Anthem’s Limited Agent Support Center Staff

A Message from Anthem as of 3/19/20:

During these times of change, Anthem asks that you be patient with. As of yesterday (3/19/20) California has issued a statewide shelter. Our Medicare Agent Support center is based in California. This will reduce the number of agent services representatives we have available. Wait time will be longer than normal.

To help with the wait time we ask that you use the DSNP Validation tool. Also, email issues when you can. Please add member name, id, and dob with any details you can provide.

In the wake of these unprecedented times we appreciate your patience and partnership.

 

If you have any questions please reach out to your CSM rep

Anthem advancing Med Supp comimssions starting April 2020 and more!

Medicare Supplement commissions will be paid for 9 months in advance beginning in April.  Learn more here.

Medicare Supplement Plan offerings for Under 65 applicants.  In most cases, an under-65 applicant must apply to enroll in a Medicare Supplement plan within six months of their Part B effective date, unless they have a Guaranteed Issue right.  Learn more.

Primary Care Physician Auto-Assignment – Member Impact:  Improve member satisfaction by making sure you client’s Primary Care Physician (PCP) selection is correct to avoid PCP auto-assignment.  Learn more.

Anthem, Inc. Acquires Beacon Health Options:  Joining forces enhances whole-person health care in new ways!  Learn more.

 

Anthem Ohio: Growing Your Business While Dealing with Coronavirus

We are all navigating uncharted territories as we face new developments from the Coronavirus every day. The health and safety of Anthem’s members and you, our partner brokers, is of the utmost importance. Given the demographics of our business, these individuals are at the greatest risk. We know that potential clients may not want to meet in person until we come out the other side of this virus. This presents new challenges for how to continue to write business. To this end, Anthem is committed to share ideas with you that will assist in the ability for you to continue to provide the valued services you offer and allow our senior and dual population to obtain the coverage they need.

 

You will find a presentation on how to transfer an application to your client HERE. Anthem recently made changes to this process. The  document highlights how your client can log in to the application without having to create an account, thereby removing the cumbersome challenges with that process. Once you have transferred the application, your client will receive an email that contains a PIN number.

Please stress the importance of keeping this PIN number available. The number is required to log in to the application. Once they have written down the PIN, they click on the link to the Online Store, enter the PIN and their Date of Birth, and they are then directed to “Complete Your Application” . It is very important that at this point they select “Continue as Guest”. This will bypass the need to create an account and allows them to move immediately into the application.

Please review this document and reach out to any member of the Ohio team with questions. Also, please check www.anthembrokerconnection.com for dates of upcoming webinars where we will be reviewing the entire online application process.

 

Additionally, now is a great time to contact your existing clients and remind them that they have the ability to “visit” a physician from the comfort of their home through our LiveHealth Online benefit. Please see the below information that outlines how you can order co-branded LiveHealth Online brochures at no cost. These are great pieces to share with your existing clients. We encourage you to discuss this benefit with all prospects as well as it positions you as their health care expert who will guide them safely through the buying decision with their health as your number one priority.

 

Now more than ever is an important opportunity to promote LiveHealth® Online doctor visits

Because the health and safety of all we serve is a priority, you can help by encouraging the use of online doctor visits from home with the LiveHealth Online Flier – available NOW on the Sales Toolkit.

 

Visit the Sales Toolkit TODAY and customize the flier with your contact information. Share the flier with prospects, current clients and your community centers of influence. Reminding them of this valuable tool supports our commitment to access to care, especially for those with special needs.

 

LiveHealth Online is a safe and effective way for members to see a board-certified doctor and receive health guidance from home with a smartphone, tablet or computer-enabled web cam.

Anthem Ohio March Updates & Upcoming Training Dates

Please see the following important information to stay in the know:

Member Retention:

  • Anthem has developed a series of emails that are designed to help you avoid member disenrollment. Maintaining your existing clients is just as important as writing new clients so these email are created with your long term success in mind. Two emails have been sent to date, How to Avoid Pended Applications and Start Your New Members Off Right With These Helpful Tips. 

MAPD:

  • Did you know that you can use mProducer to retrieve Medicare information for one of your leads?  You will receive the following Medicare information:
  • Part A Effective Date
  • Part B Effective Date
  • Current Plan (Contract code that can be Googled for the specific carrier and plan)
  • Drug Gap in Months (Number)
  • Medicare Status (relative to the proposed effective date entered)
  • Has LIS for PED (Does the client have low-income subsidy for the proposed effective date?)
  • LIS Category (1-4)
  • Date LIS SEP Used (The date that LIS was last used as an SEP)

In mProducer, click the Eligibility Check Medicare and Medicaid tile, enter required information on the Medicare Check tab, and click the Check Eligibility button.

