Allwell’s COVID 19 Updates and Procedures

Monday March 23, 2020

Dear Allwell Broker

Thank you for all that you do to transform the health of our communities and your dedication to our under served and vulnerable populations, particularly in this time of uncertainty.

Our teammates and partners are the heart and soul of this organization. The health and safety of our employees, partners, members, and communities is our uncompromising priority. We are closely monitoring the coronavirus (COVID-19) situation and are engaging regularly with medical professionals, the Centers for Disease Control (CDC), the World Health Organization (WHO), and other government agencies as the situation evolves.

 

Company leadership, our business resilience teams, and representatives from across our businesses are engaging daily to monitor the situation as it evolves and are taking measures to keep employees and partners safe, minimize the risk of exposure to COVID-19, and ensure that we can continue to provide the services that our members rely on for their health and well-being. That said, Centene would like to offer some options on how to keep you and your clients safe while still making sure business is being conducted.

 

Telephonic MAPD Marketing Appointments

Due to the current state of COVID-19 as of 3/16/2019, Centene will allow agents to conduct telephonic MAPD sales appointments with beneficiaries.

Remember, when conducting telephonic MAPD marketing appointments with Medicare prospects seeking only MAPD information; all current CMS Medicare Marketing Guidelines, Centene policies, etc. must be followed including consent to contact and documented Scope of Appointment. The Scope of Appointment (SOA) can be initiated via email or text through the Ascend application and must be in an ‘accepted’ status prior to discussing any plan information. If your client does not have access to email or a method of texting traditional paper SOA forms are required.

 

After all CMS requirements are met, an agent may proceed with a telephonic MAPD marketing appointment and assist with a discussion of plan details and formulary/physician searches. Please use the presentation checklist as a way to ensure that all important topics are covered.

 

If your client agrees to enroll, the agent may:

·    Use Remote Agent Telephonic Enrollment (RATE) within the Ascend Online Enrollment Platform (must be an enrolled Ascend user)

·    Provide their Ascend PURL information to the client; or

·    Send a plan Enrollment Guide which includes a paper application (and all required documents) to be completed by their client

 

Remote Agent Telephonic Enrollment (RATE)

RATE is a powerful enrollment tool within the Ascend Mobile Application (AMA) that enables you to enroll your clients by phone. The platform will allow you to enroll your clients and still initiate a Value Based Enrollment (VBE).

 

Some important things you should know are:

·    RATE is only available with an iPad and runs on iOS technology.

·    Check that you have the latest version of iOS installed on your iPad.

·    You must have the latest version of Ascend – you can do this by logging into Ascend and it will ask you to download the latest version.

·    Verify that your Ascend Resources are up to date. You can check this by clicking on “Resources” and confirming that “Resources are up to date” in the top right-hand corner of the application.

·    Once in the Ascend Mobile Application (AMA) make sure that you click the drop-down menu under your name in the top right-hand corner of the application and choose “Accepting Calls.”

·    Disregard the “Unavailable” section in the drop down menu.

·    Telephonic sales must be done using RATE only.

·    Confirm that your RATE access is functional and that you have your unique 1-800 number found in the same drop-down menu next to “My Number.”

·    If you are conducting a telephonic sale, appointments must get a documented Scope of Appointment (SOA) prior to starting the appointment.

·    You can NOT initiate or accept a RATE call if you are already in a scheduled meeting.

·    Your iPad should be used in landscape mode, this will ensure that you can view the “Start Meeting” button.

·    You MUST follow the approved RATE script – all phone calls are recorded.

·    The RATE script should be downloaded to another device or printed out as the script cannot be viewed on the same iPad screen.

·    Agents should review the entire RATE script prior to using RATE for the first time and be aware of all statements that must be covered including those that MUST be read verbatim.

·    You can NOT initiate Blue Button using RATE.

·    Make sure that the enrollment is complete prior to initiating the VBE. If selecting “Call Now” for VBE, ensure that you have wrapped up conversations with your client as they will be called immediately after clicking “Call Now”.

·    Once your RATE enrollment is complete send an enrollment guide to your client to ensure they have access to important and required documents.

 

For further information on RATE please download the following documents

 

RATE Training

 

RATE Best Practices

 

RATE Approved Script ENGLISH

 

RATE Approved Script SPANISH

 

RATE Tutorial Video

 

Personalized URL

Every agent who is registered to use Ascend has a Personal URL (PURL) that you can use to connect your client with the Ascend online enrollment tool if you are not able to do a face to face meeting.

 

The PURL can be found in the Agent Portal (tile on the home screen of AMA) and accessed with the same Ascend credentials. Your PURL can be sent electronically to your client who wish to do an online enrollment on their own.

 

Some important things you should know are:

·    Your PURL is unique to you and is created on your first login to the agent portal (once you login click on “View Enrollments” and the PURL will be at the top of the page).

·    The PURL is attached to your writing numbers so that you will get credited for the sale when an enrollment is made through the tool.

·    The Ascend Quote and Enrollment tool will look the same for the agent as it would in the AMA, however, lead information and other items like Scope of Appointment will not be merged into the application.

·    VBE and Blue Button are NOT options when using your PURL.

 

While we are in unprecedented times it is important that to take precautionary measures to keep yourself and your loved ones safe so please use the alternative enrollment options whenever possible.

 

Paper Application

If you are sending an Enrollment Guide with a paper application, make sure that you complete the Office Use Only section including your name and NPN. Do not fill out the received date.

 

Special Enrollment Period (SEP) for Beneficiaries affected by COVID-19 (Coronavirus)

The COVID-19 pandemic is declared a national emergency with incidents declared on the FEMA website for all US states. Therefore CMS guidelines surrounding Special Enrollment Periods will be in effect. If your client or client’s authorized representative has been affected by COVID-19 as documented by FEMA and were not able to enroll, dis-enroll, or switch their Medicare health or prescription drug plan during another valid election period due to the national emergency, they will have a Special Enrollment Period (SEP) that is currently available.

 

For more information about COVID-19 SEP please visit: https://www.fema.gov/disasters

 

Hours of Operation:

As of now, all call centers will be operating business as usual. As our country continues to prepare and execute safety measures, we will continue to evaluate business processes that will ensure the safety of all partners.

 

Protecting our members, employees, and partners conducting home visits:

Centene is taking steps to cover COVID-19 testing and screening services for Medicaid, Medicare, and Marketplace members and is waiving all associated member cost share amounts for COVID-19 testing and screening.

We will not require prior authorization, prior certification, prior notification, or step therapy protocols for COVID-19 testing and screening.

Enhanced protocols have also been created to ensure our pharmaceutical services continue to be available for members through supply chain management.

To lower the risk of transmission of illness we suggest taking precautions, such as reaching out by telephone prior to home visits to ensure that those being visited are not experiencing any symptoms related to COVID-19. As always, please ensure to adhere to all CMS guidelines.

 

We encourage you to reference the Centers for Disease Control and Prevention (CDC) website as well as local government guidance for current updates. Further, ensure to use the following precautionary measures to support a safe and healthy environment:

·    Thorough hand washing with soap and water for at least 20 seconds — hand hygiene is the most effective method to control the spread of many viral illnesses.

·    Using alcohol-based (containing at least 60 percent) hand sanitizer.

·    Covering your mouth when you cough or sneeze by coughing and sneezing into a tissue and then disposing of the tissue in a wastebasket.

·    Thoroughly cleaning surfaces that may be contaminated.

·    Avoiding shaking hands and close contact with people who are sick.

 

We appreciate your cooperation and support in serving our members and communities in this time of need and uncertainty. As the situation evolves, please know that additional measures will be taken with a local-oriented approach, and we will continue to ensure our employees and partners are supported and safe.

 

If you have any questions regarding the above information please reach out to your local Account Executive or to our Broker Services team at 1-844-202-6811 Monday through Friday, 9:00am to 5:00pm all time zones.

 

Thank you for your continued support.

