Attend Humana’s DSNP Trainings – Schedule Below

DSNP Trainings

Please join Huaman for a deep dive into the dual eligible Medicare/Medicaid Market to learn more about product offerings that can help improve your clients quality of life and grow your Medicare business year round.  For 2020 Humana has Dual-Eligible plans statewide in Ohio with many exciting benefits including a $25 monthly food card in many areas! Each meeting will run roughly an hour.

 

  • Wednesday, 2/19 – Toledo – 10am – Hilton Garden Inn, 6165 Levis Commons Blvd. Perrysburg, OH –Register
  • Tuesday, 2/25 – Cleveland – 10am – Holiday Inn, 6001 Rockside Rd. Independence, OH –Register
  • Wednesday, 2/26 – Columbus – 10am – Humana Office, 485 Metro Place S. 5th Floor, Dublin, OH –Register
  • Thursday, 2/27 – Canton – 10am – Hyatt Place Canton, 5421 Whipple Ave. NW, Canton, OH –Register
  • Tuesday, 3/3 – Cincinnati – 10am- New Humana Office, 3252 Geier Dr. Cincinnati, OH –Register
  • Wednesday, 3/4 – Dayton – 10am – Staybridge Suites, 10110 Landing Way, Miamisburg, OH –Register
  • Thursday, 3/5 – Youngstown – 10am – Fairfield by Marriott, 801 N Canfield Rd. Austintown, OH –Register

 

For more information or questions please reach out to your Cornerstone Senior Marketing rep.

 

Humana’s High Deductible Plan G Now Available

Humana’s High Deductible Plan G are now available to sell in Ohio, Kentucky, and Indiana effective immediately. Click here to read more from Humana.

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

Humana’s Achieve Med Supp is now in Ohio!

ACHIEVE IS READY TO SELL IN OHIO!

Humana’s Achieve Medicare Supplement plan is now accepting new business in OHIO with an effective date of January 1, 2020 or later! 

Sales activities for Plans A, F, G and N can begin with 1/1/2020 as the first available effective date of coverage. Plan High Deductible G & N sales activities will begin with signature dates starting with 1/1/2020, as the first available effective date of coverage.

CLICK HERE TO VIEW OUTLINE OF COVERAGE

CLICK HERE TO VIEW FAQ DOCUMENT

 

ACHIEVE BONUS PROGRAM!

Producers can earn uncapped bonuses with a minimum of 3 underwritten cases in a month with Achieve plans! 

View more info here on bonus program

 

Not appointed with Humana? Contact your Cornerstone Senior Marketing Sales Representative today to get started!

Humana Achieve Footprint

Check out the most recent map of the Humana Achieve product availability.

Humana Achieve Map

Integrity’s NEWEST Proprietary Plans: Humana’s New Med Supp ACHIEVE is Now Available in KY!

Humana Achieve Medicare Supplement Plans: Kentucky is ready to sell!

Humana Achieve is now accepting new business in Kentucky with an effective date of November 1 or later. We know how important having everything you need to sell at your finger tips. Below is information on how to access available resources.

View KY Outline of Coverage 

Humana’s ACHIEVE Medicare Supplement is a plan that offers many of the same benefits as Humana’s premier line of products at a great value.

If you are currently contracted with Humana, you already have access to Achieve. There is no additional work on your end so you can focus on serving your clients!

View Humana’s Achieve FAQ’s

PLUS… Producers can earn uncapped bonuses with a minimum of 3 undwritten cases in a month with Achieve plans! 

