Devoted Health’s DSNP is Available for Full and Partial Dual-Beneficiaries

Devoted communication from 11/25/20:

At Devoted Health, we are always thinking about our members and optimizing the care that they will receive. Which is why we’ve been working hard to come up with plans they’ll be excited about. We are thrilled to announce that effective immediately, both full and partial-dual prospects are eligible for our D-SNP plan for 2021 enrollment. It’s simple – one Plan Benefit Package (PBP) to meet the needs of full and partial-dual beneficiaries. For full duals eligible for our D-SNP plan (QMB+, SLMB+, FBDE), all Medicaid and Medicare benefits are available and covered by Devoted Health at no cost plus supplemental benefits! For partial duals eligible for our D-SNP plan (QMB, SLMB), Medicare and supplemental benefits including dental and transportation are covered at no cost.

Don’t Forget:

  • Our enrollment process is easy:  simply fill out the enrollment form (electronically via Agent Portal or paper) for any qualifying prospect and we’ll take care of the rest. Don’t forget you can call our Agent Support line at 1-877-764-9446 to confirm eligibility.  In cases when enrollee still does not qualify for our D-SNP plan, our Prime plan is a great alternative
  • Call them back: contact partial-duals who had previously been denied for D-SNP plan and will now qualify – our team will call you in the coming weeks if you had any denied apps due to D-SNP eligibility this AEP
  • Use updated Summary of Benefits (SOB): you can find our electronic version of new D-SNP SOB here and our local sales leaders will be distributing paper version in a few weeks (be sure to use the most updated version which includes SLMB and QMB beneficiaries moving forward). Available service areas include: Miami-Dade, Broward, Palm Beach, Osceola, Seminole, Orange, Clay, Duval, Nassau, Hillsborough, Pinellas and Polk counties .

Reminder: our $50 Health Risk Assessment (HRA) incentive

Our new D-SNP plan includes lots of free tools and services to help care for our members. To help us figure out which ones might work for new members, we’re asking you to complete a HRA form with your D-SNP enrollees.  For this AEP only, if you complete the HRA form before the end of year (December 31st) for 1/1/2021 enrollment, you’ll receive $50¹ (this is an extension of our 14-day requirement previously).  To complete an HRA form, complete and submit an application in Agent Portal (you can do this regardless of application submission method). We recommend completing the HRA form at the same time as enrollment to ensure completion. It takes less than 10 minutes to complete.

HRA is only used to help match members with Devoted Health services and answers don’t impact an enrollee’s premium or application processing.  And don’t forget, members will receive $25 in Devoted Dollars Visa® prepaid card for completing the HRA and staying enrolled in our D-SNP plan in January.

 

 

UHC Medicaid Eligibility Lookup Tool Enhancement

UHC announcement from 11/23/20: 

UHC Medicaid Eligibility Lookup Tool Enhancement

We are excited to announce an enhancement to the Medicaid Eligibility Lookup Tool on Jarvis. Regardless if the Medicaid ID is provided, your Medicaid eligibility search results will now display the member’s Medicaid ID. This enhancement is available for the following states: Alabama, Arizona, Arkansas, Colorado, Delaware, Washington DC, Florida, Georgia, Hawaii, Indiana, Kentucky, Kansas, Maine, Michigan, Mississippi, Nebraska, Nevada, New Mexico, North Carolina, Ohio, Pennsylvania, South Carolina, Texas, Tennessee, Virginia, Washington and Wisconsin.

For step-by-step information on how to use the new Medicare and Medicaid Eligibility Lookup tool, review the detailed job aid available on Learning Lab.

 

If you have questions, reach out to your Cornerstone rep.

Important: MediGold Scope of Appointment

MediGold’s Scope of Appointment

No longer required when submitting application

Effective immediately, MediGold no longer requires that a Scope of Appointment (SOA) form be summitted with enrollment forms.

In addition, the MediGold branded SOA form does not need to be used either.  Any carrier approved SOA, or a generic CMS approved SOA form may be used.  Agents must continue to follow CMS guidelines for completing the SOA form and CMS record retention guidelines must be followed.

 

Questions? Reach out to your CSM representative for more information

Cigna Provider Directory for Ohio- DOWNLOAD NOW

Helpful Reference Guide: View a copy of Cigna’s updated Provider Directory for Ohio HERE.

 

If you have any questions, please reach out to your Cornerstone representative.

Devoted Health: Halfway through AEP 2021 Season- What you need to know

Devoted communication from  11/23/20:

Now that we are more than half way through this AEP season, we want to share easy-to-use documents which highlight our 2021 Devoted Health Medicare HMO plans by market and key reminders on our 4 main online portals and how they can help you with selling our plans. 

Our easy-to-use plan summary by market: 

Which online portal does what again? 

