|Monday March 23, 2020
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.
Thank you for you partnership and continued support.
Allwell Medicare Advantage
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 firstname.lastname@example.org
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
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
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.
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.
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 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.
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.
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!
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.