Medicare Advantage Regulations

sdmillar

Expert
99
Holy Cow, I just finished my certification for the privilege to be able to enroll people in Medicare Advantage. My head is still spinning with the overwhelming number of acronyms that are used in this business. I trust that I will be able to retain enough to be effective.

The marketing regulations that are a bit concerning are:
An Agent cannot conduct marketing through unsolicited conduct including:
Door to door soliciting
Leaving door hangers
Cold calling on the phone

Another one that puzzled me in the ethics guidelines:
An agent shall not engage in any discriminatory activity such as, attempts to recruit Medicare beneficiaries from higher income areas without comparable efforts to enroll beneficiaries from lower income areas....

I will say that they never did stipulate what I could drive or what I could wear when I go out and meet with these people, but maybe that is still yet to come.

I am not sure I am going to be able to get over this feeling of being smothered by Big Brother with this Medicare Advantage business. Trouble is, we have a 5 star MAPD here in our backyard that has dominate market share, I am afraid that without having it in my bag I would be leaving a lot of business behind.

Good news is I took the course and passed the exam in just a few hours. Bad news is I almost feel like I have handed over my soul to the devil. Is this how people that work at the DMV feel?

Gotta go take a shower...
 
I rec'd several section A violations this past AEP from CMS,

1) I spoke to a beneficiary before they spoke to me, and,
2) I made eye contact with a beneficiary before they spoke to me.
3) After imputing around 15 Rx's into Medicare Formulary Finder, I explained to my client that based on his Rx's, and, the pharmacy he uses, the best MedicareRx plan for him was XXXXXXX.
4) While working a Kiosk in WalMart I was bored. I got caught surfing the web for porn.
 
I thought it was stinkin' regulations?

I said I was paraphrasing.

Rick
- - - - - - - - - - - - - - - - - -
I rec'd several section A violations this past AEP from CMS,

1) I spoke to a beneficiary before they spoke to me, and,
2) I made eye contact with a beneficiary before they spoke to me.
3) After imputing around 15 Rx's into Medicare Formulary Finder, I explained to my client that based on his Rx's, and, the pharmacy he uses, the best MedicareRx plan for him was XXXXXXX.
4) While working a Kiosk in WalMart I was bored. I got caught surfing the web for porn.

I've also reported your post to the moderators. You've already been on double secret probation with CMS which is enough to give you a time out here until the next AEP (which knowing how CMS works can be anytime between next week and 2017).

Rick
 
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