Anthem OH Network Update: Cincinnati Eye Institute

Cincinnati Eye Institute Remains In-Network

Anthem and Cincinnati Eye Institute have resolved their contract negotiations and CEI has agreed to rescind their notice of termination.

CEI will remain IN-NETWORK for all Medicare business- HMO, PPO, and DSNP.

Cincinnati Eye Institute has also committed to notify Anthem members of their continued participation in Anthem networks on or before Thursday, November 26, 2020.

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

Anthem Ohio November 2020 AEP Updates & Reminders

Anthem communication from 11/2/20:

Slow & Steady Wins the Race!

We all know the old fable of “The Tortoise and the Hare.”  And, we’re all familiar with the moral of the story……. “Slow and Steady Wins the Race.”   Just like that fable, during AEP we must remember that slow and steady really is the key.  AEP is our Medicare Marathon; it is definitely not a sprint.  And, just like all experienced Marathon Runners, we should remember a few things to help keep us motivated and focused on our AEP success:  You Can Win with Small Consistent Steps  —  Don’t Compare Yourself with Others  —  Perseverance Will Always Yield Results.

With those strong AEP RESULTS in mind, we thought it would be a good idea to provide a quick refresher of some updates and enhancements we’ve rolled out over the last several weeks.  We suggest you keep this email handy to refer back to!

$50 HRA on DSNP

Great News! Beginning with 11/1/2020 effectives, Anthem Blue Cross and Blue Shield will reimburse Brokers $50 for their time and effort to complete and electronically submit Health Risk Assessments for new members enrolling in a D-SNP plan.  Completing a Health Risk Assessment (HRA) is an important part of helping Anthem connect your new D-SNP members with the support and care they need.  It’s fast and easy to submit your new D-SNP member’s application and Health Risk Assessment through mProducer!

Here’s How It Works:*

  • Each HRA must be completed and electronically submitted at the point of sale along with the application.
  • Reimbursement payments of $50 per HRA will be processed once the new D-SNP application is approved and the new member is active.
  • HRA completions for current members moving to or switching between D-SNP plans are not eligible for payment.
  •  Reimbursement payments will be included in commission statements.

*Reimbursement for HRA completion will be paid to the writing agent identified on the enrollment application within 60 days of the policy’s effective date. Reimbursement payments will only be paid for new D-SNP policies in participating plans sold with 11/1/2020 and beyond effective dates. Brokers associated with an FMO or MGA should consult with their agency regarding how and when reimbursement payments will be distributed

 

Care Guide Call  – MAPD Members

New Medicare Advantage plan members often have questions about their coverage.  We recognize the importance of quickly connecting with members to ensure they are taking FULL advantage of their new benefits.  The Care Guide Team includes experts who will reach out to your new Medicare Advantage members typically within the first 30 days of their approved enrollment

During this free call, the Care Guide Team will help your new members:
• Make sure they have received both their Welcome Kit (including their ID card) with the primary care physician of their choice and their OTC kit/card (where applicable).
• Review their plan benefits and answer questions about how those benefits work.
• Set up prescriptions for home delivery or pick up at a pharmacy.
• Register for online access to their plan information.
• Schedule their first doctor’s visit.
• Connect to community resources, and more.

Here’s How You Can Help: Let your new Medicare Advantage plan members know they can expect to receive a call from Anthem’s Care Guide Team typically within the first 30 days of their enrollment. Care Guide calls usually last about 20 minutes and will help your new members get off to a great start with Anthem!

 

EFT – Electronic Funds Transfer

When a member is interested in paying their premium using Electronic Funds Transfer (EFT), a voided check is no longer required!  As a direct result of your suggestions, this change was implemented and applies to Medicare Advantage Prescription Drug (MAPD) plans, as well as most Prescription Drug Plans (PDPs) submitted through mProducer.  Bank draft details entered on the screen during the enrollment process will now be passed to the plan electronically with the enrollment application. The EFT info will remain encrypted on the application PDF to protect our members. The document upload functionality will still be available if you choose to upload a copy of the voided check; however, it is no longer required.

 

Optional Supplemental Benefits (OSB) – Dental/Vision for MAPD Plans

Help your member complete their health care coverage with a dental and vision plan.  If members already have an MAPD plan in force, they have up to 90 days from the plan effective date to enroll!