Medicare Supplement:

  • Anthem Gave Away Almost $170,000 Extra Last Month! Their Medicare Supplement bonus program is a great opportunity to earn additional income with just 3 applications per month. This bonus is based on the effective date of the application and resets each month.
  • If you sell 3-4 approved Medicare Supplement plan enrollments, you’ll receive $150 bonus per sale!
  • If you sell 5-9 approved Medicare Supplement plan enrollments, you’ll receive $200 bonus per sale!
  • If you sell 10 or more approved Medicare Supplement plan enrollments, you’ll receive an additional $250 bonus per sale!
  • Medicare Supplement Quick Reference Guide is attached with language updated regarding waiting period.

Essential Extras:

  • When selecting Assistive Devices, the $500 benefit will be loaded to the member’s OTC card.
  • The 2020 Essential Extras packets have mail to members and contain the following:
    • Cover Letter – invites the member to look inside the brochure to understand the Essential Extras benefit
    • Essential Extras Brochure/Selection Form – Color Brochure that explains the Essential Extras benefit including a selection form to enroll in their free benefit.
    • 1557 – non-discrimination statement in threshold languages

2020 D-SNP Car Magnets Are Here!

  • The 24” x 12” car magnets (set of 2) can be attached to any flat, smooth, magnetic vehicle surface and are a great way to advertise and grow your Medicare business on-the-go. Contact your Regional Sales Manager for more information.

Training:

Please join us for our monthly webinar series. Registration is required at www.anthembrokerconnection.com. This site is not supported by Internet Explorer. Please also visit this site for a listing of CE classes and in-person training events.

Monday, March 9th – mProducer

Monday, March 23rd – Marketing Done Right

April 6th – mProducer

April 20th – Special Election Periods and Timeframes

 

Anthem Ohio Feb. Updates & Reminders

Agent of Record (AOR) Important Reminder:

  • Agent of Record (AOR) changes will not be accepted via a form letter or typed letter. Members requesting an AOR change must send a signed, hand-written letter to Anthem Inc., either by mail, fax or email attachment.  This process applies to Medicare Supplement, Anthem Extras and Medicare Advantage policies, including Part D.The letter must include:The letter must include:
  1. The letter must include:
    1. The member’s name and policy number,
    2. The name and encrypted tax ID or agent ID of the new Agent of Record, and
    3. Must include a signature date indicated in the letter.
  2. Anthem reserves the right to contact the member in order to validate all Agent of Record changes. The AOR request may be denied due to lack of confirmation.
  3. For like-to-like plan changes, such as a change from a Medicare Advantage (MA) plan to a different MA Plan, Anthem will maintain the original Agent of Record associated with the new policy, even when a new agent submits the new application.
  4. An exception to item #3 will be made if a member specifically requests a new AOR by submitting a signed Agent of Record letter to Anthem requesting the AOR be changed. Once Anthem confirms the request from the member, the AOR change request will be honored. Remember, form letters will not be accepted.
  5. For unlike plan changes, such as a member choosing to move from a Prescription Drug Plan to an MA plan or an MA plan to a Medicare Supplement plan, the Agent of Record as indicated on the new application will be assigned as the Agent of Record for the member.

View Full AOR Article Here

 

Provider Network Updates:

  • Agreements have been reached with no lapse in network status for the following providers:
    • Emergency Medicine Phys of Cincinnati – ER group at Mercy facilities in Cincinnati
    • Emergency Medicine Phys of Cuyahoga County – ER group at Summa Health facilities
    • Memorial Health System Marietta

 

Blue View Vision Network Change Effective February 1:

  • National optical retail stores Sears Optical, JCPenney Optical and Stanton Optical will no longer be in our Blue View VisionSM eye care plan network beginning February 1, 2020. Clients with Blue View Vision still have access to more than 37,000 eye doctors at more than 25,000 locations nationwide. That includes local independent eye doctors, regional optical stores and national brand stores – Glasses.com, ContactsDirect, 1-800 CONTACTS, LensCrafters, Pearle Vision, Target Optical, Eyemart Express and America’s Best Contacts & Eyeglasses. We’ll continue to add new providers to our vision plans throughout the year.

