Has anyone assisted a Part D mb with signing up with PPP?

[wehotex]

I guess that the correct slang is M3P?
I have (2) UHC MA members who are currently on OFEV, a high $$$ drug. One of them already (already a UHC mb) tried to inquire about it, but was shifted to Inside Sales and told that he would have to wait until the 1st- lol.
The other is moving from Aetna to UHC. I offered each of these a 3-way call with themselves and carrier to help them with it.

 

[sshafran]

I have not and don't really plan to.

In my opinion, it's a Pharmacy / customer service issue, not an agent involvement issue.

Especially PDP (I understand it can also be MAPD)

A claim at a hospital can be "smoothed out" via patient assistance, etc., and we don't get involved in that.

It's nice of you to help. But I think it's a waste of our time when the carrier can handle it.

So far I've simply said, "call the carrier customer service in January - they'll help."

 

[DonP]

I have not and don't really plan to.

In my opinion, it's a Pharmacy / customer service issue, not an agent involvement issue.

Especially PDP (I understand it can also be MAPD)

A claim at a hospital can be "smoothed out" via patient assistance, etc., and we don't get involved in that.

It's nice of you to help. But I think it's a waste of our time when the carrier can handle it.

So far I've simply said, "call the carrier customer service in January - they'll help."

My response will be " Call the customer service # on the back of the card and tell them you want to set up a Medicare payment plan for your rx's" . How many times have you gotten a call " My doctor says Humana's not paying them as they billed them " . Ok do you have a copay of the bill which shows Humana denied your claim so we can call them on 3 way" . 99% of the time i never got a bill showing they denied it . When you get the bill showing the denial we'll call ok? . 99% of the time i never hear back from them

 

[goillini52]

I guess that the correct slang is M3P?
I have (2) UHC MA members who are currently on OFEV, a high $$$ drug. One of them already (already a UHC mb) tried to inquire about it, but was shifted to Inside Sales and told that he would have to wait until the 1st- lol.
The other is moving from Aetna to UHC. I offered each of these a 3-way call with themselves and carrier to help them with it.

I stopped by an Aetna MAPD customer's and Aetna had sent her a PPP application and she had it filled out and ready to mail. She asked me what it was about. I told her she didn't need it since she takes all generics.

 

[axeman462]

My understanding is that the carriers send out the application for m3p with the welcome packet.
A few customers texted me a pic of it asking what it is. Looks like a short one page application, and is pretty straightforward.

All they gotta do is fill it in and mail it back. All the instructions are on the application for it

 

[MedicareMillennia]

My understanding is that the carriers send out the application for m3p with the welcome packet.
A few customers texted me a pic of it asking what it is. Looks like a short one page application, and is pretty straightforward.

All they gotta do is fill it in and mail it back. All the instructions are on the application for it

I've already had clients calling and asking if they should fill it out as well. That is honestly pretty nice. The first client who needs assistance I'll walk them through it so I understand how the process works, and from then on I'll just give them direction and put the ball in their court.

 

[wehotex]

I've already had clients calling and asking if they should fill it out as well. That is honestly pretty nice. The first client who needs assistance I'll walk them through it so I understand how the process works, and from then on I'll just give them direction and put the ball in their court.

I thought that I had read that letters would be sent only to those who had previously entered gap or who might be prone to spend on high dollar rx? From your posts, they are ALL receiving them?

 

[MedicareMillennia]

I thought that I had read that letters would be sent only to those who had previously entered gap or who might be prone to spend on high dollar rx? From your posts, they are ALL receiving them?

Oh I don't know if they are all receiving them, maybe its just those with LIS or certain brand name drugs. I just know I've got several calls saying they received a form to fill out. I just tell them it doesn't hurt to go ahead and do the payment plan.

 

[axeman462]

I thought that I had read that letters would be sent only to those who had previously entered gap or who might be prone to spend on high dollar rx? From your posts, they are ALL receiving them?

I suppose it's possible that was the original intent, but I've had customers that one take 2 or 3 cheap $0 copay drugs get the letters.

Or maybe they got them by accident?

 

[DonP]

It's seems almost all my clients getting the letter causing mass confusion