Georgia Market – OEP 2023 D-SNP Sales Incentive Program  – Learn More! 

Aetna is excited to announce to all brokers in Georgia that we have a NEW SALES INCENTIVE to help support you during Lock-In.

The top three D-SNP producers will be able to access marketing dollars in the form of traditional co-op or funds through our Medicare Marketing Studio, marketing collateral to support community events, and local Aetna support to host community events throughout the year.

Producer Rewards & Qualifications

Top 3 Producer Rewards:

#1 Top Producer
• $5,000 in marketing co-op dollars in Q1 Only
• Aetna Swag
• Event collateral (banners, table runner, flags)

#2 Top Producer
• $3,000 in marketing co-op dollars in Q1 Only
• Aetna Swag
• Event collateral (banners, table runner, flags)

#3 Top Producer
• $1,500 in marketing co-op dollars in Q1 Only
• Aetna Swag

Sales Incentive Details & Qualifying Criteria:

• New to Aetna D-SNP sales for February 1- April 1 effective dates (CMS issued sales only).
• Final sales numbers will run in early May. Winners will be announced at that time.
• Cancelled applications and rapid disenrollments will be removed from final counts.
• To qualify for the contest, the broker must have a minimum of 10 New Sales
• Top three winners will be announced in each of the following markets:
Atlanta Metro/North Georgia
Macon/Columbus/South Georgia
Augusta/Savannah

***NOTE: Plan replacement is excluded***

 

The Qualifying Plans Include the Following:
• Aetna Medicare Dual Choice Plus Plan (PPO Full D-SNP)
• Aetna Medicare Dual Preferred Plan (HMO Full D-SNP)
• Aetna Dual Choice Plan (PPO Partial D-SNP)
• Aetna Medicare Dual Select Plan (HMO Partial D-SNP)

The Aetna Medicare FULL D-SNP plans are available in 78 counties in Georgia. Our plans offer competitive benefits and includes many extras:

• Extra Benefits Card: $600 combined quarterly allowance on a prepaid debit card for OTC and healthy foods. No pre-qualifying conditions required.
• $0 Rx copays on all tiers at standard and preferred pharmacies.
• Dental: up to $4,500 allowance that covers preventive comprehensive care, including dentures and implants (excluding cosmetic services).
• Eyewear: up to $500 allowance.
• Transportation: up to 60 one-way trips (100 Mile radius) to medical appointments, pharmacies and SilverSneakers locations through SafeRide.
• LifeStation Personal Emergency Response: $0
• Hearing aids: up to $1,250 allowance per ear.
• Fall Prevention: $150 for home/bath safety devices.
• Plus … earn an extra $110 service fee when you complete the HRA via electronic submission.

Aetna: Think Agent – New Profile & PURL Access

Sourced from Aetna/Think Agent Email Communication from 10/13/2022:

 

Introducing more tools for you this AEP!

On 10/15, we have one fantastic delivery we’d like to share with you – NEW! Profile & PURL.

For those interested, we’re delivering the following new features this AEP & including the below training to help you learn how they work!

 

Profile – You may have already found the “Profile” button in Think Agent and found it to be inactive. Well, we’ve been hard at work developing this cool new feature to share with you; and we’re excited to announce it’s ready!

  • The Profile is customizable, allows you to change and update your contact information (does not affect other Aetna sites), link social media, add a profile picture and create an ‘About Me’ description of yourself.
  • What’s especially neat is your contact information will now pre-populate in forms such as the SOA, eKit and enrollment. Test it out for yourself
  • Even more, these items will also appear on your PURL for prospects to see!

PURL – Never heard of such a thing? PURL stands for Personalized URL and it’s a unique feature of Think Agent you’re going to like!

  • The PURL comes linked to your Think Agent Profile and access is granted automatically.
  • Copy & share your PURL address on your social media, MMS flyers, business cards, etc. for prospects and clients to access.
  • From your PURL site, your Profile information will display; as well as an option for prospective Medicare clients to shop for Aetna Medicare plans in their area, or request a free quote about products in which they are interested from you!*
  • If a client shops for plans from your PURL, they may enroll themselves by choosing “Enroll Now” on a plan in their geography, and you’ll be their AOR!

 

*An email notification will be sent directly to you from communication@email.thinkagent.com only when the ‘Free Quote’ feature is used on your PURL, and the prospect has indicated they wish to learn about products where you are currently RTS (based upon state).

