Anthem EFT Backlog Update

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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

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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

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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

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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!

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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. 

Be an Anthem Medicare Megastar!

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Here’s How You Can be a Medicare Megastar and Get Free AHIP Certification!

Sell 20 approved Medicare Advantage policies (including D-SNP plans) with 1/1/20 effective dates during this AEP season

and you can become a Medicare Megastar!

As a Medicare Megastar you’re entitled to SUPERHERO benefits like getting your 2021 AHIP certification at no cost!

 

 

Anthem’s Online D-SNP Validation Functionality Update

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Anthem released lots of new functionality to the on-line D-SNP validation in mProducer!

  • All brokers can use the D-SNP Eligibility Check tile on the main landing page!
    • You can now save the customer and the results of the client’s DSNP validation check from this landing page tile.
  • The Medicaid ID will now be included in the results of your search.
  • You will receive additional Medicare information when you validate if your client is eligible for a DSNP product.
    • Part A Effective Date
    • Part B Effective Date
    • Does the client have LIS (low-income subsidy)?
    • LIS Level
    • Current Contract Code
    • Drug Gap in Months
  • You can use dashes (-) and apostrophes (‘) in name fields without impacting your ability to locate a matching contact from Medicare and Medicaid.

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

Anthem Medicare 2020: Important Info & Updates

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Anthem is hosting a few more 2020 Product Training sessions below!

10/8/2019 10 am 2020 Product Training Click Here to Join
10/9/2019 9 am 2020 Product Training Click Here to Join

To RSVP for an event or if you have questions, please contact your Regional Sales Manager below or reach out to our Agent Services Team. Just call 1-800-633-4368 or email medicareagentsupport@anthem.com.  Learn more about the variety of broker events and networking opportunities near you by visiting www.anthembrokerconnection.com.*

Anthem 2020 Important Updates 

DSNP-HMO MAPD Updates and Reminders:

  • New Brokers will have the ability to validate DSNP eligibility from within mProducer.
  • New Added 4 New Essential Extras Benefits (See Below / Attachment)
  • New Minimal Plan Changes but huge addition of Ingenio RX (See Below)
  • Hearing Benefit
    • You sell this on the following: $3000 first dollar coverage on HMO and DSNP plans, newer technology including iPhone and Bluetooth compatible devices, 30 day free trial, 1 year warranty, and 12 months of free batteries!
    • The 2020 carrier will be Hearing Care Solutions and their website to search for providers is http://www.hearingcaresolutions.com/locations/
    • Member calls 800 number to locate provider and schedule appointment
    • They must use an in-network provider

Personal Emergency Response System

  • HMO and DSNP have this benefit.
  • No cost for set up or monthly fees!
  • GPS enabled device available
  • 3 different units to choose from and anyone can request, no medical necessity required

 

  • Meals after Inpatient Hospital Stay
  • 2 meals a day for 10 days after EVERY inpatient hospital stay
  • Discharge must be from hospital to home
  • Benefit is triggered by case manager who contacts Anthem

 

  • OTC

New OTC catalogs will be sent with OTC card. Existing members will also receive a new OTC card and catalog.

 Silver Sneakers is on all Medicare Advantage and Medicare Supplement plans!!

 

mProducer Updates- https://mproducer.anthem.com

  1. Can obtain a paper application and submit later on mProducer, eliminating fax and email.  This process will save you time and energy during AEP.
  2. New Short applications will be available via mProducer for Anthem’s existing clients.  The system will automatically recognize the members MBI and will result in less fields to be completed by the agent.  Optional Supplemental Benefits can be added on this form.  Like to like plan changes only, MAPD to MAPD, Medicare Supplement not included.
  3. New MBI “checker” is now embedded in mProducer.  If your entry does not match the correct format you will get a notification and will not be able to proceed.  This will drastically reduce pended applications due to incorrect information.  HICN will no longer be acceptable on applications for 2020 effective dates.
  4. New DSNP eligibility will also include the last time the member used LIS as their SEP to change products.  No more guessing if the member has a SEP available for the current quarter, just login to mProducer and check.
  5. New MACRA-Applicants who are not eligible for the Plan F in 2020 will not be able to be submitted via mProducer.  The system will implement CMS rules and prevent you from applying for members who are not eligible.
  6. New Application Status Tracker – Will provide start to finish updates on all applications submitted.  Submitted status all the way through Welcome Kit and ID card being sent can be tracked.  Missing information from applications can be uploaded directly from the tracker if application was submitted electronically.  MAPD products only, Med Supp coming 2/1/2020.