Medicare Supplement 6 Month Rate Guarantee:

  • In several states, Medicare Supplement premiums will not change as a result of their birthday or state approved premium changes for a minimum of six months. View flyer here.
    • The premium guarantee is available to all new enrollments with policy effective dates of 01/01/2020.

View the updated Medicare Supplement Quick Reference Guide

 

2020 Medicare 101 presentations are NOW available:

  • Educational events and one-on-one presentations are a great way to interact and build relationships with prospective members. This presentation showcases your role as a Medicare Expert and provides an easy-to-understand explanation of Medicare. The presentation is concise, compliance-approved, customizable and ideal for those events where your audience is new to Medicare.
  • The updated 2020 Medicare 101 Presentations are available in the Sales Toolkit. Just look in the MA/MAPD or Med Supp sections in the Presentation folder.
  • The presentation can be personalized (slide 35) with your contact information.
  • NOTE: Slide 1 of the presentation includes notes that are required by compliance to be mentioned during the presentation. Be sure to delete the slide before your presentation.

 

Anthem YouTube:

  • Anthem has two new short recordings for our “Anthem” YouTube site:
    • The link: (https://youtu.be/ypPgkjAgXo0)  will link to a 10 minute recorded review of basics of Understanding Low Income Subsidy. It helps to explain the difference between Low Income Subsidy (LIS) and Low Income Cost Sharing (LICS).
    • The link: (https://youtu.be/u_BOlokFo7w) reviews some of the advantages found in many of our plans as a result of our commitment to the Social Determinates of Health benefits program. It lasts approximately 14 minutes

Anthem EFT Backlog Update

Anthem’s amount of PDP applications that were written far exceeded expectations. However, with that being said, their billing partners are experiencing some backlog in the EFT queues. Here are a few helpful reminders:

  • Is the EFT document going to the right place?

Some agents have been faxing in the payment option page (generally page 3) of the application along with the voided check to the new application fax number. While Billing is ecstatic that we are getting the voided check- this is not the correct protocol and could cause more member abrasion. WHY?  Sending a 1 pager to the application queue with the voided check results in INCOMPLETE APP letters generating to members because the processors are trained to look for a full application in that queue.

What should agents do?- Please send the correct EFT form and voided check via fax to 800 833 8554.

  • When will the Feb drafts pull?

The draft requests go out from Anthem on the 3rd of each month. Typically members will see drafts pulled from their accounts around the 5th or 6th, but this can vary based on the receiving bank or whether there is a weekend or holiday. It could be as late as the 9th.  Remember: Anthem bills in advance (bill for Feb is sent in Jan), the drafts are pulled for the current month and any arrears. It could take up to 2 billing cycles for the draft to take effect. Members should be prepared to pay their bill if they want to avoid a double draft. Thank you for continuing to help set that expectation!

  • Checking the status of an EFT set up during this backlog?

Billing is working the inventory in the order received to bring the draft requests current by the time the next scheduled draft runs. Anthem does want to be sure that billing has everything needed to get members squared away, multiple inquiries/submissions will not move these documents to the front of the line. Customer Service and Agent Services can confirm if the necessary documents are in queue and help avoid multiple submissions. The billing team will be focused on the queues vs email requests asking for status.

 

If you have any questions, contact your CSM service representative.

Anthem’s 2020 Updates & Important Info

MA/PDP Bank Drafts:

A voided check has always been required to set up EFT on these contracts. It could take up to 2 billing cycles for the draft to go in effect so members can expect a bill the first month. PDP members who fall out of the automation process and who have not submitted a voided check are receiving letters requesting a voided check. Unfortunately, IT is unable to retrieve the electronic banking info from the system due to how the info is encrypted.  The voided checks need to be submitted until a fix is identified.

February bills are being dropped between 1/3 and 1/9 so please make members aware that they could receive another bill.

HOW to submit voided check info?

  1. If the draft info is in-house, but they just need to confirm if it is a checking or savings account,  work through Agent Services.
  2. Submit the correct EFT form with data via fax: 800 833 8554

Open Enrollment Period (OEP): 

The Centers for Medicare & Medicaid Services (CMS) has re-established an Open Enrollment Period (OEP).  OEP will begin January 1 and end March 31, 2020.

This enrollment opportunity is available to beneficiaries who are currently enrolled in a Medicare Advantage Plan (with or without drug coverage) and allows the following:

  • Switch to another Medicare Advantage Plan (with or without drug coverage).
  • Disenrollment from the Medicare Advantage Plan and return to Original Medicare and enrollment into a standalone Prescription Drug Plan.

