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.
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
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 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!
We apologize for any challenges the original schedule may have created and look forward to continuing to better serving you and our customers.
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.
If you have any questions or need more details on this information, reach out to your CSM rep.
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.
Earn a FREE 1,000 piece mailer to start the new year!
Start the new year off right with a FREE 1,000 piece mailer. This generous marketing bonus is available to all agents that submit a minimum of 5 Humana Medicare Advantage applications between November 13 – December 31, 2020.
- Eligible agents will recieve a mailer credit early in 2021, that includes a custom prospect mailing list, postcard, and mailer fulfillment.
- No registration required – Humana will track application submissions and Cornerstone Senior Marketing will contact all eligible agents early in 2021 to award their FREE 1,000 piece mailer.
Thank you for all you do and have a great AEP!
The HealthPlan notice from 11/16/2020:
There is an update to THP Medicare Supplement commission/admin rates in WV. This update is required so that we can comply with the State of West Virginia Regulatory Rule 114-24-14, which went into effect 4/1/2020. The rule requires that carriers pay the same amounts paid in year 2 for all compensated renewal years. Unfortunately, the legislative change was missed by THP until now.
Current WV Medicare Supplement
20% YEARS 1-5
4% YEARS 6-10
ADMIN : 1% YEARS 1-5, .5% YEARS 6-10
New/Open Enrollment: 20% YEARS 1-8
Guaranteed Issue: 10% YEARS 1-8
ADMIN: New Open Enrollment: 1% / Guaranteed Issue: .5% YEARS 1-8.
There are no other changes to either Ohio or West Virginia rates.
This change was effective 4-1-2020. This means that you may see back-dated commission or admin. that is owed to you on future commission statements. This will be paid by end of year in most cases.
We apologize for this late notice. Procedures have been put into place to ensure that we deliver any compensation changes by 9/1 each year, moving forward. We are asking that your office reach out to Tracie Soptelean, Manager Broker Relations on how you would like this information communicated to your agents. She has the updated exhibits that you can personally send to your agents or she can send an email notification. Please let her know as soon as possible how you would like to procced.
MediGold is honored to announce that it has received a 4-Star Overall Plan Rating out of 5 stars1 for our 2021 Ohio HMO plans. This rating is the result of the combined efforts of our passionate colleagues and network providers.
Thank you for your continued participation with MediGold!
1 Centers for Medicare & Medicaid Services evaluates plans based on a 5-star rating system. Star ratings are calculated each year and may change from one year to the next. 2021 Star Ratings are based on services and care members received in 2019 and are posted at Medicare.gov.
Attention Ohio Brokers:
Premier Health and PriMed Physicians joining the MediGold Network in 2021. For the latest information and Medigold network announcements CLICK HERE.