Showing posts from January, 2023

Growing your online audience after ACA OEP 2023

By: Michelle M. Saavedra   On December 31st, millions of people around the world were eagerly counting down the hours to welcome the new year. But for insurance agents, the real countdown began when the ball dropped on Time Square. This action alone symbolized the impending end of the Open Enrollment Season for the year 2023. In other words, Insurance Agents now had 15 days left to contact potential clients and enroll them in a 2023 health insurance plan. Naturally, every effort would be geared towards promoting health insurance products through social media. But come January 16th, most of the messages and digital ads would cease to exist. And sadly, many insurance agents would go as far as abandoning their digital platforms until the next Open Enrollment Period comes along. Agility Agents understand that NOW is the time to start building their online reputation, not during OEP season. Why is this? Because building a rapport with an online community takes time, dedication, and consist

The Conclusion of the 2022-2023 Open Enrollment Period

  The 2022-2023 Open Enrollment Season saw more than 16.3 million people sign up for healthcare coverage, a new record that signaled the continuing need for access to quality healthcare and the Affordable Care Act’s (ACA) continued success in providing that access. The enrollment period ran from November 1, 2022 to January 15, 2023, and was the fifth consecutive period in which more than 10 million people signed up for coverage. This year's record-breaking number also signals the success of the Biden administration’s efforts to promote healthcare access and increase the number of ACA enrollments. Thank you Agility Agents for making this Open Enrollment Period a success! Read the linked article to find out more about the 2022-2023 open enrollment period! Discover why thousands of health insurance agents have chosen to join the Agility family!

Aetna Dual Eligible Special Needs Plans (D-SNPs)

Dual eligible special needs plans (DSNP) are a type of Medicare and Medicaid coverage that are tailored to meet the specific needs of certain individuals. DSNPs provides access to a wide range of services and benefits designed to help individuals with long-term care needs and help them maintain their independence in the home or in a care setting. DSNPs cover all Medicare-covered services, plus additional services and benefits, and are available for individuals who are eligible for both Medicare and Medicaid. With DSNPs, individuals can obtain the coordinated care, services, and supports that are best suited to their needs, and access quality care at a lower cost. Knowing the difference between Aetna Medicare and Medicaid dual plans Aetna Medicare and Medicaid dual plans provide a comprehensive healthcare solution for those who are eligible for both Medicare and Medicaid. These plans combine the benefits of both programs and often include additional benefits such as dental, vision, and

What are 1095 forms for healthcare?

The 1095 forms are tax documents used to report health insurance information to the Internal Revenue Service (IRS). They are part of the Affordable Care Act (ACA) and are used to determine eligibility for government subsidies and tax credits. 1095 forms are typically issued by employers, health insurance providers, and the Health Insurance Marketplace. What is Form 1095-A Form 1095-A is used to report health care coverage provided by the Health Insurance Marketplace. This form is sent to individuals who had a qualified health plan through the Marketplace during the year. It includes information about the insurance and the amount of any Advance Premium Tax Credit that was applied. What is Form 1095-B Form 1095-B is used to report health insurance provided by a health insurance company, such as an employer-sponsored plan. It includes information about the insurance and the names of the individuals covered. What is Form 1095-C Form 1095-C is used to report health insurance provided by an

Continuous Enrollment Unwinding

During a  CMS National Stakeholder call , the omnibus spending plans were discussed as it relates to the recent spending plan proposed by Congress that would allow states to resume Medicaid continuous enrollment unwinding after the end of the first quarter of 2023. This post outlines a few key points about the unwinding of the Medicaid continuous enrollment requirement and the associated provisions in the bipartisan spending plan. The proposed law makes it clear that states can take up to a full year to initiate all renewals. CMS has previously issued guidance allowing states up to 14 months to resume routine eligibility and enrollment processes; 12 months to initiate renewals and an additional two months to complete the process. Extended federal funding will help states avoid the fiscal cliff. In the first quarter of 2023, states will continue to receive the 6.2 percentage point increase in the Federal Medical Assistance Percentage (FMAP). The increased FMAP is phased down for the re

The IRS just made a final ruling regarding the “Family Glitch”

The IRS just made a final ruling regarding the ACA “Family Glitch” . Here’s everything you need to know about it as a health insurance agent, and what this will mean for your customers. The Final Rule addresses the "family glitch" in the Affordable Care Act by basing the affordability of employer-sponsored coverage for a family member on the cost of family coverage, rather than self-only coverage.  This means that some dependents who have or have eligibility for a premium tax credit or for group health plan coverage may now be eligible for premium tax credits to purchase a subsidized Marketplace plan and may switch their coverage as a result, if permitted by plan rules.  Starting in 2023, family members who currently do not meet the qualifications for premium tax credits may become eligible when purchasing health insurance through the Health Insurance Marketplace. This change does not affect the employer mandate penalty.  Producers can help members who may be newly eligible