Wellcare – NPN Required For All Applications

As a reminder, the use of 6-digit Wellcare Broker Producer ID (PID) was discontinued in 2022 and replaced with National Producer Number (NPN).

Important Information to Prevent Payment Delays

  • The submission of an application with the old Wellcare Broker Producer ID (PID) may result in the incorrect Agent of Record (AOR) for the member.
  • Effective July 1, 2024, Wellcare will discontinue the manual process to convert the PID to NPN.
  • It is imperative that agents ensure their NPN is used for all application submissions going forward.
Filed under: Wellcare

Urgent: H5199 & H7175 Wellcare Plan Removal from Marketing and Enrollment

Important – Suspended Enrollments and Marketing for MAPD Plans in Florida and North Carolina

Attention Valued Partner,

Wellcare would like to make you aware that all enrollment and marketing activities are suspended effective Jan. 12, 2024, for plans under the two contracts below:

  • Florida MAPD PPO Contract (H5199)
  • North Carolina MAPD PPO Contract (H7175)

Additionally, these two contracts will not be renewed for Plan Year 2025. Each of them will end on Dec. 31, 2024.

Member Impact

  • Current members of plans under these contracts DO NOT need to be moved to alternate plans until the Annual Enrollment Period starting in Oct. 2024.
  • Current members will remain enrolled in their plans through Plan Year 2024.
  • Current members will continue to have uninterrupted access to their full plan benefits through the entirety of Plan Year 2024.

Important Takeaways

  • As of Jan. 12, 2024, members can no longer enroll in plans under these two contracts, and all enrollments for these plans will be denied.
  • Also as of this date, agents and agencies can no longer market these plans.
  • All enrollment materials related to these plans have been removed from Wellcare sites and enrollment platforms, and materials are no longer available for downloading, printing, or ordering.

Plans Impacted

Wellcare appreciates your prompt attention to this update. For any questions regarding these plans, please reach out to your local sales leader.

As always, they thank you for your continued partnership.

 


This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.

Filed under: Wellcare

Cigna AEP Resources for Brokers

Review to ensure you’re ready to sell Cigna Healthcare Medicare for AEP 2024.

AEP is almost here! Cigna is excited to see what this year brings with your continued partnership. As their plans, benefits, and network continue to get better and better, they have something to offer each of your customers.

Please take some time to review their 2024 Medicare Advantage Final Look to learn more about Cigna’s benefits and growth for the upcoming plan year.

2024 Medicare Advantage Final Look

 

AEP Resources

Cigna wants to remind you of some of the new or improved resources available to you with Cigna Healthcare. Please log in to Producers’ University before clicking the links below.

As always, feel free to reach out to your local Broker Manager or CARL if you have any questions. We wish you a great AEP 2024!

New Technology

Enhanced online provider look-up tool – Watch a short video to learn more about the enhancements.

Offline applications via eEnrollment – Use their offline applications through eEnrollment whenever an internet connection is not available.

ConnectureDRX voice signature – Use voice signatures during telephonic enrollments via ConnectureDRX

Cigna Healthy Today product search tool – Search for eligible over-the-counter (OTC) products by typing in the product’s name or UPC barcode number or by scanning the barcode directly using the member portal.

Easier submission tools for HRAs – You can now facilitate your HRAs using SunFire, ConnectureDRX, CignaforBrokers, and eEnrollment. Auto-populate feature available on some SunFire and ConnectureDRX HRAs.*

 

Other Resources

Cigna Agent Resource Line (CARL) – Contact CARL with any questions during AEP. Extended hours available. See contact information below.

Local Broker Managers – Contact your local Broker Managers for help with sales strategy, marketing advice, training, and general questions.

Producers’ University – Access many helpful resources including training guides, job aids, and podcasts.

CignaforBrokers – Access Producers’ University, CustomPoint, Salesforce, and more using single sign-on.

CustomPoint – Order all your AEP marketing materials to have a successful selling season.

2024 Medicare Advantage Final Look – Review our finalized plans, benefits, and expansion areas for 2024.

2024 PDP Premiums and Plan Designs – See an overview of PDP premiums and plan designs by state as well as benefits at-a-glance. Remember, PDPs are commissionable for 2024.

