Aetna’s MAPD and DSNP 2020 OTC Catalogs Now Available

Aetna’s 2020 OTC catalogs are now out on Producer World and can access directly.

Here’s the direct link to the OTC catalog page on PW: https://www.aetna.com/producer/Medicare/otc_catalogs.html. Or here’s the path/instructions for how to find them on your own:

  • Login to Producer World: https://www.aetna.com/producer/Login.do
  • Click “Individual Medicare,” which is in the black navigation bar in the top-right corner of the page
  • Click the Product tab.
  • Click “2020 OTC catalogs”
  • Next, from the OTC catalog page, select a state from the dropdown menu, and then select the applicable OTC catalog.

 

If you have any questions or concerns, reach out to your CSM rep.

Aetna Med Supp February Updaes

February 2020 Updates:

A few callouts for Aetna Medicare Supplement online quoting and enrollment tool. Here is how it works:

New underwriting process and application tracker

Aetna’s underwriting process will give you faster decisions for underwritten Aetna Medicare Supplement applications. Aetna has not altered their underwriting philosophy in any way. Most applications will have a decision within a few minutes. This exciting change also comes with an updated online application tracker, to give you clearer visibility to those decisions.

Changes: Point-of-sale telephone interview and voice signature option

To help make the underwriting process even easier for you, Aetna will no longer require or offer a point-of-sale telephone interview as of October 1, 2019. We’ll also be discontinuing the voice signature option.

  • If any point-of-sale interviews are still pending after October 1, the phone line will still be available to use until those interviews are complete.
  • Instead of a voice signature, you’ll continue to have 3 easy signature options for your electronic applications: security question signature, in person signature, email signature.

Our new underwriting process

Once Aetna receives your Medicare Supplement electronic application, they will provide one of the following underwriting decisions within a few minutes:

  • Approved
  • Needs further review
  • Declined

Aetna will also provide decisions on your paper applications once they have verified all required information has been included with the submission. This review may delay how soon the decision is displayed on the website.

    • Approved applications will be processed as normal.
    • If an application needs further review, the application will be reviewed by our underwriting staff.  And if necessary, our associates will call your client with targeted questions for clarification. This new telephone interview process will be easier for your client, as we will not need to review all health questions.
    • If an application is declined, we’ll send the applicant (and you) a letter with details about how to get a copy of the information used to help with the underwriting decision. The application tracker on the agent website will show if an application is declined. A copy of the letter will be accessible within 24 hours.

Aetna Med Supp MACRA 2020 has been a huge success thanks to you! They have launched their MACRA 2.0 strategy in 16 states.

August launches for MACRA 2020 – SC, IL, LA, AZ and TN

July launches – AL, GA, IA, MI and MS

September launch – FL and DE

October launches – OH, NC, KS and PA

What does all this mean? Aetna’s plan F rates will be on average within $15-$20 a month of our plan G rates and our plan F rates have been lowered.

Why is Aetna putting out rates that are so competitive on plan F? There are tens of millions reasons why.  After 1/1/20 anyone on a Medicare Supplement currently or Medicare eligible by 12/31/19 will still be able to purchase plan C, F and HIF after 1/1/20.

These clients that would like to receive a very competitive plan F rate with us will need to go through underwriting so this with be a very healthy group of insureds which can mean lower rate increases.

 

REMINDERS:

  • AETNA MED SUPP has a new agent services phone number: 866-272-6630
  • Clients can now purchase just the Cancer or just the Heart Attack and stroke benefit separately.
    • Also added a recurrence benefit and changed the look back period from 10 years to 5 years.
  • Aetna now has the ability to refund premiums directly into your clients accounts via EFT. No longer will it take 10-4 days to receive a refund.

 

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

 

 

 

LifeStation medical Alert System Benefit

Clarification: To start using the LifeStation medical alert system benefit, members should call Member Services

Members with the Aetna Medicare Plus Plan (HMO) in Southern California have a benefit that allows them to get a LifeStation medical alert system at no charge. This benefit is available in the following counties: Kern, Los Angeles, Orange, Riverside, San Bernardino and San Diego.

To start using this benefit, members should call the Aetna Member Services Department by dialing the number on their Aetna member ID card. 

Please note: During recent 2020 product trainings, we told you that members should call LifeStation directly to activate this benefit. However, this was incorrect. Please help educate members that they need to call the Aetna Member Services instead.

 

What steps do members have to take to use the LifeStation benefit?

