2025 Medicare Recertification.
As a reminder, the Select Health product training module is available, and details are listed below.
This module must be completed by all Medicare appointed agents to be considered ready to sell for 2025.
Either AHIP or NABIP certification are accepted and approved for Select Health.
Your AHIP/NABIP certification can be uploaded on the main landing page of the Select Health Link agent portal.
Please remember that you must complete one of these certifications prior to completing our product certification.
Product training must be completed by December 31, 2024, to be ready to sell 2025 plans.
View your Ready to Sell (RTS) status on the main landing page of the Link agent portal.
Questions? Contact the Agent Experience team at 800-442-5306, option 3.
2025 Medicare Star Rating Sheets.
The 2025 Star Ratings sheets for all Select Health Medicare plans are available for downloading or ordering printed copies through Select Health Link. Please note, we have a star rating for each contract. This will the first year for our PPO contract.
Download Star Ratings Sheets
For a quick, convenient option, download the star ratings sheets to review or share electronically:
2025 HMO Star Ratings Sheets
2025 Star Ratings Sheet
2025 Star Ratings Sheet (Español)
As a reminder, CMS requires agents to:
(A) Review the Star Ratings for 2025 with presentation.
(B) Provide a hard copy of the star rating (linked above) when enrollment is completed with a paper enrollment form.
(C) For online enrollment, review and share where the form is available electronically (e.g., via Link) prior to the completion and submission of the enrollment request.
(D) For telephonic enrollment, the agent must verbally review the star rating and where they can access the Star Ratings document.
If you have questions, please contact your Sales Account Executive or call our Medicare Agent Support line at 801-442-7320.
Remember: If you have signs or materials with a five-star icon or any mention of Select Health Medicare as a five-star plan, these can no longer be used.
Our Medicare Advantage Agent Support (MAAS) Team is Here to Help.
The Medicare Advantage Agent Support (MAAS) line is open and our team ready to help! This dedicated resource is here to assist you with:
- Enrollment application and status questions
- Medicare Advantage Prescription Drug System (MARX) lookups
- Benefit information
- Provider lookups
- Formulary searches
- Commissions help
- Select Health Link support
- Ready to Sell (RTS) questions
- And much more.
How to reach us
- Phone: 801-442-7320, Weekdays: 8:00 a.m. to 6:00 p.m. (MT)
- Email: MAAS@selecthealth.org
Earn $50 for Helping Members Complete the Health Risk Assessment (HRA).
Encourage your Select Health Medicare Advantage enrollees to complete their HRA and earn a $50 incentive. HRAs help us understand new members' health concerns and offer the right resources and support.
How to complete the HRA:
- Log in to Select Health Link.
- Use the Member Search feature to find the member.
- Complete the HRA within 14 days of the member’s enrollment to be eligible for the $50 incentive.
DSNP Members Earn a Reward Too! Dual-Eligible Special Needs Plan (DSNP) members can also earn a $50 reward for completing their HRA. Encourage them to participate!
Help your clients and secure your incentive. Log into Select Health Link today and get started!
For questions, contact your Sales Account Executive, call the Medicare Advantage Agent Support (MAAS) line at 801-442-7320, or email MAAS@selecthealth.org.
2025 DSNP SEP Changes: What They Mean for Select Health Medicare Agents.
As of January 1, 2025, CMS will implement significant changes to Special Enrollment Periods (SEPs) for Dual Eligible Special Needs Plans (DSNPs). These updates will impact how you support clients in navigating their Medicare options with Select Health Medicare.
Key changes to SEPs
1. Elimination of quarterly SEPs
Beginning in 2025, partial-benefit dual eligibles and Low-Income Subsidy (LIS)--only individuals will no longer have quarterly SEPs. Their plan changes will now be limited to standard enrollment periods unless they qualify for other SEPs.
2. Monthly SEP for full-benefit dual eligibles
Full-benefit dual eligibles will have a monthly SEP, but this can only be used to switch to integrated care plans. Select Health Medicare DSNP plans will not qualify for this enrollment period. Plan changes to Select Health Medicare DSNP plans will be limited to standard enrollment periods and members new to Medicaid are not included.
When to sell Select Health Medicare D-SNPs
Agents can enroll clients into Select Health Medicare DSNPs during the following periods:
Annual Enrollment Period (AEP): October 15 – December 7
Medicare Advantage Open Enrollment Period (OEP): January 1 – March 31
Other qualifying SEPs, including:
- New to service area
- New to Original Medicare
- Release from incarceration
Select Health is committed to supporting agents with the tools and resources needed to adapt to these changes. For more information, contact your account executive or visit our agent portal.
Preparing for Member Questions at the Beginning of the Year.
As we wrap up another Annual Enrollment Period (AEP), we want to take a moment to express our gratitude for your hard work and dedication. Your efforts play a vital role in helping members find the right Medicare plan for their needs, and we couldn’t do it without you!
What’s Next for Your Members?
Member Guide
- Timeline: Typically arrives within 2-3 weeks of effective date.
- What’s Inside: A helpful guide that members can reference to learn more about their supplemental benefits and how they work.
Member ID Card and Evidence of Coverage (EOC)
- Timeline: Typically arrives within 2 weeks of enrollment.
- Pro Tip: Remind your members to use their new plan ID card, not their Medicare card, when visiting providers.
Benefits Mastercard® Prepaid Card (Flex Card)
- Timeline: Mailed before the effective date or 7-10 days after enrollment.
- Reminder: Renewing members will not receive a new Flex Card every year.
Dental ID Card
- Timeline: Mailed before the effective date or 7-10 days after enrollment.
- Reminder: Members should present this card at dental visits.
Reminders Throughout the First Few Months
To help members make the most of their benefits, we will also be sending reminders about:
Using the Flex Card: Guidance on how to use the Select Health Medicare Flexible Benefits card for eligible benefits.
HRA Completion: Encouraging members to complete their Health Risk Assessment (HRA) through online and paper options.
Annual Wellness Visit: Reminders for members to schedule and attend their annual wellness visit to stay on top of their health.
If you have any questions, please reach out to your Sales Account Executive or the Medicare Agent Support Line at 801-442-7320.
Help Members Manage Costs with the Prescription Payment Plan.
Select Health offers a voluntary Prescription Payment Plan that lets members spread their prescription costs over three equal monthly payments. This program provides financial flexibility, especially for those with high prescription costs.
How it Works:
Enrollment is quick and done through a secure online platform.
Clients won't pay their pharmacy copay when picking up medication. Instead, they’ll receive a monthly bill from Select Health Medicare. The monthly bill is based on what would have been paid for any prescriptions plus the previous month’s balance, divided by the number of months left in the year.
Members should carefully consider whether this plan fits their budget, as it’s not a one-size-fits-all solution.
Reminder: The prescription drug law caps out-of-pocket costs at $2,000 in 2025. This means clients will never pay more than $2,000 in out-of-pocket drug costs in 2025, even if they don’t join the Prescription Payment Plan.
For more details and to enroll, visit the Prescription Payment Plan page. Encourage clients to review the Prescription Payment Plan Fact Sheet for a detailed breakdown of the payment options.
Compliance Corner: CMS Reassigning Medicare Beneficiary Identifier (MBI) Numbers.
Please be aware that CMS is reassigning MBI numbers to some members. While this may affect only a small group, you could receive questions from your clients about the change.
The reassignment is part of CMS’s ongoing efforts to protect beneficiary information and will occur through October with an effective date of November 20, 2024. If a member’s MBI has been reassigned, they will receive a new Medicare card in the mail with their new MBI number.