Medicare Advantage Online Enrollment Tool Confidential and Proprietary Information

Start from https://shop.sunshinehealth.com/medicareadv/#/plans Enter the beneficiary’s zip code Click GO Confidential and Proprietary Information

All plans for that zip will appear Click on “Apply Now” Confidential and Proprietary Information

Select Your Sales Role Select “Applicant assisted by a Sales Producer” Then check “Yes” for Is Applicant with You? Then enter your NPN (Agent ID) number

Set Yourself As The Broker Required to ensure you get credit for the application Sales Producer ID Sales Producer Name Phone Number Email Address (not used for future communications about this enrollment)

Affiliation information Add Affiliation ID, Name and phone number when you are contracted through a GA, FMO or Agency Sales Rep information is not to be used by brokers, leave blank

Medicare Information Fill in all Medicare Information with information exactly how it appears on the beneficiary’s Medicare card

Applicant Information Email address- If none provided, you must check “I do not have an email address” State and zip code will be auto-populated based on previous selections

Complete and continue to next page If any of the “Yes” radio buttons are selected (i.e. Emergency Contact Information), additional information will be needed and boxes will drop down for data entry.

Attestation of Eligibility Choose the appropriate Enrollment Period based on the client’s situation. If additional dates or information is required, drop down boxes will present themselves to collect the data.

Language Preference Materials language preferences that are available, specific for the plan for the plan selected, present themselves. Default language is English.

Answer Important Questions and Continue Will vary by Health Plan program ? Answer the important questions- These are the same as on the paper application. If any additional information is needed based on a “Yes” answer, drop down boxes will open to capture the information.

Use the Find a Provider tool Launch provider search to select PCP. Once the provider is located, click on the Provider’s name Locate the NPI number and complete that field

Select Payment Option Select payment option. Centene Centene Centene Select payment option. Default is “Get a bill each month.”

Attach appropriate documents You may upload any supporting documentation, such as: Scope of Appointment Power of Attorney Appt. a Representative Form (HIPPA) File types include: .doc, .pdf, .gif, .jpg, .jpeg or .bmp. You may upload up to 10 attachments with a maximum file size of 9MB for all attachments.

Review Enrollment Information Review the entered enrollment information Clicking edit will take you directly back to that page to edit information. When finished with corrections/additions, click Save & Return at the bottom of the page to go back to the review page.

Must review Terms and Conditions For demonstration purposes The content of this slide is dependent on the plan that you are enrolling the member. Agent must open Terms and Conditions link by clicking on the hyperlink, then “Agree” in order to proceed.

Email Confirmation and Submission If an email address is not entered here, neither the producer nor the beneficiary will receive a confirmation email. Enter the email address you want the confirmation of submission to go to and…

Confirmation of Submission Screen (Will vary by plan) Once you see this message, you know your application has been submitted Note the Enrollment Form ID. You can download and/or print a copy (.pdf) to your system for future use if needed. An online enrollment receipt must be completed and left with the enrollee.

Confidential and Proprietary Information