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Scope of Sales Appointment Confirmation Form
The Centers for Medicare and Medicaid Services requires agents to document the scope of a marketing
appointment prior to any face-to-face sales meeting
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How to fill out scope of appointment sales

How to Fill Out Scope of Appointment Sales:
01
Start by clearly identifying the purpose of the scope of appointment. This document is required by Medicare Advantage and Prescription Drug Plans (PDPs) before presenting or discussing plan options with a beneficiary. It ensures that the beneficiary has given permission for an agent or broker to discuss specific Medicare plan options.
02
Begin by filling out the beneficiary's personal information accurately. This includes their full name, address, date of birth, and Medicare number. It's important to double-check this information to ensure it is correct.
03
Indicate the exact date and time of the appointment. This is crucial for establishing a clear timeline of when the scope of appointment is valid and the discussion takes place. Make sure the date and time are aligned with the beneficiary's preferences and availability.
04
Specify the type of appointment being requested. Whether it is an in-person meeting, telephone appointment, or any other form of communication, clearly state the preferred method of contact.
05
Document the specific plan types that the beneficiary is granting permission to discuss. This could include Medicare Advantage plans, PDPs, or other plans relevant to their needs. It's vital to catch any plan exclusions or preferences mentioned by the beneficiary.
06
Obtain the beneficiary's signature and date. This ensures that the beneficiary acknowledges their permission and consent to discuss the mentioned plan options. Make sure the signature reflects the full legal name as stated earlier in the document.
Who Needs Scope of Appointment Sales:
01
Any beneficiary who is considering or enrolling in Medicare Advantage or PDP plans needs a scope of appointment. By completing this document, they can grant permission to agents or brokers to discuss available plan options.
02
Insurance agents or brokers who are representing Medicare Advantage or PDP plans also require a scope of appointment. This document provides them with the necessary consent to engage in conversations about plan options and answer any beneficiary questions.
03
Medicare Advantage and PDP insurance companies and administrators must ensure that a signed scope of appointment is in place before providing detailed plan information to the beneficiary. This helps establish compliance with regulations and protects all parties involved.
In summary, filling out a scope of appointment sales involves accurately capturing personal and appointment details, specifying plan preferences, and obtaining the beneficiary's signature. This document is essential for beneficiaries, agents or brokers, and insurance companies to ensure compliance and establish consent for discussing Medicare plan options.
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What is scope of appointment sales?
Scope of appointment sales refers to a form that individuals must complete before a sales presentation either in person or over the phone regarding a Medicare Advantage or prescription drug plan.
Who is required to file scope of appointment sales?
Agents, brokers, and insurance companies are required to file scope of appointment sales before conducting sales presentations to Medicare beneficiaries.
How to fill out scope of appointment sales?
Scope of appointment sales form can be filled out either electronically or manually by including the beneficiary's information, date and time of the appointment, and the type of product being discussed.
What is the purpose of scope of appointment sales?
The purpose of scope of appointment sales is to protect Medicare beneficiaries from unauthorized sales activities and ensure that they have given permission to discuss specific products.
What information must be reported on scope of appointment sales?
The information required to be reported on scope of appointment sales includes the beneficiary's name, contact information, Medicare number, date and time of the presentation, and the scope of the appointment.
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