Expanded coverage with:

  • One plan
  • One ID card
  • No waiting period

 OSB Plan information is included in every MAPD enrollment kit

 

Update to 2021 Plan Star Rating Fliers

The new 2021 Translated Medicare Advantage and Prescription Drug Plan Star Rating (PSR) fliers are now available on CustomPoint for downloading. The fliers are under the category “2021 PLAN STAR RATINGS.”  Also posted on CustomPoint is a versioning grid, titled “READ ME FIRST,” that will help you find the correct Star Ratings for a particular kit in those states with multiple contracts/Star Ratings.

A few items to note:

  • Old 2020 Star Ratings must be removed from Enrollment kits and replaced with the new 2021 Star Ratings by October 29, per CMS regulations. Please download and print the PSRs you will need. Once you select the PSR you need, use the “View or Print Document” link on the top right of the page for the PDF.
  • Please replace the Star Ratings fliers in kits you already have, rather than throwing entire kits away and re-ordering new ones.
  • All new Translated kits ordered through CustomPoint as of Monday, October 26th will automatically include 2021 PSRs with your order.

 

FREE 2022 AHIP Certification Training

Brokers who sell and retain 35 or more Medicare Advantage plans with 1/1/21 through 4/1/21 effective dates that are still enrolled as of 5/1/21, will earn FREE 2022 AHIP Certification Training!  Eligible NEW sales include all types of Medicare Advantage plans, PDP sales are not included.

Make sure rapid disenrollment doesn’t reduce your chances of earning Free 2022 AHIP Certification Training

 In an effort to help you meet your goals, we are offering a brief on-demand training session designed to help you avoid the most common Drivers of Rapid Disenrollment. It’s fast and easy to view or listen to this training session from your computer or mobile device.  AEP has already started so don’t wait!

Click the link below:

https://event.on24.com/eventRegistration/EventLobbyServlet?target=reg20.jsp&referrer=&eventid=2699779&sessionid=1&key=66E707029C24E8066B1A61E7365EC4DA&regTag=&sourcepage=register

 

Updated Underwriting Guidelines – Medicare Supplement

In an effort to make us easier to do business with, we have added prescription drugs to our high level overview of the Underwriting Guidelines (UW) for brokers to use as a reference tool when writing Medicare Supplement (Med Supp) business.  We have designed an abbreviated list of prescription drugs that can be used in conjunction with the medical guide to assist brokers/agents during the application process.  Having this information on hand may reduce member abrasion by helping the broker understand when underwriting applies, what medical conditions or combination of prescription drugs would result in automatic denial of a submitted application and when the broker should consider other plan options that may be better suited for the prospect before submitting a Med Supp application.

**It is important to note that this is not a complete listing of all the medical conditions or prescribed medications that would result in a denial.  The attached underwriting and prescription guidelines are consistent across all states that require medical underwriting.  These guidelines are to be used as a broker tool ONLY and are not to be shared with members or prospects.

If there are questions about whether or not a Med Supp application would be approved or denied due to medical underwriting or prescription medications, brokers/agents should submit applications as they normally would and allow the underwriters to manage the underwriting review process.

 

 

Anthem 2021 MA Enrollment Kits – ACTION NEEDED!

FYI Brokers: When ordering Anthem 2021 MA Enrollments you may receive a kickback message stating incorrect information on the ‘Helpful Contact Information’ page.  See below for the full Anthem message :

Dear agent or broker,

Thank you for ordering 2021 Anthem Medicare Advantage enrollment kits.

We want to make you aware there is an issue on the last page of the enrollment kits you ordered as listed below. On the Helpful contact information page, there is a Transportation vendor listed that should not have been included because non-emergency transportation isn’t covered by this plan. So please reach for your nearest Sharpie pen and cross out that listing.

Please rest assured that the member’s Summary of Benefits included in the kits you have contains the correct coverage information.

We apologize for this inconvenience, and thank you for your continued support. If you have any questions, please reach out to your regional sales manager or contact Medicare Agent Services at medicaresalestraining@anthem.com.

Anthem Agent Services

Order Date:

Kit Code:

__________________________________________________________________________________________________________________________________

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

Anthem DSNP Broker Bonus!

Connect Your New D-SNP Members to the Support They Need While Earning EXTRA CASH!

Great News! Beginning with 11/1/2020 effectives, Anthem Blue Cross and Blue Shield will reimburse brokers $50 for their time and effort to complete and electronically submit Health Risk Assessments for new members enrolling in a D-SNP plan.