 

To learn more about these exciting new features of Think Agent, please see our trainings here:

 

What you need to know about the Inflation Reduction Act (IRA) – From Aetna Medicare Solutions

Sourced from Aetna’s Medicare Solutions Broker Email from 9/30/2022:

President Biden’s signing of the Inflation Reduction Act (IRA) marks the beginning of implementing many years of substantial change to the Medicare Part B and Part D programs.

The two most imminent changes, which take effect January 1, 2023, include:
• Limiting the member cost-share of covered insulins to $35
• Introducing $0 member cost-sharing on Part D vaccines

We’re updating materials to convey this information to members. Members will receive information by mail, and information will also be available in enrollment kits and on our website. In addition, we’re working to operationalize these changes by January 1, 2023, as required.

Please use the information below to help answer your clients’ questions this AEP.

 

How does the IRA impact 2023 Medicare Advantage plans (MAPD) and Prescription Drug Plans (PDP)?

It limits the member cost-share on covered insulins to $35. 

  • This means members won’t pay more than $35 for a one-month supply of each insulin product covered by their plan, no matter what cost-sharing tier it’s on, even if their plan has a deductible that hasn’t been met.
  • While some members already benefit from plans that offer $35 insulin, this legislation ensures that all seniors who use insulin benefit from this out-of-pocket cost limit.
  • Members receiving LIS will continue to pay the CMS statutory maximum cost share for insulin, which is less than $35.
  • In Florida, some 2023 Aetna MAPD plans will offer select insulins for a $0 cost share at preferred pharmacies and a $20 copay at standard pharmacies. On these plans, other covered insulins will be available for the $35 IRA copay.
  • In addition, the 2023 SmartSaver PDP (which is non-commissionable for new sales), available in all 50 states, offers covered insulin for a $10 copay at preferred pharmacies and a $20 copay at standard pharmacies.

It eliminates member costs and improves access for Part D vaccines.

Our 2023 plans will cover most Part D vaccines for a $0 cost share, even if a plan has a deductible that hasn’t been met.

 

What information will members receive?

Member materials are being updated in accordance with CMS guidance to ensure members are properly informed of the changes.

 

How will insulin and vaccine benefits be displayed on Medicare Plan Finder?

Beginning October 1, the Medicare Plan Finder site (www.medicare.gov) will reflect Part D sponsors’ insulin and vaccine benefits and cost sharing as they were submitted in their 2023 bid and formulary submissions, prior to IRA being enacted. However, new insulin and vaccine drug footnotes and other help features will be displayed to explain the benefit changes resulting from the IRA.

Because of this, CMS is granting a Special Enrollment Period (SEP) for Exceptional Circumstances to allow beneficiaries to add, drop, or change their Part D coverage if they find a better option after the 2022 Annual Enrollment Period (AEP) and through the end of 2023. This SEP will be available for all beneficiaries who use a covered insulin product and begins on December 8th, 2022, and ends on December 31, 2023. Beneficiaries may use this SEP one time during this period. To utilize this SEP, beneficiaries must call 1-800-MEDICARE so a customer service representative can process the enrollment change; they cannot use a broker for this SEP. Consistent with current policy, when Part D enrollees change plans mid-year, their True Out-of-Pocket (TrOOP) costs carry over from one plan to the next.

What’s coming in 2024?

Additional IRA requirements that will be implemented in 2024 include:
• $0 cost sharing in the catastrophic phase for Part D
• Expansion of the low-income subsidy eligibility to 150% of the federal poverty line

 

What additional impacts will IRA have in the future? 

Additional IRA requirements will be implemented annually through 2029. We’ll share more information as we approach those implementation dates.

Aetna’s Think Agent Updates – New Desktop Version

   

 

Sourced from Aetna’s Think Agent email communication from 7/28/22:

Great news, Think Agent users!

 

Aetna has a new desktop version coming to you this Friday, 7/29! With this new version, Aetna is delivering many enhancements and time-saving features that will make doing business with Aetna Medicare faster, simpler and better for you this AEP!

The mobile app will be updated to include these features in the coming weeks.

See below for some of the exciting new features coming with this new desktop version!

 

  1. Application “Save” option. Begin & save an application and open it later – Right where you left-off!Find the saved draft application in your My Enrollments to re-open, edit and complete.

2.  “Quick Help” in the More component will display you local Aetna Broker Manager’s contact information, as well as other helpful contacts.

 

3. D-SNP eligibility now displayed on each D-SNP plan card. Verify Medicaid in Think Agent, and we’ll let you know if your client is eligible for the D-SNP plans in the area!

