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! 

Aetna DSNP Training | August 6

Aetna’s DSNP sales tools will help you sell year around- Learn more!

Do your Northeast Ohio clients have both Medicare and Medicaid? If eligible, our DSNPs provide special benefits and services that can help improve health care and manage costs.

Training details

August 6, 
10 a.m.-1 p.m.

Location
Embassy Suites by Hilton Akron Canton Airport
7883 Freedom Ave. NW
North Canton, OH
Snacks and refreshments provided.

In this in-person training, we’ll discuss:

  • Sales tips, tools and resources
  • Eligibility requirements
  • Aetna DSNP model of care
  • The local provider network

Register today

Seating is limited, so register today. To sign up, go to aetnamedicareagenttraining.com and search for events in Ohio. Aetna then send a confirmation email.

Aetna Medicare Advantage is Expanding in 2020

Aetna Medicare released the news they are expanding their footprints in 2020 in OH, KY, & MI*. Plan to certify with Aetna for 2020 starting July 10th, 2019!

*Subject to Centers for Medicare & Medicaid Services approval. Confidential and proprietary. For agent use only. Do not distribute. 

OHIO COUNTIES:

Allen, Coshocton, Crawford, Darke, Defiance, Fayette, Hardin, Knox, Mercer, Morgan, Morrow, Paulding, Preble, Putnam, Richland, Van Wert, Williams, and Wyandot.

KENTUCKY COUNTIES:

Barren, Bracken, Carroll, Christian, Floyd, Gallatin, Grant, Grayson, Harrison, Hart, Hopkins, Knott, Larue, Letcher, Lewis, Martin, Mason, McCracken, Nicholas, Ohio, Pendleton, Pike, Pulaski, Robertson, Russell, Taylor, and Wayne.

MICHIGAN COUNTIES:

Antrim, Bay, Benzie, Charlevoix, Crawford, Kalkaska, Leelanau, Manistee, Missaukee, Montcalm, Otsego, and Wexford.

 

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

Important Message from Humana & Aetna: Members Who Requested to Have Premiums Withheld by SSA/RRB in 2019

FROM HUMANA MARKETPOINT: 

  • Humana has taken action for our impacted members and worked quickly to re-trigger deductions with a 6/1/2019 effective date (next available date).
  • Members were sent a letter on 5/9 (verbiage below) that states we have requested a future date (6/1/19) due to a SSA delay and the amount they owe – letter contains a remit slip.
  • Customer Service has been ramped up for potential calls and no collection actions will take place due to them being on SSA/RRB.

Please see the letter verbiage below. Members should call our Customer Care Team at 1-800-457-4708 if they have questions.

Thank you for choosing Humana for your Medicare coverage.

You asked us to deduct your monthly premium from either your Social Security (SSA) or Railroad

Retirement Board (RRB) benefit check. Your request could not be processed in time for the next

premium payment. We requested your premium deduction to begin with the next available premium

payment for 06/01/2019. It can take SSA or RRB up to 90 days to process this request. At that time,

you may see up to three months of premiums deducted from your check.

You are responsible for paying the monthly premium(s) due prior to 06/01/2019. Please make a

payment for the amount due of $.

To PAY YOUR PREMIUM:

Go to Humana.com/pay or use the MyHumana mobile app

Detach and mail the payment slip below with your payment

Call our Customer Care Team at 1-800-457-4708. If you use a TTY, call 711.

FROM AETNA: 

We want to notify you about an issue affecting all Medicare members who elected to pay plan premiums from their Social Security Administration (SSA) or Railroad Retirement Board (RRB) check.

Background

Normally, when members select this premium payment option, the SSA/RRB withholds funds from members’ SSA/RRB checks to cover their plan premiums.

Unfortunately, due to a system issue, this did not occur for two or more months starting February 1, 2019. This issue affected all carriers, not just Aetna. Although the system issue is now fixed, the SSA/RRB cannot retroactively deduct premium payments from members’ checks.

What do members need to do?

Because these members now have past-due accounts, their premium payment method has changed to direct billing, effective February 1, 2019. This means they now need to pay any past-due premium amounts to Aetna directly.

Member communication

Members will receive a letter explaining what happened and what they need to do later this month. Letters are being mailed in waves, between May 10-24, so members will receive them over several weeks. View the member letter.

What happens next?

  • We’ve already submitted a new request to restart SSA premium deduction for the affected members, effective June 1, 2019. If the request is accepted by SSA, they will send members a letter of approval. Please be aware this can take up to 90 days.
  • Please explain to your clients that SSA will only deduct future premiums from their Social Security check as of the effective date noted in their approval letter, so any balances owed up until that effective date must be paid to Aetna directly. Members need to pay premiums directly to us for any months the SSA or RRB doesn’t cover.

While these members are not currently at-risk for termination due to nonpayment, they do need to begin making payments to ensure their plan does not face termination for nonpayment in the future.

 

 

 

Please contact your Cornerstone Senior Marketing representative if you have any questions.

Oak Street Health Joins Aetna Medicare Provider Network in MI

Aetna/CVS Health is excited to announce the addition of all Oak Street Health locations to their Southeast Michigan provider network. Effective April 1, 2019, they’re part of Aetna’s existing relationship with Oak Street Health of Chicago, for all Medicare Advantage products.

