UnitedHealthcare’s First Look at 2019 Medicare Advantage Plans!

UHC Medicare Solutions

UnitedHealthcare has released their Medicare Advantage plans for 2019. Don’t miss your chance for a first look at their plan benefits!

Click here for a first look.

*Please ask for a specific state(s) when requesting your first look


Not contracted with UnitedHealthcare? Reach out to your Cornerstone Senior Marketing Sales representative to get appointed today!

Check Out Allwell’s Current 2018 D-SNP Network

Attention: NW Ohio Agents!

While Allwell waits for 2019 First Looks to rollout, check out their current 2018 D-SNP Network!

  • Promedica — Fostoria Community Hospital, Flower Hospital, Memorial Hospital, Toledo Hospital, Bay Park Community Hospital, Defiance Regional Medical Center, Arrowhead Behavioral Hospital
  • Mercy — Anne Hospital, St. Charles Hospital, St. Rita’s Medical Center, St. Vincent’s Medical Center, Defiance Regional Medical Center
  • And More — University of Toledo Medical Center, St. Luke’s Hospital, Bellevue Hospital, H.B. MaGruder Hospital, Regency Hospital of Toledo Lima Memorial, Firelands Regional, Wood County Hospital, and Community Hospitals and Wellness Centers.

Get ahead of the game with Allwell’s Innovative Enrollment Capabilities

  • Eligibility lookups
  • Value-Based Enrollments (HRA)
    • Sales agents will receive a $50 administration fee that is distinctly separate from the sales commission and associated CMS commission guidelines when they perform a Value-Based Enrollment using the Ascend Enrollment technology.

Contact your Cornerstone Senior Marketing representative for more information

WellCare’s First Look is Available!

WellCare’s 2019 first look is available to view their MAPD plan benefits in Kentucky! To view other states available please click here for the full PDF.

 

Click here to view MAPD plan benefits in KY.

2019 Aetna Individual Medicare Producer Certification is Here!

2019 Aetna Individual Medicare producer certification began July 11, 2018!

Aetna’s 2019 producer certification process for Individual Medicare products (MA/MAPD & PDP) kicks off on July 11. Aetna’s certification includes AHIP, plus several Aetna-specific training modules, and costs $125. That’s $50 off the retail price for AHIP. So mark your calendars and plan to certify with us, starting, July 11, at AetnaMedicareProducerCertification.com. Remember, certification is one of the annual requirements you must complete to sell our 2019 plans this Annual Election Period.

Get Started On Your SilverScript 2019 Annual Certification

The first two courses of the 2019 SilverScript Agent Certification curriculum (Medicare Overview and Compliance) are now available via the Portal’s, www.silverscriptagentportal.com “I want to…” section of the Toolbar, PDFs of the courses are available via the Portal’s Resources, Reference Materials section.

You can view these PDFs while taking the course quizzes. This provides for a very helpful “open book” test. If you have completed the 2019 AHIP, Pinpoint, or Gorman certification curriculum, we will give you credit for completing the SilverScript Medicare Overview and Compliance courses. Instructions on how to have the credit applied is on the Portal’s Training & Certification page.

The SilverScript product-specific course will be available shortly after CMS approves their 2019 plan designs. Remember to log back into the SilverScript Agent Portal in or after early-August to complete the balance of the SilverScript annual certification curriculum. If CourseMill presents you with a log in screen, then you may need to add [*.]enrollmentportals.com to use tracking cookies in your browser. You may then need to clear your cache, and then possibly cookies and history.

You must complete the 2019 annual certification requirements prior to December 7, 2018 (the last day of AEP), in order to be eligible for 2019 renewal commission.

Medical Mutual 2019 MAPD Certification Opens July 11, 2018

The Title 18 Attestation is required. All other modules are also mandatory and allow 5 attempts. A passing grade of 90% is required.

New for 2019: each module includes downloadable slides. We have also incorporated the sales presentation videos into the Sales Events Training modules. There are two 12 minute videos. You must remain on the first slide of each video for 1 minute. It will then allow you to proceed without watching the entire video. These videos are posted in MyBrokerLink for future reference/use.

Certification completed beginning July 11th will allow you to sell for the remainder of 2018 as well as 2019.

Watch for dates and times of product roll-out meetings.

If you have any questions, please contact your Cornerstone representative or Medical Mutual Account Manager.

Aetna is Expanding in Ohio for 2019

Aetna Medicare is expanding to the following Ohio counties in 2019:

Auglaize
Carroll
Champaign
Erie
Fulton
Guernsey
Henry
Huron
Logan
Madison
Ottawa
Sandusky
Shelby
Tuscarawas
Wayne

Subject to Centers for Medicare & Medicaid Services (CMS) approval. Confidential and proprietary. For agent use only. Do not distribute.

 

Contact your Cornerstone representative with any questions.

Trump Administration Releases 5-Part Plan for Medicare Part D

With concern over the rising costs of prescription drug costs, the Trump Administration’s FY2019 budget proposal includes a proposed 5-part plan that would change several features of the Part D drug benefit.

