allow contracted providers to feature SNPs in a mailing announcing an ongoing affiliation. This mailing may highlight
5 the provider s affiliation or arrangement by placing the SNP affiliations at the beginning of the announcement and may include specific information about the SNP and must include the appropriate disclaimer (refer to section 50). This includes providing information on special plan features, the population the SNP serves, or specific benefits for each SNP. The announcement must list all other SNPs with which the provider is affiliated Comparative and Descriptive Plan Information Plans/Part D Sponsors may allow contracted providers to distribute printed information provided by a Plan/Part D Sponsor to their patients comparing the benefits of all of the different plans with which they contract. Materials must include the appropriate disclaimer (refer to section 50). Materials may not rank order or highlight specific plans and should include only objective information. Such materials should have the concurrence of all Plans/Part D Sponsors involved in the comparison and must be approved by CMS prior to distribution (i.e., these items are not be subject to File & Use). The Plans/Part D Sponsors must determine a lead Plan to coordinate submission of these materials to CMS for review (refer to section 90.2 for more information on submission of marketing materials) Comparative and Descriptive Plan Information Provided by a Non-Benefit/Non-Health Service Providing Third-Party Plans/Part D Sponsors may allow contracted providers to distribute printed information comparing the benefits of different Plans/Part D Sponsors (all or a subset) in a service area when the comparison is done by an objective third party, (e.g., SHIPs, State agency or independent research organizations that conduct studies). For more information on non-benefit/non-health service providing third party providers, refer to section
MEDICARE SALES & MARKETING ACTIVITIES DO AND DON T REFERENCE CHART
MEDICARE SALES & MARKETING ACTIVITIES AND REFERENCE CHART GENERAL MARKETING PRACTICES CMS defines Marketing as the act of steering, or attempting to steer, a potential enrollee (prospect) towards a plan
MEDICARE SALES & MARKETING ACTIVITIES DO AND DON T REFERENCE CHART FOR HARVARD PILGRIM HEALTH PLAN
MEDICARE SALES & MARKETING ACTIVITIES AND N T GENERAL MARKETING PRACTICES CMS defines marketing as activities meant to steer, or attempt to steer, potential enrollees toward a plan or a limited set of
Plan Comparison for Providers. For provider use only not to be distributed to patients.
Plan Comparison for Providers For provider use only not to be distributed to patients. 2016 HMSA Akamai Advantage - Oahu Monthly premium (Must continue to pay the Part B premium in addition to the HMSA
MEDICARE SALES & MARKETING ACTIVITIES DO AND DON T REFERENCE CHART
MEDICARE SALES & MARKETING ACTIVITIES AND REFERENCE CHART GENERAL MARKETING PRACTICES CMS defines Marketing as activities meant to steer, or attempt to steer potential enrollees toward a plan or a limited
Marketing Medicare Advantage and Part D Plans
Marketing Medicare Advantage and Part D Plans Part 4 Version 6.0 September 28, 2012 Terms and Conditions This training program is protected under United States Copyright laws, 17 U.S.C.A. 101, et seq.