 

Allwell

 

Approval ID: SCApproved-320-EFT-20200320

Disclaimer: For Agent use only – Not approved for presentation or distribution to Medicare beneficiaries

Centene & WellCare Combination Completed – Message from Centene

Centene’s full message regarding the Centene & WellCare combination:

We are pleased to announce that the combination of Centene Corporation and WellCare Health Plans is complete. The combining of Centene and WellCare has successfully created a premier healthcare enterprise focused on government-sponsored healthcare programs. No one company has brought a private sector focused approach to all facets of government healthcare – Medicaid, Medicare, the Health Insurance Marketplace and military services until today.

What does this mean for our Brokers?

  • Stronger infrastructure leads to stronger tools and resources that Allwell will be able to provide to our brokers, agencies and field staff through this merger.
  • Centene will continue to honor the relationships established independently by each of our two companies. No disruption to existing partnerships will take place at this time.
  • There will be no changes to any existing broker or agency contracts or hierarchies during 2020 as a result of the combination.
  • Our brokers and the role they play in our distribution structure will still remain our top priority for both organizations.

What does this mean for your clients?

This transaction has many benefits for your clients, our members.

  • Immediately following the close, there are no changes to the Medicare member experience within WellCare or Centene.
  • Centene and WellCare will build on both companies’ strong commitments to the communities in which our members live and work by offering competitive and comprehensive healthcare plans.
  • The combined company will enhance its efforts to address the social determinants of health such as food insecurity, housing instability, homelessness, unemployment, lack of access to transportation and other non-medical barriers to health.

What’s the big picture?

This combination further reinforces our commitment to being the preeminent leader in the Medicare space. We value our partners, and look forward to continuing to provide healthcare solutions that meet the unique needs of the communities in each state. Most importantly, we are committed to our partnership and working together to continue providing access to the high-quality cost-effective healthcare solutions we have always provided.

 

For further information please read our Corporate Press Release or go to our website at https://centene-wellcare.com/.

Thank you for you partnership and continued support.

 

Allwell Medicare Advantage

Allwell’s AEP Helpful Tips & Trends Update

Allwell hopes that you are off to a great start this AEP! This week Allwell is going to focus on making sure your marketing efforts are compliant, geo-coded directories, the broker portal and some fantastic partnerships Allwell has that you can share with your clients.

Tip # 1: Be Compliant

We realize that marketing is incredibly important when it comes to outreach so let us help you be compliant. Our compliance team is here to review any material, marketing or communication that will be seen or heard by your Medicare clients that represent Allwell.

CMS defines marketing as the use of materials or activities that are conducted with the intent to draw a beneficiary’s attention and to influence a beneficiary’s decision-making process when selecting a MA plan. Additionally, marketing contains information about the plan’s benefit structure, cost sharing, measuring, or ranking standards.

Check your materials, make sure that you are compliant. Simply reach out to your local Account Executive and they can help. Any and all client facing materials such as websites, social media posts, print, radio or local sponsorships that meet the definition of marketing must be reviewed and approved by our compliance team in advance.

NOTE: Compliant marketing also extends to social media posts with or without a sales intention. Any use of a company name without approval, whether the intent is positive or negative, can potentially be considered a non-compliant action.

Tip # 2: Geo-Coded Directories

Having a list at your fingertips of primary care physicians, specialists, hospitals and outpatient facilities that are within your client’s service area so that you can submit an accurate and compliant application is helpful. It is important to make sure that you are confirming availability and assigning your client’s (Primary Care Physician) PCP and (National Provider Identifier) NPI when submitting your client’s enrollment application.

Prior to your appointment printing out or having the link to a geo-coded directory for the area in which you are meeting your client may be a good idea. Log on to your local Allwell plan website and go to the “Find a Doctor or Pharmacy” tab. Click on the link labelled “Geocoded Provider Directory Search.” From there you are able to create a directory by Zip code or Address for the Product Type, State, and Specialty.

