LIFE PROFESSIONALS MEDICARE CONTRACTING

Countdown to AEP 2024

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CONTRACTING CHECKLIST

Helpful Tip:  Medicare contracting can be overwhelming.  Each carrier has their own process and training that will need to be completed.  Because carrier links expire, it is a good idea to start with 3 or 4 carriers requests, receive their onboarding links and complete their certifications and requirements before moving on to additional carriers.  This will give you time to focus on a few carriers and complete them before links expire.  Adding carriers in “blocks” (a few carriers at a time) will also make it easier for you to track your contracting progress with each carrier.  Once you have completed your first “block” of carriers, come back and request more according to your needs. 

Pass Your AHIP Exam

The AHIP Certification is required for all agents who wish to sell Medicare.  The cost of AHIP is $175, however you can use our link to get an $50 discount (no code required).

Request Carrier Contracts

This is by far the MOST IMPORTANT step in the process.  You’ve completed your agent file, now you need to request your carrier contracts.

Referal Code: DP-001115 

Complete Carrier Certs

Are you ready to sell?  This is a crucial step and means you have completed all of the requirements needed by the carriers to sell Medicare products for the AEP selling season.

CONTRACTING INSTRUCTIONS

Important Note: Carrier onboarding emails may take several business days to process.  Please keep an eye on your spam folder, as carrier emails are likely to end up there.  If you do not receive your links within one week of submitting your request, please request a new link to be sent via the instructions in the “What Do I Do After Submitting My Contracting Requests?” section.

Moving From Another Upline?   CLICK HERE for Carrier Release Guidelines and Blackout Dates

Carrier Name

Major Carriers

Aetna (includes Dental, Vision, Hearing)

Anthem / Amerigroup / Simply FL

Cigna

Humana / CarePlus (includes Dental, Vision, Hearing and Medicare Supplement)

United  Healthcare

Wellcare (inludes Mutual of Omaha PDP)

READ ALL DIRECTIONS BELOW BEFORE PROCEEDING

IMPORTANT!!!  Once registered/logged-in, you will be required to enter a referral code.  This is your unique code -> DP-001115

 You will NOT be able to proceed without using this code.

Additional / Regional Carriers

BCBS IL, NM, OK, TX

BCBS NC

BCBS TN

Clearspring (NC, SC, GA, VA, IL, CO)

Clover Health

Devoted Health

Freedom/Optimum

HealthSun

Molina

Peoples Health Plan (LA)

 

The following carriers have their Medicare Supplement tied to their Medicare Advantage contracting (see Medicare Advantage tab to request these carrier contracts):

Humana

 

Carrier Name
Mutual of Omaha
Cigna
Aetna

Your conte

Carrier Name Contracting Instructions

Heartland (Hospital Indemnity) Carrier Map

National Dental Care (Dental)

Ameritas (Dental)

United National Life / UNL (Hospital Indemnity, Cancer, Dental, Vision, Home Health, etc.)

GTL (Guaranteed Trust Life)
 

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Life Professionals UNIQUE Referral Code

What To Expect

 

After you’ve requested your contracts through the contracting link and referral code above, there are a few things to look out for in order to obtain ready to sell status and start writing business with each carrier.

Onboarding Emails From Carriers

Keep an eye on your email and spam folder (that place where all things go to disappear…. even onboarding emails!)

Here are some email addresses to be looking out for:

AETNA – donotreply@contracting.aetna.com

ANTHEM / ELEVANCE – software.support@anthem.com

CIGNA – producerexpress@sircon.com

HUMANA – contracting@seniormarketadvisors.com

WELLCARE – centene@evolvenxt.com

UNITED HEALTHCARE – uhc_contracting@sircon.com  

Certification Emails

You’re requested carriers and started receiving onboarding emails… but is that all?  Not so fast!

Keep an eye out for carrier certification emails.  Carriers such as Wellcare have separate platforms for completing their trainings and certifications.  You’ll want to be sure you’ve completed the certifications for each carrier you have requested.

Note:  Carrier certifications are required every year to maintain ready to sell status and be able to write business (and keep your current book of business).

Moving From A Different Upline?

If you’re moving from another upline and joining our team, each carrier will have specific requirements.  

Q&A:  How do I know if I need a release or if I need to start the notice of intent process? 

If you have never been contracted or your contract was officially terminated by the carrier, you will not be required to have a release or start the notice of intent process.  