Medicare Managed Care Manual. Chapter 3 Medicare Marketing Guidelines & Chapter 2 Medicare Prescription Drug Plan Benefit Manual
Attachment A Medicare Managed Care Manual Chapter 3 Medicare Marketing Guidelines & Chapter 2 Medicare Prescription Drug Plan Benefit Manual High Level Summary of Final 2012 Medicare Marketing Guidelines
John R. Kasich, Governor Mary Taylor, Lt. Governor/Director. OSHIIP Medicare Advantage Update Webinar
John R. Kasich, Governor Mary Taylor, Lt. Governor/Director OSHIIP Medicare Advantage Update Webinar Session Topics This session will help you to Define Medicare Advantage (MA) Plans Explain eligibility
ESSO WEEKLY MEMO. June 5, 2014 In this Issue
ESSO WEEKLY MEMO June 5, 2014 In this Issue MEDICAID UPDATES 1. Medicaid Alerts and Questions 2. REMINDER - How to submit an MMA Complaint 3. June ICD-10 Newsletter Available 4. Statewide Medicaid Managed
CMS Marketing Guidelines Marketing
40.11.1 - Agent Broker Phone Number 42 CFR 422.112(a)(7)(i) & (ii), 423.128(d) Advertisements that include an agent/broker s phone number should clearly indicate that calling the agent/broker number will
Medicare Secondary Payer Overview. For Multiple Employer Group Health Plans and their Participating Employers
Secondary Payer Overview For Multiple Employer Group Health Plans and their Participating Employers Welcome As a multiple employer group health plan or an employer participating therein, you must comply
Medicare Advantage and Other Medicare Plans 1
2015 National Training Program Module 11 Medicare Advantage and Other Medicare Health Plans Session Objectives This session should help you to Define Medicare Advantage (MA) Plans Describe how MA Plans
Welcome! Medicare Advantage. Elderplan Advantage Institutional Special Needs Plan
Elderplan Advantage Institutional Special Needs Plan 1 Welcome! Goals for today: To give you an overview of Medicare Advantage Works To give you a sense of the role of ISNP in an SNF To provide a description
National Policy Library Document
National Policy Library Document Policy Name: Medicare Sales Agent Activities and Oversight Policy No.: NC102-145815 This Policy is applicable to the following: Department(s): Medicare Sales; Sales Operations;
2015 National Training Program
2015 National Training Program Module 11 Medicare Advantage and Other Medicare Health Plans Session Objectives This session should help you to Define Medicare Advantage (MA) Plans Describe how MA Plans
Chapter 3 of the Medicare Managed Care Manual Chapter 2 of the Prescription Drug Benefit Manual
Chapter 3 of the Medicare Managed Care Manual Chapter 2 of the Prescription Drug Benefit Manual Medicare Marketing Guidelines For Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans, Prescription
Medicare Secondary Payer Understanding the Medicare Secondary Payer Multiple Employer Group Health Plan Exception
Medicare Secondary Payer Understanding the Medicare Secondary Payer Multiple Employer Group Health Plan Exception For Employer Groups participating in Multiple Employer Group Health Plans Welcome If your
Medicare Secondary Payer Overview. For Employer Groups
Secondary Payer Overview For Employer Groups Welcome As an employer offering a group health plan, you must comply with the Secondary Payer (MSP) statute and regulations (the MSP laws). These laws establish
2015 Individual Enrollment Form
2015 Individual Enrollment Form Easy ways to enroll: Fill out the enrollment form and return it in the postagepaid return envelope Enroll online at www.yourmedicaresolutions.com Contact your licensed sales
Module 11 Medicare Advantage and Other Medicare Health Plans
Module 11 Medicare Advantage and Other Medicare Health Plans Section Objectives Define Medicare Advantage (MA) Plans Describe how MA Plans work Explain eligibility requirements and enrollment Recognize
Medicare Part D: Creditable Coverage & Retiree Drug Subsidy
For Distribution to Brokers/Wholesalers/Administrators Only September 23, 2005 Medicare Part D: Creditable Coverage & Retiree Drug Subsidy Market: All CareFirst would like to keep you informed of the latest
Chapter 3 of the Medicare Managed Care Manual Chapter 2 of the Prescription Drug Benefit Manual