The following proposals are part of the Administration’s 5-part plan for Part D:

  1. Share rebates with Part D enrollees
  2. Change the calculation of “TrOOP”
  3. Add an out-of-pocket limit to Part D and change reinsurance
  4. Relax Part D formulary standards
  5. Eliminate cost sharing for generics for low-income enrollees

Click the link below for more information, or contact your Cornerstone representative today.

RESOURCES

What’s in the Administration’s 5-Part Plan for Medicare Part D and What Would it Mean for Beneficiaries and Program Savings?

Upcoming Marketplace Learning Management System Closure

The Marketplace Learning Management System (MLMS) will be closed starting July 18 at 6:00 PM ET until training for plan year 2019 goes live.

Before this “go-dark” period begins on July 18 at 6:00 PM ET, you should:

  • Check that your MLMS profile is up-to-date.
  • Print your Registration Completion Certificate(s) to document your plan year 2018 registration for the Individual and/or Small Business Health Options Program (SHOP) Marketplace.

Certificates showing you have completed plan year 2018 registration and training will not be available after the MLMS closes.

To print your plan year 2018 Registration Completion Certificate(s), follow these three steps:

  1. Log in to the CMS Enterprise Portal.
  2. On the “My Status” page, the “Complete Agent Broker Training” entry will show “Complete” in the “Status” column if you have completed training.

Select the “Print Certificate(s)” link and follow the prompts.

During the go-dark period, the Centers for Medicare & Medicaid Services (CMS) will be preparing for plan year 2019 registration and training. Stay tuned for updates, or visit the Resources for Agents and Brokers webpage.

 

Contact your Cornerstone representative with any questions.

 

RESOURCES

Take Note: Upcoming MLMS Closure

Anthem BCBS 2019 Medicare Certification is NOW OPEN!

Anthem’s start of the 2019 AEP is finally here!

There are SIGNIFICANT CHANGES to the 2019 AHIP.  Please make sure to read this in its entirety.

Here’s what you need to know…

Certification opens TODAY, June 27, 2018!

  • Completed certification taken after June 27, 2018, allows you to sell for the remainder for 2018 AND 2019.
  • AHIP has UPDATED the information in various sections to include new legislation. So please add more time. See below for more details.
  • If you are looking to submit applications online, register for one of Anthem’s webinars on mProducer by clicking https://brokertraining.anthem.com.

 

Getting Started

  • Visit http://www.medicaremegastar.com/  for details on this year’s Medicare Megastar Contest with the link to “Get Certified”
  • Anthem highly recommends that you take a section or two at a time over a couple of days, rather than completing this all at once.
  • The test is OPEN BOOK. Please use your slides as ALL MODULES have updates in them.
  • If you were certified last year, please use the “Sign In” section.
    • Your user ID is your email address OR your National Producer Number (NPN)
    • If you forgot your user ID or password, there are links below to regain access
    • It will ask you for an access code. Please use External-SelfReg and it must be typed EXACTLY as is it appears here.
    • It will take approximately 8-12 hours to complete re-certification. There are significant changes which is why it takes so much time.
  • If you are new to getting certified this year, please use the box on the right that says “First Time Visitor”
    • It will ask you for an access code. Please use External-SelfReg and it must be typed EXACTLY as is it appears here.
    • It will take approximately 15-18 hours to complete the entire training.
  • Please complete your certification by August 30th so you can pre-order your 2019 Enrollment Sales Kits!
  • IN ORDER TO SELL MEDICARE ADVANTAGE AND/OR PRESCRIPTION DRUG PLANS for 2019, YOU MUST COMPLETE CERTIFICATION for 2019.
  • YOU MUST BE THE ONE WHO COMPLETES THIS CERTIFICATION, NOT AN ADMIN OR ANY OTHER PERSON.

 

AHIP – if you go through Anthem’s website, there is a discount on the standard cost of $175; it will cost the same as last year, $125.

  • AHIP requires section 4 & 5 this year to be taken and then the exam.
    • To download the slides, click into the module, then on left side click download slides. Click the save button and save to a file folder for this year’s AHIP.
  • Section 1 and 3 have been updated with new legislation and regulation information. Please make sure to spend some time reviewing Section 3 as it pertains to Part D.
  • Section 5 talks about the Open Enrollment Period in detail.
    • Please make sure to download the slides in each section
    • The exam is open book and these slides will help you.
    • These slides and information are great reference tools throughout the year.
      • To download, click the link on the left side of the page
      • A new browser will come up with the document. Move your mouse and you will see a save button that looks like a floppy disk.
      • Click that save button and save the file to your desktop or a folder.
    • You have 3 attempts to pass the exam.
  • If you are re-certifying, you only have to complete sections 4 & 5, but the exam includes all 5 sections.
  • There are Continuing Education credits that you can purchase for an additional cost PRIOR to taking the exam.
    • Cost is $26.00
    • 6 CE credits are available with a passing grade
    • You can only have one course apply within your renewal period.
  • Fraud, Waste, and Abuse training – Nondiscrimination Training
    • New module has quiz questions. Quizzes are not pass/fail.
    • Final exam requires 70% to pass module
  • FWA module now has 5 quizzes, plus a final that you need to score 70% to pass.
  • General Compliance has quizzes and a final that you need to score 70% to pass.

