Welcome to Our Website
With over 30 years in the industry, we are confident that we can help you take your business to the next level! Whether you are new to the business or a 20 year veteran, we are here to help. Take a moment to familiarize yourself with our exciting portfolio of carriers and products you will find that we only represent the best! Once you begin a relationship with Eldercare you will have access to nationwide quote engines, production reports, view company appointments, writing numbers in all states you are appointed just to name a few.
We offer customized lead programs, training from the best agents in the country, prospecting tools, contest incentives and much more. Our goal is not only to train you how to maximize your time doing what you do best, but also to build a relationship that last for many years to come. Our company is run by veteran agents that understand and respect what you need to be successful. You are not just a number to us! Call today and let us start working for you to ensure your continued success in the most booming industry in the country!
- What’s the new Medicare Advantage Open Enrollment Period (OEP)?
Agents rejoice, there is now an extra 3 month opportunity to sell Medicare Advantage plans beyond the 54-day Annual Enrollment Period! Effective January 1st, 2019, the Open Enrollment Period (OEP) will make its way back to the market and provide clients the opportunity to make “like plan” changes to their Medicare healthcare coverage.
If you’re enrolled in a Medicare Advantage plan, you’ll have a one-time opportunity to:
- Switch to a different Medicare Advantage plan
- Drop your Medicare Advantage plan and return to Original Medicare, Part A and Part B
- Sign up for a stand-alone Medicare Part D Prescription Drug Plan (if you return to Original Medicare). Most Medicare Advantage plans include prescription drug coverage already. Usually you can’t enroll in a stand-alone Medicare Prescription Drug plan if you already have a Medicare Advantage plan, but there are some situations where you can. Call your Medicare Advantage plan if you have questions.
- Drop your stand-alone Medicare Part D Prescription Drug Plan
Some of the veteran agents may remember the OEP before it was dissolved in 2011 and replaced by the Medicare Advantage Disenrollment Period (MADP). Now the Medicare Advantage Disenrollment Period (January 1 – February 14 every year) will be replaced with a new Medicare Advantage Open Enrollment Period will run from January 1 – March 31 every year.
Here’s the synopsis of the OEP as it existed in the past and these details/rules are subject to change:
- MAPD to MAPD
- MAPD to Original Medicare and a Part D
- MA Only plan to MA Only plan
- MA Only plan to Original Medicare
Disclaimer: The Centers for Medicare and Medicaid Services (CMS) is still working through guidance on how the new election period will run, including marketing rules. This is not an extension of the AEP, which will still occur between October 15th and December 7th each year. The OEP does not provide the same flexibility as the AEP where clients can make any change they want.
The OEP will be a one-time use election period, so clients are limited to just one change during the 3 month window, and effective dates will be first of the following month after the client’s signature date. Clients returning to Original Medicare will have the opportunity to pick up a Medicare Supplement plan, but they will be subject to underwriting as the OEP does not provide a guarantee issue situation.
Barring any changes to the “like plan” guidelines, you can see there is a lot of opportunity to continue offering Medicare Advantage coverage during the OEP. As CMS releases more guidance we will work to keep everyone updated.
- CVS Aetna Merge Update: Justice Department OKs
Federal antitrust regulators required CVS Health and Aetna to end Aetna’s Medicare prescription drug plan business before moving ahead with the companies’ planned $69 billion merger. Which is why Aetna announced late last month that WellCare Health Plans will buy Aetna’s Medicare Part D business, resulting in the Justice Departments OK.
Approving the merger without conditions would have increased prices, harmed quality and customer service, and reduced innovation in 22 states, the Justice Department said. CVS Health said many state approvals have already been granted but still need more states approvals They are still confident that the merger is on track to close in the fourth quarter of 2018.
CVS Health is known for its Silverscript drug plan, so while Aetna is selling their drug plan business, which serves 2.2 million customers, they will be gaining an even larger drug plan business, Silverscript.
The deals are described as “vertical mergers,” because they combine companies that operate at different points along the healthcare supply chain and do not directly compete, for the most part. Federal antitrust enforcers have not successfully blocked a vertical merger in decades. Vertical integration could put a brake on America’s unsustainably soaring health-care costs.
“Today’s settlement resolves competition concerns posed by this transaction and preserves competition in the sale of Medicare Part D prescription drug plans for individuals,” Assistant Attorney General Makan Delrahim, who leads the Justice Department’s antitrust division, said in the announcement. “The divestitures required here allow for the creation of an integrated pharmacy and health benefits company that has the potential to generate benefits by improving the quality and lowering the costs of the healthcare services that American consumers can obtain.”
Both pairs say their mergers will save costs for consumers and provide better coordinated care by bringing pharmacy and insurance services under one roof.
Transformation (to some degree) looks like it is coming but you might have to wait a few years to notice the merger’s effects.