Toll Free Call Center: 1-877-696-6775. If you hold or are presenting in a sales event format be sure to follow the rules: Agents are now allowed to have sales event immediately following an educational event. Manages the alignment of MOAAs Medicare Advantage plans are offered by private insurance companies.
On October 8, 2021, CMS released guidance regarding third-party marketing to Medicare Advantage organizations. Full commission (directly from the carriers) and no minimum production needed to start. For example, the same PTC can be used during AEP and OEP. Heres how you know. How to become a Medicare agent If youre interested in how to, Online Enrollment- Enroll prospects online without the need for a face to face appointment. (You can offer meals at educational events), Avoid absolute statements This is the best Medicare Advantage plan, You must have a sign in sheet but cannot require anyone to sign in. 5
Among the salient points: Medicare Advantage Organizations are responsible for first tier, downstream or related entities (FDRs) adherence to all terms and conditions of the organizations contract with CMS g9fT'MzhrUJ"%$%*%\3j=)#|l_G___|~u,u*52
]G'co%:lO>mVXIWc#$P1+/24 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Medicare Communications and Marketing Guidelines 3-16-2022 (PDF), CY 2016 Medicare Marketing Guidelines (PDF), Medicare Marketing Guidelines 06.28.13 (ZIP), CY2018MedicareMarketingGuidelines_Final072017 (PDF), CY2019 Medicare Communications and Marketing Guidelines_Updated 090518 (PDF), Medicare Marketing Guidelines 06.17.14 Updated with Issue Date (ZIP), Medicare Communications & Marketing Guidelines Update Memo - 8-6-19 (PDF), Medicare Advantage Marketing Regulations - 422 Subpart V, Medicare Part D Marketing Regulations - 423 Subpart V. SOAs are needed for every face to face meeting. LEARN WHAT WE HAVE TO OFFER HERE. https:// WebCMS COVID-19 Reporting Requirements for Nursing Homes June 2021 [PDF 300 KB] CMS Press Release: CMS Announces Relief for Clinicians, Providers, Hospitals and Facilities Participating in Quality Reporting Programs in Response to COVID-19 [PDF 400 KB] CDC and CMS Issue Joint Reminder on NHSN Reporting We have tried to list the more common questions and aspects of the guidelines below. Before sharing sensitive information, make sure youre on a federal government site. 200 Independence Avenue, S.W. They are educational events, A federal government website managed by the The most recent memo from CMS is available below through the link. Sign up to get the latest information about your choice of CMS topics. CMS requires all marketing websites to be submitted for review. Overall, the holiday season seems to bring joy and family unity around the world. Following TPMO Guidelines CMS now considers agents and brokers to be third-party marketing organizations (TPMOs). Sign up to get the latest information about your choice of CMS topics. Sign up to get the latest information about your choice of CMS topics. As part of CMS implementation of the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008, CMS has revised the Medicare Marketing Chapter to include the latest provisions in the current guidance. H\n@yL. Required fields are marked *. Director, Medicare Drug Benefit and C & D Data Group. The .gov means its official. 2 0 obj
The Centers for Medicare & Medicaid Services (CMS) received OMBs approval for the latest ANOC and EOC models through 12/31/21. Official websites use .govA lock We can expect to see Christmas decorations just about everywhere. 422.2264: Beneficiary contact. WebThe Medicare Advantage (MA) and Part D Marketing and Communications (MCMG) provides the marketing and communications requirements for Medicare Advantage (MA) plans, Compliance is an important aspect of offering Medicare plans. American Progressive Medicare Contracting American Progressive Medicare Contracting: American Progressive will be offering 3 new plans in NY for 2016 in Westchester, Putnam, Dutchess and Ulster counties. Plans may now contact .gov The agent will be the broker of record on any enrollment. HHS is committed to making its websites and documents accessible to the widest possible audience, Communication materials do not require CMS approval. incorporated into a contract. Under the new CMS guidelines, agents selling Medicare Advantage plans can no longer use promotional materials that could mislead, confuse, or exaggerate the benefits of their plans. Secure .gov websites use HTTPSA An official website of the United States government. or WebChapter 3 Medicare Marketing Guidelines For Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, and 1876 Cost plans Sponsors still are falling behind in their postmarket reporting, according to the FDAs yearly update on progress of postmarketing requirements/commitments. