Commission payments for MAPD's

[GoPokes]

Which carrier paid this full trueup ?

They were both with humana. I also had a coventry 12/01 effective first timer, I already got the pro rata amount, ill let you know if I get the true up on it too.

 

[Medicare Man]

What are they the average commission amounts?

Depends on the carrier and the state.

 

[Medicare Man]

Now, what would happen if that T65 member got the MAPD eff 11/01, and then enrolled in a diff plan during AEP for a 01/01 effective date? The member actually wants to do this because of network stuff with his doctor. I guess since he would be on the original plan less than 3 months, id get a chargeback?

You enrolled them with the wrong carrier and or plan if the network is already an issue. That's part of your responsibility to your client. Are their doctors and specialists in network?

 

[sshafran]

You enrolled them with the wrong carrier and or plan if the network is already an issue. That's part of your responsibility to your client. Are their doctors and specialists in network?

Right, because networks never change during AEP.


I had the same thing happen. Signed up a T65 for 11/1/17 effective date.... doc is in-network... then during AEP it was announced that the group her doc was affiliated with was no longer going to be accepted by that particular mapd for 2018.

So, new mapd for 2018.

It happens, and no, it's not an agent mistake.

 

[Medicare Man]

It does happen from time to time, especially with Humana I would say more often than not. Networks do change, in all markets. May not be an agent mistake, but who else is the client gonna bitch to? That's what sucks. I started in this business doing mostly MA-PD, at least heavily promoting it, but an now nearly all med supp and pdp which has their own issues.

 

[Fisher]

You enrolled them with the wrong carrier and or plan if the network is already an issue. That's part of your responsibility to your client.

It does happen from time to time, especially with Humana I would say more often than not. Networks do change, in all markets. May not be an agent mistake

Olympic caliber backpedal right there. Well done, sir.

 

[GoPokes]

You enrolled them with the wrong carrier and or plan if the network is already an issue. That's part of your responsibility to your client. Are their doctors and specialists in network?

They are good to go. I wont go into all the details, but I did what was necessary with the situation, however I do appreciate you sharing your opinion.