Past Drug Lists Available To View on Medicare Plan Finder

/in , /by

GOOD TO KNOW THIS AEP! Find Old Drug Lists On Medicare Plan Finder

Medicare.gov provides a tool to find previously saved drug lists from the old Medicare Plan Finder.

Enter the drug list ID to search and print previous lists for use when creating a new list in the updated Medicare Plan Finder on Medicare.gov. 

 NOTE:  This tool is intended only for viewing old drug lists. 

The ability to edit and rerun prescriptions is not available.

 Access will be offered until the end of AEP.

CHECK IT OUT HERE!

 

WE ARE HERE TO  HELP!

For more information or questions please contact your Cornerstone Senior Marketing representative

CSG Actuarial New Medicare Advantage Quoting Features for AEP

/in , /by

New Medicare Advantage Feature for AEP

CSG Actuarial has added carrier drug formulary and provider network links as well as a new plan filter.

Link Directly to Carrier Websites

Utilize the Carrier Resource button to be directed to a carrier’s website to look up prescription drugs, provider networks and pharmacies  covered under their plans.

 

 

 

 

 

 

 

 

Medicare Advantage Plan Type Filter

Filter your Medicare Advantage Plan results to just view HMO, PPO or plans with or without a drug benefit.  You can also narrow your search for Medicare Part D by Basic, Enhanced or Low Income Subsidy and your Special Needs Plans by HMO, PPO, Dual-Eligible and drug benefit.

For more information or questions please contact your Cornerstone Senior Marketing Sales representative. 

WellCare’s Health Risk Assessment | New Incentive for Agents!

/in , /by

For the 2020 Annual Enrollment Period (AEP) and moving forward, WellCare is excited to announce that they will be offering a $50 incentive for every completed electronic Health Risk Assessment (HRA) for Medicare Advantage (MA) and Dual-Eligible Special Needs (DSNP) members beginning October 15.

On October 14, you will receive instructions on how to set up your electronic HRA account with our partner, Revel. Please be on the lookout for an email sent from: no-reply@connect.revel-health with subject: Welcome to Revel Connect! Note: Your Revel portal must be created through the account setup email received from Revel.

For additional information on the HRA incentive and process, please reference the HRA Agent FAQ.

UHC Important Changes to Paper Apps & Scope of Appointment Instructions

/in , /by

Reminder! Important Changes to Paper Enrollment Application Submissions and Scope of Appointment Instructions for UHC.

UnitedHealthcare recently changed vendors that process its Medicare Advantage (MA) and Prescription Drug Plan (PDP) paper enrollment applications, not including UnitedHealthcare Senior Care Options (SCO) and People’s Health plans.

Effective immediately, use the these instructions to submit paper enrollment applications for all MA and PDP plans in the UnitedHealthcare Medicare Solutions portfolio, excluding UnitedHealthcare Senior Care Options (SCO) and People’s Health plans.

 

If you have any questions, please contact your Cornerstone Senior Marketing representative.

Oak Street Health Is Gearing Up for AEP!

/in , /by

CAN YOU BELIEVE AEP IS HERE???  Oak Street has  been ramping up, training for the marathon, and now it’s here!  We at Oak Street want to wish you all a successful AEP season and want to support you in every way possible.

PLEASE REMEMBER: 

