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Carrier Updates

BCBS of SC MA Agents - Great News!

Beginning Oct. 1, BlueCross BlueShield of South Carolina will allow agents to obtain a signed Scope of Appointment form at the beginning of an appointment with a prospective member. BlueCross no longer will require agents to obtain the document at least 48 hours in advance of a meeting. 

 BlueCross changed its policy to align with updated marketing guidelines from the Centers for Medicare & Medicaid Services (CMS). Also with the change, agents no longer are required to document why it was not practical to obtain the signed document at least 48 hours in advance.

Agents conducting marketing, either in person or by phone, are still required to obtain a completed and signed (or recorded) Scope of Appointment prior to discussing Medicare products. Agents must retain a copy of the documents (or recordings) for 10 years, and provide a copy to BlueCross upon request.

Scope of Appointment  requirements are outlined in Section 70.4.3 of the 2018 Medicare Marketing Guidelines, which can be found at https://www.cms.gov/Medicare/Health-Plans/ManagedCareMarketing/FinalPartCMarketingGuidelines.html.

The Scope of Appointment must include:

  • 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.
  • Date of appointment
  • Beneficiary contact information (e.g., name, address, telephone number)
  • Written or verbal documentation of beneficiary or appointed/authorized representative agreement
  • The product type(s) (e.g., MA, PDP, MMP) the beneficiary has agreed to discuss during the scheduled appointment
  • Agent information (e.g., name and contact information)
  • A statement clarifying that:
    • Beneficiaries are not obligated to enroll in a plan
    • Current or future Medicare enrollment status will not be impacted
    • The beneficiary is not automatically enrolled in the plan(s) discussed