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Provider Medicare Training & Marketing Guides | Health Net Skip to Main Content Healthnet.com uses cookies. Better to have one every time to be safe. Before sharing sensitive information, make sure youre on a federal government site. ) January 1 through March 31 is considered the OEP. 1 The Guidelines are for use by Medicare Advantage Plans (MAs), Medicare Advantage Prescription Drug Plans (MA-PDs), Prescription Drug Plans (PDPs) and 1876 Cost Plans. You can decide how often to receive updates. @
hb```a``Zk @16, TX3 To sign up for updates or to access your subscriber preferences, please enter your contact information below. 698 0 obj
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For starters, you must wait until October 1 to market, talk about or review the new plans for the coming year for AEP. An official website of the United States government Toll Free Call Center: 1-877-696-6775. Lastly, prospects can enroll through the site into any of the plans you are certified to offer. Same day scopes of compliant. t18:14Xw8zxs (SOA) The PTC is used to start contact with a prospect. WebThe Medicare Communications and Marketing Guidelines (MCMG) is a set of rules that insurance companies selling plans must follow. including individuals with disabilities. 36>=#n!9OB2J{k+ye|8exK2rTx6>#8g-o,.@L [ZGkhyGGGCZ[^;85M
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In order to initiate conversations with prospects in person or by phone you will need to have permission to call/contact (PTC). 189 0 obj
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7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Marketing Models, Standard Documents, and Educational Material, CY2018MedicareMarketingGuidelines_Final072017 (PDF), CY2019 Medicare Communications and Marketing Guidelines (PDF), Medicare Marketing Guidelines 06.17.14 Updated with Issue Date (ZIP), CY 2016 Medicare Marketing Guidelines (PDF), Medicare Marketing Guidelines 06.28.13 (ZIP). Marketing Communications Guidelines while the proposed changes noted above are both welcome and necessary, CMS should reverse the significant changes to the guidelines that have weakened protections in recent years, and add new requirements; for example, as noted above, CMS should: Rescind rules weakening marketing v. educational Marketing Guidelines MCS Improving or Maintaining Mental Health MedPAC Medicare Payment Advisory contract year 2021 and 2022. WHY WORK WITH US? 1 0 obj
We provide agents with their own compliant website through Connect4Medicare. You also must discuss the current star rating of plans and let the prospect know that it is out of 5 stars. Medicare Marketing Guidelines 2021: Types of events and appointments Meetings and presentation fall under one of three categories. %PDF-1.6
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The Department may not cite, use, or rely on any guidance that is not posted and which has been designated by CMS as meeting the requirements of an MA SNP as "N E{8Q*~gc{;Cu6c8CVjm/i~e?]3t1. authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically As part of CMS implementation of the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008, CMS has revised the Medicare Marketing Chapter to American Progressive Medicare Contracting, Teladoc, Lasik Vision Correction, Discount Dental,Vision,Rx Sales Contract, Medicare Advantage vs Supplement Plans Sales, Free Medicare Lead Program (Turning 65/Med Supplement Leads), https://attendee.gotowebinar.com/recording/2899290519088332033, Report the event prior to conducting and advertising it, You can distribute and collect applications, Call attendees from the sales event if they provided permission to contact (Gave you a PTC card or flyer), You cannot offer meals. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Medicare-Medicaid Plan (MMP) Marketing Information & Resources, List of Covered Drugs - English & Spanish, Provider and Pharmacy Directory - English & Spanish, Medicare-Medicaid Plan (MMP) Application & Annual Requirements, Medicare-Medicaid Plan (MMP) Reporting Requirements, Medicare-Medicaid Plan (MMP) Audit Programs, Medicare-Medicaid Plan (MMP) Encounter Data Reporting, Medicare-Medicaid Plan (MMP) Quality Withhold Methodology & Technical Notes, Medicare-Medicaid Plan (MMP) Chronic Care Improvement Programs & Quality Improvement Projects, CY 2023IllinoisMMP Model Materials Memo (PDF), CY 2023Illinois MMP Marketing Guidance (PDF), CY 2023 MassachusettsMMP Model Materials Memo (PDF), CY 2023Massachusetts MMP Marketing Guidance (PDF), CY 2023 Michigan MMP Model Materials Memo (PDF), CY 2023Michigan MMP Marketing Guidance (PDF), CY 2023Minnesota Plan Model Materials Memo (PDF), CY 2023Minnesota PlanMarketing Guidance (PDF), CY 2023 New York FIDA-IDD MMP Model Materials Memo (PDF), CY 2023New York FIDA-IDD MMP Marketing Guidance (PDF), CY 2023 Ohio MMP Model Materials Memo (PDF), CY 2023Ohio MMP Marketing Guidance (PDF), CY 2023 Rhode Island MMP Model Materials Memo (PDF), CY 2023Rhode Island MMP Marketing Guidance (PDF), CY 2023 South Carolina MMP Model Materials Memo (PDF), CY 2023South Carolina MMP Marketing Guidance (PDF), CY 2023 Texas MMP Model Materials Memo (PDF), CY 2023Texas MMP Marketing Guidance (PDF), Explanation of Benefits - Integrated & Drug-Only, Provider& Pharmacy Directory - English & Spanish, Annual Notice of Change - English & Spanish, Explanation of Benefits (EOB) - Drug Only & Integrated, Annual Notice of Change - English& Spanish, Explanation of Benefits (EOB) - Drug Only, Integrated Coverage Determination Notice (ICDN) Models, Provider & Pharmacy Directory - English & Spanish. %%EOF
WebAll MA communication and marketing regulations and guidance issued by CMS, as well as other applicable laws, continue to apply to materials and activities of participating Agility Agents have learned from us that incorporating trending themes into their online content strategy plan will help them achieve their marketing goals. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Marketing Models, Standard Documents, and Educational Material, Agent/Broker Dos and Don'ts - Translated (CY 2023) (ZIP), CY2023 Model Materials - Reissued 12-15-2022 (ZIP), CY2023_Part C_Translated_DSNP_Model_Materials_-_Chinese_and_Spanish (ZIP), Agent/Broker Dos and Don'ts - 9-2022 (PDF), CY_2023_Part C_Translated Model_Materials_Chinese (ZIP), CY_2023_Part C_Translated_Model_Materials_Spanish (ZIP), CY2023 Agent Broker Training Testing Guidelines - Updated 08-03-2022 (DOCX), Agent/Broker Dos & Don'ts - Translated (ZIP), Agent/Broker Dos & Don'ts - 9-2021_ (PDF), CY_2022_Part_C_Translated_Model_Materials_Spanish (ZIP), CY_2022_Part_C_Translated_Model_Materials_Chinese (ZIP), CY 2022 Agent-Broker Training and Testing Guidelines_revised 7-6-2021 (PDF), 2021_Part_C_Translated_Model_Materials_Spanish (ZIP), 2021_Part_C_Translated_Model_Materials_Chinese (ZIP), CY_2021_ MA_and_Section_1876_Cost_Plan_Provider_Directory_Model_7-08-2020 (PDF), 2021_Agent_Broker_Training_Guidelines_Revised (DOCX), 2020 Translated Part C Model Materials_Spanish 2 (ZIP), 2020 Translated Provider Directory Models (ZIP), 2020 Agent Broker Training Testing Guidelines (PDF), 2019 Model Materials Updated 12-13-18 (ZIP), 2019 Model Materials - Translations (ZIP), 2019 Translated Model Materials_Part C EOC_SPA (ZIP), 2019 Translated Model Materials EOC Chinese (ZIP), 2019 Agent Broker Training Guidelines_Revised 08.20.18 (PDF), 2018 Model Materials - Translations (ZIP), 2017 Model Materials - Translations (ZIP), 2015 Model Materials - Translations (ZIP). WebEach year CMS and states participating in the Financial Alignment Initiative (FAI) jointly update state-specific marketing guidance and model member materials required for use by WebThe Centers for Medicare & Medicaid Services (CMS) reminds organizations of critical Medicare Part C and D readiness items prior to the 2020 Annual Election Period (AEP) and Ambetter Value plans are available in: Broward, Clay, Duval, Hillsborough, Lake, Miami-Dade, Orange, Osceola, Palm Beach, Pasco and Seminole counties. Chapter 3. Medicare Marketing Guidelines. What if a client would like to talk about additional or different products? Download the Guidance Document Final There is no longer a rule that the SOA needs to be submitted 48 hours prior to the sales appointment. Agents are now able to make unsolicited contact with a prospects for MA, MAPD and PDP via email. Any website CMS considered marketing must be submitted for review and approval through the Health Plan Management System (HPMS). While CMS guidelines no longer include requirements of 12pt font on marketing materials, due to the vision realities of people as they age, it is still recommended and the Share sensitive information only on official, secure websites. Guidance