Tip # 3: Resources at your Fingertips in the Allwell Broker Portal

Once you are actively contracted with Allwell you have the ability to register for our broker portal where you can access a myriad of useful tools and resources to assist you in your sales. You can track your book of business, commission payments, VBE and Blue Button Administrative Payments, eligibility, view sales quoting tools, and access support documents such as forms, brochures and helpful how-to videos on our Ascend online application platform. To register for the broker portal simply visit broker.brokersecureportal.com and create an account. Once you log in you will find a complete user guide in the footer of the portal. If you have any questions or need assistance please contact our Medicare Broker Services Department at 1-844-202-6811 or email medicarebrokerservices@centene.com

NOTE: You must be contracted and have an NPN number in order to gain access to the portal.

Tip # 4: Use the Allwell Partnerships to your Advantage

Help your clients find FREE programs in their area that best suit their needs. BenefitsCheckUp® is the most comprehensive, free web based service of its kind in the nation that screens for benefits programs for seniors with limited income and resources. BenefitsCheckUp ® users can select categories of programs that interest them to screen for more than 2500 public and private benefit programs in all 50 states.

Inform your clients of how they can earn money by receiving specific preventative screenings or care visits. Your client is automatically enrolled in the My Health Pays ® program once they are an Allwell member. After they complete an eligible preventive screening or care visit and the claim is processed, a Visa ® Prepaid Card is sent to them with their reward amount pre-loaded onto the card. Your client can then redeem those reward dollars at any Walmart, or Sam’s club as well as for certain transportation, utilities, and telecom services. It pays to stay healthy!

Broker Services team at 1-844-202-6811

October 15th – December 7th, Monday thru Friday 9:00am to 7:00pm, and Saturdays, 9:00am – 1:00pm, each time zone.

2019 THANKSGIVING HOLIDAY HOURS:

Broker Services with be closed November 28 – December 1

Ascend Help Desk & VBE Wellness Advocate will be closed November 28

Allwell 2020 AEP Helpful Tips & Trends

Administrative Payment Payouts, SEP Notice, MBI Locator, and Ascend Resources

AEP is in full swing and it’s important that Allwell keeps you, their brokers, informed and up-to-date on any and all information that will help you be more successful. Below are some hot topics Alllwell wanted to share with you.

 

Tip # 1: Administrative Payment Payouts

Don’t forget that when you initiate a VBE ($50) and Blue Button ($30) you will receive an extra $80 in administrative payments.*

VBE payouts have already started so make sure you are logging into your Allwell Broker Portal to keep track of your payments.

Blue Button payouts will commence as of November 20, 2019.

Administrative Payments are paid out on a weekly basis.

For any questions or concerns about your administrative payments please call Broker Services at 1-844-202-6811

Tip # 2: Special Enrollment Period (SEP) for Beneficiaries Affected by Severe Weather

If your client or client’s authorized representative has been affected by severe weather as documented by the Federal Emergency Management Agency (FEMA) and were not able to enroll, dis-enroll, or switch their Medicare health or prescription drug plan due to the disaster, they may be eligible for an SEP. If your client qualifies for an SEP they have four (4) full months from the day the disaster occurred to enroll, dis-enroll or switch their plan.

When enrolling your client for a weather related emergency or major disaster SEP within the Ascend online application you must make sure to use the correct election selection in the election period section of the application.

The election you need to choose is: “I was affected by a weather-related emergency or major disaster as declared by the Federal Emergency Management Agency (FEMA). One of the other statements here applied to me, but I was unable to make my enrollment because of the natural disaster.”

For more information about SEP please visit: https://www.cms.gov/AboutCMS/AgencyInformation/Emergency/Downloads/MedicareBeneficiaryDisasterEnrollmentQsandAs.pdf

For more information about areas that qualify as a disaster area please visit: https://www.fema.gov/disasters

Tip # 3: How do I Help my Client Locate their Medicare Beneficiary Identifier (MBI) Number?

It is important that you use your clients MBI number on the enrollment application when enrolling your client into an Allwell plan. If you don’t use your client MBI number the application process is slowed down considerably.