Aetna Medicare plans offer hometown health care that’s focused on your clients. Aetna works with Oak Street Health to:

  • Address total health needs
  • Make care convenient and effective
  • Maximize Medicare plan benefits

Oak Street Hospital locations in Southeast Michigan:

Cherry Hill
27155 Cherry Hill Rd
Inkster, MI

Hazel Park
1142 E. 9 Mile Rd.
Hazel Park, MI
Jefferson Village
11260 E. Jefferson Ave.
Detroit, MI

Rosedale Park
18610 Fenkell Ave.
Detroit, MI 

Southgate
13667 Eureka Rd.
Southgate, MI

Need help finding in-network providers?

Don’t forget, Aetna Medicare members have in-network access to over 600,000 PCP/Specialists and 2,900 hospitals across the U.S.

Want a complete list of network providers (including Oak Street Health locations)? Just visit: aetnamedicare.com/findprovider.

 

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

Aetna’s Med Supp 2020 Incentive Trip Update

Aetna has made a few changes regarding their 2020 Broker Incentive trip. The new destination will be at San Francisco, California.

Click below for a few communciaitons that Aetna has provided to explain the changes.

Some  Highlights of the Updates:

  • Aetna is  lowering overall qualifications for agents to $175,000 in placed premium.
  • They will still offer 3-for-1 on production for ancillary products and 2-for-1 on production for Final Expense.
  • The San Francisco highlights email will include a video featuring a celebrity guest that will share all the reasons we’re excited about San Francisco!

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

Aetna Medicare Network Update: ProMedica to Continue in Ohio

Aetna has reached a new 3-year agreement with ProMedica Physician Group. Effective January 1, 2019, ProMedica and its affiliated providers will continue to participate in Aetna’s Toledo/NW Ohio Medicare network.

There’s been no interruption to member access as an agreement was reached before the contract’s termination date. ProMedica and its affiliated providers are also included in our online provider search tool and current printed provider directories.

ProMedica Physician Group will continue to participate in the following Medicare products:

·         Aetna Medicare℠ Plan (HMO) ·         Aetna Medicare℠ Plan (PPO)

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

SilverScript Completes Acquisition of Aetna

Silverscript is excited to share that CVS Health, the largest pharmacy health care provider in the U.S., has completed its acquisition of Aetna, one of the nation’s leading diversified health care benefits companies.

The combination of CVS Health and Aetna is a transformative moment for Silverscript and the industry. With the combined capabilities of two leading organizations, Silverscript’s goal is to help transform the consumer health experience through a new innovative health care model that is easier to use, less expensive, and puts consumers at the center of their care. In doing so, Silverscript will deliver on their purpose of helping people on their path to better health.

As they bring the two companies together, your clients will continue to work with Silverscript as they do today, and receive the same great products, support and service.

Please read the Silverscript & Aetna Acquisition FAQ document here for more information.

Why Aetna/Coventry is Your Choice in Youngstown!

If you are a broker with clients in the Youngstown, Ohio area, Aetna’s MA/MAPD products have some great benefits to offer!

 5 reasons Aetna/Coventry is your choice in Youngstown:

  1. $0 premium Aetna Value Plan with members being able to access a national network of providers (Travel Advantage)/ Tri-County Network OH/PA/WV- Coventry, which includes Cleveland Clinic, University Hospital and UPMC.
  2. $0 premium Coventry PPO plan with $0 PCP copay
  3. Lower MOOP $3600 Aetna & Coventry
  4. Significant reduction of copays, PCP’s and Specialists/ Lower lab copays 0-$10 depending on plan chosen and $0 Tier 1 & Tier 2 prescription gap coverage on all plans.
  5. Both ground and air ambulance have a low flat copay

$0/MONTH

Two plan options including both medical and prescription drug coverage at $0/month

PROVIDER NETWORK

All acute-care hospitals in Ohio are in-network for Aetna members

(The Ohio State University is in-network for Aetna PPO members only)

NEW BENEFITS ADDED

Plans may include: OTC allowance, transportation, post-discharge meals, and dental, vision, & hearing benefits

If you have questions or want to get contracted with Aetna please contact your Cornerstone Senior Marketing representative.

5 Reasons Aetna is Your Choice in Northeast Ohio

 

Cornerstone Senior Marketing & Aetna MA/MAPD want to share some insightful benefit information on Aetna’s plans if you have clients in the Northeast Ohio region.

5 reasons Aetna is your BEST choice in Northeast Ohio:

  1. Access to National Network on PPO and HMO plans. Network includes ALL acute care hospitals in Ohio, with access to a national network which includes Cleveland Clinic, Akron Children’s and Aultman.
  2. Expanded service area into Wayne, Carroll and Tuscarawas counties.
  3. $0 premium HMO Value and $0 premium Value PPO plans.
  4. $0 PPO includes dental, OTC, hearing and meal benefit.
  5. Reduction in MOOP and copays including $0 Tier 1, and Tier 2 Prescription gap coverage.

 $0/MONTH

Two plan options including both medical and prescription drug coverage at $0/month

PROVIDER NETWORK

All acute-care hospitals in Ohio are in-network for Aetna members

(The Ohio State University is in-network for Aetna PPO members only)

NEW BENEFITS ADDED

Plans may include: OTC allowance, transportation, post-discharge meals, and dental, vision, & hearing benefits

 

If you have questions or want to get contracted with Aetna please contact your Cornerstone Senior Marketing representative.