Chapter 3 of the Medicare Managed Care Manual Chapter 2 of the Prescription Drug Benefit Manual Medicare Marketing Guidelines For Medicare Advantage Plans 1, Medicare Advantage Prescription Drug Plans,
FREQUENTLY ASKED QUESTIONS ABOUT:
FREQUENTLY ASKED QUESTIONS ABOUT: RETIREE PRESCRIPTION DRUG COVERAGE & THE NEW MEDICARE PRESCRIPTION DRUG COVERAGE SIntroduction Starting January 1, 2006, Medicare prescription drug coverage will be available
Medicare Marketing Guidelines
Medicare Marketing Guidelines For Medicare Advantage Plans 1, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, Employer/Union-Sponsored Group Health Plans, Medicare-Medicaid Plans,
Teresa DeCaro, Acting Director, Medicare Drug & Health Plan Contract Administration Group
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard Baltimore, Maryland 21244-1850 CENTER FOR DRUG AND HEALTH PLAN CHOICE DATE: September 18, 2009 TO:
Final CY 2014 Marketing Guidance for New York s Medicare-Medicaid Plans Released: May 2, 2014
Final CY 2014 Marketing Guidance for New York s Medicare-Medicaid Plans Released: May 2, 2014 Introduction All Medicare Advantage-Prescription Drug (MA-PD) plan sponsor requirements in the CY 2014 Medicare
National Policy Library Document
National Policy Library Document Policy Name: Medicare Sales Materials Policy No.: TR920-122549 This Policy is applicable to the following: Department(s): Marketing and Communication Business Unit(s):
Frequently Asked Questions Medicare Improvements for Patients and Providers Act (MIPPA)
Frequently Asked Questions Medicare Improvements for Patients and Providers Act (MIPPA) I. Marketing Outbound Calls Q. Can I make outbound marketing calls to prospects? A. No, as of September 18, 2008,
TABLE OF CONTENTS. Claims Processing & Provider Compensation
TABLE OF CONTENTS Claims Address... 2 Claim Submission... 2 Claim Payment... 2 Claim Payment Adjustments.... 2 Claim Disputes... 2 Recovery of Overpayments... 3 Balance Billing... 3 Annual Health Assessment
Medicare Advantage Election Form
Serving select counties Medicare Advantage Election Form Serving select counties Serving select counties Already a Blue Cross of Idaho Care Plus Medicare member? Please check the box below: o I have a
Safeguard Your Medicare by Understanding Medicare Advantage Plans. The Medicare Fraud Program. with the Colorado Division of Insurance
Safeguard Your Medicare by Understanding Medicare Advantage Plans The Medicare Fraud Program with the Colorado Division of Insurance Dear Medicare Beneficiary: We know how important Medicare is to you
Blue MedicareRx SM (PDP) Medicare Prescription Drug Plan 2012 Enrollment Form
Official Use Only: Date Stamp Blue MedicareRx SM (PDP) Medicare Prescription Drug Plan 2012 Enrollment Form Return completed applications to your Employer Please refer to the Blue MedicareRx (PDP) Evidence
Individual Enrollment Request Form
Please contact Network Health Medicare Advantage plans if you need information in another language or format (Braille). To Enroll in a Network Health Medicare Advantage Plan, Please Provide the Following
Texas Provider Marketing Guidelines
HHSC Texas Provider Marketing Guidelines William Lucas Guidelines To provide guidance to the State of Texas Medicaid/CHIP Providers of permissible and prohibited provider marketing. Table of Contents Purpose...
Broker Medicare Advertising Material Review Checklist
Broker Medicare Advertising Material Review Checklist NOTE: The material cannot be used in the marketplace until Health Net has given its express written approval. Section 1: GENERAL INFORMATION A. Material
Prescription drugs are a critical component of health care. Because of the role of drugs in treating conditions, it is important that Medicare ensures that its beneficiaries have access to appropriate
2014 National Training Program. Wo r k b o o k. Module: 11 Medicare Advantage and Other Medicare Health Plans
2014 National Training Program Wo r k b o o k Module: 11 Medicare Advantage and Other Medicare Health Plans Module Description Centers for Medicare & Medicaid Services National Training Program Instructor
Table of Contents. this chapter, plan is used both to refer to the MA plan and to the MA organization offering the plan.