Completing a Health Risk Assessment (HRA) is an important part of helping Anthem connect your new D-SNP members with the support and care they need. It only takes a few minutes to complete!

It’s fast and easy to submit your new D-SNP member’s application and Health Risk Assessment through mProducer!

Here’s How It Works:*

  • Each HRA must be completed and electronically submitted at the point of sale along with the application.
  • Reimbursement payments of $50 per HRA will be processed once the new D-SNP application is approved and the new member is active.
  • HRA completions for current members moving to or switching between D-SNP plans are not eligible for payment.
  • Reimbursement payments will be included in commission statements.

*Reimbursement for HRA completion will be paid to the writing agent identified on the enrollment application within 60 days of the policy’s effective date. Reimbursement payments will only be paid for new D-SNP policies in participating plans sold with 11/1/2020 and beyond effective dates

Anthem Reminder: Commission Change to PDP Enhanced Plans for 1/1/21 effective dates

Reminder: Commission Change to PDP Enhanced Plans

Personal Producing Agent (PPA) commission schedules for 2021 Medicare Advantage (MA), Medicare Advantage Prescription Drug (MAPD) and Prescription Drug Plans (PDPs) were distributed in August 2020.  Recent business decision will result in changes to the previously distributed schedules.

Beginning with policy effective dates of January 1, 2021 and beyond, there will be no base commission paid on new sales or plan changes for PDP Enhanced plans in all applicable states.  All other PDP plans will continue to pay commission as previously communicated.  Additionally, Anthem will continue to pay commissions on Enhanced Plans sold prior to January 1, 2021 policy effective dates.

This change is necessary as we continue to make every effort to deliver strong service to our PDP members and prospects.  Click here to view the revised PPA commission schedule.

Questions?

Please reach out to your Cornerstone Senior Marketing Rep – we’re here to assist with any questions you may have regarding this Anthem Broker notice

Anthem AEP 2021 Success Tips

AEP is finally here! Anthem provided tips below to ensure you have a SUCCESSFUL and STRESS-FREE season!

Submission of  Applications

When submitting your enrollment applications, Anthem offers many options. Electronic submission of applications is the preferred method.  However, you can check on the status of both electronic and paper submissions using Producer Toolbox and going to Menu > Applications.

 

Electronic Submission

  • Using mProducer, you can take applications on-line, capture electronic Scope of Appointment forms, and never touch a piece of paper!  Access mProducer directly at https://mproducer.anthem.com or from the Producer Toolbox by clicking on Tools & Resources and then selecting the mProducer link.  mProducer also allows you to transfer your applications to your client, and validates your application entries to reduce the chance your application will be pended for additional information.  It will also show you the reasons why an application is pended, and allows you to respond electronically.

 

Paper Applications

  • You may still submit applications via mail or fax.  However, these means of submission are typically associated with higher pend rates and slower turnaround time, and do not provide you with the option to respond to requests for information online like you can when using mProducer.

 

Application Reminders:

  • Remember “CACL:” Clean, Accurate, Complete & Legible applications will ensure timelier processing.
  • Avoid submitting duplicate applications for the same person.
  • P.O. Box may be used as a mailing address but NOT as a permanent address.
  • Submit all pages.
  • Ensure all the application signatures are obtained.
  • Attach “voided” check with every bank draft request.
  • Savings accounts must be ACH certified to be eligible for bank draft.

 

Scope of Appointment Form (SOA)

It’s important to obtain an SOA in advance and to observe the intent of the SOA requirement, which is to protect potential clients from sales of unwanted products.

We would prefer you use the Anthem SOA form whenever possible; however, in situations when you may not have our form on hand, you may use another carrier’s SOA form, as long as the other carrier’s SOA form is CMS approved. To validate that an SOA form is indeed CMS approved, look for a Material ID in the lower left corner of the document with a CMS approval date.

You have two ways to record the SOA:

  • Capture an Electronic Scope of Appointment (eSOA) using mProducer.
    • Recent enhancements allow you to have the beneficiary sign the eSOA and send back to you.
  • Use a paper SOA.

 

Find a Provider

 

  • You may also access the 2021 Provider Directory by going into CustomPoint.  To locate information on applicable specialty service providers (transportation, vision, dental, acupuncture, PERS, Telemonitoring, Weight Watchers, Silver Sneakers, etc.), download the applicable Provider and Pharmacy Directory. These vendors are listed under the “OTHER PROVIDERS” section of the directory.