 

*When available, SunFire and ConnectureDRX will pre-populate member demographic information into the HRA form. This applies to agents using the embedded ConnectureDRX HRA, embedded SunFire HRA, some SunFire SSO/widget agency integrations, and eEnrollment.

Retention During AEP

Having a retention mindset allows you to help your customers, drive their positive health outcomes, and put more money in your pocket. Proactivity with your retention plan is key to your success, especially during AEP. Watch our three videos below to learn more.

·    Why Retention Mindset Sells More

·    Retention and Supplemental Benefits

·    Doctors, Drugs, and Dental

Cigna Agent Resource Line (CARL)

866.442.7516

CARL@cignahealthcare.com

Extended Hours: October 2 – November 30

7 a.m. to 8 p.m. CST, Monday through Saturday

11 a.m. to 4 p.m. CST, Sunday

Spanish queue available

This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.

Filed under: Cigna-HealthSpring

Cigna PDP Reminders and Rules of Engagement Updates

Read below for Rules of Engagement updates and important PDP reminders from Cigna.

Updates to Rules of Engagement

Cigna Healthcare has released an updated version of their Rules of Engagement. Please click here for a full list of updates and take some time to review the Rules of Engagement prior to AEP.

PDP Reminders

As they shared recently, Cigna Healthcare will start paying commissions on their full line of Medicare Prescription Drug Plans (PDPs) starting with the 2024 Annual Enrollment Period (AEP).

To take advantage of this opportunity, please ensure you are Ready-to-Sell by completing your 2024 certification and other applicable requirements. Click here for more details.

In anticipation of this exciting change, we ask that you take some time to review our 2024 PDP Premiums and Plan Designs. This document contains an overview of PDP premiums by state, PDP benefits at-a-glance, and PDP designs by state.

If you need to order additional PDP Enrollment Kits, visit CustomPoint. For help with ordering, review Cigna’s Ordering PDP Enrollment Kits guide in Producers’ University.

NOTE: You must be logged in to Producers’ University directly or through CignaForBrokers single sign-on to access the links above.

 

Questions

Please reach out to your direct upline or the Cigna Agent Resource Line (CARL) with any questions.

Cigna Agent Resource Line (CARL)

866.442.7516

CARL@cignahealthcare.com

Extended Hours: October 2 – November 30

7 a.m. to 8 p.m. CST, Monday through Saturday

11 a.m. to 4 p.m. CST, Sunday

Spanish queue available

This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.

Filed under: Cigna-HealthSpring

Wellcare: AEP Readiness Resources Are Now Available!

Attention Valued Partner,

Sales season has begun! To make sure you have all the tools and information you need for success, Wellcare is rolling out your best one-stop resource for everything AEP.

The 2024 AEP Readiness Resources page has information regarding their plan offerings, service areas, marquee benefits, including our new Wellcare SpendablesTM card, innovative Value-Based Insurance Design (VBID) benefits and other network enhancements.

Resource Highlights

  • 2024 Approved Plan Benefit Grids – New customizable and downloadable product grids showing key benefits for Prescription Drug Plan (PDP) and Medicare Advantage Prescription Drug (MAPD) plans in specific areas
  • Supplemental Benefit and Pharmacy One-Pagers – One-page fact sheets highlighting new and intriguing benefits for members
  • Supplemental Benefits Videos – YouTube videos outlining key selling points and information regarding select benefits and plan types
  • FAQs and Other Resources – Frequently asked questions for network updates and supplemental and pharmacy benefits, including dedicated VBID and Special Supplemental Benefits for the Chronically Ill (SSBCI) versions, catalogs and other helpful agent tools

Take a few moments now to review the 2024 AEP Readiness Resources and discover all of the valuable Wellcare benefits available for members in 2024. 2023 Resources continue to be available as well to support plan efforts throughout the rest of the current plan year.

Note: This resource is also available within the Ascend mobile app by searching 2024 AEP Readiness Resources.

Wellcare hopes that you find these resources beneficial for all of your sales efforts throughout this AEP season and beyond.

As always, they thank you for your continued partnership!

 

This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.

Filed under: Wellcare

Cigna Virtual High Five – September

Hello Call Center partners!

