Medicare Updates

Upcoming Select Health Agent Webinar: Medicare Formulary Comparison with the Select Health Pharmacy Team

Join us for a short webinar to get to know the Select Health Pharmacy team and review how Select Health’s formulary compares to other Medicare plans. 

Friday, May 19

  • 1:00 - 1:30 p.m. (PDT) Nevada
  • 1:00 - 1:30 p.m. (MDT) Idaho
  • 1:30 - 2:00 p.m. (MDT) Utah


Sell Today!

The Medicare Open Enrollment Period (OEP) may be over, but there are still opportunities to sell Select Health Medicare products!

Five Star Special Election Period (SEP): The Select Health Medicare HMO plan was awarded five stars for 2023! This allows one additional Special Enrollment Period most plans may not be able to offer. The 2023 Five Star Special Enrollment Period ends November 30.

Select Health Medicare D-SNP (Utah Only): This is a Special Enrollment Period (SEP) specifically for clients who are enrolled in Medicare and full Medicaid. Clients are offered three additional enrollment periods, once a quarter, as their enrollment in Medicaid is re-evaluated. Learn more about Utah's Select Health D-SNP HMO product here.

The Initial Coverage Election Period (ICEP): This enrollment period is for clients who are aging into Medicare. Enrollment is open starting three months prior to the client's birthday month and ends three months after their birthday month, for a total of seven months.

Permanent Address Change (SEP): Your clients have an SEP if they move out of a Medicare Advantage plan's service area and establish a permanent residence in a new service area that offers Medicare Advantage products.

Papa Pals is there for your Select Health Medicare Clients!

Every Select Health Medicare member has access to Papa Pals companionship services (between 30 and 90 hours, depending on the plan). Papa Pals connects members with a certified Papa Pal to help with everyday tasks, such as:

  • Friendship—chat, play board games, watch a movie, take a walk, or exercise.
  • Transportation—doctors’ appointments, errands, grocery and pharmacy shopping.
  • Technology—help with computers, smart phones, and tablets, as well as help accessing telehealth.
  • Home tasks—light cleaning, meal prep, organizing, and pet help.

Check out the graph below to see how our members used Papa Pals during the first quarter of 2023.

Papa Pals 2023 Member Utilization

To get started or find out how many Papa Pal hours a member has:

On-demand Webinar: The Select Health Medicare Flexible Benefits Card 

Did you miss the live agent webinar on the Select Health Medicare Flexible Benefits Card? No need to worry! Watch it on demand.

Recorded Webinars 

Compliance Corner: Marketing and Agent Complaints

Select Health Medicare is a Medicare Advantage plan with a Medicare contract. Part of this contract stipulates oversight and investigation of every complaint received from members on the plan. This includes a requirement to ensure Medicare beneficiaries receive correct information while making an enrollment election.

Occasionally, Select Health Medicare receives complaints regarding sales agents or marketing practices. A complaint or grievance may be received by phone, written correspondence, direct contact from Medicare or the Department of Insurance, or even other sales agents.

Select Health Sales leadership partners with the Select Health Compliance and Appeals & Grievances team members to conduct a thorough investigation of every sales/marketing complaint received. Outcome notifications are provided to members. These are documented and reviewed for potential opportunities to provide any necessary coaching or additional training to sales agents and identify trends. 

Select Health Medicare will contact the agent and/or FMO in question during its investigation to solicit a response regarding any sales allegations or grievances made toward an agent. The agent and/or FMO must respond to Select Health Medicare, preferably within five business days.

We ask that the agent, and/or FMO involved not contact the complainant during the investigation period. 

In most investigations, the outcome is determined to be a misunderstanding or confusion. However, in the event the complaint is substantiated, Select Health Medicare sales will contact the agent and/or FMO for further action. 

Please email or call 844-442-5844 if you have compliance questions or concerns.

Feedback? We’re all Ears!

Did you recently have a client request to leave Select Health Medicare? Do you have ideas on how we can better retain and acquire Medicare members? Let us know! We’d love your feedback. Contact us here!