Why submit Electronic Enrollments with mProducer?

  1. Efficiency (increasing your capacity)
  2. Reduced Processing Time
  3. Fewer Errors
  4. Doctor Finder Embedded
  5. DSNP Eligibility Verification

 

10 Essential Extras (All HMO/DSNP products)  

  1. Selection Form will be included on the application, member does not have to select at point of sale but is highly recommended.
  2. Current members will automatically retain the same benefit from 2019, if they would like to change have them contact customer support number on the back of their card.
  3. If the benefit overlaps with a plan benefit the member will exhaust the plans benefit first, i.e. transportation.
  4. Member can change benefits one time annually as long as they have not utilized the benefit.
  5. Retaining the six current EE offerings; adding four more to make it give the member the choice of 10 options
    1. Healthy Food Deliveries- 16 meals for 4 months, total of 64 meals for the year. BMI >25, BMI < 18.5 or A1C > 9 to qualify.  GA Foods is the vendor.
    2. Transportation- 60 one-way trips per year.  Will transport to all plan covered benefits, Silver Sneakers locations, pharmacy, or any other benefit included in the plan.
    3. Personal Home Helper- up to 124 hours per year.  Non skilled services only not medical professionals.  Cooking, cleaning and personal care duties are most common.
    4. Assistive Devices-$500 allowance from catalog, administered through Walmart.  Can be ordered on CustomPoint.  https://custompoint.rrd.com/xs2/prelogin?CMPID=1064&qwerty=19091802
    5. Day Center Visits- 1 day per week, up to 8 hours per day.  Member must lack at least 2 ADLs.  Reimbursement of up to $80 per day.
    6. Alternative Medicine- Therapeutic massage or acupuncture, up to 24 visits per year.  Members must utilize ASH network, provider search link below:  https://www.ashlink.com/ASH/public/applications/providersearch/default.aspx

If you have a provider interested in being added to the network please have them contact ASH at (800)-972-4226.

    1. New Healthy Nutrition- Up to 8 dietary consultations to educate members on proper nutrition.  Will lead to specific food being delivered to the member that fits their health needs.  Will be shipped directly from Kroger.  Groceries will not be fresh foods that have short shelf life. Examples include; pasta, granola bars and other nonperishable items. Member must need a change in diet to improve health to qualify.  Anthem may communicate with member’s physician if needed.
    2. New Service Dog Support- $500 annual allowance.  Food and supplies for ADA service dogs.  Administered by Walmart via catalog or online.  Will not include vet costs, dog training costs, and the actual cost of the dog.
    3. New Pest Control- Quarterly routine preventive or 1-time eradication of infestation.  Terminex is the vendor.  Must qualify for 1/15 Chronic conditions.  Document attached to better explain.
    4. New Active Lifestyle & Wellness Device- 1 device every other year.  A Fitbit type of device to track and promote healthy lifestyle.  No precertification required.

 

Medicare Community Resource Support Benefit

A telephone based program used to identify needs, leverage resources and coordinate services for members and providers by providing specific medical or health related education and leveraging local community based services.   This benefit can help members with non-health related needs such as paying a utility bill, household expenses, legal aid and much more.  If your member is having trouble with any aspect of their life, they can reach out to our customer service team and get connected with help from their local community through Anthem’s partnerships.

 

New Medicare Community Resource Outreach

An in-person, community-based program that hosts new member orientations, benefit training sessions and other events where we can assist members directly. Members can learn about community resources available and meet new people.   They also will have the opportunity to access individual support needed.  To access this benefit, Members can call Customer Service at the number listed on the back of their ID card and ask for information about MCRO events in their area.   They may also receive notification about events in their area through the contact information they have provided us.