During this period, beneficiaries may not:

  • Switch from Original Medicare to a Medicare Advantage Plan.
  • Join a Medicare Prescription Drug Plan (if currently enrolled in Original Medicare).
  • Switch from one standalone Medicare Prescription Drug Plan to another.

One change is permissible during this period, and any changes made will be effective the first of the month after receipt of the enrollment application.

Marketing Guidance

Plans, including agents/brokers, may NOT knowingly conduct any OEP marketing to Medicare Advantage members during the OEP timeframe. This prohibition includes knowingly targeting or sending any unsolicited marketing materials, by telephone, direct mail and/or e-mail.

Examples of ‘knowingly’ targeting for OEP:

  • Sending unsolicited materials advertising the ability/opportunity to make an additional enrollment change or referencing the OEP.
  • Messaging specifically calling out the OEP; including dates/timeframe – even in an ‘educational’ context for existing members/clients.
  • Marketing to beneficiaries who are in the OEP because they made a choice during the Annual Enrollment Period (AEP) by purchase of mailing lists or other means of identification.
  • Engage in or promote agent/broker activities that intend to leverage the OEP as an opportunity to make further sales.
  • Call/Contact former enrollees who elected a new plan during the AEP.

Marketing activities focused on other enrollment opportunities may continue to be conducted, such as (but not limited to):

  • Age-Ins
  • 5-star Plans (if available)
  • Dual-eligible and LIS beneficiaries

Agents/Brokers may also, upon beneficiary request, send marketing materials, schedule one-on-one meetings and provide information regarding OEP via telephone.

Note: The unintentional receipt of other marketing materials by beneficiaries who have already made an enrollment decision is not be considered knowingly targeting.

Additionally, if a beneficiary contacts an agent/broker and asks about their eligibility to enroll into the plan — but makes no explicit reference to OEP — the agent/broker can and should review their information and utilize an eligible enrollment period, including OEP, to assist the beneficiary with the desired plan change.

For example, if an agent/broker sends mailers to a list of age-ins discussing the Initial Coverage Election Period (ICEP), it is possible that some recipients may have already made an enrollment decision; however, the content of the message to the intended audience of age-ins is not prohibited OEP marketing.

OEP activity must be initiated by the member.

Any proactive marketing or unsolicited contact by an agent/broker during the OEP will be subject to a Sales Allegations and subsequent corrective action.

The Centers for Medicare & Medicaid Services (CMS) has re-established an Open Enrollment Period (OEP).  OEP will begin January 1 and end March 31, 2020.

This enrollment opportunity is available to beneficiaries who are currently enrolled in a Medicare Advantage Plan (with or without drug coverage) and allows the following:

  • Switch to another Medicare Advantage Plan (with or without drug coverage).
  • Disenrollment from the Medicare Advantage Plan and return to Original Medicare and enrollment into a standalone Prescription Drug Plan.

During this period, beneficiaries may not:

  • Switch from Original Medicare to a Medicare Advantage Plan.
  • Join a Medicare Prescription Drug Plan (if currently enrolled in Original Medicare).
  • Switch from one standalone Medicare Prescription Drug Plan to another.

One change is permissible during this period, and any changes made will be effective the first of the month after receipt of the enrollment application.

Marketing Guidance

Plans, including agents/brokers, may NOT knowingly conduct any OEP marketing to Medicare Advantage members during the OEP timeframe. This prohibition includes knowingly targeting or sending any unsolicited marketing materials, by telephone, direct mail and/or e-mail.

Examples of ‘knowingly’ targeting for OEP:

  • Sending unsolicited materials advertising the ability/opportunity to make an additional enrollment change or referencing the OEP.
  • Messaging specifically calling out the OEP; including dates/timeframe – even in an ‘educational’ context for existing members/clients.
  • Marketing to beneficiaries who are in the OEP because they made a choice during the Annual Enrollment Period (AEP) by purchase of mailing lists or other means of identification.
  • Engage in or promote agent/broker activities that intend to leverage the OEP as an opportunity to make further sales.
  • Call/Contact former enrollees who elected a new plan during the AEP.

Marketing activities focused on other enrollment opportunities may continue to be conducted, such as (but not limited to):

  • Age-Ins
  • 5-star Plans (if available)
  • Dual-eligible and LIS beneficiaries

Agents/Brokers may also, upon beneficiary request, send marketing materials, schedule one-on-one meetings and provide information regarding OEP via telephone.

Note The unintentional receipt of other marketing materials by beneficiaries who have already made an enrollment decision is not be considered knowingly targeting.

