All About Brokers
Transfer the patient to the broker who is in the office or give them brokers' contact information so they can contact them on their own.
What should I do when a patient calls and wants to talk to a broker?
Select Health and Hometown Health
Which Medicare Advantage payers have P3 Nevada as their exclusive provider network?
December 7
What is the last day of the Annual Election Period?
200
What is the number of primary care providers in the P3 Nevada network?
"We are the provider network for plans through Select Health and Hometown Health, but I can't tell you which plan is best for you. A broker can help you with that evaluation and decision process."
What is "What you should say when a patient asks you to recommend a Medicare Advantage plan"?
They are paid a set amount by the insurance payer for each member they sign up.
How are brokers paid?
Senior Care Plus
What is the name of Hometown Health's Medicare Advantage Plan?
January 1, 2019
When do the new Medicare Advantage plans go into effect?
800
What is the number of specialists in the P3 Nevada network?
Fill out a patient information form
What is one of the first things a patient should do when they arrive for their visit?
Offer to have the patient meet with a broker while they are at the office or, if they don't have the time or the broker isn't available, make sure they leave with plan and broker information
What should you do if a patient expresses interest in talking with a broker while they are at the clinic?
What are special needs plans (SNPs)?
Transportation benefits, vision and dental coverage, meal and grocery delivery after hospitalization, and free or discounted gym memberships
What are some of the extra benefits available under Medicare Advantage plans?
Calderon Medical Group
What is the primary care provider who is exclusive to the P3 Nevada network?
If you need urgent or emergency needs, all Medicare participants can go to any hospital that takes Medicare, which includes any of the Valley Hospital System (e.g., Summerlin, Centennial, Henderson) and the UMC network of hospitals and urgent care centers.
What should I tell patients who are concerned about hospitals in the P3 network?
Come to a clinic during office hours, attend a sales event, call them to schedule an appointment at their offices or your home.
How can patients see/meet brokers?
30 years
How long has Select Health and/or Hometown Health been helping seniors stay healthy with Medicare Advantage plans?
If you become Medicare-eligible for the first time, if you move to a new network or if you develop a qualifying chronic condition.
What are some of the conditions under which you can make changes outside of the Annual Election Period?
Check the P3 Nevada provider directory online at P3NV.org to see if they are in network.
What should I do if a patient wants to know if their specialist is in the P3 Network?
1. Gather patient data via the PIF
2. Start a conversation about Medicare AEP
3. Get the patient to talk with a broker
What are the three most important things that clinic teams can do during AEP?
The plan that a patient signs up for most recently.
Which plan is assigned to a patient when they sign up for multiple/competing plans during the Annual Election Period?
Aetna
Which Medicare Advantage plan has the P3 Medical Group as part of its network (but not the rest of the P3 Nevada network)?
What is the period between January and March when Medicare Advantage participants can change plans or opt to go back to traditional Medicare?
Have the patient contact their specialist and tell them to join the P3 Nevada network.
What should you do if the patient's preferred specialist is not currently in the P3 Nevada Network?
By the end of day every Friday
When is patient/clinic PIF data due to the Strategic Comms team each week?