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 of 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 access pharmacy 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 is 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.

Medicare Supplement

  1. Will continue to provide full  Silver Sneakers program.
  2. Discounts up to $48 per year for EFT or annual payment.
  3. Household discount of 5% available.
  4. 21% commission for years 1-6.
  5. Aggressive bonus program, increasing for first quarter of 2020.

Monthly bonus. Great to utilize in renewing your current clients and resetting that clock or for all of those 1/1 effectives during AEP. Do as many as you can in 1 month and earn major bucks.  (Flier attached to email)

3-4 sales $150 extra per application

5-9 sales $200 extra per application

10+ sales $250 extra per application (no cap)

  1. Great brand recognition, stable and realistically priced.  Don’t be fooled by companies offering premiums that are not sustainable for your members.  Poor pricing will lead to drastic increasing forcing a tough decision down the road for you and your member.
  2. Ingenio RX will offer a package deal for your MS clients.  We all know most clients prefer simple, so one carrier will deliver that in 2020.
  3. No aging increase at renewal for members who are 81+.

Provider Finder Tips

  1. Use the “shop” website for the most updated version. https://shop.anthem.com/medicare/standalonetools/find-doctor?state=IN&brand=ABCBS&role=consumer&locale=en_US
  2. The  Search Radius has been expanded to 25 Miles.  This will cast a bigger net, making sure you don’t miss any contracted doctors. You still have the option to narrow the radius or expand it to 50 miles.
  3. Change “Provider Specialty” = “All Specialties”.  This will ensure you search all contracted doctors.  Sometimes doctors can be listed under different categories than your client is referencing.
  4. Updated to recognize names that sound familiar to your search.  This is a positive change that will help you find doctors when your clients may be pronouncing them incorrectly.
  5. Please send us any provider recommendations.  It is our goal to keep our Doctor Finder as up-to-date as possible but I need your help.  I am asking for your help in this category so we can offer not only a competitive product but also a very robust network.
  6. HMO members are allowed to utilize KY, IN and OH HMO providers. The Ohio hospital flier is attached. All state hospital fliers can be found in CustomPoint.

Miscellaneous

  1. 2020 marketing pieces are available to order in the Sales Toolkit. These pieces are available to you in quantities of 200 each per month at no cost. Personalize each piece by uploading your photo and contact information.
  2. New A Temporary Proof of Membership form is provided in the Sales Kit after the application. The form includes RX bin information and can be left with the soon-to-be new member. The back of the form provides helpful contact numbers. Please note that enrollment is subject to Medicare approval.

Anthem 2020 Enrollment Freeze Update

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No Enrollment Freeze for KY or WI for 2020 with Anthem!

Cornerstone Senior Marketing recieved confirmation there will NOT be an enrollment freeze in Kentucky or Wisconsin for plan year 2020.

Quick Reminder: Anthem is expanding into 17 NEW KY Counties for 2020! Carroll, Estill, Floyd, Fulton, Hickman, Larue, Letcher, Martin, Mason, Metcalfe, Morgan, Nicholas, Owsley, Pike, Simpson, Trimble, and Union.

 

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

Anthem Ohio’s MA Network is Growing

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Anthem’s Medicare Advantage Network Now Includes OhioHealth!

Network strength and security are important factors when  clients shop for a new Medicare plan— and they deserve nothing but the best. That’s why Anthem Blue Cross and Blue Shield is always adding quality providers.

You and your clients will both be pleased to know that, as of 9/1/2019, OhioHealth is now part of the Anthem Medicare Advantage network in Ohio.

 

Expanded network = more provider choices for your clients.

When clients have the flexibility to choose doctors and facilities that suit their particular health needs and personal preferences, that’s a big win for them and you. Through this new partnership, they’ll get access to the quality, affordable care they’re looking for.

Spread the word. Reap the rewards.

Anthem’s expanded network demonstrates their ongoing commitment to improving people’s health—and ensuring your success by giving them what they want in a health plan.

 

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