 

4. Look for these “i” icons beside popular items like eKit & SOA to learn more!

 

5. Now add your client’s providers to their lead! After – When shopping for plans to enroll – you’ll see network status displayed on the plan cards, helping you to make an enrollment decision.

 

Aetna/Silverscript: Producer World Reporting Updates

Sourced from broker communication on 3/7/22:

There have been some changes to the IVL Producer World reporting.

Changes to the fields are as follows:

  • Old (legacy) membership ID
  • New (migrated) membership ID
  • Member Address 1
  • Member Address 2
  • Member Date of Birth
  • Member Phone Number

Demographic fields are added to the Producer World Book of Business report only and the Member Search tool.

Legacy and New Member ID’s are added to all reports and the Member Search tool.  Agents are able to search both ID’s in the Member Search tool to find a client.

 

If you have any questions, please contact your CSM Service Rep.

NEW! Aetna Supplemental E-Signature Option for CSG E-Apps

Exciting News! 

 

Aetna Senior Supplemental has approved their security questions signature for CSG Actuarial E-Apps! Agents can now EASILY capture signatures over the phone or in person with this option.

This is approved for all over the phone/remote sales.

If you have any further questions, please reach out to your CSM Representative.

IMPORTANT AETNA OHIO NETWORK UPDATE: TRINITY – MOUNT CARMEL HEALTH SYSTEM

Negotiations Completed with Trinity – Mount Carmel Health System – OH in the Central Ohio network

Aetna announced they have reached a new multi-year agreement with Trinity – Mount Carmel Health System – OH effective 01/01/2022. Trinity will be sending out a patient letter. As a result of this successful negotiation process, Trinity – Mount Carmel Health System – OH will continue to participate in Aetna’s Central Ohio network for the following products:

• Open Choice® PPO
• Aetna Open Access® Managed Choice® POS
• Aetna Select℠
• Aetna Open Access® Elect Choice® EPO
• Quality Point-of-Service® (QPOS®)
• Aetna Health Network Only℠ (HNO)
• Aetna Medicare℠ Plan (HMO)
• National Advantage Program (NAP)
• Mount Carmel Neighborhood Network
• Central Ohio Primary Care Managed Choice • Aetna Choice® POS II
• Managed Choice® POS
• Open Access Aetna Select℠
• HMO
• Aetna Choice® POS
• Aetna Health Network Option℠ (HNO)
• Aetna Medicare℠ Plan (PPO)
• Aetna Premier Care Network℠
• Aetna Whole Health℠ – (NAME OF ACO
• National Advantage™ Program

There has been no interruption to member access because an agreement was reached before the contract’s termination date. Member letters were never released; therefore, retraction member letters are not necessary.

 

Provider Search/directory information
Trinity – Mount Carmel Health System – OH is included in Aetna’s online provider search tool and in their current printed provider directories.

Click HERE to read Trinity- Mount Carmel Health’s announcement regarding the completed negotiations.

 

 

Questions? Reach out to your Sales or Service Rep at any time!

614-763-2255

or by email:  service@ornerstoneseniormarketing.com

Aetna OH Network Update: Negotiations with Trinity – Mount Carmel Health System

Sourced from Aetna Broker Communication on 12/22/21:

Network Update                

December 22, 2021

       

Update on negotiations with Trinity – Mount Carmel Health System – OH

Highlights

As promised, we are keeping you informed on the progress made during Aetna’s negotiations with Trinity – Mount Carmel Health System – OH. This update, and the ones that follow, will supplement the original network communication you received on 10/26/2021. We will keep you informed of updates until negotiations are complete and/or concluded.

Update #

Date of Update

Update Description

2

12/22/2021

Negotiations were to be concluded and continue with a positive tone for Trinity nationally as well as in the local markets.

Trinity has made a slight modification to one state fee schedule and due to the holidays, we have been given an extension until 2/15/2022 to finalize the contracts with Trinity.

1

11/09/2021

Trinity Health has provided Aetna with a contract extension to 1/31/22 – for the Commercial and Medicare products.

The parties agree to continue to work through the local market negotiations and memorialize the terms and conditions of a new National LOA over the next several weeks.   This National LOA will memorialize the new national template contract language, the respective rate increases for the respective markets and a commitment to utilize a Trinity-specific national contract template for all of their Trinity Ministries by January 1, 2023 or sooner.

Aetna and Trinity Health have signed a contract extension, assuring continued in-network access for its members in NY, OH, MI, and IL.  We’re pleased that our members will be able to continue receiving in-network care from their hospitals and doctors with the intent to limit further disruption during open enrollment.