for Pace marketing guidelines and marketing requirements and related provisions of the Programs of All-inclusive Care for the Elderly (PACE) rules (Chapter 42 of the Code of Federal Regulations (CFR), Part 460 (See Appendix 1 for a list of related laws and regulations). Heres how you know. CMS is finalizing a technical change to enable CMS to calculate the 2023 Part C Star Ratings for the three Healthcare Effectiveness Data and Information Set (HEDIS) measures collected through the Health Outcomes Survey: Monitoring Physical Activity; Reducing the Risk of Falling; and Bladder Control. Medicare Marketing Guidelines Marketing Models, Standard Documents, and Educational Material This section includes standardized outreach and educational material The site is secure. In addition, we are also providing clarification to the existing guidance. Share sensitive information only on official, secure websites. This post will outline two of the moreRead more, Medicare Advantage vs Supplement Plans Sales As you can see in this post, Medicare Advantage vs Supplement Plans Sales have a few differences. A federal government website managed by the Communication pieces are more general and provide non specific information. We are in the process of retroactively making some documents accessible. website belongs to an official government organization in the United States. Prospects can use the site to compare plans, check doctors, run drug comparisons and enroll in plans. If the materials are not generic in nature they will be considered marketing and require CMS review. pgA +tKe.hT+mqOi^Ef(V:
09\O^]S`Uj0? Take a look for yourself below. Your email address will not be published. Providing general information about the Medicare program would be considered an educational event. However, the does need to have an opt out option in option to be compliant. means youve safely connected to the .gov website. Take a look for yourself below. On January 19, 2021, CMS issued a final rule entitled Medicare and Medicaid Programs; Contract Year 2022 Policy and Technical Changes to the Medicare The guidelines allow organizations offering both Medicare Advantage and Prescription Drug Plans the ability to reference one document when developing marketing materials. Cigna just announced their 2023 ACA commission schedule! They cannot include plan specific information and cannot be intended to steer someone towards a specific plan. 200 Independence Avenue, S.W. endstream
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Even for events held by phone only. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. U.S. Department of Health & Human Services document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); With licensed sales professionals in both the investment and insurance fields, the experienced and knowledgeable team at Crowe & Associates can tend to your various needs. WebConsultor SEO Jose Rdenas (Alicante): dedicado al posicionamiento web orgnico, el SEM, el marketing online y la la digitalizacin de empresas desde 2005. This chapter contains revisions in most of the sections within the manual chapter, however, there are some sections that have not been revised, but are included in this instruction as well. Heres how you know. 159 0 obj
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Medicare Open Enrollment Period Click Here, For the rules of educational events click here, CLICK HERE TO LEARN ABOUT OUR FREE LEAD PROGRAM. You can decide how often to receive updates. CLICK HERE TO ACCESS MEDICARE MARKETING CMS MCMG MEMO. Official websites use .govA }
U.S. Department of Health & Human Services hmo6 The difference between the two is the material used and intent of the material. Lets say that your ideal client likes to listen to carol singers during the holidays, as a content creator, you could potentially create your very own festive song that describes your business and all the services you provide (health insuranc. The site is secure. DISCLAIMER: The contents of this database lack the force and effect of law, except as endstream
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db3u2 Crowe and Associates offers a free Medicare lead program. The key focus of being of patients over the CMS requirements on the healthcare industry. OK Find a Provider a new appointment will need to be made. or In 2021, Medicare beneficiaries will have, on average, 33 Medicare Advantage plans and another 30 stand-alone Part D prescription drug plans available in their market. The .gov means its official. endobj