Your client can find their MBI number by:

  • Looking on their newly issued Medicare Health Insurance Card
  • Calling the Medicare help line at 1-800-633-4227
  • Logging into their gov account

If your client is new to Medicare and doesn’t have a Medicare card yet, they can get their Medicare number by logging into their Social Security Account

Tip # 4: Find Valuable Documents and Videos in the Ascend Resource Library

The online Ascend platform is so much more than just an online application platform. Once logged into the portal you can access the Resource Library where you can find valuable documents and videos to assist you in all your Allwell Sales. You will find documents such as Evidence of Coverage, Summary of Benefits, Sales Presentations, VBE training, Blue Button demo training and much more.

For More Information on Using the Allwell Online Application Platform, Ascend Check out Allwell’s FAQs

ASCEND FREQUENTLY ASKED QUESTIONS

Centene/WellCare Merger Gets Approval From Five More States

Article courtesy of WellCare/Hill+Knowlton Strategies

Centene Corp. and Tampa-based WellCare Health Plans Inc.’s planned $17.3 merger has gained the approval of five more states.

Arizona, Connecticut, Georgia, Ohio and Texas join 17 other states that approved of St. Louis-based Centene Corp’s (NYSE: CNC) acquisition of WellCare (NYSE: WCG). This latest round of approvals brings the total count of insurance departments that have signed off on the merger to 24. The companies originally sought the approval of 27 departments.

“We are making important progress in our merger process and are pleased that state insurance regulators continue to see the benefits that our combination will bring to recipients and communities,” Michael F. Neidorff, Centene’s chairman, president and CEO, said in a statement. “We will continue to work with the remaining state insurance regulators to demonstrate how we will provide recipients with access to affordable, high-quality services and products as well as deliver fair compensation for providers and create savings for states.”

The two companies expect the deal to be completed in the first half of 2020. WellCare is one of the Tampa Bay area’s largest public companies, according to Tampa Bay Business Journal research.

Allwell’s New Medicare Blue Button Technology is Here!

One small button. One big benefit.

Integrate your clients provider, pharmacy and prescription data into the Ascend online enrollment platform with the click of a button.

It’s quick. It’s easy. It’s accurate.
As you enroll your clients using Asend this AEP, you will have access to the Medicare Blue Button technology. This technology reduces enrollment time and increases the accuracy of your clients enrollment information. Your clients can import the following personal information directly from CMS:

• Provider Information
• Prescriptions and Dosages
• Pharmacy Information

During the enrollment process you will have the ability to have your client access their data by using their mymedicare.gov username and password. If they don’t have their username and password with them simply have your clients retrieve their information by logging on to MyMedicare.Gov or, if they don’t have an account you can help them create an account, which is quick and easy to do.

Keep a Look Out – More Information on Administrative Payment and Training to Come

Blue Button data integration is an option for your client, it is not a requirement to enroll.

Sales agents will receive a $30 administration fee paid to the broker that is distinctly separate from the sales commission and associated CMS commission guidelines. Agents will recieve the $30 if they are able to click the button in Ascend AND the member has an account set up  on Medicare.gov. This administration fee is in compliance with CMS requirements and is intended to encourage sales agents to facilitate the smooth transition of new enrollees.

 

If you have any questions, please contact your Cornerstone Senior Marketing representative 

Centene/Allwell & Wellcare Agreement Update

Centene is pleased to announce that they have entered into a definitive agreement to acquire WellCare. The combination of these businesses will create a premier healthcare enterprise focused on government-sponsored healthcare programs and a leader in Medicaid, Medicare and the Health Insurance Marketplace.

Like Centene, WellCare believes that affordable and quality healthcare is best delivered locally. WellCare brings to Centene a high-quality Medicare platform, increases their exposure to government-sponsored healthcare solutions through its Medicare Advantage and Medicare Prescription Drug Plans, and further extends their robust Medicaid offerings. Headquartered in Tampa, Fla., WellCare serves more than 5.5 million members nationwide.

Centene takes the lead to build on their competitive strengths and serve the government partners, providers and members.

