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MARX ENROLLER SEP CHART HEALTHCARE 101 DO's & DON'TS FEMA FOOD CARD

2026 AEP Facts & Hooks

  • Part B Premium: projected ≈ $206.50/mo (~12% ↑).
  • Part B Deductible: projected $257 → $288.
  • Part D Cap: out-of-pocket max to $2,100 in 2026.
  • Plan Exits: carriers pulling back / exiting in some counties.
  • Networks: verify 2026 in-network status for all providers.
  • Specialist Copays: some plans up to $60–$70 per visit (region & carrier dependent).
  • Drug Costs: shifting manufacturer discount rules (IRA) → higher initial phase for many.

Medicaid / Food Cards

  • Food card amounts may be treated as taxable income in some states.
  • Many members lose cards unless they have a qualifying chronic condition (some require multiple).
  • Proposed Medicaid/SNAP cuts could impact up to 17M people; eligibility checks tightening.
  • Expanded SNAP work & eligibility rules (55–64) → fewer automatic renewals.

💡 Agent Tip: Drop 1–2 per call to build urgency:
“With Part B going up, plans dropping, and food cards changing, I just want to make sure you’re not losing benefits or overpaying.”

Medicaid Portals

Cigna UHC Anthem Humana Aetna Molina
MediScriptNow™

Make it Count

So...

Just So I Don't Get In Trouble...

Don't Take Offense To This...

Any Other Coverage Like...

Even Though I Work With ALL Major Carriers

Just So You Know...

That Being Said... If You And I Are Having a Good Conversation...

(MUST be a definitive YES)

To See What You Qualify For...

(Must repeat back MBI and Effective dates)

Finally...

Besides Saving Money...

Doctors & Medications

Medications

MUST READ FOR EVERY DRUG YOU LOOKED UP - FROM SOB

Medications Continued...

Build Value in the Plan

PRE-ENROLLMENT CORE BENEFITS

Using an Enroller?

Enrolling Yourself?...

Your Enrollment..

"I'm So Glad To Be Your Agent"...

When Prompted To Verification...

Carrier's DSNP Verification

Make it Count

Your 2026 Review

Real quick...

Even Though I Work With Most Major Carriers...

Who We Are

If We Are Having a Great Conversation...

Just So You Know...

Scope of Appointment

Quick Qualification

Red, White, & Blue Card

Besides saving money...

Doctors & Medications

Medications

MUST READ FOR EVERY DRUG YOU LOOKED UP

Medications Continued...

Build Value in the Plan

PRE-ENROLLMENT CORE BENEFITS

Using an Enroller?

Enrolling Yourself?...

Your Enrollment..

"I'm so glad to be your agent"...

When Prompted To Verification...

Carrier's DSNP Verification

Client Information

Objection Handling
Special Enrollment Periods
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