Cigna knows you are getting ready for the busy selling season with AEP right around the corner! To help you prepare, they’ve compiled the top 5 things to know about Cigna Medicare this month in Cigna’s newest Virtual High Five. Check it out below!

#1 – Recorded Training – Now Available

Cigna’s recorded training for Call Centers is now ready! Check it out with the link here: Growing Your Business with Cigna Medicare Advantage in 2024

Below are the topics included in the training…

  • Why Cigna
  • Sales tools & support
  • 2024 national benefits overview

27 minutes long – check it out and share with your agents today!

#2 – Putting a Little Magic into Medicare

NBA great Earvin “Magic” Johnson is featured in Cigna’s new Medicare marketing campaign, “Hey, Rookie.” This omni-channel campaign includes a 30-second TV spot that will air in 26 select Medicare Advantage priority markets across the U.S.

Mr. Johnson is turning 65 next year, and he’s a “rookie” to Medicare. In the TV spot, Johnson interacts with a number of Medicare pros, including “Judy” from Cigna Healthcare’s recent “Wisdom Comes with Benefits” Medicare campaign.

See the preview below!

Cigna Healthcare | Medicare Advantage | “Hey, Rookie” | :30 – YouTube

#3 – The Retention Mindset Video Series

Get out the popcorn and soda – it’s movie time!

Announcing a blockbuster new series of videos designed to embolden new and seasoned agents to drive new sales and retain their customers. Here are the topics…

  • Why Retention Mindset Sells More – The What, Who and When of the Retention Mindset for Call Centers. Available today through Producers’ University à Media Room
  • Supplemental Benefits (coming soon) – Don’t leave home without them! Sure to make the pickiest of customers stay in the plan
  • Doctors, Drugs, and Dental (coming soon) – A must watch!  Check out how to keep customers in the know about all the important benefits so they never want to leave!
  • Customer Cadence (coming soon) – Everything an agent needs to know about a customer’s calendar – to share with them. Keep on top of what’s coming to their mailbox and computer inbox! A happy customer is an informed one

Each video will be sure to entertain and educate!

#4 – New Ways to Submit HRAs

Cigna’s heard your feedback and has worked to make HRA facilitation easier and faster than before.

As of October 1, 2023, you will be able to access our HRA in the following locations:

  • SunFire or ConnectureDRX: HRA embedded in each program for agents that are fully integrated into the respective vendor platform.
  • CignaforBrokers: For non-SunFire users and/or non-ConnectureDRX agency partners – Use single sign-on to access the SunFire HRA via the “Health Risk Assessment” link in the Tools section.
  • eEnrollment: HRA embedded at the end of the customer enrollment process. Access by clicking the “Cigna HRA Survey Tool” button on the enrollment Submission Confirmation screen.

You can continue to use the Icario tool to facilitate HRAs with your customers until December 31, 2023. After this date, Icario will no longer be available to facilitate HRAs, but you will be able to use the new tools listed above.

Make sure all agents (Licensed and Non-Licensed) certify for 2024 HRAs through Producers’ University – Reach out to your Account Manager with any questions on this process for your agents.

You’ll have until December 22, 2023 to submit the HRA for any customer applications taken from October 1 – December 7 of 2023.

#5 – Enhanced Provider Look-up Tool

As Cigna recently announced, their new and improved provider look-up tool is live! The tool now includes better provider information, a smarter search function, and faster capabilities.

Watch their promotional video here to learn more about the new features in our enhanced provider look-up tool.

Please click here for a Provider Lookup Tool – Quick Start Guide and reach out to Cigna representatives with any questions!

Cigna thanks you for being a valued Call Center partner. Please reach out with any questions as we ramp up for an exciting AEP!

 

This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.
Filed under: Cigna-HealthSpring

Cigna Enhanced Provider Look-Up Tool is Live!

The enhancements will make your selling experience easier than ever before.

As Cigna recently announced, their new and improved provider look-up tool is live! The tool now includes better provider information, a smarter search function, and faster capabilities.

Watch Cigna’s promotional video here to learn more about the new features in their enhanced provider look-up tool.

Cigna has also created a Provider Lookup Tool Guide to help guide you as you use their new look-up tool. Make sure to log in to Producers’ University first before clicking the link above to access the guide.