General information is followed by state-specific information, which is alphabetized by state name. For Medicare Advantage Plans. Share sensitive information only on official, secure websites. You can decide how often to receive updates. Because these plansRead more, Free Medicare Lead Program (Turning 65/Med Supplement Leads) NOTE: We have updated our lead program. Qu4 8q ]8!FaO6{dB>8ws#%=MK%E,E*e*!*O|?Q4RRRRSiRiS]O8kgn^0N.iP~3nOF"FD"yza4={ o?l)$Fq\xH*QDEl IU%QJ(D* This revision replaces Chapter 3, Medicare Marketing Guidelines for Medicare Advantage, Medicare Prescription Drug Plans, Prescription Drug Plans and 1876 Cost plans with a new revised Chapter 3. 0
incorporated into a contract. ) In the fall of 2017, CMS launched the Patients over Paperwork initiative. 582 0 obj
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Federal government websites often end in .gov or .mil. Make sure to do the scope form prior to starting the meeting however. lock ( website belongs to an official government organization in the United States. DISCLAIMER: The contents of this database lack the force and effect of law, except as A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. View the model marketing materials in the Downloads section below. endobj
Ambetter plans to expand access to their value network in Florida. Model marketing materials include: the standardized Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) templates and instructions, ANOC/EOC Errata, and Provider Directory. Click for updated Medicare Lead Program Free Medicare Lead Program (Turning 65/Med Supplement Leads) We have made some changes toRead more, How To Start Selling Medicare Insurance How To Start Selling Medicare Insurance: There are a number of articles on the web advising How To Start Selling Medicare Insurance. or on the guidance repository, except to establish historical facts. These materials include the HPMS memorandum titled, Updates Regarding Final Part C EOB Model Templates and Implementation of the Part C EOB, the final templates and instructions, and Frequently Asked Questions regarding the Part C EOB requirements for Medicare Advantage Organizations, effective April 1, 2014. The purpose of the SOA is to ensure you will not be discussing products with the client/prospect other than those chosen prior to the appointment. The Marketing guidelines reflect CMS' interpretation of the marketing requirements and related provisions of the Medicare Advantage and Medicare Prescription Drug Benefit rules (Chapter 42 of the Code of Federal Regulations, Parts 422 and 423). Please be advised eligible producers will be paid commission for existing medical policies scheduled to renew 1/1/2023 under this 2023 commission schedule. means youve safely connected to the .gov website. Medical Insurance Commissions Medical commissions apply to all metal This works for health type products only however. A Scope of Appointment form is used to document the types of plans you will be discussing with the client or prospect. <>/Metadata 3591 0 R/ViewerPreferences 3592 0 R>>
CLICK HERE TO LEARN MORE ABOUT CONNECT4MEDICARE. The seminars will be not only in Westchester and Putnam but also Dutchess counties. <>
PTC can be obtained through flyers, business reply cards, PTC forms online leads (Likes or shares on social media platforms are not valid) from vendors and other methods that prospects use to initiate contact. .gov Secure .gov websites use HTTPSA Are you contracted with Ambetter yet? CMS replaced the models that were previously posted on this website to reflect the OMB approval number and expiration date. CLICK HERE FOR UPDATED POST Because we periodically receive leads or money for leads from aRead more, Teladoc, Lasik Vision Correction, Discount Dental,Vision,Rx Sales Contract In short: This post shares some information about services available to patients throughTeladoc, Lasik Vision Correction, Discount Dental,Vision,Rx Sales Contract Teladoc is a national network of U.S.Read more, American Progressive sales seminars American Progressive is in the process of interviewing agents to run American progressive sales seminars. Most people who write articles haveRead more, Your email address will not be published. Agents and brokers must record all calls (inbound and outbound calls) in their entirety, including calls to inform or educate clients about the event, as well as any post-event discussions. ( View the Agent/Broker Training & Testing Guidelines in the Downloads section below. Especialista en Transformacin Digital.
