Is search and save worth switching to?

[sman]

We are working on speed, but we are doing something that has never been attempted before for agent accuracy. We are bringing together the most accurate data in the industry. We appreciate everyone's patience and loyalty. Overall, you save a ton of time.

How do we save time when we have to delete the doctors we loaded earlier this year and add them back so the 2025 plans recognize them? That's the opposite of saving time. Loading doctors is slow. The drag and drop needs to be reworked. And what about the regional carriers networks? I'm still having to look up doctors on those carriers websites.

I've been a huge proponent of S&S on this forum. But the provider filter is not ready. I wish I had all the hours back that I spent loading doctors for clients earlier this year. To now be told I have to delete them and add them back is just not good.

 

[ValeRosso]

We love it for drugs. I don't search docs. I make clients call.

Is it super fast? No.

Did I run the 20% who hit $500 in costs at Medicare, too? YES. And got 100% accuracy.

It depends on what you want.

Last year, we ran the 80% and sent it to clients with "hold" on their PDP emails.

The 20% had calls scheduled but the info was already in there.

If you want it in the field for new clients, it's probably too slow.

Right now we are auditing to see who we don't have and asking them to update it. Emails start the day after Labor Day asking for confirmation it's right.

Then we separate them based on the 20% plus plan changes. So for this year, who knows.

20% get scheduled first.
80% is why I'm researching alcohol rehabs for Dec 8

You don't search for providers, you make your clients call to find out who accepts what? How does this work for you, Give a list of companies and have them ask, or are you just representing one company? And why do you do it this way?

 

[DonP]

I 100% now do what Kingdom does . " Sarah drs come and go into networks . To make sure your dr is in network I was you to call all your drs and make sure there in network . Ask them " do you take United Healthcare Medicare advantage ppo . Do you take Aetna Medicare advantage ppo" ? I want them to here it from there drs office directly so no coming back on me .

 

[goillini52]

We are working on speed, but we are doing something that has never been attempted before for agent accuracy. We are bringing together the most accurate data in the industry. We appreciate everyone's patience and loyalty. Overall, you save a ton of time.

Hey Scott, on the provider/facility search, how do I increase the radius to more than 25 miles?

 

[sman]

Hey Scott, on the provider/facility search, how do I increase the radius to more than 25 miles?

You don't. I've found it's best to put in the zip code of where that doctor/facility is.

 

[mdlovell]

And what about the regional carriers networks? I'm still having to look up doctors on those carriers websites.

@scottnichols

It would be really nice if the regionals still showed up when you put in the doctors. For that matter still show all the companies but list 0 if you don't have the data or they truly don't have any providers in network.

It's annoying entering in the providers but then having to remove them to compare Rx costs of regional companies vs the nationals.

 

[GoPokes]

I've come to the conclusion that you don't "switch to" something, but rather "add it" and put one foot in, and see how it works out.

As somebody else pointed out, if you have to, use it for AEP, then determine if you still need it…

 

[insuranceagent024]

OR you can refuse to use the internet to check doctors.

Tell the clients to call and confirm participation. That way its not your fault when the damn internet is wrong. Again. I have never gotten pushback on this after I explain why I won't do it.

I thought AHIP tells us we have to check docs?

Prior to enrollment the agent must also:
• check to see if the beneficiary's PCP and Specialists are in network. If not, the agent must explain that the beneficiary will need to choose new ones or pay out of pocket.
• check to see if the beneficiary's preferred hospital is in-network. If not, the agent must explain that the beneficiary will need to choose a new one.
• check to see if there are other facilities the beneficiary prefers that need to be in the plan's network.
• review coverage for out-of-network providers and services (e.g., except in emergency or urgent situations, the plan does not cover services by out-of-network providers (i.e., doctors who are not listed in the provider directory)).
• review PPO or PFFS out-of-network coverage

 

[GoPokes]

I thought AHIP tells us we have to check docs?

Prior to enrollment the agent must also:
• check to see if the beneficiary's PCP and Specialists are in network. If not, the agent must explain that the beneficiary will need to choose new ones or pay out of pocket.
• check to see if the beneficiary's preferred hospital is in-network. If not, the agent must explain that the beneficiary will need to choose a new one.
• check to see if there are other facilities the beneficiary prefers that need to be in the plan's network.
• review coverage for out-of-network providers and services (e.g., except in emergency or urgent situations, the plan does not cover services by out-of-network providers (i.e., doctors who are not listed in the provider directory)).
• review PPO or PFFS out-of-network coverage

I think kgmom is saying that PRIOR to the enrollment, she is checking, by asking the consumer to verify. I must believe that this would minimize chances of a beneficiary blaming her if the doctor later says they dont take the plan.

She isnt enrolling them into the plan unless the consumer has checked, and if turn, no compacts are gonna be filed, because they havent been changed

 

[Chazm]

I think kgmom is saying that PRIOR to the enrollment, she is checking, by asking the consumer to verify. I must believe that this would minimize chances of a beneficiary blaming her if the doctor later says they dont take the plan.

She isnt enrolling them into the plan unless the consumer has checked, and if turn, no compacts are gonna be filed, because they havent been changed

Doesn't look like she does. She says she refuses to use the internet to look up doctors.

I always word it, according to the plan, they accept your doctor.