H Codes
Disclaimers
Governing Bodies
Marketing Regs
Acronyms
100

The H-Code H3419

Perennial Colorado

100

“[Plan’s legal or marketing name] is a [plan type] with a Medicare contract. Enrollment in [Plan’s legal or marketing name] depends on__________ renewal.”

 contract

100
Responsible for determining if we use a language tagline
Health and Human Services (HHS)
100

Provider affiliation announcements made by plans that do not include marketing are considered communications. If the announcement contains marketing, the announcement must be submitted where?

HPMS: Health Plan Management System

100

The acronym LWA

LifeWorks

200

The H-Code 3274

ASC CA 

200

True or False | The five star rating disclaimer is required for every plan that has a rating

False

200

Provides guidelines for every facet of a company who administers health plans to Medicare beneficiaries

Medicare Managed Care Manual

200

Length of time for approvals if enrollment forms are modified 

45 days

200

The acronym PCA

ProCare Advantage

300
The H-Code 6832

ASC MI

300

“The benefits mentioned are a part of _____ supplemental program for the chronically ill. Not all members qualify.”

special

300

This governing body notates that any superlatives may not be used in marketing or communications 

Medicare Marketing Guidelines

300

Distributing a material prior to the approval date is only compliant during what time of the year

pre-AEP (Annual Enrollment Period), materials made for the following plan year 

300

The acronym PER

Perennial Advantage

400

The H-Code 3291

PHP GA 

400

“Other providers are_______ in our network.”

available

400

Enforces a 5:1 ratio of color contrast on all marketing collateral

Section 508c of the Rehabilitation Act

400

This disclaimer is required on a marketing piece when we've included another company logo

“Other providers are available in our network.”

400

The acronym HPMS

health plan management system

500

The H-Code 6959

KCA
500

Required for Point-of-Service plans or restricted network or service area descriptions

“Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.”

500

This governing body stated that the word "Health Plan" must be added to the end of every marketing name

Department of Insurance (Oregon) 

500
Department responsible for pharmacy and formulary directories

Pharmacy and web team

500

The acronym LAG

Lagniappe Advantage