WellCare Introduces Summa Health to Ohio Market

WellCare Broker Announcement from 2/9/21:

As the market continues to expand, we want to ensure we are providing you with the necessary resources to continue to be successful in the field – and best serve our members.

WellCare is excited to announce the addition of Summa Health to the Ohio market. As of Jan. 1, 2021, this partnership came with the addition of more than 600 providers – ranging in 12 different license types.

With Summa Health now in network, we are able to provide more resources and options when it comes to accessing affordable healthcare. We hope you keep WellCare and Allwell plans on the top of your list when presenting to potential members.

 

If you have any questions please reach out to your CSM rep.

Anthem Revisions to 2021 Medicare Supplement Commission Schedules

Revisions have been made to Anthem’s 2021 Medicare Supplement base schedules adding the language:

“Replacement policies will be paid at the renewal rate in alignment with state DOI guidelines”.

See below for specific state schedules

OHIO

KENTUCKY

INDIANA 

 

If yo have any questions please reach out to your Cornerstone rep.

Devoted’s Virtual Coffee Chats & Music for Your Clients

February begins the “Virtual Coffee Chat” for new Devoted members who are your clients.  Devoted asks that you reach out and invite them to attend by using the link below.  These orientation meetings will provide helpful information and serve to answer frequently asked questions.

 

Virtual Coffee Chat Registration Link

https://devotedhealth.zoom.us/meeting/register/tZcrcuisqT0qHNyH2DU1LoAcT2HMT0lY4XDq

 

Devoted Health is also sponsoring the “Music and More” Series.  Your clients are welcome to attend these fun filled musical events and bring a friend where they will hear great music and learn to get the most from their health plan.  Your clients will learn how to save money with their Over-the-Counter credit, how to get the free Medical Alert Device and so much more!!

 

Virtual Music and More Events Link

https://www.devoted.com/member-events

 

Medical Mutual Feb. Updates- PLUS Summa Health Added to Network!

MMO Broker Update: 2.2.21:

Summa Health Added to Medicare Advantage Network Effective April 1, 2021
Category: Network
Applies to: Medicare Advantage
Effective April 1, 2021, Summa Health and their employed physicians will be part of the Medical Mutual Medicare Advantage network. Summa Health offers a wide range of high-quality primary care providers, specialists, hospitals and other facilities throughout Summit, Medina, Portage, Stark and Wayne counties.

We are in the process of updating our directory for the effective date. In the interim, please direct provider inquiries to your Medical Mutual representative.

 
 
Aultman, Aultman Orrville and Alliance Community Hospitals Added to NE Ohio HMO Network Effective Feb. 15, 2021
Category: Network
Applies to: Individual
Effective Feb. 15, 2021, Aultman Hospital, Aultman Orrville Hospital and Alliance Community Hospital will be part of the Medical Mutual NE Ohio HMO network. Aultman offers a wide range of high-quality hospitals and other facilities throughout Stark, Tuscarawas, Carroll, Holmes and Wayne counties.

We are in the process of updating our directory for the effective date. In the interim, please direct provider inquiries to your Medical Mutual representative.

 
2021 COSE MEWA Benefit Changes and SuperMed Share® Launch
Category: Network
Applies to: MEWA
The COSE MEWA product portfolio is updated with new plan additions and plan modifications for 2021. Among these updates, is the expansion of SuperMed Share® to the COSE MEWA market. All 2021 COSE MEWA plan designs are available for quoting in early February, with an effective date of May 1, 2021…
Read More »
 
 
Formulary Updates Effective April 1, 2021 for National Preferred Formulary
Category: Pharmacy
Applies to: Individual, Small Group (1-50), 51-99, 100+, MEWA
Effective April 1, 2021, minor changes are being made to the exclusion list for our National Preferred/National Preferred Plus formulary. A list of drugs added to the list can be viewed here. In addition, a full updated exclusion list is available here. There are no changes to the Basic/Basic Plus or High Performance Plus formularies at this time.

As a reminder, the National Preferred/National Preferred Plus formulary applies only to specific self-funded groups that elected it, including most MedFlex plans. Any members currently taking affected medications will receive a letter notifying them of these changes at least 60 days before they take effect. These changes will immediately apply to new groups that enroll on or after April 1, 2021 and any members who begin taking these medications after April 1, 2021.

 
 

Anthem Alert: Medicare Advantage AOR Policy Change

Anthem Announcement from 2/1/21:

 

Plan changes trigger an automatic update to the Medicare Advantage Agent of Record

Changing Agent of Record (AOR) status is now easier for YOU and your clients. Previously, your client making a

plan change had to submit a signed, hand-written letter requesting you as their Agent of Record.

 

What’s changing?

If your client makes a PLAN CHANGE with an effective date on or after March 1, 2021, you will automatically be

designated as their Agent of Record for Medicare Advantage and Part D business.

 

The effective date for the Agent of Record change will match the effective date of the plan change. An Agent of

Record change request submitted apart from a plan change will not be accepted for Medicare Advantage and Part D

business.

 

Important Note: AOR rules are not changing for Medicare Supplement Plans or Anthem Extras. These plans

will continue to require a signed, hand-written letter from the member to request AOR changes. We reserve the right

to contact the member in order to validate all Agent of Record changes. If the AOR change request cannot be

confirmed with the client, the change request can be denied.

 

*This is a corporate policy. Not all plans/plan types mentioned are offered in all states. If you have questions, please

contact your Sales Team.

WellCare OTC Benefits: Help Clients Find CVS Pharmacies

WellCare communication from 1/28/21:

We wanted to share a quick reminder about how members can access a key benefit that can make a big difference, our OTC benefit. This benefit gives members $15-$720 per quarter of OTC items from a plan-approved list of products (benefit coverage varies by plan).

CVS is the OTC benefit vendor for several plans in 27 of our Medicare markets. Members in plans with the OTC benefit can order covered products by mail order (phone or online) or in-store at a participating CVS location. When shopping from the catalog, items are shipped to members’ homes at no additional cost. (Reminder: Members are limited to three (3) in- store purchases per quarter).

Find Participating CVS Locations

Here’s how members can quickly find a local participating location:

  1. Go to http://www.CVS.com/
  2. Select STORE LOCATOR, enter a zip code, and choose OTC HEALTH SOLUTIONS
  3. Participating locations in the area of the chosen store will appear

For more information on OTC, check out the following available agent resources: