Universal American Submitting PFFS Paper

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The Enrollment form, along with the Acknowledgement form, Disclosure form, PAC form and any required documentation (as applicable), must be submitted directly to the company within 24 hours of receiving the Enrollment form. Fed-Ex, DHL, UPS, or any overnight carrier is recommended. The overnight address is:

 

Regular Mail

 

PPO/PFFS

Attn:  Today's Options PPO/PFFS

P.O. Box 740445

Houston, TX  77274

 

HMO

Attn:  HMO Enrollment

P.O. Box 27772

Houston, TX  77227

 

Overnight Mail

 

PPO/PFFS

Attn:  Today's Options PPO/PFFS

4884 Loop Central Drive, Suite 700

Houston, TX  77081

 

HMO

Attn:  HMO Enrollment

4884 Loop Central Drive, Suite 700

Houston, TX  77081

 

Today’s Options

C/O Patni Computer Systems, Inc.

625 Mt. Auburn St, Third Floor

Cambridge MA 02138

 

Don’t forget … Regardless of which enrollment method you choose, you must still set up the Verification Call. Once you and your client have completed the enrollment form, contact the

Verification Call Center at (800) 260-5769 to set up a callback time convenient to the enrollee to confirm that he/she understands the plan. Call Center hours are: Monday-Saturday 8:00 am – 12:00 midnight ET and Sunday 12:00 Noon – 9:00 PM ET.

 

WHAT’S NEXT FOR TODAY’S OPTIONS ENROLLEES?

It is essential that agents make their clients aware of what to expect next from Today’s Options, including the future outbound communications the enrollee will receive. The steps involved are:

1. Provider Notification

2. Outbound Education and Verification Call

3. Welcome Call

4. Health Assessment Call

5. Welcome Letter and ID Cards

6. Welcome Package and Evidence of Coverage (EOC)

1. Instruct Enrollees to Notify their Providers:

Today’s Options enrollees should notify their providers of their choice to enroll in the Today’s Options

Plan. Enrollees should present the Today’s Options “Beneficiary and Provider Leaflet” to their providers

to help inform their providers about Today’s Options. Agents are encouraged to make copies of this

document (found in the enrollment kit) to leave behind with their clients. This way, if a client has several providers the client will have enough leaflets to give one to each of their providers.

2. Today’s Options 1st Call – The Outbound Education and Verification Call:

Agents must inform their clients that they will receive an outbound Verification call within 3 days of

completing the enrollment form. The Verification call will be conducted by a customer Education and

Verification specialist. During the Verification call the specialist will ask the member several questions

to verify their understanding of the plan features, benefits and costs. If Today’s Options cannot reach the member on the first call, the plan will send a letter to the member. Today’s Options will make a total of 5 attempts to contact each member for the Verification call.

3. Today’s Options 2nd Call – The Welcome Call

Agents must inform the enrollee that Today’s Options will call them a second time, about a week after

their enrollment has been submitted to Medicare, to welcome them officially to the Today’s Options plan.

4. Today’s Options 3rd Call – Health & Wellness Services (Assessment) Call

Agents must inform their clients that they will receive a third call, the Health Assessment Call, within 6-8 weeks of enrolling in the plan. During this call a representative will ask the member several questions

pertaining to their current medical needs. It is imperative that the agent explain and inform the member of the upcoming Health Assessment Call during the sales process.

5. Today’s Options Welcome Letter and Permanent Today’s Options ID Card

Agents should inform their clients that they will receive the following documents via mail:

• Today’s Options Welcome Letter: This is sent when the enrollment form is keyed into the

enrollment system (before the effective date or, if late in election period, within 7 business days of

receipt of completed enrollment). The “Confirmation” letter is sent within 7 business days after the

enrollment is accepted by CMS. Enrollees will receive an Acknowledgement Letter informing them

that their enrollment has been received and is being sent to CMS for approval.

• Today’s Options ID Card: Under separate cover enrollees will receive their Today’s Options ID

card (which serves as proof of membership for provider services).

This information is typically mailed to new members before their effective date or, if late in the election

period, within 7 business days of receipt of completed enrollment. Until the member receives their

card, new members should show providers their temporary ID card as proof of membership in

Today’s Options.

6. The Welcome Package – Evidence of Coverage

Agents should inform their clients that once Today’s Options receives confirmation of their enrollment

from Medicare, the plan will send out a welcome package. This package includes the confirmation letter

indicating that Medicare has accepted the enrollment; Evidence of Coverage (EOC); Member Handbook, and Sales Survey. Please note that a member’s enrollment in the plan is determined by Medicare.  Members should be advised to not cancel any existing coverage until they have received the confirmation letter indicating that Medicare has accepted their enrollment.

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