Module 4-Marketing Medicare Advantage and Part D Plans 1 ...Module 4-Marketing Medicare Advantage...

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Module 4-Marketing Medicare Advantage and Part D Plans

1. Module 4-Communications and Marketing Rules for Medicare

Advantage and Part D Plans

1.1 Communications and Marketing Rules for Medicare Advantage and

Part D Plans

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1.2 Navigation Instructions

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1.3 Terms and Conditions

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1.4 LEARNING OBJECTIVES

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1.5 Training Roadmap: Part 1

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1.6 Regulation of materials and activities that discuss and/or promote

Medicare Health Plans and Part D Plans

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1.7 What are Communications?

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1.8 What is Marketing?

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1.9 Regulation of Marketing Activities in General

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1.10 What are Marketing Activities?

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1.11 What are Marketing Activities - Case Study

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1.12 Regulation of Marketing Materials

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1.13 What are Marketing Materials? Format

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1.14 What Materials are not Marketing Materials?

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1.15 What are Examples of Marketing Materials?

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1.16 What are Examples of Materials that ARE NOT Marketing Materials

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1.17 Regulation of Communications Materials and Activities

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1.18 Medicare Marketing and Communications Rules

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1.19 Medicare Communications and Marketing Rules: Plan Marketing

Representatives

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1.20 Plan Marketing Representatives - Case Study

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1.21 Medicare Communications and Marketing Rules: Marketing

Representatives - State Licensure

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1.22 Marketing Representatives - State Licensure Case Study

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1.23 Medicare Communications and Marketing Rules: Marketing

Representatives Training

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1.24 Permitted Marketing Representative Activities

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1.25 Unsolicited Contacts

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1.26 Unsolicited Contacts, Continued

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1.27 Unsolicited Contacts Example

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1.28 Unsolicited Contacts: Permitted

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1.29 Unsolicited Contacts: Permitted, continued

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1.30 Unsolicited Contacts: Additional Information

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1.32 Medicare Communications and Marketing Rules

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1.33 Medicare Communications and Marketing Rules: Marketing and

Educational Events

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1.34 Medicare Communications and Marketing Rules: Sales Events

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1.35 Medicare Communications and Marketing Rules: Sales Events,

continued

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1.36 Medicare Communications and Marketing Rules: Educational Events

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1.37 Medicare Communications and Marketing Rules: Educational Events

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1.38 Medicare Communications and Marketing Rules: Educational Events,

Permitted Activities

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1.39 Medicare Communications and Marketing Rules: Educational Events,

Permitted Activities, continued

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1.40 Medicare Communications and Marketing Rules: Educational Events,

Impermissible Activities

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1.42 Medicare Communications and Marketing Rules: Marketing at

Individual Appointments

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1.43 Medicare Communications and Marketing Rules Individual

Marketing Appointments

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1.44 Medicare Communications and Marketing Rules Individual

Marketing Appointments, continued

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1.45 Required Practices: Scope of Appointment

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1.46 Required Practices: Scope of Appointment, continued

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1.47 Scope of Appointment: Documentation

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1.48 Required Practices: SOA Marketing Activities

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1.49 Required Practices: SOA Marketing Activities, continued

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1.51 Telephone Marketing

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1.52 Outbound Calls

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1.53 Marketing to Establish a New Relationship vs. to Current Clients

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1.55 Other Marketing: General Audience and E-mail

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1.56 General Audience Marketing

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1.57 Use of E-mails and Social Media to Market

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1.58 Use of Social Media to Market

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1.60 Required and Prohibited Marketing Practices: Required Practices

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1.61 Required Practices: Marketing Activities

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1.62 Required Practices: Marketing & Non-Health Related Activities

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1.63 Required Practices: Marketing & Non-Health Related Activities,

continued

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1.64 Required Practices: Required Materials with an Enrollment Form

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1.65 Required Practices: Required Materials at the Time of Enrollment

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1.66 Required Practices: Plan Ratings

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1.67 Required Practices: Plan Ratings, continued

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1.68 Required Practices: Plan Ratings, continued

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1.69 Required Practices: Plan Ratings, continued

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1.70 Required Practices: Plan Ratings, continued

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1.71 Required Practices: Plan Ratings, continued

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1.72 Required Practices: Out-of-Network/Non-Contracted Providers

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1.74 Required and Prohibited Marketing and Communications Practices:

Prohibited Practices

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1.75 Prohibited Practices: Marketing and Communications Materials and

Activities

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1.76 Prohibited Practices: Marketing and Communications Materials and

Activities, continued

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1.77 Prohibited Practices: Marketing and Communications Materials and

Activities, continued

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1.78 Prohibited Practices: Marketing and Communications Materials and

Activities, continued

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1.79 Prohibited Practices: Marketing and Communications Materials and

Activities, continued

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1.80 Prohibited Practices: Marketing and Communications Materials and

Activities, continued

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1.81 Prohibited Practices: Marketing and Communications Materials and

Activities, continued

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1.82 Prohibited Practices: Marketing and Communications Materials and

Activities

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1.83 Prohibited Practices: Inducements

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1.84 Light Snacks versus Prohibited Meals

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1.85 Prohibited Practices: Examples

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1.86 Promoting Health Plans During the Open Enrollment Period

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1.87 Promoting Health Plans During the Open Enrollment Period

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1.88 Beneficiary Referrals

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1.90 Promotional Activities

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1.91 Promotional Activities: Nominal Gifts

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1.92 Promotional Activities: Drawings, Prizes, Giveaways

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1.94 Marketing to Current Enrollees

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1.95 Marketing Activities: Current Enrollees

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1.96 Marketing in a Health Care Setting

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1.97 Marketing Activities: Marketing in a Health Care Setting

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1.98 Marketing Activities: Marketing in a Long-term Care Facility

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1.99 Marketing Activities: Example

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1.101 Marketing to Employer/Union Groups

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1.102 Marketing to Employer/Union Groups

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1.103 Oversight and Enforcement

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1.104 Oversight and Enforcement: By Plans

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1.105 Oversight and Enforcement: By Plans, Continued

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1.106 Oversight and Enforcement: By CMS

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1.108 Marketing Representative Compensation

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1.109 Marketing Representative Compensation: Compensation Defined

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1.110 Compensation Example

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1.111 Marketing Representative Compensation: Applicability of Rules

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1.112 Marketing Representative Compensation: When Compensation May

Be Paid

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1.113 Marketing Representative Compensation: Applicable Amounts

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1.114 Marketing Representative Compensation: Applicable Amounts,

continued

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1.115 Marketing Representative Compensation: Limits on Amount of

Compensation

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1.116 Marketing Representative Compensation: Limits on Amount of

Compensation (General Rule)

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1.117 Marketing Representative Compensation: Limits on Amount of

Compensation, continued

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1.118 Marketing Representative Compensation: Exception to pro rata

payment rule

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1.119 Marketing Representative Compensation: Rapid Disenrollment

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1.120 Marketing Representative Compensation: Rapid Disenrollment,

continued

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1.121 Frequently Asked Questions

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1.122 Frequently Asked Questions (FAQ) #1

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1.123 Frequently Asked Questions (FAQ) #2

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1.124 Frequently Asked Questions (FAQ) #3

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1.125 Frequently Asked Questions (FAQ) #4

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1.126 Frequently Asked Questions (FAQ) #5

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1.127 Frequently Asked Questions (FAQ) #6

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1.129 For More Information

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1.130 THANK YOU

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