 

Anthem Modules – Please complete all until you have green checkmarks for everything listed for 2019.

  • These Modules include HMO, PPO, Part D, AND SNP plans. Please complete all Modules.
    • All modules now have downloadable slides
    • Product Basics (appeals, enrollment, etc.) 10 question exam must score 90%
    • Risk Prevention – 20 question exam must score 100%
    • Sales Event Reporting –  10 questions must score 90%
    • Tools for Compliant Selling –  15 questions must score 100%
    • HMO – 10 questions must score 90%
    • PDP – 10 questions must score 90%
    • PPO 10 questions must score 90%
    • SNP – 10 questions must score 90%
  • YOUR 2018 CERTIFICATION IS COMPLETE WHEN IT SHOWS SOLID GREEN BARS AT 100% FOR THE FOLLOWING:
    • 2019 Compliance Training
    • 2019 HMO
    • 2019 PDP – Anthem offers stand-alone Prescription Drug Plans in all 88 OH counties. ALL agents should take this module.
    • 2019 PPO –Anthem offers  Regional PPO plans in ALL 88 OH counties. ALL agents should take this module.
    • 2019 DSNP (Anthem highly recommends taking this module in the event you run across an opportunity mid-year. If you do not take this training BEFORE SELLING a DSNP HMO plan, the policy is NON-Commissionable, it is a CMS violation and you are out of compliance.)

 

Product Training MeetingThis meeting is the ONE meeting each year that Anthem wants you to please attend. There will be some great news to share this year so you will WANT AND NEED to be at this meeting! You can have your administrative team attend, but they do need to RSVP!

You can register for the Product Training Meeting  NOW at https://brokertraining.anthem.com

  • 8-28 Hilton Garden Inn – Mayfield (AM and PM)
  • 8-29 Hilton Garden Inn – Miamisburg
  • 8-30 Hilton Garden Inn – Perrysburg
  • 9-6   Dave & Buster’s –  Springdale (Cincinnati)
  • 9-11 Dave & Buster’s Hillyard – Columbus
  • 9-18 Holiday Inn – Boardman
  • 9-19 Holiday Inn – Lima
  • 9-20 Courtyard Marriott – Akron/Canton
  • 9-25 Dave & Busters – Westlake
  • 9-27 Dave & Buster’s –Springdale (Cincinnati)

 

Information You Need to Know

  • Once your certification is complete, within 48 hours, you will receive an email informing you that you are Ready-To-Sell. This email will also include the link to Custom Point and your login information.
    • If you do NOT receive this email, AND you show green status bars on all modules for 2018, please contact Broker Support at 800-633-4368 or email them at medicareagentsupport@anthem.com
  • You will be able to pre-order Sales Kits ONLY if your certification is completed by August 31st.
    • Pre-ordering will start August 7th.
    • Anthem will NOT have Enrollment Sales Kits at the Product Training meetings.
  • If you do not make the August 31st deadline, you will NOT be able to order kits and have the GUARANTEED to be at your home/office by October 3rd.

 

Marketing

  • Did you know that Anthem BCBS has FREE approved marketing materials for you to use to support your sales efforts?
    • These materials can be customized with your personal contact information including: name, phone and email!
    • The materials can be found on Custom Point in the Sales Toolkit. ALL MATERIALS WILL BE UPDATED OCTOBER 1ST AND ALL MATERIALS DOWNLOADED OR PRINTED BEFORE THAT DATE MUST BE THROWN OUT AND DISCONTINUED.
    • Please take 5 minutes RIGHT NOW to set up your profile in the Sales Toolkit! Doing so will allow you to download materials quickly once they become available.
      • Visit Custom Point (You must use a PC based Internet browser)
      • Click on the button across the top that says Sales ToolKit
        • Make sure your pop-ups are enabled.
      • On the left side, click on My Profile
      • Start completing the fields in each section exactly how you would like the information to appear on your materials.

 

Medicare Supplements

  • There is a NEW plan F available in Ohio. YOU MUST GET APPOINTED WITH THE NEW COMPANY, AICI, IN ORDER TO SELL IT.
    • To get appointed, please reach out to your Cornerstone Senior Marketing sales representative.
  • All Medicare Supplements in OH refresh on July 1st.
  • You can run quotes, download new PDF materials at http://shop.anthem.com/medicare
  • To check rates, look up doctors, check medications, please use http://shop.anthem.com/medicare

 

Not contracted with Anthem or have questions about the 2019 certification? Contact your Cornerstone Senior Marketing representative today!