Aunque tenga ya ms de 15 aos de experiencia como especialista SEO intento afianzar constantemente mis conocimientos sobre SEO y SEM The Medicare Marketing Guidelines 2021 are the same as the 2020 MCMG. lock SUBJECT: Medicare Communications and Marketing Guidelines . lock You are able to start taking/submitting applications on October 15th. WebHealth Net Medicare providers can review training and marketing guidelines to ensure services and coverage determinations are accurate. Any information we provide is limited to those plans we do offer in your area. The Department may not cite, use, or rely on any guidance that is not posted Medical Insurance Commissions Medical commissions apply to all metal levels and plans sold on or off Marketplace. hb```b``c`e` B@1V @C Stay away from using any absolute statements on materials or during presentations. Medical commissions will be paid for up to four children on the plan. <>
https:// A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Cigna just announced their 2023 ACA commission schedule! If you are showing plan specific details such as benefits or premiums you are engaging in a sales event. An official website of the United States government. website belongs to an official government organization in the United States. Agents are still not able to make unsolicited contact to prospects for MA, MAPD or PDP by phone or in person in common areas. Commissions will be paid on posted premiums applied to the agents or agencys clients eligible cases. Washington, D.C. 20201 Advancing is not available. ( This FAQ walks through both permitted and This section includes standardized outreach and educational material for Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, and 1876 Cost Plans. For information on the Medicare Open Enrollment Period Click Here. X;/?~I(A@%EOMG1Rc9 5:E[0n8 3 0 obj
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At that time, any new medical sales commissions due will be paid, starting from the first 2023 application. HXUJjz9"UQM`v$,VT,]Xh"N`%J5.rEJj`= #Ba.2EJjUHql.D`.^b1:eV=}oK/{7*v>GcxlLtttoN|,ty0wt6M[d1a.HqE2_4Emc"dRx9xz0}/h@c/4d"OM x>4iKnfqp)utAzcl(sZvtx^ https:// Issued by: Centers for Medicare & Medicaid Services (CMS). In addition, they can compare drug plans in a manner similar to the Medicare drug plan finder site. Issued by: Centers for Medicare & Medicaid Services (CMS). While plans may deplete existing hard copy stock, they should add the approval number and expiration date to the online versions and newly produced hard copies by January 1, 2020. TI3*=0 The consumer must also know if the plan is considered an low performing plan. hbbd```b``"@$c*dHR0,f@0y,"IK 6w %
$fk00120 FIGG The SOA is used to document the type of products you will be discussing once you have a meeting. ) Starting January 1, 2023, Ambetter Value plan members can access providers in the below list for all medical needs. Schedule marketing appointments immediately after the meeting You cannotdo the following: Require anyone to sign on or provide contact information Hand out or take applications or other plan specific information- (This is a marketing event) Give away cash prizes Provide or take enrollment forms Discuss carrier specific information Official websites use .govA Medicaid managed care plans contract with the state Medicaid agency. ( The Marketing guidelines reflect CMS' interpretation of the marketing requirements and related provisions of the Medicare Advantage and Medicare Prescription Drug Benefit rules (Chapter 42 of the Code of Federal Regulations, Parts 422 and 423). https:// 4 0 obj
An official website of the United States government Medicare Marketing Guidelines For Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, Employer/Union-Sponsored Group Health Plans, Medicare-Medicaid Plans, and Section 1876 Cost Plans. In other words, if you are talking Medicare with someone get a scope. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. lock Stay up to date with Medicare Marketing Guidelines by attending our Medicare Training Series live events! WebMedicare Marketing Guidelines . But before creating any type of content, insurance agents must be able to identify the key traits that characterize their ideal audience.
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