  1. To get the LifeStation equipment, a member must call the Aetna Member Services. Members will then be transferred into the Care Management Engagement Hub to go through the eligibility process.
  2. Eligible members will be connected to a Lifestation representative to order the device and finalize the process.
  3. Members will receive the equipment by mail.

 

2020 WellCare Updates for Aetna Legacy Book of Business

Sales Commission and Book of Business Updates for Aetna Legacy Membership:

  • WellCare was not responsible for paying out all renewals and commissions through the end of 2019.
  • WellCare has received the complete legacy membership file, including which agents/agencies are associated with each member, and will begin paying sales compensation for all legacy members who are still active and have not changed their plan.
  • Commissions for this membership will be paid out on January 31st, 2020. Due to your current commission assignment, you will not receive payment or a statement directly. If you have any questions regarding these legacy payments, please reach out to your commission assignee.
  • These legacy members will not be visible in the book of business within the Agent Connect portal. However, this information will be listed on your commission assignee’s commission statement. Please reach out to your assignee with membership related questions.
  • We recognize this is an inconvenience. We are working to correct our system limitations to provide this information in the future.

Premium Withholding Options:

Legacy members who utilized premium withholding option (PWO), Electronic Funds Transfer (EFT) have been signed-up for direct pay with WellCare and were mailed coupon books in December. If these members would like to sign up for EFT, please advise them of the following:

  • The fastest, most effective method for EFT sign-up is via the EFT election option on the member portal.
  • Alternatively, a copy of the EFT form can be returned to WellCare by mail
  • The form can be downloaded by clicking here WellCare EFT Form.

Members can call Customer Service (833) 207-4241 for assistance with:

  • Requesting a copy of the EFT form to be mailed to the member that must be returned to WellCare by mail
  • Assistance in utilizing the online member portal to complete their EFT election

Legacy members whose premiums were deducted from their Social Security (SSA) or Railroad Retirement (RRB) checks, will continue to be deducted for WellCare plans. There is no action needed by these members.

Thank you for your continued partnership!

AETNA – DSNP Member Level Service Instructions by Eligiblity Category

A members Medicaid eligibility level will determine one’s benefits, cost share and overall service experience.

DSNP Service Talk Tracks By Medicaid Elig Cat

Aetna Offers NEW HMO & DSNP Plans in NE Ohio for 2020

For 2020, Aetna has a new $0 premium MAPD plan, the Aetna Medicare Premier (HMO) H0628-005.  Aetna  also has a new 2020 Dual Eligible Special Needs Plan, the Aetna Medicare Assure (HMO D-SNP) H5337-001. Both plans offers your Northeast Ohio clients a strong provider network and impressive supplemental benefits!

Learn more about our new Aetna Medicare Premier (HMO)

The 2020 Aetna Medicare Premier (HMO) H0628-005 is available in Ashland, Belmont, Columbiana, Cuyahoga, Geauga, Harrison, Jefferson, Knox, Lake, Lorain, Mahoning, Medina, Morrow, Portage, Richland, Stark, Trumbull, Tuscarawas and Wayne counties. Benefits include:

  • Comprehensive provider network  
  • No referrals required
  • $0 annual medical deductible
  • $10 PCP/$30 Specialist (in-network)
  • Plan allowances on dental, vision & hearing benefits—No dental network
  • Over-the-counter (OTC) benefit—$45 allowance per quarter
  • 24 one-way non-emergency trips per year
  • SilverSneakers® fitness benefit—Free membership at participating
    fitness facilities

Discover the new Aetna Medicare Assure (HMO D-SNP)

The 2020 Aetna Medicare Assure (HMO D-SNP) H5337-001 is available in Belmont, Carroll, Columbiana, Coshocton, Cuyahoga, Franklin, Fulton, Guernsey, Lake, Lorain, Lucas, Mahoning, Medina, Montgomery, Morgan, Muskingum, Ottawa, Portage, Stark, Summit, Trumbull, Tuscarawas, Wayne and Wood counties. Benefits include:

  • $0 or low-cost monthly premium
  • Access to the Aetna HMO statewide provider network
  • $3,000 dental allowance, including dentures and crowns
  • Robust hearing and vision benefits
  • 40 one-way non-emergency trips per year
  • 28 home-delivered, post-discharge meals, at no cost
  • 40 one-way non-emergency trips per year
  • SilverSneakers® fitness benefit
  • OTC benefit—$210 per quarter
  • $150 fall prevention package

 

For more information contact Cornerstone’s Jaime Lebron, Sales Director of NE Ohio.