Medicare Marketing Guidelines For Medicare Advantage Plans 1, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, and Section 1876 Cost Plans Table of Contents 10 Introduction...1 20 Materials
Anthem Medicare Preferred (PPO) Individual Enrollment Request Form 2015
Anthem Medicare Preferred (PPO) Individual Enrollment Request Form 2015 Be sure to complete the entire enrollment form. Then, mail the completed form to P.O. Box 659403, San Antonio, TX 78265-9714 or fax
SELECT LANDSCAPE FORMAT BEFORE PRINTING
SELECT LANDSCAPE FORMAT BEFORE PRINTING CY2016 CMS Medicare Marketing Guidelines (MMG) DOs & s Agent Summary Based on MMG released by CMS on 7/02/2015 CMS generally updates the MMG annually CMS holds Aetna
Proprietary Information Property of Humana MarketPOINT
DELEGATED GROUP PRODUCING AGENT OR AGENCY CONTRACT MEDICARE AMENDMENT AND GPA MEDICARE ADVANTAGE PLANS AND PRESCRIPTION DRUG PLANS SALES AND MARKETING AGREEMENT Your Group Producing Agent or Agency Contract
Beneficiary Signature: If you are the authorized representative, you must sign above and provide the following information:
SCOPE OF SALES APPOINTMENT CONFIRMATION FORM To be completed by person with Medicare. Please initial below in the box beside the plan type that you want the agent to discuss with you. If you do not want
Marketing Guidance for Brokers 2014 Guidelines
Marketing Guidance for rokers How to get started with submitting materials for review 1 2 Review this document thoroughly and ensure you understand the process a broker should follow when developing, creating,
Final CY 2016 Marketing Guidance for New York s Medicare-Medicaid Plans Issued: July 24, 2015 Revised: March 22, 2016
Final CY 2016 Marketing Guidance for New York s Medicare-Medicaid Plans Issued: July 24, 2015 Revised: March 22, 2016 Introduction All Medicare Advantage-Prescription Drug (MA-PD) plan sponsor requirements
Medicare Advantage and Part D Fraud, Waste and Abuse Compliance Training
Medicare Advantage and Part D Fraud, Waste and Abuse Compliance Training Overview This Medicare Advantage and Part D Fraud, Waste and Abuse Compliance Training for first-tier, downstream and related entities
Please contact Blue Cross MedicareRx if you need information in another language or format (Braille).
Blue Cross MedicareRx SM Medicare Prescription Drug Plan Individual Enrollment Form Please contact Blue Cross MedicareRx if you need information in another language or format (Braille). To enroll in Blue
2015 Individual Enrollment Form for Medicare Prescription Drug Plan
PO Box 17168 Winston Salem, NC 271167168 (PDP) 2015 Individual Enrollment Form for Medicare Prescription Drug Plan Please contact BCBSNC if you need information in another language or format (Braille).
Please review all plan information carefully before making your selection. Once you have selected a plan, make sure you:
Instructions on How to Fill Out the Blue MedicareRx SM (PDP) Enrollment Form NOTE: If you would like to save time and enroll online in one of our Blue MedicareRx plans, please go to www.rxmedicareplans.com,
Medicare Part D Transition Policy CY 2016 HCSC Medicare Part D
Blue Cross Medicare Advantage (HMO) SM / Blue Cross Medicare Advantage (HMO-POS) SM / Blue Cross Medicare Advantage (PPO) SM Medicare Part D Transition Policy CY 2016 HCSC Medicare Part D Medicare Part
Annual Notice of Changes for 2015
Prescription Blue SM PDP, Option B, offered by Blue Cross Blue Shield of Michigan Annual Notice of Changes for 2015 You are currently enrolled as a member of Prescription Blue Option B. Next year, there
Priority Health Medicare
Priority Health Medicare To enroll online please visit our website at prioritymedicare.com Enrollment instructions To avoid delays in processing your enrollment, please follow these helpful tips. Make
Sandia Group Medicare Advantage Plan Enrollment Form
To Enroll, Please Provide the Following Information: Senior Advantage Health Plan Choices (Choose One): Lovelace Senior Plan n Presbyterian MediCare PPO n Name of Employer: Sandia National Laboratories
Enrollment Application
2015 MEDICARE ADVANTAGE Enrollment Application Senior Blue HMO Forever Blue Medicare PPO Optional Supplemental Dental If you have any questions, we re here to help! bcbswny.com/medicare 1-800-248-9296
Introductory Guide to Medicare Part C and D
Introductory Guide to Medicare Part C and D Elizabeth B. Lippincott Emily A. Moseley Lippincott Law Firm PLLC Contents Introduction... 3 Instructions on Using the Guide... 3 Glossary and Definitions...
