Unit 2 Medicare Marketing Guidelines Marketing

Transcript:Unit 2 Medicare Marketing Guidelines Marketing:
Unit 2 Medicare Marketing Guidelines Marketing Requirements and Other Regulations HIPAA Privacy HIPAA stands for: Health Insurance Portability and Accountability Act Agents have responsibilities for ensuring the privacy of clients’ Protected Health Information (PHI) including, but not limited to: Health Information Claims Information Social Security Numbers Banking Information This information can only be used for the purpose in which it is collected. https://agentsurvivalguide.com/what-are-agents-responsible-for-under-hipaa Marketing Requirements and Other Regulations Health and Human Services as well as other government entities along with plan sponsors are allowed to modify existing and establish new guidelines for how agents must handle PHI and can audit agents and agencies. As technology evolves the policies put into place are becoming more and more complex such as a new technology law passed in New York. Here are some guidelines for HIPAA compliance and protecting client information. https://agentsurvivalguide.com/what-are-agents-responsible-for-under-hipaa Sales Events Anytime an agent conducts sales or marketing activities with a prospect or client regarding Medicare Advantage or Part D it is considered a Sales Event There are two types: Formal Informal These events must be filed with CMS through a Plan Sponsor at least 7 days prior to the event or 7 days prior to when it will be advertised. Any changes to the event must be updated with the plan sponsor. Whether on the phone or in person, there are many rules that must be followed. Permission to Contact (PTC) Another pre-sale activity that often causes confusion for agents is Permission to Contact. Permission to contact can be particularly confusing for tele sales agents who often confuse it with the Scope of Appointment (SOA), seeing both items as synonymous with one another which is not the case. Permission to contact should always be collected and documented prior to obtaining a SOA. Even if a client is an unsolicited walk in or call in, the agent should document it to protect himself/herself in case of an audit or complaint. Check Point Question INSERT QUESTION HERE RANDOMLY TAKEN FROM THE COURSE EXAM. IF QUESTION IS ANSWERED INCORRECTLY, OFFER THE CHANCE TO REVIEW THE RELEVANT SECTION BEFORE MOVING ON. Scope of Appointment (SOA) One of the most confusing items for many agents is the Scope of Appointment Historically the SOA has been taken prior to an appointment; however, this is no longer always the case. While it is expected that the SOA be taken at some point prior to the sale