You can find the guide by visiting the Resource Center in Producers’ University as well. Once there, navigate to Tools and Technology > Lookup and Search Tools > Provider Lookup Tool Guide.

If you have any questions regarding their new and improved provider look-up tool, please reach out to the Cigna Agent Resource Line (CARL) or your local Broker Manager.

Cigna Agent Resource Line (CARL)

866.442.7516

CARL@cigna.com

7 a.m. to 6 p.m. CST, Monday through Friday

This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.
Filed under: Cigna-HealthSpring

RTS Dashboard Certification Updates | Cigna

The GoHealth team would like to notify you of updates to the GPS RTS dashboards. As of today the Cigna HS Dashboard has been updated with 2024 certification statuses. All updated dashboards reflecting 2024 certification now include;

  • Cigna HS
  • Humana
  • Anthem

Other carriers will be updated as data becomes available.

Please reach out to your GoHealth GPS Account Manager for any questions or concerns.

 

This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.

Filed under: Anthem, Cigna-HealthSpring, Humana

Humana & Heal Webinar Invitation

Heal is a value-based primary care option to discuss with your clients this AEP (and beyond!). What sets Heal apart is their unique approach to providing primary care services to their patients: in their own home! They bring everything needed to provide excellent primary care in the comfort and convenience of a patient’s living room. They also offer telemedicine services. Both visit types are supported by advanced remote patient monitoring technology to take the best care possible of their patients.

 

Humana is offering 2 Live Webinar opportunities on Wednesday, 11/9 to review this excellent option for your Humana members.  Register below to learn more and bring your questions!

 

Option 1:  Wednesday, November 9th @ 9am EST

 

Option 2:  Wednesday, November 9th @ 11am EST

 

Heal is offered in your market and is in network with all Humana MA & MAPD plans. They have a dedicated Director of Broker Management, Rachel Brown, who is available to help you succeed. Please reach out to her at rachel.brown@heal.com or (317) 270-3270 to connect about Heal, get your questions answered and get materials to use when discussing Heal with your clients!

 

This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.

Filed under: Humana

Wellcare l Special Enrollment Period Important Information

Existing Member New ID Card (01/01/2022) Delay

Attention Valued Partner,

Please be advised select member ID cards are experiencing a delay. In summary,

  • The delay affects existing members only but does not include existing members who made a plan change during AEP for a 01/01/2022 effective date.
  • Impacted members should receive their ID cards no later than:
-MAPD: 01/08/2022

-PDP: 01/10/2022

  • The member number and the Rx Information will be the same. Members can continue to use their existing ID cards until the new one is received, or they can visit our secure portal to obtain a digital copy.
  • Affected PDP members have been made aware of delays through several channels:
-A text message to members with mobile numbers

-A banner on the Wellcare website

-An update to the inbound customer service menu recording, which explains that ID cards are on the way

Please let inquiring members know ID cards have been mailed and will be delivered by the dates listed above, but all new enrollees should have already received their ID cards.

Apologies for the inconvenience. Please be assured that caring for members remains the top priority.

Thank you for the continued partnership!


Special Enrollment Period: Colville Reservation (WA) Emergency Declaration – Wildfire

Please be advised that a state of emergency was declared by FEMA, impacting individuals in the Confederated Tribes of the Colville Reservation (WA). This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to the Confederated Tribes of the Colville Reservation (WA).

Important Compliance Information

Who is eligible:

This SEP opportunity is ONLY available to beneficiaries who:​

  • Reside, or resided at the start of the SEP eligibility period described in this guidance, in an area for which a federal, state or local government entity has declared a disaster or other emergency or they do not reside in an affected area but rely on help making healthcare decisions from one or more individuals who reside in an affected area; and
  • Were eligible for another election period at the time of the SEP eligibility period, and;
  • Did not make an election during that other valid election period due to the disaster or other emergency.

Details:

Impacted Counties: Confederated Tribes of the Colville Reservation

Incident Period: The incident period occurred from July 12, 2021 through August 8, 2021. The declaration was updated on December 21, 2021.

Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD plans until February 28, 2022.

*Note: Eligible enrollments will be effective the first of the month after the application has been processed.