or my newly adopted/placed for adoption child(ren): placement date)
Washington Individual Enrollment Application Effective January 1, 2016 This application is for health care coverage purchased directly from Premera Blue Cross (Premera). For timely and proper processing,
Frequently Asked Questions: Medicare Supplement & Medicare Advantage
Frequently Asked Questions: Medicare Supplement & Medicare Advantage Who is eligible for CBIA s Medicare program? A CBIA Health Connections participant is eligible for either plan if they are qualified
Annual Notice of Changes for 2016
0 MedicareBlue SM Rx Premier (PDP) offered by Blue Cross and Blue Shield Annual Notice of Changes for 2016 You are currently enrolled as a member of MedicareBlue Rx Premier. Next year, there will be some
Fraud Waste and Abuse Training Requirement. To Whom It May Concern:
RE: Fraud Waste and Abuse Training Requirement To Whom It May Concern: This letter is to inform you about a new requirement being implemented by the CMS program (Centers for Medicare and Medicaid Services)
2015 National Training Program. Wo r k b o o k. Module: 11 Medicare Advantage and Other Medicare Health Plans
2015 National Training Program Wo r k b o o k Module: 11 Medicare Advantage and Other Medicare Health Plans Module Description Centers for Medicare & Medicaid Services (CMS) National Training Program (NTP)
2016 Enrollment Form
2016 Enrollment Form White Copy Enrollment Yellow Copy Agent Pink Copy Member Simply Healthcare Scope Lead ID: Black & White Logos Proposed Effective Date of Coverage: Horizontal 2016 Enrollment Request
Agent and Broker Training & Testing Guidelines
Agent and Broker Training & Testing Guidelines Introduction Content for the Agent/Broker training guidelines is based on information from CMS Medicare Managed Care Manual (MMC), CMS Medicare Prescription
To Enroll in Cigna HealthSpring Preferred Plus, Please Provide the Following Information:
Cigna HealthSpring Preferred Plus (HMO) Medicare Advantage Plan 2015 Enrollment Request Form Please contact Cigna HealthSpring Preferred Plus if you need information in another language or format (Braille).
How To Know When You Are Eligible For A Health Care Plan
Secondary Payer The Centers for & Medicaid (CMS) has rules for determining when other types of insurance such as an employer s group health plan must pay primary to. The Secondary Payer (MSP) rules are
Training and Certification Frequently Asked Questions
Training and Certification Frequently Asked Questions Certification basics: Who needs to be certified and why? Who needs to be certified for 2015? Why do I have to be certified? I was certified last year.
Empire MediBlue (HMO) Individual Enrollment Request Form 2014
Empire MediBlue (HMO) Individual Enrollment Request Form 2014 Be sure to complete the entire enrollment form. Then, mail the completed form to P.O. Box 659403, San Antonio, TX 78265-9714 or fax the completed
U.S. Department of Health and Human Services. Centers for Medicare & Medicaid Services Region VIII FINAL REPORT
U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services Region VIII FINAL REPORT Montana EPSDT Review Report Dental Services April 1 3, 2008 Executive Summary The Early and
Cigna Medicare Advantage HMO Plans 2016 Enrollment Request Form Please contact Cigna if you need information in another language or format (Braille).
Cigna Medicare Advantage HMO Plans 2016 Enrollment Request Form Please contact Cigna if you need information in another language or format (Braille). To Enroll in Cigna Preferred/Preferred Plus/Achieve
State of Alabama. Medicaid Dental Review
State of Alabama Medicaid Dental Review October 2010 Executive Summary The Centers for Medicare & Medicaid Services (CMS) is committed to improving pediatric dental care in the Medicaid program reflecting
Enrollment Application. Senior Blue Traditional Blue Medicare PPO
MEDICARE ADVANTAGE Enrollment Application Senior Blue Traditional Blue Medicare PPO 30 Century Hill Drive, Latham, NY 12110 1-800-700-8482 Toll Free TTY/TDD (Hearing Impaired) 1-877-513-1470 Monday through
Oklahoma Insurance Department Pre-registration Education Materials for Navigators
Oklahoma Insurance Department Pre-registration Education Materials for Navigators Consumer Privacy/HIPAA Compliance: In the course of performing the functions of a navigator, you may (and likely will)
Your Guide to Medicare Special Needs Plans (SNPs)
CENTERS FOR MEDICARE & MEDICAID SERVICES Your Guide to Medicare Special Needs Plans (SNPs) This official government booklet has important information about Medicare Special Needs Plans, including the following:
Enrollment Application Instructions 2015 Plan Year
Enrollment Application Instructions 2015 Plan Year Please read before completing your enrollment request form. You are eligible to join Care N Care Health Plan(s) HMO if: You are entitled to Medicare Part
Telephone (800) 868-3153 (TT Y: 711) Please contact Alliance Medicare PPO if you need information in another language or format (large print).
