Scope of Appointment Forms Permission and agreement to hear a presentation on
Medicare Advantage or Part D Rx

AARP – UHC  fillable pdf and you can type your signature!
It’s Generic, so it can be used for ANY company.

Blue Cross SOC

Blue Shield Scope of Appointment  SOA  2019 Rev.

Telephone & Face to Face Meetings require a Scope of Appointment

When conducting marketing activities, in-person or telephonically, a Plan/Part D Sponsor may not market any health care related product during a marketing appointment beyond the scope that the beneficiary agreed to before the meeting CMS 2018 Marketing Rules – 70.4.3

The Plan/Part D Sponsor must document the scope of  the appointment prior to the appointment

SOA documentation is subject to the following requirements:

The documentation may be in writing, in the form of a signed agreement by the beneficiary, or a recorded oral agreement.  Any technology (e.g., conference calls, fax machines, designated recording line, pre-paid envelopes, and email) can be used to document the scope of appointment.

422.2268(g) Marketing Standards   (g) Market any health care related product during a marketing appointment beyond the scope agreed upon by the beneficiary, and documented by the plan, prior to the appointment (48 hours in advance, when practicable).  and (h),

Excerpt from unnamed, well known Medicare Advantage Company’s Confidential Agent Guide – Manual:

Scope of Appointment (SOA) Form

Before a sales meeting, one must obtain a completed and signed Scope of Appointment form from each Medicare-eligible consumer present at a telephonic or in-person one-on-one plan presentation of a Medicare Advantage and/or Prescription Drug Plan product  

Medicare and You 2020 #10050  
Everything you want to know 

Medicare and you

Different Parts of Medicare 

A = Hospital
B = Doctor Visits - Out Patient
C = Medicare Advantage or Medi Gap
D = Part D Rx 

Video

Understanding your Medicare Choices
Medi Gap vs Medicare Advantage

Topics

How to sign up for Parts A & B
Is  your test, service, or item covered?
Original Medicare Parts A & B
Medicare Advantage Plans & Part D Rx
Supplement Insurance (Medigap)
Low Income Help  LIS
Definitions


Don't like computers?
Prefer a printed version be mailed to you?
Audio MP 3  

Use our scheduler to Set a phone, Skype or Face to Face meeting
Intake Form - We can better prepare for the meeting

Interpretation?

Humana’s guidance & interpretation  10.2015  Click to enlarge

Excerpt of Humana's Rules

 

FAQs / Ask Us a Question

 

Hey fellow agents:


Let’s meet for lunch, video conference  and talk about it.  My guess is, only other agents are googling for this page. 

How about we meet and exchange ideas?   

Email me, [email protected] or set a meeting time.  

 

Well this get’s confusing… 

Guidance on Plain Meaning Rule and how to read and interpret law, rules & statutes

Secret Shopper’s Check List 423.2262,

Review and distribution of marketing materials 423.2268 (g) and (h) 

Standards for Part D marketing 42 CFR 422.2262, Marketing Materials

2016 Research

70.9.3 Scope of Appointment 2016 – Medicare Marketing Rules

When conducting marketing activities, a Plan/Part D Sponsor may not market any health care related product during a marketing appointment
 
The term used in the actual guidelines is Marketing Appointment – NOT Face to Face!  This is one reason why I hate the crappy slide presentations in AHIP and most training seminars.  They don’t show you the actual code or reference material.
 
beyond the scope that the beneficiary agreed before the meeting with that individual.

42 CFR 422.2262 Review & Distribution of Marketing Materials

422.2268(g) and (h) can’t market what’s not listed in the scope of appointment

423.2262 Part D Rx Review of marketing materials

423.2268 (g) and (h) Part D can’t market what’s not in scope of appointment

Medicare Training Wikipedia – Meeting

 

telephone

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