  • Stay Connected with each center’s Patient Relations Manager (PRM) – swap phone numbers and stay responsive to their communications on leads he/she may provide to you during AEP.
  • Weekly touchpoint with your paired Outreach Associate is vital:  If you do not have a phone number for an Outreach Associate or would like to be paired with an OA, please let me know and I will get you this information.
  • Referral process:  Contact your Outreach Associate, Outreach Director, Patient Relations Manager, or even me so we can schedule the initial appointment and lock-in the AOR in our system. Contact information is attached!
  • Alternate Referral Process:  if you cannot reach out to our key contacts by center; please also consider utilizing our resources online
    • Download marketing materials
    • Submit client information as a referral and we will contact to schedule their appointment: Submit Client Info Here
  • Enroll with MAE, our chatbot.  She is able to help answer questions quickly. An example could be, “What’s the provider ID for this plan?”, “Which center is closest to my client?”, etc.  Text “Hi” to 312-626-8300 to enroll today.
  • When you are meeting your clients that are near or around our centers, please keep in mind the unparalleled level of care they should expect to receive. Here are more highlights:
    • Transportation within 5 miles of center
    • Same day/ next day appointments
    • 20 mins or more with provider
    • Limited wait times
    • Medicare/Rx assistance
  • Some key considerations during each client enrollment: If your client is within a 5-10 mile radius of an Oak Street Health center, has chronic conditions, does not currently have a PCP, or appears unhappy with their PCP, please consider Oak Street Health as their new Provider. The first appointment is no obligation, please contact us to set up an initial welcome visit with your clients so they can experience primary health care as it should be!
  • Lastly, remember that Oak Street Health accepts Humana, Anthem, Allwell & Aetna at our centers in Ohio.

Click here to view OSH Contact Sheet

Click her to view OSH Cleveland area map

If you have any questions please contact Jaime Lebron with Cornerstone Senior Marketing.

Important Info on Underwriting for UHC’s AARP Med Supp Plans Eff. 1/1/2020

/in , /by

As UHC kicks-off the Annual Enrollment Period, they wanted to make you aware of several key things to note to assist you in understanding the application and underwriting process for AARP® Medicare Supplement Insurance Plans, insured by UnitedHealthcare® Insurance Company.

Changes for Guaranteed Issue – Plan G
Starting with January 1, 2020 plan effective dates, Plan G (as well as Plans D and Select G if offered in the state and Extended Basic 2020 Plan in MN) will not be available without underwriting for certain previously eligible individuals with Guaranteed Issue (GI) Rights. Previously eligible individuals are those who turn 65 prior to January 1, 2020, or whose Medicare Part A plan effective date is prior to January 1, 2020.

  • Please be sure to review the “Your Guide” section within the Enrollment Kit for GI event-specific information; look for the section titled “Guaranteed Acceptance.”
  • This change does not apply to individuals in their Medicare Supplement Open Enrollment Period.
  • For newly eligible individuals (who turn 65 and have a Medicare Part A effective date on or after January 1, 2020) with GI Rights, Plans D, G and Select G will be available without underwriting.
  • If the consumer does not have guaranteed issue rights for the plan selected, and the application is accepted after going through the underwriting process, it is not considered a “guaranteed issue” application for commission purposes.

! When completing the paper application within the section labeled “Is your Acceptance Guaranteed”, complete as instructed (i.e. complete the health status questions, if required).

When completing an online enrollment application via LEAN™,  if the consumer does not have guaranteed issue rights for the plan selected or is unsure, select “no” to the question “Do you have guaranteed issue rights, as listed in the Guaranteed Acceptance section of ‘Your Guide’?”. He/she will then need to answer questions about his/her health status.

If this question is answered “yes”, LEAN, the online enrollment tool, will skip over the health status questions.  For those who respond “yes” and we are unable to confirm guaranteed issue rights for the plan selected, we will contact the consumer to answer questions about his/her health status. (Note: Plan availability varies by state.)

NOTE: If the applicant does not qualify for guaranteed issue for Plan G but would qualify for another plan, we will reach out the applicant to complete underwriting questions, or they can choose another plan.

Here to Help – For Applicants Who Do Not Have Guaranteed Acceptance
The enrollment applications for the AARP Medicare Supplement Plans offered by UnitedHealthcare include questions about medical conditions and treatments that are used to determine an applicant’s eligibility to enroll and their rate level (where applicable).

As part of UHC’s underwriting process, they review prescription drug history of the applicant because prescription drugs may indicate the presence of a medical condition listed on the application. In order to assist you in completing an application for your client, and identifying if the applicant has one of the listed conditions, please see the Partial Prescription Drug List linked below for your applicable state. This list will also be found in the appendix of your 2020 Producer Handbook, when available.