All of our broker-related information is in our Agent Portal and  Devoted broker webpage.  These resources should help you answer most of your questions, should you have additional questions, please contact Agent Support who can help with questions such as LIS levels, DSNP, etc. (our contact info below).  Additionally, the 4 main portals you will use are (login info and more details below):

  1. Miramar Agent: Onboarding and certification portal
  2. Agent Portal: One-stop-shop to Devoted Health resources and an easy way to submit an electronic application
  3. Marketing Portal: Order marketing materials and other Devoted swag
  4. Commissions Portal: Payment portal

Did you know?

Early results prove Devoted Health’s ability to deliver excellent care. For 2021, Devoted Health’s Florida Contract earned a 5 Star Part D Summary Rating. We are too new to be measured for the overall Star Rating from Medicare for 2021.  Our high-touch clinical programs ensure that members get the medications and care they need.

* Visit https://www.medicare.gov for more information on Star Ratings. Star Ratings are based on 5 Stars. Star Ratings are assessed each year and may change from one year to the next.

Need more Marketing Materials? Order here!

If you haven’t already, go ahead and reorder more Enrollment Kits which will include an individual Summary of Benefits book for all plans available in each market, in addition to all pertinent forms and literature required for enrollment.   SOAs are not included in the kit so be sure to order that separately or use the online version (English/Spanish).  Not sure how to order? Use our 2021 Marketing Materials Ordering Guide for steps on how to complete your order.

 

Paper Applications – sign and date

 

Faxing Submission Requirements

  • Fax cover page (or document with same fields)
  • Enrollment form (included in sales kit)
  • Enrollment receipt (included in sales kit)
  • Scope of Appointments (SOA):  this form is double-sided this year, please be sure to fax both sides

Mailing Submission Requirements

  • Enrollment form
  • Enrollment receipt

 

Don’t forget to write your NPN on all enrollment form pages prior to faxing to ensure we can reach out to you if all faxed pages don’t come through properly. The Enrollment Receipt must be submitted  with all paper enrollment forms (carbon copy should stay with the beneficiary).

 

Extended Agent Support hours 

In addition to our regular hours: Monday-Friday 9AM – 8PM EST, we’re excited to add Extended Weekend Agent Support Hours during AEP:

    • Saturdays 11/7 -12/5 (9AM-7PM EST)
    • Sunday : 12/6 only  (11AM-9PM EST)

 

 

Quick Resources 

  • Scope of appointment (English/Spanish)- online version that will email you a copy (instructional video here)
  • Play the full Devoted Sales Presentation Video OR use our handy Flipbook
    • Sales Video (English) — can be downloaded in our marketing portal
    • Sales Video (Spanish) — can be downloaded in our marketing portal
    • Sales Flipbook

 

As always, we’re here to support you every step of the way. Don’t hesitate to contact Agent Support if you have questions or need assistance. We wish you a safe and successful  AEP selling season!

SureBridge’s Self-Service Tool is Back!

SureBridge Self-Service Tool Available Now

SureBridge continues to experience large call volumes and longer than normal hold times. In an effort to assist  agents and customers during this extremely busy time, they have brought back the SureBridge Self-Service Tool at MyPortal.SureBridgeInsurance.com.

Through the reinstated Self-Service Tool, agents and customers, including those with policies that have already migrated, will once again have the functionality for:
• Address or Phone Number Changes
• ID Cards
• Cancel a Policy
• Request Duplicate Policy Print
• Search for a Provider
• Update Payment Information (Customers Only)

NOTE: Policy details such as billing and paid to date for migrated policies will not be visible on the Self-Service Tool. Requested changes in these areas are processed manually and can take 7-10 days to appear on the portal.

SureBridge Simplified Draft Date Schedules

SureBridge Simplified Draft Date Schedule
SureBridge communication from 11/20/20:
As a result of agent feedback, we have reviewed and simplified our billing draft date schedule for policies migrated to the new policy administration system!

  • NO CHANGE: Customers with current draft dates on the 1st through the 11th of the month will see no change in their billing draft date. This means that 65% of all SureBridge customers will see no change to their normal billing date.
  • NEW DRAFT DATE: All other customers will move to a billing draft date on the 10th of each month.

We apologize for any challenges the original schedule may have created and look forward to continuing to better serving you and our customers.

MediGold’s Ohio Service Area Map

Now you can verify the 2021 Ohio MediGold Provider Service Area!

MediGold offers a broad range of Medicare Advantage products and access to providers and hospitals where members live

Click below to help your clients identify the provider network nearest to them.

2021 OHIO SERVICE AREA MAP

 

If you have any questions or need more details on this information, reach out to your CSM rep.

Anthem OH Network Update: Cincinnati Eye Institute

Cincinnati Eye Institute Remains In-Network

Anthem and Cincinnati Eye Institute have resolved their contract negotiations and CEI has agreed to rescind their notice of termination.

CEI will remain IN-NETWORK for all Medicare business- HMO, PPO, and DSNP.

Cincinnati Eye Institute has also committed to notify Anthem members of their continued participation in Anthem networks on or before Thursday, November 26, 2020.

If you have any questions please reach out to your Cornerstone Senior Marketing representative.