PPO Medicare Advantage PPO Health Alliance Plan 2850 W. Grand Blvd., Detroit, MI 48202 Individual Enrollment Request Form Telephone (800) 868-3153 (TT Y: 711) Please contact Alliance Medicare PPO if you
Annual Notice of Changes for 2015
BlueRx (PDP) Local Government Health Insurance Plan (LGHIP) Prescription Drug Coverage for Medicare Members offered by Blue Cross and Blue Shield of Alabama Annual Notice of Changes for 2015 You are currently
HIPAA. HIPAA and Group Health Plans
HIPAA HIPAA and Group Health Plans CareFirst BlueCross BlueShield is the business name of CareFirst of Maryland, Inc. and is an independent licensee of the Blue Cross and Blue Shield Association. Registered
Protecting Medicare and You from Fraud
CENTERS FOR MEDICARE & MEDICAID SERVICES Protecting Medicare and You from Fraud This official government booklet explains the following: How to protect yourself and Medicare from fraud How to identify
Managed Health Services Advantage MA Individual Enrollment Request Form
Managed Health Services Advantage MA Individual Enrollment Request Form Please contact Managed Health Services Advantage if you need information in another language or format (Braille). To Enroll In Managed
Medicare Open Enrollment
Medicare Open Enrollment For Coverage in 2015 1-800-MEDICARE www.medicare.gov Module Summary This module will provide the following information: Medicare Part A and B basic costs Medicare Advantage Plan
Integrated Marketing Rules and Practices for Medicare and Medicaid Managed Care
Integrated Marketing Rules and Practices for Medicare and Medicaid Managed Care ICRC Study Hall Call October 23, 2014 4:00-5:00 PM Eastern The Integrated Care Resource Center, an initiative of the Centers
Moving Toward Integrated Marketing Rules and Practices for Medicare and Medicaid Managed Care Plans
TECHNICAL ASSISTANCE BRIEF J U LY 2014 Moving Toward Integrated Marketing Rules and Practices for Medicare and Medicaid Managed Care Plans By Michelle Herman Soper, Center for Health Care Strategies, and
Appeals Provider Manual 15
Table of Contents Overview... 15.1 Commercial Member appeals... 15.1 Self-insured groups... 15.1 Traditional/CMM Members... 15.1 Who may appeal... 15.1 How to file an internal appeal on behalf of the Member...
Under section 1128A(a)(5) of the Social Security Act (the Act), enacted as part of
OFFICE OF INSPECTOR GENERAL SPECIAL ADVISORY BULLETIN OFFERING GIFTS AND OTHER INDUCEMENTS TO BENEFICIARIES August 2002 Introduction Under section 1128A(a)(5) of the Social Security Act (the Act), enacted
CHIP/Medicaid Managed Care Marketing Policies Overview. August 4, 2010
CHIP/Medicaid Managed Care Marketing Policies Overview August 4, 2010 Purpose Provide accurate and consistent application of the Marketing Policies as they relate to CHIP and Medicaid Managed Care Programs
March 24, 2006. Re: Ameriprise Financial Services, Inc. Dear Mr. Scheidt:
March 24, 2006 Douglas J. Scheidt, Esq. Associate Director and Chief Counsel DIVISION OF INVESTMENT MANAGEMENT SECURITIES AND EXCHANGE COMMISSION 100 F Street NE Washington, DC 20549 Re: Ameriprise Financial
Special Needs Plan Model of Care 101
Special Needs Plan Model of Care 101 What is a Special Needs Plan? First of all it s a Medicare MA-PD, typically an HMO Consists of Medicare enrollees who meet special eligibility requirements In our case
Blue Assurance Medicare Supplement Rate Quote and Benefit Summary
Blue Assurance Medicare Supplement Rate Quote and Benefit Summary This brochure is not a policy. Full information about the terms, exclusions and limitations of the policies advertised is found in the
16 SB 158/AP. Senate Bill 158 By: Senators Burke of the 11th, Kirk of the 13th, Watson of the 1st, Hill of the 6th and McKoon of the 29th
Senate Bill 158 By: Senators Burke of the 11th, Kirk of the 13th, Watson of the 1st, Hill of the 6th and McKoon of the 29th AS PASSED A BILL TO BE ENTITLED AN ACT 1 2 3 4 5 To amend Title 33 of the Official
Blank forms may by copied. Be sure to use blue ink for signatures.