Reminders:

Agents can accept/submit an application by the beneficiary’s request through the following steps:

  1. Obtain a compliant Consent to Contact (C2C).
  2. Capture a compliant Scope of Appointment (SOA).
  3. Host a compliant 1:1 appointment.
  4. If the beneficiary is prepared to enroll, complete an application noting this SEP, either by selecting the “Emergency or Major Disaster” option or writing “Severe Weather” in the “Other” option. WARNING! Only select one election type.

Centene will communicate any changes to this SEP, if necessary, when they become available.

As always, thank you for your partnership.


Special Enrollment Period: Oregon Emergency Declaration – Inclement Weather

Please be advised that a state of emergency was declared, impacting the individuals in all Oregon counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to all the impacted counties in Oregon.

Important Compliance Information

Who is eligible:

This SEP opportunity is ONLY available to beneficiaries who:​

  • Reside, or resided at the start of the SEP eligibility period described in this guidance, in an area for which a federal, state or local government entity has declared a disaster or other emergency or they do not reside in an affected area but rely on help making healthcare decisions from one or more individuals who reside in an affected area; and
  • Were eligible for another election period at the time of the SEP eligibility period, and;
  • Did not make an election during that other valid election period due to the disaster or other emergency.

Details:

Impacted Counties: All Counties

Incident Period: The incident period occurred on December 24, 2021 through January 3, 2022. The declaration was announced on December 23, 2021.

Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD plans until March 31, 2022.

*Note: Eligible enrollments will be effective the first of the month after the application has been processed.

Reminders:

Agents can accept/submit an application by the beneficiary’s request through the following steps:

  1. Obtain a compliant Consent to Contact (C2C).
  2. Capture a compliant Scope of Appointment (SOA).
  3. Host a compliant 1:1 appointment.
  4. If the beneficiary is prepared to enroll, complete an application noting this SEP, either by selecting the “Emergency or Major Disaster” option or writing “Severe Weather” in the “Other” option. WARNING! Only select one election type.

Centene will communicate any changes to this SEP, if necessary, when they become available.

As always, thank you for your partnership.


Special Enrollment Period: Alabama Emergency Declaration – Severe Storms and Flooding

Please be advised that a state of emergency was declared by FEMA, impacting individuals in certain Alabama counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to the following counties in Alabama.

Important Compliance Information

Who is eligible:

This SEP opportunity is ONLY available to beneficiaries who:​

  • Reside, or resided at the start of the SEP eligibility period described in this guidance, in an area for which a federal, state or local government entity has declared a disaster or other emergency or they do not reside in an affected area but rely on help making healthcare decisions from one or more individuals who reside in an affected area; and
  • Were eligible for another election period at the time of the SEP eligibility period, and;
  • Did not make an election during that other valid election period due to the disaster or other emergency.

Details:

Impacted Counties: Jefferson, Shelby

Incident Period: The incident period occurred on October 6, 2021 through October 7, 2021. The declaration was announced on December 21, 2021.

Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD plans until February 28, 2022.

*Note: Eligible enrollments will be effective the first of the month after the application has been processed.

Reminders:

Agents can accept/submit an application by the beneficiary’s request through the following steps:

  1. Obtain a compliant Consent to Contact (C2C).
  2. Capture a compliant Scope of Appointment (SOA).
  3. Host a compliant 1:1 appointment.
  4. If the beneficiary is prepared to enroll, complete an application noting this SEP, either by selecting the “Emergency or Major Disaster” option or writing “Severe Weather” in the “Other” option. WARNING! Only select one election type.

Centene will communicate any changes to this SEP, if necessary, when they become available.

As always, thank you for your partnership.


Special Enrollment Period: Illinois Emergency Declaration – Inclement Weather and Tornadoes

Please be advised that a state of emergency was declared, impacting individuals in certain Illinois counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to the following counties in Illinois.

Important Compliance Information

Who is eligible:

This SEP opportunity is ONLY available to beneficiaries who:​

  • Reside, or resided at the start of the SEP eligibility period described in this guidance, in an area for which a federal, state or local government entity has declared a disaster or other emergency or they do not reside in an affected area but rely on help making healthcare decisions from one or more individuals who reside in an affected area; and
  • Were eligible for another election period at the time of the SEP eligibility period, and;
  • Did not make an election during that other valid election period due to the disaster or other emergency.

