|Posted on August 16, 2017 at 4:35 PM|
Medicare Open Enrollment is coming!! Oct 15 - Dec 7 every year is Medicare Open Enrollment. During this time you may:
Shop for a new Part D Drug Plan
Change your current Medicare Advantage Plan
Medicare Open Enrollment is for people that have already been enrolled into Medicare Part C and / or Part D and would like to pursue other options. If you are on a Medicare Supplement, you do not have to change. Your Supplement will follow you for the rest of your life if you want it to.
Many people temd to get bombarded with calls, mail, salespeople knocking at your door etc. Take a look at the rules Medicare has implemented and the next time someone comes to your door unsolicited you will know what to say.
70 – Outreach, Marketing and Educational Events, and Sales Activities, Here are a few examples:
70 – Outreach, Marketing and Educational Events, and Sales Activities,
70.1- Electronic Communication Policy
42 CFR 422.2268(d), 423.2268(d)
A Plan/Part D Sponsor may initiate separate electronic contact.
Plans/Part D Sponsors must provide an opt-out process to no longer
receive electronic communications.
Note: Plans/Part D Sponsors are required to make available items in
section 30.6 with any enrollment mechanism. Please refer to section
30.6 for required documents and Appendix 5 for the appropriate
70.2 – Marketing through Unsolicited Contacts
42 CFR 422.2268(d), 423.2268(d)
In general, Plans/Part D Sponsors may not market through unsolicited direct
contact, including but not limited to:
Door-to-door solicitation, including leaving information such as a
leaflet or flyer at a residence or car
Approaching potential enrollees in common areas (e.g., parking lots,
hallways, lobbies, sidewalks, etc.)
Note: Agents/brokers who have a pre-scheduled appointment with a
beneficiary that becomes a “no-show” may leave information at the noshow
potential enrollee’s residence.
The prohibition on marketing through unsolicited contacts does not
extend to conventional mail and other print media (e.g.,
advertisements, direct mail).
In addition, if a potential enrollee provides permission to be called or
otherwise contacted, the contact must be event-specific, and may not
be treated as open-ended permission for future contacts.
70.3 – Prospective Enrollee Educational Events
42 CFR 422.2268(l), 423.2268(l)
An educational event is an event designed to inform Medicare beneficiaries
about Medicare Advantage, Prescription Drug or other Medicare programs
and does not include marketing (i.e., the event sponsor does not steer, or
attempt to steer, potential enrollees toward a specific plan or limited number
of plans). Educational events may be hosted in a public venue by the
Plan/Part D Sponsor or an outside entity. These events cannot be held at inhome
or one-on-one settings.
Educational events for prospective enrollees may not include any sales
activities including the distribution of marketing materials or the
distribution/collection of plan applications. This includes the distribution of
any material with plan-specific information (including plan-specific
premiums, co-payments, or contact information). Educational events must
be explicitly advertised as “educational,” otherwise they will be considered
as sales/marketing events.
The intent of this guidance is not to preclude Plans/Part D Sponsors from
informing beneficiaries about their products; rather, it is to ensure that
events that are advertised as “educational” are only educational and comply
with CMS’ requirements. More specifically, Plans/Part D Sponsors may
provide education at a sales or marketing event, but may not market or sell
at an educational event.
The following are examples of acceptable materials and activities by
Plans/Part D Sponsors or their representatives at an educational event:
A banner with the plan name and/or logo displayed
Promotional items, including those with plan name, logo, and toll-free
customer service number and/or website. Promotional items must be
free of benefit information and consistent with CMS’ definition of
Responding to questions asked at an educational event
At educational events, Plans/Part D Sponsors or their representatives are
prohibited from the following:
Discussing plan-specific premiums and/or benefits;
for more information click on the link below:
602-376-7260 (Dana Artzer)
480-828-9150 (Cliff Smith)
A Member of the AARP, Inc.
An Insured and Licensed Insurance Company
Arizona Insurance & Retirement Services, LLC
Arizona United States
© 2017 Arizona Insurance & Retirement Services, LLC.
All Rights Reserved.