Medicare Advantage & Part D
Welcome to the TMG Medicare Advantage Compliance Corner. Simply click on a carrier link to get all of the tools you need to be successful this AEP. From provider directories to certification links, we have put everything in one place.
Countdown to Medicare Advantage AEP
AHIP for Medicare Advantage - June 22
AHIP's website is a single source for both Medicare and Fraud, Waste and Abuse (FWA) training. Their comprehensive online program covers the basics of Medicare eligibility and benefits, types of Medicare Advantage and Part D prescription drug plans, eligibility and coverage, nondiscrimination training, and marketing and enrollment under the Medicare Advantage and Part D program requirements.
Aetna / Coventry
Aetna is proud to offer a robust portfolio of high-quality, affordable Medicare Advantage and Part D health plans. Coventry Health Care and First Health Part D are Aetna companies, giving you a single portfolio so you can offer complete solutions and win more sales.
With Anthem, members can pick the best Medicare plans for their budget and health needs. Anthem offers preventive benefits to help improve health and manage chronic conditions.
ApexHealth will optimize the health and well-being of those we serve through a rooted commitment to quality, respect, and compassion while providing premiere healthcare services and outcomes that exceed the expectations of those they serve.
BlueCross BlueShield of NC - July 8
BlueCross BlueShield of North Carolina provides Medicare customers with plans that help cover costs that Medicare doesn't cover.
BlueCross BlueShield of SC - July 8
As one of South Carolina's largest employers, BlueCross BlueShield of South Carolina is a well-established brand. BlueCross BlueShield of South Carolina has been offering security to Palmetto State citizens for more than 65 years as the only South Carolina-owned and operated health insurance carrier.
Bright Health is dedicated to providing agents with tools necessary to deliver the best healthcare experience with the help of a carefully chosen care partner network. With plans that were built with trusted healthcare providers, Bright Health strives to design benefits that will improve health and lower out-of-pocket expenses.
Cigna-HealthSpring is a health services company committed to helping our nation's Medicare and Medicaid beneficiaries live healthier, more active lives through personalized, affordable, and easy-to-use healthcare solutions.
Clear Spring Health
Clear Spring Health offers three comprehensive Medicare Advantage products in the states of Georgia and South Carolina. They are pleased to offer plans that meet the needs of people living with diabetes, cardiovascular disorders, or chronic heart failure. Agents will automatically be sent 10 kits of supplies for each plan after becoming fully certified.
Clover Health is a whole new kind of healthcare. We invest heavily in our member experience. Our customer service team does not transfer members based on department and is trained to handle every call.
Envision Rx Options
Envision is a fully integrated health care company with a visibly different approach to managing pharmacy benefits. They are fully integrated, owning all of the programs and tools that they provide. This offers the flexibility and efficiencies to save clients money and help people, at all stages of life, get the medicines they need to feel better - at prices that they can afford.
Experience Health Medicare Advantage℠ (HMO) Plan
Created with Duke Health and WakeMed Key Community Care doctors. Powered by BlueSM. Together, we’re bringing better care to Medicare.
FirstCarolinaCare is proud to offer Medicare Advantage and Part D plans through FirstMedicare Direct. They strive to offer the member the freedom to choose her or his physician/provider each time she or he needs care for a covered service.
Gateway Health Plan delivers quality and affordable healthcare for its members. With more than 20 years of service to the community, Gateway strongly believes in doing things a better way.
GlobalHealth is an HMO plan with a Medicare contract. GlobalHealth is changing health insurance as we know it by designing quality products and services around members while ensuring access to the care and medications that members need.
HealthTeam Advantage is a local, doctor-directed health plan offering PPO plans with many benefits; one of them is sure to be right for your clients.
Humana - June 30
Humana has been providing and servicing Medicare plans for over 25 years. Their Medicare Advantage managed care plans include Humana Gold Plus® HMO, HumanaChoice® PPO, PFFS and Special Needs plans for chronic conditions which include personalized guidance and resources to help members get the best care for their individual needs.
Medical Mutual is the oldest and largest health insurer in Ohio. MedMutual Advantage Plans offers peace of mind with hospital, medical, and prescription drug coverage all included in one convenient plan.
SilverScript is America’s largest stand-alone Medicare Part D prescription drug plan sponsor. More than 5 million people with Medicare use SilverScript. Low monthly premiums, low copays, and low coinsurance help protect member savings against high prescription costs.
UnitedHealthcare - June 29
UnitedHealthcare offers health insurance plans to meet the needs of individuals and employers. They also offer dental, vision and many other insurance plans to help keep your clients healthy.
Viva Health's extensive provider network offers a continuum of care that covers everything from routine office visits, emergencies, and major and minor care to adult, obstetrical, and pediatric care.
WellCare / Allwell-Centene - July 7
WellCare focuses exclusively on providing government-sponsored managed care services, primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, to families, children, seniors and individuals with complex medical needs.
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