Some highlights about the combined company:

  • Centene would serve approximately 22 million members across all 50 states, making them the leader in government-sponsored healthcare.
  • Centene will be better positioned to serve members with increased scale and more comprehensive and differentiated solutions to meet their needs.
  • Centene will benefit from leveraging their growing position in the Health Insurance Marketplace to new markets.
  • They will continue investing in technology and programs for the benefit of all stakeholders.
  • Centene will continue to focus on leading the market with affordable, high-quality, culturally-sensitive healthcare services and enhancing robust efforts to address the social determinants of health.

Planning for Integration

Centene expects to complete this transaction in the first half of 2020, subject to various closing conditions, including regulatory and shareholder approvals.

Both Centene and WellCare have proven track records in executing these kinds of strategic transactions. While this acquisition is in large part about growth and realizing the benefits of our enhanced scale, it will also be about using their combined strengths, especially in markets where both operate.

Next Steps: Business as Usual

Importantly, until the closing of this transaction, Centene and WellCare will continue to operate as independent companies.

 

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

Wellcare Health Plans Inc Agreed To Combine with Centene

Wellcare Update: Wellcare Health Plans, Inc. has agreed to combine with Centene. While the transaction is not expected to close until the first half of 2020, you may have questions about what this means for you. At this time there are still many questions that Wellcare will not be in a position to answer, but it is important for you to know that nothing will change for now and Wellcare is confident the combination will benefit everyone over the long-term.

For further questions, please download the FAQ.

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

Allwell Training Available in Cleveland

Join CSM and Allwell for an interactive training session in our Cleveland office to learn more about what you can offer your clients with Allwell’s products.

Please only RSVP to one date and location. Training is the same content on both days. 

Wednesday, February 13th

TIME: 10:00 am – 12:00 pm

LOCATION: Allwell’s Akron Office

3700 Embassy Parkway

Akron, OH 44333

Wednesday, February 20th 

TIME: 10:00 am – 12:00 pm

LOCATION: CSM Cleveland Office

4500 Rockside Rd., Suite 330

Independence, OH 44131

RSVP to Danielle Flesch @ Danielle.Flesch@cornerstoneseniormarketing.com

Topics to be discussed during training include:

  • How to market Allwell’s DSNP product
  • Allwell’s Online Enrollment – Value Based Enrollment information
  • Marketing tools

Not appointed with Allwell? Contact your Cornerstone Senior Marketing Sales representative for more information! 

Allwell’s 2019 D-SNP Has Expanded Into 68 Counties In Ohio

ATTENTION NORTHWEST OHIO AGENTS

See new counties now available in your area!

Allwell’s 2019 D-SNP has expanded into 68 counties in Ohio!

Check out the D-SNP network below:

  • Promedica- Fostoria Community Hospital, Flower Hospital, Memorial Hospital, Toledo Hospital, Bay Park Community Hospital, Defiance Regional Medical Center, Arrowhead Behavioral Hospital
  • Mercy- St. Anne Hospital, St. Charles Hospital, St. Rita’s Medical Center, St. Vincent’s Medical Center, Defiance Regional Medical Center
  • And more- Cleveland Clinic, University Hospital, University of Toledo Medical Center, St. Luke’s Hospital, Bellevue Hospital, H.B. MaGruder Hospital, Regency Hospital of Toledo, Lima Memorial, Firelands Regional, Wood County Hospital, and Community Hospitals and Wellness Centers.

Competitive benefits to go with a strong network!

  • $1,000 allowance for comprehensive dental, including DENTURES
  • Member pays $0 copay for two hearing aids each year
  • Vision allowance for contacts and eyeglasses
  • $80 monthly allowance for over-the-counter items
  • Transportation included—48 one-way trips
  • Fitness membership

ALSO… take advantage of Allwell’s FULL REIMBURSEMENT of your AHIP fees!

  • It does NOT matter where you took the AHIP test. You do not have to take it through Allwell to receive full reimbursement!
  • Must be certified and contracted to sell 2019 Allwell/Health Net MA plans
  • Must have a minimum of 5 new sales with a January 1, 2019 effective date

Qualifying sales must remain active with the plan through March 31, 2019.


Not contracted with Allwell? Contact your Cornerstone Senior Marketing sales representative for more information.