FOR ALL STATES WHERE UNDERWRITING IS APPLIED* EXCEPT: CALIFORNIA, FLORIDA, MAINE, MINNESOTA, OREGON, AND WASHINGTON

FOR ALL STATES: CALIFORNIA, FLORIDA, MAINE, MINNESOTA, OREGON, AND WASHINGTON

 

If you have any questions please contact your Cornerstone Senior Marketing representative.

Tips & Tricks for a Successful 2020 AEP

/in , /by

Another AEP is upon us and Cornerstone Senior Marketing wants you to be fully prepared to have the best annual enrollment period yet!

We hosted a webinar providing some key pointers, tips, and reminders for having a succecssful 2020 AEP. Check out the recorded version and the presenattion slides for reference! 

VIEW THE RECORDED WEBINAR

VIEW THE PRESENTATION SLIDES

A few reminders to point out: 

  • WELLCARE AGENT BARCODE: We mentioned in the webinar some incorrect information on the WellCare agent barcode. The WellCare barcode it is NOT REQUIRED for submission on the application, but is encouraged for tracking purposes!
  • WHERE TO SUBMIT APPS: Please view our Where to Submit Applications document for fax numbers and mailing addresses for carriers. 

WE ARE HERE TO  HELP!

For more information or questions please contact your Cornerstone Senior Marketing representative. 

Compliance Communication From Humana

/in , , /by

Humana has been notified of two issues with Medicare Plan Finder on Medicare.gov.  These are not limited to Humana plans and appears to impact other carriers as well.  Humana has notified CMS of the issue and are awaiting their response.  The issues are related to mail order pharmacies not displaying correctly on the Medicare Plan Finder’s newly redesigned website:

  1. Medicare.gov is not providing preferred mail order pricing or giving an option to view the preferred mail order pricing when beneficiaries click “Review Plan Details”.
  2. When a beneficiary selects that they use both retail and mail order pharmacies, mail order pharmacies do not appear in the results.

In the meantime, Humana is asking agents and prospective members to use Humana’s Rx Calculator tool for mail order pricing information found at the following URL’s:

Agent: https://drug-pricing.apps.cf.humana.com/

Prospective member: www.humana.com/medicaredrugcosts

NAHU Seeks Technical Feedback on Medicare Plan Finder

/in /by

CMS is in the process of launching a redesigned Medicare Plan Finder for the 2019 Annual Election Period in an attempt to improve the Medicare Advantage and Part D enrollment process. NAHU has expressed significant concerns about these changes and the rollout process, and is working with the Trump Administration to manage the transition. As part of these efforts, NAHU is seeking technical feedback from NAHU members who specialize in Medicare on how they use the Plan Finder. NAHU will share your responses with appropriate CMS officials as they work together at improving the Plan Finder for this year’s AEP.

Also, if you have any screenshots of technical issues you’ve had with the MPF, please send them to MedicarePlanFinder@nahu.org.

Allwell’s New Medicare Blue Button Technology is Here!

/in , , /by

One small button. One big benefit.

Integrate your clients provider, pharmacy and prescription data into the Ascend online enrollment platform with the click of a button.

It’s quick. It’s easy. It’s accurate.
As you enroll your clients using Asend this AEP, you will have access to the Medicare Blue Button technology. This technology reduces enrollment time and increases the accuracy of your clients enrollment information. Your clients can import the following personal information directly from CMS:

• Provider Information
• Prescriptions and Dosages
• Pharmacy Information

During the enrollment process you will have the ability to have your client access their data by using their mymedicare.gov username and password. If they don’t have their username and password with them simply have your clients retrieve their information by logging on to MyMedicare.Gov or, if they don’t have an account you can help them create an account, which is quick and easy to do.

Keep a Look Out – More Information on Administrative Payment and Training to Come

Blue Button data integration is an option for your client, it is not a requirement to enroll.

Sales agents will receive a $30 administration fee paid to the broker that is distinctly separate from the sales commission and associated CMS commission guidelines. Agents will recieve the $30 if they are able to click the button in Ascend AND the member has an account set up  on Medicare.gov. This administration fee is in compliance with CMS requirements and is intended to encourage sales agents to facilitate the smooth transition of new enrollees.

 

If you have any questions, please contact your Cornerstone Senior Marketing representative