 

 

Sales Event Changes and Process

                When it comes to meeting with your potential clients, you have options:

  • Face-to-face interaction is one selling tool available to help you meet your individual sales goals. Whether you choose to participate is a personal decision. If you need help with evaluating your options, you should talk with your manager.
  • Should you choose not to participate in face-to-face selling, you will still have access to all of the other sales tools to help you meet our annual sales goal.
  • Medicare Sales leadership team will continue to evaluate the necessity for face-to-face interaction, when it should be implemented, when it should be utilized, and how to meet market demand.

 

Reporting Sales Events

All sales event data must be entered in the Sales Event Tracker located on the certification site. This includes both face-to-face and virtual events

  • Events must be entered more than five calendar days prior to the start date of your event. The system calculates the 5 days according to the start time of your event.
  • Confirm the date, time, and content of the event with the venue prior to reporting the event for in-person events, and reconfirm as the date of the event approaches, especially if the venue requires marketing/sales event approval.
  • Should you need to cancel or modify an event, report it as soon as possible. Event cancellations or modifications must be reported no less than two business days prior to the scheduled event in accordance with policy.
  • When entering virtual events, enter your company address or address of the location where the virtual event will be hosted. Please do not enter any URL links in the certification site.
  • All in-person events must list a physical street address as shown in Google Maps. If you are holding an event in a park or on a street corner, you must enter the address of the closest business to where you will be located and use the “venue address 2 field” to add additional details that will pinpoint your exact location.

 

Ohio Medicare Broker Team

 

Regional Sales Managers:

Beverly J Danner: 513-203-6349. Beverly.Danner@Anthem.com

Brian Wissel: 513-274-3756, Brian.Wissel@Anthem.com

Dave Embaugh: 614-361-6945, Dave.Embaugh@Anthem.com

Kristen Troesch: 614-285-2914, Kristen.Troesch@Anthem.com

Lisa Perren: 216-217-3303, Lisa.Perren@Anthem.com

Stacey Bon: 513-236-7162, Stacey.Bon@Anthem.com

 

Sales Support:

Gena Cerasuolo: 440-417-4460, Gena.Cerasuolo@Anthem.com

Kimberly Kirn: 513-391-7391, Kimberly.Kirn@Anthem.com

 

Agent & Broker Resources:

Electronic Application Submission: https://mproducer.anthem.com

Learn how to submit with mProducer: https://youtu.be/L6AKW4uO9d8

Medicare Support: (800) 633-4368 or medicareagentsupport@anthem.com

Licensing & Contracting: (877) 304-6470 or anthem.brokers@anthem.com

Commissions – 800-367- 5896 or senior_salescomp@anthem.com

Application Status Only Line – All States – 1-855-277- 6071 or seniorappstatus@wellpoint.com

Broker Training: https://www.anthembrokerconnection.com/home

Manage Your Book: https://brokerportal.anthem.com

Anthem Commission Change to PDP Enhanced Plans

ANTHEM BROKER ALERT: Commission Change to PDP Enhanced Plans

Anthem announcement as of 9/17/2020: 

Personal Producing Agent (PPA) commission schedules for 2021 Medicare Advantage (MA), Medicare Advantage Prescription Drug (MAPD) and Prescription Drug Plans (PDPs) were distributed in August 2020. Recent business decisions will result in changes to the previously distributed schedules.

Beginning with policy effective dates of January 1, 2021 and beyond, there will be no base commission paid on new sales or plan changes for PDP Enhanced Plans in all applicable states. All other PDP plans will continue to pay commission as previously communicated. Additionally, we will continue to pay commissions on Enhanced Plans sold prior to January 1, 2021 policy effective dates.

This change is necessary as we continue to make every effort to deliver strong service to our PDP members and prospects. Revised PPA commission schedules will be distributed soon.

We apologize for any inconvenience or confusion this has caused and appreciate your continued support.

Anthem’s 2021 Virtual Roadshows & AEP Readiness Webinars!

REGISTER NOW for one of  ANTHEM’S 2021 VIRTUAL Roadshows and AEP Readiness

 

Register via the Anthem Broker Connection website at https://www.anthembrokerconnection.com/home(You will need to use Google Chrome web browser)

Note:  All times shown are EST:

 

Register via the Anthem Broker Connection website at https://www.anthembrokerconnection.com/home(You will need to use Google Chrome web browser)

 

Scroll under the Google Map, under Upcoming Events and type ‘Anthem’ or ‘OH’ into the Search Line and click Enter:

 

2021 Anthem Enrollment Kits Now Available on CustomPoint

2021 Enrollment Kits now available on CustomPoint for Pre-order

If you completed your AHIP Certification by August 1st, you can now pre-order enrollment kits. Pre-ordering means you’ll have materials earlier in the Annual Enrollment Period (AEP) marketing period. With kits in hand when AEP kicks off, you won’t miss a single opportunity when clients are shopping for coverage.

