Hometown Health and Senior Care Plus value the relationship that Brokers and Agents have with their clientele. You are seen as a trusted advisor and your clients look to you for help selecting the Medicare plan that best suits their needs. To participate in our referral program you must be an appointed agent/broker with Hometown Health. Senior Care Plus is a Medicare Advantage plan offered by Hometown Health Plan. Our plans combine Medicare coverage at a lower cost with additional benefits in easy-to-use plans.
Senior Care Plus offers a $100 administrative fee to producers who refer Medicare beneficiaries to our Medicare Advantage (MA) enrollment department. To qualify for Senior Care Plus membership, a person must have Medicare Parts A and B coverage, reside in Carson City, Churchill, Douglas, Lyon, Storey, and Washoe Counties, Nevada, and not have kidney failure (known as end-stage renal disease) at the time of enrollment in a Medicare Advantage Plan. He or she must continue to pay the Medicare Part B premium of $104.90 in 2015. Senior Care Plus will also offer a $25 administrative fee to producers who refer Medicare beneficiaries to our Stand-Alone Prescription Drug (PDP) enrollment department in 2015. To qualify for Senior Care Plus membership in a PDP, a person must have Medicare Parts A or B coverage and reside in a Nevada County.
The referring producer can use our online Equote portal to enter their referral information. As soon as the individual you referred enrolls, you will receive the referral fee. Senior Care Plus will also provide you with business cards of our employed agents and brochures for distribution to if you are interested.
Hometown Health and Senior Care Plus are held responsible for the actions of any representative selling our products to Medicare beneficiaries. Consequently, Senior Care Plus has put in place proactive measures to avoid sales and marketing violations by not appointing Licensed Producers to sell or market Senior Care Plus products. To simplify the process and eliminate possible misconduct, we accept only “referrals” from Licensed Producers for people interested in our Medicare Advantage products.
The Centers for Medicare & Medicaid Services must confirm eligibility before payment of the administrative fee. We will pay the fee within 60 days of CMS confirmation of eligibility. All promotional materials must be provided by or approved by Hometown Health before distribution. Please remember that CMS has strict rules on all sales activities including: the nominal value of gifts offered to beneficiaries; prohibiting door-to-door solicitation; unsolicited contacts and outbound calls; marketing of non-health related products; getting permission to discuss specific product types and scope of appointments; prohibiting meals at sales events, and state licensure requirements.
Senior Care Plus will offer a choice of eight Medicare Advantage HMO and PPO plans in 2016, two Stand-Alone Prescription Drug Plans (PDP), and the availability of an Employer Group Waiver Plan. For simplicity, Senior Care Plus offers a consolidated premium that includes doctor and hospital benefits as well as Medicare prescription-drug benefits (also known as “Part D”) for MA plans. Six of the plans include the Medicare prescription-drug benefit with no deductibles and low copayments starting at $3 for preferred generic drugs and $45 for brand-name drugs. Monthly plan premiums for Senior Care Plus HMO plans range from $0 to $207, and a monthly plan premium for the Senior Care Plus PPO plans ranging from $0 to $245. We are the only Medicare Advantage Plan with a complete staff based in Reno and provide members with an extensive network of primary care and specialty providers. Stand-Alone Prescription Drug Plans include one standard plan and one enhanced alternative plan ranging from $44.40 to $80.70.
Continuing the relationships we have with brokers in our community is important. This referral fee is our way of thanking you for making our program successful and accessible to all those eligible who need quality insurance and healthcare, while remaining compliant with CMS regulations and guidance. Referrals are easy to make, and we look forward to hearing from you soon. For more information or to request Senior Care Plus brochures and business cards of our Enrollment Specialists, please contact our Director of Government Programs, CJ Bawden at 775-982-3218.