Medicare Grievances & How Insurance Agents Can (Try To) Prevent Them

 

At some point you may be in a situation where a client has a grievance about you or their coverage.  There are ways to help prevent these situations, but as an agent you should also be prepared with how to go through the process with a client. Learn what Medicare grievances are and how to help prevent and handle them in this episode.

 

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Resources:

 

Do's and Don'ts of Medicare Compliance: https://www.ritterim.com/blog/dos-and-donts-of-medicare-compliance/

Get Your Medicareful Website: https://www.ritterim.com/agent-tools/medicareful/

Learning from Lost Medicare Sales: https://www.ritterim.com/blog/learning-from-lost-medicare-insurance-sales/

Medicare Quote Engine: https://www.ritterim.com/agent-tools/medicare-quote-engine/

Our Plan to Help Agents Record Calls for Medicare Sales & SOAs: https://www.ritterim.com/blog/our-plan-to-help-agents-record-calls-for-medicare-sales-soas/

The Complete Guide on How to Sell Medicare Advantage Plans: https://www.ritterim.com/medicare-advantage-ebook/

The Complete Guide on How to Sell Prescription Drug Plans: https://www.ritterim.com/pdp-ebook/

The Ritter Platform: https://www.ritterim.com/agent-tools/the-ritter-platform/

What Agents Can’t Say During Medicare Sales Appointments: https://www.ritterim.com/blog/what-agents-cant-say-during-medicare-sales-appointments/

What Are the New Medicare Advantage & Part D Communication Requirements for 2022: https://www.ritterim.com/blog/what-are-the-new-medicare-advantage-part-d-communication-requirements-for-2022/

What to Know About SOAs in Senior Market Sales: https://www.ritterim.com/blog/what-to-know-about-soas-in-senior-market-sales/

What Not to Say During Medicare Educational and Sales Events: https://www.ritterim.com/blog/what-not-to-say-during-medicare-educational-and-sales-events/

 

References:

 

Closed Confirmed Consumer Complaints by Coverage Type: https://content.naic.org/cis_agg_type.htm

Closed Confirmed Consumer Complaints by Reason: https://content.naic.org/cis_agg_reason.htm

CMS website: https://www.cms.gov/

How to File a Complaint (Grievance): https://www.medicare.gov/claims-appeals/how-to-file-a-complaint-grievance

How Do I File an Appeal: https://www.medicare.gov/claims-appeals/how-do-i-file-an-appeal

Marketing and Communications Requirements on MA and Part D Plans to Assist Their Enrollees: https://www.federalregister.gov/documents/2022/05/09/2022-09375/medicare-program-contract-year-2023-policy-and-technical-changes-to-the-medicare-advantage-and#p-106

Medicare website: https://www.medicare.gov/