Pre-order your 2021 enrollment kits through CustomPoint between now and August 31 and your kits will be delivered to you prior to October 1, 2020.

Need translated kits? You can place your orders for available translated kits at the same time you order your English kits. Translated kits are scheduled to deliver September 25 through October 7.

Kits ordered after August 31 will not be guaranteed delivery by October 1, so certify early so you can order early. Pre-orders placed during the month of August will be processed and shipped first.

 

How do I order enrollment kits?

Within 24-48 hours of completing your 2021 certification, you receive an e-mail from Medicare Sales Training-Anthem-SM MedicareSalesTraining@anthem.com confirming your Ready to Sell status. Ready to Sell means you are currently licensed, certified and appointed. The subject line of the email appears as “Access to CustomPoint — Medicare Sales and Marketing Materials.” This e-mail includes an attachment with instructions on how to order your Medicare Sales Marketing Materials from CustomPoint.  It also includes your CustomPoint User ID and Account.

  • If you are new to the website, we’ll send you a separate e-mail with your password.
  • If you are a returning CustomPoint user and do not recall your password, please contact MedicareSalesTraining@anthem.com to reset your password.

 

Ordering best practices

  DO   DON’T
Vary your ordering quantities based on how many plans you expect to sell. Order the same number of kits, regardless of your sales expectations (i.e., 100 of every kit).
Order enough during the pre-order period (August 7 – August 31) to last you through October. Wait until September or October to place the order for kits you need for October – timely delivery can’t be guaranteed.
Order more kits after Star Ratings are updated at the end of October. Order a full year’s amount prior to plan Star Ratings being updated.

 

 

Everything you need to know about ordering can be found on the home page of CustomPoint, where you can access an online user guide.

 

Note: Marketing may not begin before 10/1/20 and AEP applications cannot be accepted before 10/15/20.

 

ANTHEM HOW TO ORDER YOUR MEDICARE SUPPLIES DOCUMENT- DOWNLOAD HERE

 

Anthem Reminders on 2021 Certification

The 2021 Anthem Agent Certification site is open.  Below are a few friendly reminders.  Agents can access the certification site via the Broker Portal.

Friendly reminders:

  • Certification link:  https://anthem.cmpsystem.com/ext/ahip/login.php
  • Please make sure to direct all downline agents to use External-SelfReg (with hyphen, exactly as shown) in the Access Code Field.
  • Agents must have current licensure, certification, and appointment in every state they sell in to be eligible for commission payment of sales or pre-order/order Medicare Advantage and Prescription Drug Plan enrollment kits. In order to receive commissions on your sales or renewals for 2021, you must keep a current licensure and appointment, and finish the 2021 certification.
  • If an agent was not previously certified for 2020 and does the 2021 Certification training, it will certify them for the rest of 2020 as well as all of 2021.
  • From your Appointment and Certification Status report, please make sure all agents maintain an active license on file.  If agents are no longer with your agency, please send the termination request to anthem.brokers@anthem.com.  If an agent is active but our report reflects an expired license, please send a copy to anthem.brokers@anthem.com so we may update their records.
  • In order to market the SNP plans, agents must complete the SNP and Part D modules, as well as the HMO or PPO module depending on the type of SNP plan available in your area.  If any one of those trainings are not completed, they will not be certified for the SNP plans**Please make sure to advise brokers of this requirement if they are planning to sell any of our SNP plans**
  • PDP module is required for all MAPD products.
  • All agents who have completed the necessary requirements to be Ready to Sell should appear on your Appointment and Certification report Status report with 2021 RTS as Yes.  If an agent is missing from the report, please contact us to review the agent’s appointment and certification status.
  • Any issues related to the certification site, please send an email to medicaresalestraining@anthem.com and make sure your email includes ALL of the information listed below.
    • Agents Name:
      NPN:
      Date of Birth:
      Last 4 digits of your SSN:
      E-Mail:
    • Provide a brief explanation of the issue and screenshots

 

If you have any other questions or concerns please reach out to your CSM Service Rep