If you are currently contracted under another uplineyou will need a release.  

If you cannot obtain a release from your current upline, you will need to start the notice of intent process.

Immediate Release

Immediate Release Instructions

Notice of Intent Instructions

Notice of Intent Instructions

Requesting New Links & Carrier Contacts

If you’ve requested your contracts but have yet to receive onboarding information from the carrier, you can request a new link be sent to you through the following form: 

NEW LINK REQUEST FORM

Have you already completed your carrier onboarding link and not received your ready to sell notification from the carrier?  Don’t fret!  A quick call to the carrier to be sure that you have completed all the steps they require can give more clarity on where things stand.  Here are the broker support contact details for each carrier:

Aetna
Anthem / Elevance
United Healthcare

UNLIMITED POTENTIAL

Every day in the U.S., 10,000 people turn 65 and the number of older adults will more than double over the next several decades to top 88 million people, representing over 20 percent of the population by 2050.

$611 Initial 2024 Commission

Seniors Turn 65 Each Day

$306 Renewal Commission

How Much Can You Make In Medicare Renewals?

Resources For Success

 

We are committed to serving you, as an agent or agency, by providing you with the tools and resources you need.

Sunfire Matrix

If you’re ready to sell and you’ve not already requested Sunfire access, you don’t want to miss out on this incredible platform!  The Sunfire Matrix allows you to quote based on your customers total estimated annual cost and view full benefit details, including copays – by medication or by month!  You’ll also be able to do Medicaid lookups, doctor and RX searches, Scope of Appointments, HRA’s and more!

Digital Scope of Appointment

Let’s face it – getting a scope of appointment digitally from a senior can sometimes be like putting your hand in a blender.  If you’re not using the Sunfire Scope of Appointment, we’ve got another solution for you.  Request access now to get your own personalized digital Scope of Appointment link.

Training & Accessibility

Learn from seasoned professionals with the experience and knowledge in the Medicare markets to help you take your business to the next level.  Live training & instant engagement, providing you immediate answers as well as real time industry news and resources.

Thursday mornings at 10am EST  

Lead OPTIONS

Lead generation in the senior market requires a targeted and compassionate approach.   Seniors have unique needs and preferences, so tailoring your lead generation strategies to address those specific aspects can be highly effective.  We realize that the Lead Generation and Client Prospecting techniques our agents utilize are as unique as the individuals that they are.  Because the “one size fits all” approach does not appeal to many of our agents, we’ve constructed lead offerings that are flexible.

Direct Mail
Life Transfers
Digital Leads
Aged Leads

Aged Lead Store (10% Discount Code: lifeprofessionals)

Appointment Setting

Life Professionals has our own internal, US based, appointment setter.  Contact us for more information.

That “dirty” word… Compliance!

We know, we know… compliance can be overwhelming and “scary” – but it doesn’t have to be.

Here are some tips and resources to help:

Know Your Plans

One of the biggest complaints is from clients who have been put in a plan that doesn’t cover their prescriptions or doctors. 

While situations do arise that are not in your or your clients control, you can help your clients make the most informed decisions by knowing the plans in their area and utilizing the tools available to you to keep their out of pocket costs low.

If you are new to MAPD sales or unsure of who you should get appointed with, here are a few sites that allow you to see plan details:

Q1Medicare

Medicare.gov

Once you are ready to sell, these plans will also be viewable in the Sunfire platform, where you will be able to enter RX and doctor information… and so much more!

Learn Sunfire Matrix

A Medicare tool like no other…  

Call Recording, Scope of Appointment, Enrollments, HRAs – all accessible and manageble through your FREE Sunfire account.  If you don’t already have access to this powerful tool, get it now!

Ahead of AEP, Medicare Advantage enrollment forms will be overhauled in Sunfire, becoming more intuitive, more efficient, and fully compliant with all the latest CMS and carrier guidance.

Search within your Sunfire agent profile on the left-hand navigation bar to learn more about the new updated enrollment form that went live on 8/8/2023.

Stay Connected

Be sure to contact us with any questions or concerns and look for emails and updates as we receive them so that you are fully aware of any changes that occur.

Chad Davis – Vice President, Business Development

chadd@lifeprofessionals.com / 606-585-2587

 

Julie Davis – Contracting, Agent Support 

julied@lifeprofessionals.com / 307-315-2555