Medicare OEP Agent Checklist

Medicare OEP Agent Checklist

Review and Prepare

• Familiarize yourself with CMS OEP compliance rules, especially regarding unsolicited contact and plan change restrictions.
• Prepare neutral, educational materials that focus on coverage options without suggesting plan changes.
• Update all client records, ensuring contact information and coverage details are accurate and up-to-date.

Educate Clients

• Inform clients during AEP about the OEP period (January 1 - March 31) and what it allows.
• Emphasize that OEP is for plan adjustments if their current coverage doesn’t meet their needs.

Maintain Compliance in Communications

• Send a general OEP reminder inviting clients to reach out with questions about their coverage.
• Avoid all unsolicited outreach (calls, emails, messages) encouraging clients to switch plans during OEP.
• Keep social media messaging educational, avoiding direct promotion of plan changes.

Assist Clients Proactively

• Provide a Medicare coverage review checklist to help clients assess if their current plan meets their needs (without suggesting a change).
• Document every client-initiated interaction with date, time, and details.
• If discussing a plan change at the client’s request, offer unbiased information about all potential options, including benefits and trade-offs.

Stay Updated on 2024 Medicare Changes

• Update your knowledge on Medicare plan changes, coverage updates, and cost adjustments.
• Be prepared to answer questions accurately and without suggesting specific plan changes.

Utilize FMO Resources

• Reach out to your FMO for CMS-approved marketing materials, training, or compliance resources.
• Keep up with best practices and leverage additional resources to support compliant OEP interactions.

Focus on Relationship Building

• During OEP, focus on strengthening client relationships, being available for questions and support.
• Show clients your commitment to their well-being, regardless of their decision on plan changes.

This checklist will help you support your clients through OEP while staying fully compliant and strengthening relationships for long-term success.

Supporting your clients through Medicare’s OEP is about more than just compliance—it’s about being their trusted advisor and helping them make informed decisions for their health and financial well-being. By focusing on education, transparency, and client-first practices, you build loyalty and reinforce the value of your role.

At PSM Brokerage, we’re committed to providing you with the resources, compliance tools, and expert guidance you need to excel. Trust us to support you every step of the way as you continue to make a meaningful impact in the lives of your clients. Let’s navigate this together for a successful OEP season and beyond!

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