Montana Blue Cross Blue Shield/Medicare Complete form, sign and mail original to: Health-e-Web Attn: Marketing P.O. Box 4309 Helena, MT 59604 Blank forms may by copied. Be sure to use blue ink for signatures.
How To Get A Health Insurance Plan From Ctf
Overview of Health Insurance Options for Medicare-Eligible Members The following pages offer general descriptions of the types of plans offered to CTPF retirees who are eligible for and maintain active
Medicare Fact Sheet. Fact Sheet: Medicare
Medicare Fact Sheet Fact Sheet: Medicare 2 If you re 65 or older and not working, chances are your primary health insurance will come through Medicare the popular federal program begun in the 1960s to
Simply BLUE MEDICARE SUPPLEMENT PLANS SR BRO 2013.1.A
Simply BLUE MEDICARE SUPPLEMENT PLANS 2013 SR BRO 2013.1.A Simply BLUE Table of Contents Standard Benefit Offerings... 2 Disclosures... 3 Important Facts to Consider... 4 Supplement Plan Premiums... 5
HealthPlus MedicarePlus 2050 S. Linden Road Flint, MI 48532-4199
HealthPlus MedicarePlus 2050 S. Linden Road Flint, MI 48532-4199 Toll-Free 1-800-332-9161 TTY/TDD 1-800-992-5070 HealthPlus MedicarePlus Advantage D-SNP (HMO SNP) Individual Enrollment Form Please contact
Evidence of Coverage:
January 1 December 31, 2016 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Advantra Silver (HMO) This booklet gives you the details about
Application for Medicare Supplement Insurance Plan
Application for Medicare Supplement Insurance Plan Instructions 1. To be considered for coverage, you must have Medicare Parts A and B, reside in Illinois, and be: a) age 65 or over or b) applying within
Your Medicare Options
H H FOR GUIDE ESSENTIAL AN H H AN ESSENTI Your Medicare Options H MEDICARE BENEFICIARIES IN ALABAMA RIES IN ALABAMA Y0106_GBKLT_15 Accepted Thank you for your interest in Blue Cross and Blue Shield of
WHAT ACTIVITIES ARE PERMISSIBLE BY UNLICENSED AGENTS OR BROKERS IN NEW YORK. Frederick J. Pomerantz and Leonard M. Fisher, Esq. 212.490.
WHAT ACTIVITIES ARE PERMISSIBLE BY UNLICENSED AGENTS OR BROKERS IN NEW YORK Frederick J. Pomerantz and Leonard M. Fisher, Esq. 212.490.3000 On October 30, 2003, Governor George Pataki announced that he
THE MONTEFIORE ACO CODE OF CONDUCT
THE MONTEFIORE ACO CODE OF CONDUCT Montefiore ACO Compliance Program Our Commitment to Compliance As a central part of its Compliance Program, the Bronx Accountable Healthcare Network IPA, Inc., d/b/a
Vermont Blue 65. Coverage for Vermonters with Medicare. 2016 Medicare Supplemental Products. Group Brochure. An independent, local Vermont company
Vermont Blue 65 SM Coverage for Vermonters with Medicare 2016 Medicare Supplemental Products Group Brochure An independent, local Vermont company Three smart steps to quality health care after retirement:
Medicare Part D s competitive design: Do Part D enrollees switch plans? Shinobu Suzuki June 23, 2013
Medicare Part D s competitive design: Do Part D enrollees switch plans? Shinobu Suzuki June 23, 2013 Part D s competitive design Intended to provide sponsors incentives to offer attractive coverage while
Anthem Blue MedicareRx (PDP) Medicare Prescription Drug Plan Individual Enrollment Form 2016
Anthem Blue MedicareRx (PDP) Medicare Prescription Drug Plan Individual Enrollment Form 2016 Be sure to complete the entire enrollment form. Then, mail the completed form to P.O. Box 659403, San Antonio,