Trinity Health extended the termination date of the following NY, Ohio, Illinois and Michigan hospitals to 1/31/22:

  • Samaritan (Troy)
  • Samaritan / Albany Memorial (Albany)
  • St. Josephs (Syracuse)
  • Mt. Carmel East Hospital (Columbus)
  • Mt. Carmel New Albany Surgical Hospital (New Albany)
  • Mt. Carmel St. Ann’s Hospital (Westerville)
  • Mt. Carmel Health System Grove City (Grove City)
  • Diley Ridge Medical Center (Canal Winchester)
  • Loyola University Medical Center (Chicago)
  • MacNeal Hospital (Chicago)
  • Gottlieb Hospital (Chicago)
  • Mercy St. Mary (Grand Rapid)
  • MHP Mercy Campus (Muskegon)
  • MHP Hackley
  • Lakeshore (Shelby)
  • St. Joseph Mercy (Chelsea)
  • St. Joseph Mercy (Ann Arbor)
  • St. Joseph Mercy (Oakland)
  • St. Mary Mercy (Livonia)
  • St. Joseph Mercy (Livingston)

We appreciate your support in this matter, as we continue to try to address the rising cost of health care services for Central Ohio area employers and residents.  We will continue to keep you informed of any changes in our local network.

 

If you have questions regarding Aetna’s Ohio network, please contact your CSM representative.

Aetna Medicare Network Update: Mount Carmel Health System & Negotiations with Trinity

Sourced from Aetna broker communication from 11/10/21:

Network Update | November 10, 2021

Update on negotiations with Trinity – Mount Carmel Health System – OH

 

Highlights

As promised, we are keeping you informed on the progress made during Aetna’s negotiations with Trinity – Mount Carmel Health System – OH. This update, and the ones that follow, will supplement the original network communication you received on 10/26/2021. We will keep you informed of updates until negotiations are complete and/or concluded.

Update # Date of Update Update Description
1 11/09/2021 Trinity Health has provided Aetna with a contract extension to 1/31/22 – for the Commercial and Medicare products.

The parties agree to continue to work through the local market negotiations and memorialize the terms and conditions of a new National LOA over the next several weeks.   This National LOA will memorialize the new national template contract language, the respective rate increases for the respective markets and a commitment to utilize a Trinity-specific national contract template for all of their Trinity Ministries by January 1, 2023 or sooner.

Aetna and Trinity Health have signed a contract extension, assuring continued in-network access for its members in NY, OH, MI, and IL.  We’re pleased that our members will be able to continue receiving in-network care from their hospitals and doctors with the intent to limit further disruption during open enrollment.

Trinity Health extended the termination date of the following NY, Ohio, Illinois and Michigan hospitals to 1/31/22:

  • Samaritan (Troy)
  • Samaritan / Albany Memorial (Albany)
  • St. Josephs (Syracuse)
  • Mt. Carmel East Hospital (Columbus)
  • Mt. Carmel New Albany Surgical Hospital (New Albany)
  • Mt. Carmel St. Ann’s Hospital (Westerville)
  • Mt. Carmel Health System Grove City (Grove City)
  • Diley Ridge Medical Center (Canal Winchester)
  • Loyola University Medical Center (Chicago)
  • MacNeal Hospital (Chicago)
  • Gottlieb Hospital (Chicago)
  • Mercy St. Mary (Grand Rapid)
  • MHP Mercy Campus (Muskegon)
  • MHP Hackley
  • Lakeshore (Shelby)
  • St. Joseph Mercy (Chelsea)
  • St. Joseph Mercy (Ann Arbor)
  • St. Joseph Mercy (Oakland)
  • St. Mary Mercy (Livonia)
  • St. Joseph Mercy (Livingston)

 

 

We appreciate your support in this matter, as we continue to try to address the rising cost of health care services for Central Ohio area employers and residents.  We will continue to keep you informed of any changes in our local network.

Aetna MA Sneak Peek at 2022 – COMING SOON!

Aetna email communication from 7/9/2021: 

Get a sneak peek at 2022 First Look

Hot off the press – 2022 represents the largest Medicare Advantage product filing for Aetna ever!

We can’t wait to share details about what’s in store for AEP at the upcoming National Distribution Partner AEP Kickoff, starting July 20.

 

In the meantime, you can be one of the first to learn about counties where we’re launching a new product type in 2022! Just visit https://firstlook.aetna.com today and login with your Producer World username and password.

 

We’ll be releasing additional plan and benefit detail on the site starting on Monday, July 19 at 12pm ET, so mark your calendar and plan to visit again!