Additionally, if a beneficiary contacts an agent/broker and asks about their eligibility to enroll into the plan — but makes no explicit reference to OEP — the agent/broker can and should review their information and utilize an eligible enrollment period, including OEP, to assist the beneficiary with the desired plan change.

 

For example, if an agent/broker sends mailers to a list of age-ins discussing the Initial Coverage Election Period (ICEP), it is possible that some recipients may have already made an enrollment decision; however, the content of the message to the intended audience of age-ins is not prohibited OEP marketing.

OEP activity must be initiated by the member.

Any proactive marketing or unsolicited contact by an agent/broker during the OEP will be subject to a Sales Allegations and subsequent corrective action.

Medicare Supplement Plan F:

Due to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), we made changes to our portfolio of plan offerings. For members effective 1/1/2020 or later, Plan F that we offered through our Anthem Insurance Companies, Inc. (AICI) legal entity, will not be available. This change is reflected on the current Outline of Coverage, included with the sales kits in the market to support 2020 products and rates as of September 2019, and will be available through the Online Store and mProducer on January 24, 2020.

Importantly, Plan F and Select Plan F are still available for eligible enrollees through Community Insurance Companies, Inc. (CIC) dba Anthem Blue Cross and Blue Shield.  This change does not impact those currently enrolled in either plan.  Any applications for Plan F/Select F and 1/1/2020 effective dates using the OLD 2019 application will need to be resubmitted using the new application that supports the 2020 portfolio through Community Insurance Companies, Inc., or select a coverage effective date of 12/31/2019 if allowed under the applicants enrollment period.

Med Supp Kits are available with new 2020 Medicare Amounts. Rates have been updated to reflect the changes as noted above. See attached for current rates.

Medicare Supplement Bonus:

Our Medicare Supplement Broker Bonus is extended and increased for January, February & March 2020 Effective Dates!

  • If you sell 3-4 approved Medicare Supplement plan enrollments, you’ll receive an additional $150 bonus per sale!
  • If you sell 5-9 approved Medicare Supplement plan enrollments, you’ll receive an additional $200 bonus per sale!
  • But if you sell 10 or more approved Medicare Supplement plan enrollments, you’ll receive an additional $250 bonus per sale!
  • Anthem Medicare plans currently marketed include SilverSneakers and are designed with your clients in mind!
  • Our commission schedule pays lifetime renewals! You can earn 21% commission years 1-6 and 4% commission years 7+! (applies to new business only)

PDP AOR:

The AOR procedure applies to PDP plans along with Medicare Advantage, Medicare Supplement, and Anthem Extras policies.

The letter must include:

  1. The member’s name and policy number,
  2. The name and encrypted tax ID or agent ID of the new Agent of Record, and
  3. Must include a signature date indicated in the letter.

Ingenio RX replacing Express Scripts for 2020:

Attached are the IngenioRx mail order form and a claim form.

  • Improves affordability for our members.
  • Provides a more seamless member experience.  Anthem will leverage our provider relationships to ensure confident, informed decision making which will lead to better health of your members.
  • Simplified, consistent, and coordinated experience for the member.
  • Will help in keeping MAPD benefits consistent by driving total costs down.
  • 24/7 access pharmacy via toll free number on the back of their membership card.
  • Electronic Prior Authorizations.
  • Active mail-order and specialty scripts will automatically transfer 1/1/2020. Member will need to update payment information before a mail order prescription can be shipped.

MBI Only:

Effective 01/01, only the MBI format will be accepted in the online tools. You can help your prospects locate their MBI on www.SSA.gov if they do not have their card handy.  Incorrect MBIs will result in RFIs (Request for Information) whether paper or electronic apps. You can track the progress of the application in mProducer. RFI status will display what information is needed.

Transportation:

The transportation vendor in Ohio has changed effective 1.1.20. The new vendor is Access2Care.

  • Access2Care  Reservations: 877-478-5120 TTY: 866-874-3972

Optional Supplemental Benefits:

  • Optional Supplemental Benefits can only be added during certain times of the year. During AEP from October 15 – December 7, during OSB Open Enrollment Period from December 8 – March 31 or if you are a new member, you can add OSB within the first 90 days of your initial enrollment.
  • Fax the completed form to: 1-800-833-8554 or, mail to: Anthem Blue Cross and Blue Shield, P.O. Box 659403, San Antonio, TX 78265-9714

Anthem’s Change to Med Supp Plan F Offering

Due to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), Anthem made changes to their portfolio of plan offerings. For members effective 1/1/2020 or later, Plan F that was offered through Anthem Insurance Companies, Inc. (AICI) legal entity, will not be available. This change is reflected on the current Outline of Coverage, included with the sales kits in the market to support 2020 products and rates as of September 2019, and will be available through the Online Store and mProducer on January 24, 2020.

