bryan mccormick
New Member
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Open thread for good and back feedback on contracting and working with Aetna for MA/PDP.
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They came in like a wrecking ball to Kansas City this AEP. They offered a ton of supplemental benefits like $160 of OTC and a 2K "Fitness Benefit". Mid year they had to pull back on the "Fitness Benefit" so that members wouldn't buy golf clubs and the put a nail in HRA's before any other carrier. They are good to have, because there are only so many carriers and they have brand recognition, but I don't think they will be setting the world on fire in our region in 2025.
I have really liked their PDP designs, but anymore their customer service is a half step above Wellcare and that isn't a compliment. They also performed the old commissionable to noncommissionable bait and switch with ther SmartSaver plan.
Their Med Sups have been a bit pricey, but they pay well and I don't switch very many of my clients off them.
Worse customer service.
Caveat, NOT and never have been, an agent.)I have really liked their PDP designs, but anymore their customer service is a half step above Wellcare and that isn't a compliment. They also performed the old commissionable to noncommissionable bait and switch with ther SmartSaver plan.
Is this a trick question?Open thread for good and back feedback on contracting and working with Aetna for MA/PDP.
I totally agree. If I have someone with a 20 meds and 5 of them brand, I have had incredible luck with the SS Plus PDP if the client can stomach the premium.I will say as far as their drug cov I have a ref partner that prefers then for her clients who are usually on expensive meds, Because they approve meds faster than others
does not want clients on wellcare or humana
I totally agree. If I have someone with a 20 meds and 5 of them brand, I have had incredible luck with the SS Plus PDP if the client can stomach the premium.
I have had to conference call clients with them more often this year than the last 3 combined due to CSR's that don't speak English fluently enough or have enough training to understand their drug plans beyond deductible and Tier 3.
Caveat, NOT and never have been, an agent.)
What I have quoted from agents above ^^^^^^^
The above represents my Pre Medicare EGH experience with them. Once the organization has made a coverage decision, the gates to the castle slam shut and every CSR will cite the decision as final and say sorry no help here when asked for review, change or appeal.
@somarco, in another thread, explained about Claims E&O, Tail coverage, and Occurrence E&O.
If I was suddenly to become an agent, I would be in one of @StevenjKSU's market states and might have to contract with Aetna in order to deal with consumers, but I would not sell their Medigap/MA policies without Occurrence E&O, or Tail coverage at the very minimum.