Leading the Medicare Member Materials Creation Process

Now is the time to start getting ready for the upcoming 2025 Annual Enrollment Period (AEP) by identifying your resource needs and planning for system changes. Don’t wait until July to start these activities.

CODY’s communications and marketing consultants support health plans by providing experienced, cross-trained experts to assist in project management, variable language, and review for all communications materials, including the Annual Notice of Change (ANOC), Evidence of Coverage (EOC) and Summary of Benefits (SB). Our consulting team will work closely with your internal team to ensure that documents meet CMS requirements and are produced timely.

For those who want the support of a trusted, cost-effective partner with hands-on MA experience – we’re here to help. Through years of document development experience and using CODY’s proprietary software tools, our team of compliance industry experts and veteran staff can support your AEP document development and review activities while meeting CMS compliance requirements by:

  • Providing guidance to health plans during the creation and final review process of their ANOC, EOCs, SBs, and other required materials which includes:
    • Verifying the correctness, completeness, and consistency of the project documentations.
    • Present and explain any findings during the review.
  • Review and refine plan-specific language to meet regulatory requirements, while explaining benefits in easy-to-understand terms.
  • Provide best practices and thorough reviews for timely, and compliant documents. Since CODY’s launch in 2006, we have worked with many health plans during the development of their ANOC, EOC, and SB materials, providing us with extensive insight to communicate options and recommend best practices to our clients.

Nearly every member of the CODY® team has worked with, or for a health plan.  So you’re working with industry veterans that understand the unique compliance challenges faced by managed care organizations when developing their mandated member materials. Our expertise covers all plan types as well as employer group waiver plans (EGWP). Having an extra set of eyes during quality and compliance review helps ensure CMS-compliant ANOCs, EOCs, and SB documents.

To learn more, contact us today for a consultation.

About us: Founded in 2006, CODY® is an Industry leader in Governance, Risk, and Compliance (GRC) Solutions designed exclusively for health plans. We enable over 70 government-funded, commercial, and ACA health plans across 50 states and Puerto Rico to mitigate compliance risk, maximize efficiencies, and improve outcomes. Our Enterprise technology and innovative solutions reduce administrative costs, increase accuracy, ensure regulatory compliance, and provide a better experience for plan members and providers. www.codyconsulting.com