Aetna Medicare Supplement November Updates

NEW AND EXCITING:

New underwriting process and application tracker

Starting October 1, our underwriting process will give you faster decisions for underwritten Aetna Medicare Supplement applications. We have not altered our underwriting philosophy in any way. Most applications will have a decision within a few minutes. This exciting change also comes with an updated online application tracker, to give you clearer visibility to those decisions.

Changes: Point-of-sale telephone interview and voice signature option

To help make the underwriting process even easier for you, we’ll no longer require or offer a point-of-sale telephone interview as of October 1, 2019. We’ll also be discontinuing the voice signature option.

  • If any point-of-sale interviews are still pending after October 1, the phone line will still be available to use until those interviews are complete.
  • Instead of a voice signature, you’ll continue to have 3 easy signature options for your electronic applications: security question signature, in person signature, email signature.

Our new underwriting process

Once we receive your Medicare Supplement electronic application, we will provide one of the following underwriting decisions within a few minutes:

  • Approved
  • Needs further review
  • Declined

We will also provide decisions on your paper applications once we have verified all required information has been included with the submission. This review may delay how soon the decision is displayed on the website.

  • Approved applications will be processed as normal.
  • If an application needs further review, the application will be reviewed by our underwriting staff.  And if necessary, our associates will call your client with targeted questions for clarification. This new telephone interview process will be easier for your client, as we will not need to review all health questions.
  • If an application is declined, we’ll send the applicant (and you) a letter with details about how to get a copy of the information used to help with the underwriting decision. The application tracker on the agent website will show if an application is declined. A copy of the letter will be accessible within 24 hours.

MACRA 2020

Are you wondering how MACRA works and how it will affect you and your clients?  I have attached a cheat sheet that will help you have a better understanding of MACRA.

Aetna has launched their MACRA 2.0 strategy in 15 states with more coming either later this year or early next year.  Watch for your e-bulletins for more information.

August launches for MACRA 2020 – SC, IL, LA, AZ and TN

July launches – AL, GA, IA, MI and MS

September launch – FL

October launches – OH, NC, KS and PA

 What does all this mean?

Aetna plan F rates will be on average within $15-$20 a month of our plan G rates and our plan F rates have been lowered. You will be able to offer a high deductible G with effective dates after 1/1/20

 Why is Aetna putting out rates that are so competitive on plan F?

There are tens of millions reasons why.  After 1/1/20 anyone on a Medicare Supplement currently or Medicare eligible by 12/31/19 will still be able to purchase plan C, F and HIF after 1/1/2020. These clients that would like to receive a very competitive plan F rate with us will need to go through underwriting so this with be a very healthy group of insureds which can mean lower rate increases.

 

Aetna has a new agent services phone number: 866-272-6630

New Quoting App!

Aetna has launched their new app for quoting all products.  You no longer have to save the link to you home page. All you need to do is download our “quote on the go” app from the app store.  You can quote every product Aetna offers in one easy format!

Aetna to WellCare Billing Transition for Members

Members transitioning from Aetna to WellCare will need to complete a new EFT form for WellCare. The completed form must be mailed (not faxed) and include a copy of a voided check. The mailing address is on the EFT form.

MORE: Important….and encouraged!
Members can also go on to the Member WellCare Portal and select credit card payments, or choose to draft their online checking or savings to make payment on their desired date.

IN THE WORKS: Notification to transitioning members
Aetna is planning a post card campaign to those Aetna EFT transitioning members notifying them to re-register via the portal or call center.

WELLCARE – EFT FORM

Aetna’s First Look at 2020 Benefits & Certification is Available

Aetna’s MA/MAPD 2020 Certification is Now Available! You can also request a first look at benefits for 2020.

Aetna has released their Medicare MAPD and PDP plans for 2020 – Don’t miss your chance for a sneak peak at their plan benefits.

Request a first look to Danielle.Flesch@cornerstoneseniormarketing.com

2020 Certification

You can now complete Aetna’s 2020 producer certification process for MA/MAPD products! Click here to learn how to become ready to sell. Remember, Aetna’s certification process includes AHIP which costs $125 going through Aetna- that’s a savings of $50 off the retail price of AHIP!

Want to Sell Silverscript PDP?

Are you contracted for Aetna MA/MAPD? If so, good news! Your current contract will enable you to sell both 2020 Aetna MA/MAPD & 2020 SilverScript PDP. That means, in order to sell 2020 SilverScript plans this AEP, all you need to do is complete 2020 SilverScript certification and receive a SilverScript ready-to-sell notice.Learn how to complete 2020 SilverScript producer certification.

 

Not contracted with Aetna? Reach out to your Cornerstone Senior Marketing Sales representative to get appointed!