Details:

Impacted Counties: Bond, Cass, Coles, Effingham, Fayette, Jersey, Macoupin, Madison, Montgomery, Morgan, Moultrie, Pike, Shelby

Incident Period: The incident period occurred on December 10, 2021. The declaration was announced on December 13, 2021.

Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD plans until February 28, 2022.

*Note: Eligible enrollments will be effective the first of the month after the application has been processed.

Reminders:

Agents can accept/submit an application by the beneficiary’s request through the following steps:

  1. Obtain a compliant Consent to Contact (C2C).
  2. Capture a compliant Scope of Appointment (SOA).
  3. Host a compliant 1:1 appointment.
  4. If the beneficiary is prepared to enroll, complete an application noting this SEP, either by selecting the “Emergency or Major Disaster” option or writing “Severe Weather” in the “Other” option. WARNING! Only select one election type.

Centene will communicate any changes to this SEP, if necessary, when they become available.

As always, thank you for your partnership.


Special Enrollment Period: Washington Emergency Declaration – Inclement Weather, Flooding

Please be advised that a state of emergency was declared, impacting individuals in certain Washington counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to the following counties in Washington.

Important Compliance Information

Who is eligible:

This SEP opportunity is ONLY available to beneficiaries who:​

  • Reside, or resided at the start of the SEP eligibility period described in this guidance, in an area for which a federal, state or local government entity has declared a disaster or other emergency or they do not reside in an affected area but rely on help making healthcare decisions from one or more individuals who reside in an affected area; and
  • Were eligible for another election period at the time of the SEP eligibility period, and;
  • Did not make an election during that other valid election period due to the disaster or other emergency.

Details:

Impacted Counties: Clallam, Grays Harbor, Island, Jefferson, Lewis, King , Kitsap, Pierce, Mason, San Juan, Skagit, Snohomish, Thurston, Whatcom

Incident Period: The incident period occurred from November 15, 2021 through December 18, 2021. The declaration was updated on December 1, 2021.

Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD plans until February 28, 2022.

*Note: Eligible enrollments will be effective the first of the month after the application has been processed.

Reminders:

Agents can accept/submit an application by the beneficiary’s request through the following steps:

  1. Obtain a compliant Consent to Contact (C2C).
  2. Capture a compliant Scope of Appointment (SOA).
  3. Host a compliant 1:1 appointment.
  4. If the beneficiary is prepared to enroll, complete an application noting this SEP, either by selecting the “Emergency or Major Disaster” option or writing “Severe Weather” in the “Other” option. WARNING! Only select one election type.

Centene will communicate any changes to this SEP, if necessary, when they become available.

As always, thank you for your partnership.


Special Enrollment Period: New York Emergency Declaration – COVID-19 Omicron Variant

Please be advised that a state of emergency was declared for the COVID-19 Omicron Variant ONLY, impacting only the individuals in all New York counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to all the impacted counties in New York.

Important Compliance Information

Who is eligible:

This SEP opportunity is ONLY available to beneficiaries who:​

  • Reside, or resided at the start of the SEP eligibility period described in this guidance, in an area for which a federal, state or local government entity has declared a disaster or other emergency or they do not reside in an affected area but rely on help making healthcare decisions from one or more individuals who reside in an affected area; and
  • Were eligible for another election period at the time of the SEP eligibility period, and;
  • Did not make an election during that other valid election period due to the disaster or other emergency.

Details:

Impacted Counties: All Counties

Incident Period: The incident period occurred on November 26, 2021 through January 15, 2022. The declaration was announced on November 26, 2021.

Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD plans until March 31, 2022.

*Note: Eligible enrollments will be effective the first of the month after the application has been processed.

Reminders:

Agents can accept/submit an application by the beneficiary’s request through the following steps:

  1. Obtain a compliant Consent to Contact (C2C).
  2. Capture a compliant Scope of Appointment (SOA).
  3. Host a compliant 1:1 appointment.
  4. If the beneficiary is prepared to enroll, complete an application noting this SEP, either by selecting the “Emergency or Major Disaster” option or writing “Severe Weather” in the “Other” option. WARNING! Only select one election type.

Centene will communicate any changes to this SEP, if necessary, when they become available.

As always, thank you for your partnership.

This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.

Filed under: Wellcare