When you or your client believe the Federally Facilitated Marketplace (FFM) made an incorrect eligibility decision, you’re not stuck with it—there is a formal process to challenge that determination. The Marketplace allows consumers to appeal certain eligibility decisions within 90 days of receiving their eligibility notice. Filing an appeal gives your client another chance to Read More
Open Enrollment brings big opportunities, and the right approach can help you meet—and exceed—your sales goals. These five strategies can strengthen your marketing, improve client relationships, and help you sell ACA products more effectively year-round. 1. Get a Full Picture of Your Clients’ Needs To recommend the best ACA plan, you need a clear understanding Read More
You’ve probably heard about ACA health plans sold on the exchange, but ACA-compliant options also exist off the exchange — and understanding the distinction can help you guide your clients more effectively. Below, you’ll find clear answers to the most common questions agents have about ACA plans, exchanges, and how these different coverage options work. Read More
Unfortunately, scams are a part of today’s world—and the insurance space isn’t immune.Every agent dreads the call from a frightened client who realizes they’ve been duped by a fraudulent offer. The good news? With the right guidance and awareness, you can empower your clients to spot trouble before it happens. Here are practical ways to Read More
No Medicare agent wants to hear that a client dropped their plan right after enrolling. It can feel discouraging, and worse, frequent rapid disenrollments can lead to financial and compliance headaches. The good news? There are plenty of ways to keep them to a minimum. What Are Rapid Disenrollments? A rapid disenrollment happens when a Read More
On November 6, President Donald Trump unveiled a new initiative called the GENErating cost Reductions fOr U.S. Medicaid (GENEROUS) Model, developed in collaboration with pharmaceutical leaders Eli Lilly and Novo Nordisk. This program marks a major shift in healthcare policy by extending GLP-1 medication coverage to Medicare and Medicaid beneficiaries — an exciting update for Read More
One of the most common questions Medicare beneficiaries ask their agents is:“How can I save money on my prescriptions?” The answer often comes down to one key factor — where they choose to fill their prescriptions. Why Pharmacy Choice Makes a Difference When helping clients select a Medicare Prescription Drug Plan (PDP) or a Medicare Read More
When a marketplace health plan is discontinued, clients don’t have to start from scratch. Instead, they’re typically transitioned automatically into a comparable plan — a process known as a crosswalk. Below, we’ll break down how crosswalks work, why they exist, and what both you and your clients should keep in mind during the transition. What Read More