Importantly, Plan F and Select Plan F are still available for eligible enrollees through Community Insurance Companies, Inc. (CIC) dba Anthem Blue Cross and Blue Shield.  This change does not impact those currently enrolled in either plan.  Any applications for Plan F/Select F and 1/1/2020 effective dates using the OLD 2019 application will need to be re-submitted using the new application that supports the 2020 portfolio through Community Insurance Companies, Inc., or select a coverage effective date of 12/31/2019 if allowed under the applicants enrollment period.

 

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

Anthem’s New Medicare Validation

Medicare Validation is Now Available on mProducer with Anthem

Starting Saturday, 12/14/2019, Brokers can perform Medicare validation using mProducer.  mProducer will return the following information: 

  • Medicare Part A Effective Date
  • Medicare Part B Effective Date
  • Current Contract Code
  • Drug Gap in Months
  • LIS Validation
  • LIS Level
  • Date LIS Last Used as an SEP

 

It’s simple!  Just click on the landing page tile Eligibility Check: Medicare and Medicaid, enter the client’s name, date of birth, proposed effective date, and Medicare Beneficiary Identifier (MBI).  Then click Check Eligibility.

 

If you have been requesting D-SNP validation using mProducer, take note!

  • The DSNP Eligibility Check tile has been renamed Eligibility Check: Medicare and Medicaid to reflect the enhancement for Medicare only validation.
  • When performing DSNP validation, you will now click on the Eligibility Check: Medicare and Medicaid tile and then click on the DSNP Eligibility Check tab.

Medicare Only Validation and D-SNP Validation Updates

  • The field titled Do they have LIS? has been renamed Do they have LIS for the Proposed Effective Date? to make that clear.
  • You can no longer perform validations with HICN due to CMS replacing HICN with MBI.  You MUST use the MBI.

 

D-SNP Validation Updates

  • When your client is ineligible for a D-SNP plan, it is because he does not have an eligible Medicaid level, or does not have Medicaid.  The values for MEDICAID LEVEL have been updated to differentiate between these two scenarios.
    • If a client does not have an active Medicaid policy, the MEDICAID LEVEL will indicate No Medicaid.
    • If the client does have an active Medicaid policy, the response will display the Medicaid level, or Unqualified if the Medicaid level cannot be interpreted from the state data.
  • Submitting DSNP applications is quicker than ever!  When you submit the application directly after performing the D-SNP validation, mProducer will automatically populate the application with Medicare Part A and Part B effective dates, MBI, and Medicaid Number or SS, reducing data entry!

Sell Throughout The Year With Anthem!

Anthem’s Medicare Supplements and the new PDP plans for 2020 with Ingenio RX provide opportunities to continue to sell throughout the remainder of December and into the new year. Following below are key selling points of Anthem’s supplement plans and new PDP plans:

 

Medicare Supplement:

  1. Discounts up to $48 per year for EFT or annual payment.
  2. Household discount of 5% available.
  3. 21% commission for years 1-6.
  4. Aggressive bonus program, increasing for 2020.
    1. 3-4 sales $150 extra per application
    2. 5-9 sales $200 extra per application
    3. 10+ sales $250 extra per application (no cap)
  5. Will continue to provide full  Silver Sneakers program.
  6. Great brand recognition, stable and realistically priced.  No aging increase at renewal for members who are 81+.

 

Ingenio RX-Replacing Express Scripts for 2020:

  1. Improves affordability for our members.
  2. Provides a more seamless member experience.  Anthem will leverage our provider relationships to ensure confident, informed decision making which will lead to better health for your members.
  3. Simplified, consistent, and coordinated experience for the member.
  4. Will help in keeping MAPD benefits consistent by driving total costs down.
  5. 24/7 pharmacy access via toll free number on the back of their membership card.
  6. Electronic Prior Authorizations.
  7. Active mail-order and specialty scripts will automatically transfer 1/1/2020. Member’s will need to update their financial information.  Anthem is not legally able to transfer this information. Communications will go out to members.
  8. Stand-alone PDP products offered as low as $18.90 monthly.  Lowering the premiums on existing PDP products offered.

 

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