VIEW BONUS INFO HERE

How to get a Quote:

  1. Visit CSG Actuarial 
  2. Sign in
  3. Medicare Supplement Run Quote
  4. Input an effective date of 10/1/19 or later.
  1. Log onto Vantage
  2. Under Quote & Enroll, click Enter Fastapp
  3. Enter Zip code
  4. Answer questions on page
  5. View rates

How to order Achieve Med Supp sales kits:

  1. Log onto Vantage from Humana.com – or HumanaAchieve.com
  2. Under the Sales & Marketing header, click on Medicare Sales Materials
  3. Click on Medicare Supplement Only Request
  4. Check that all information is correct and click Next; choose the state and insert the quantity of kits needed
  5. Click Next and Submit

How to view FastApp training video:

  1. Log onto Vantage
  2. Under the Education header, click Humana MarketPoint University
  3. Enter Med Supp in the search bar
  4. Click on Launch FastApp – How to complete a Medicare Supplement Plan Enrollment Video

 

View Humana’s Medicare Supplement Contact Card

Humana’s PDP Vendor Service Level Issues

Humana is committed to supporting agents in helping members find the best plan for them. Humana previously communicated a toll free number for your PDP members to call if they wanted to change to another PDP. At this time Humana is experiencing long hold times that may not result in the best experience for members.

  • Due to these longer than expected hold times, we encourage agents to complete the plan change themselves using Enroll Hub, AOA, DMM, humana.com (agent will be protected) or the abbreviated paper enrollment form.
  • Humana will advise when service levels return to an acceptable level
  • Remember! Some PDP members experiencing increased premiums may find that a Humana Medicare Advantage plan provides them with benefits and convenience of a prescription drug plan and helps with healthcare costs not covered by Original Medicare and includes lots of other great benefits.

View The Agent of Record Protecion Pledge

Compliance Communication From Humana

Humana has been notified of two issues with Medicare Plan Finder on Medicare.gov.  These are not limited to Humana plans and appears to impact other carriers as well.  Humana has notified CMS of the issue and are awaiting their response.  The issues are related to mail order pharmacies not displaying correctly on the Medicare Plan Finder’s newly redesigned website:

  1. Medicare.gov is not providing preferred mail order pricing or giving an option to view the preferred mail order pricing when beneficiaries click “Review Plan Details”.
  2. When a beneficiary selects that they use both retail and mail order pharmacies, mail order pharmacies do not appear in the results.

In the meantime, Humana is asking agents and prospective members to use Humana’s Rx Calculator tool for mail order pricing information found at the following URL’s:

Agent: https://drug-pricing.apps.cf.humana.com/

Prospective member: www.humana.com/medicaredrugcosts

Humana Benefits At A Glance Error

Important AEP Notice!

Humana identified an issue associated with the Benefits-At-A-Glance (BAAG) document included within the enrollment packet.  This error does not impact Care Plus BAAGs.

Specifically, in an effort to eliminate possible member confusion, additional information was added to the benefits grid to provide clarity surrounding member cost-share.  However, due to an error in the coding logic used to populate plan specific information, member cost-share was erroneously listed as $0 in the column labeled “With Medicare and State Cost-Share Protection.”  In response, this information has been corrected and new BAAGs are being printed. See below for details:

Old Version

New Corrected Version

What Does this Mean for External Agents?

You will be receiving new Benefit at a Glance documents associated with the 228 plans linked below.  Please tear out the old version found in the sales kit, and if desired, print the new version to replace it.  We ask that you discontinue use of the old BAAG document immediately.  Note that the Benefits at a Glance document is not required as part of the sales kit or the sales presentation; you can continue to use the Summary of Benefits.  When you re-order sales kits, the new version will be included.

IMPORTANT:  When using one of the previously printed all-in-one books from a Contract/PBP/Segment listed in the link below, the existing BAAG (with the error) should be torn out of the book and the separate new BAAG, if desired, should be used during prospect appointments.

 

Click Here to Access the New BAAG’s

Humana’s NEW Medicare Supplement Product: ACHIEVE

Introducing Humana Achieve: premium coverage that’s affordably-priced.

Humana’s Achieve is a plan that offers many of the same benefits as Humana’s premier line of products at a great value!

Approved States:

New business will be accepted for Georgia and South Carolina effective immediately with an effective date of October 1 or later. This will be available via the Humana Fast App for business submission and agents holding appointments in these states can begin ordering supplies. Below you will find the Outline of Coverage available for download for both Georgia and South Carolina.

As new states become available (OH & KY), Humana will notify agents in those states and update the Humana Achieve Medicare Supplement coverage maps.

Georgia Application

 

Georgia Outline of Coverage

 

South Carolina Application

 

South Carolina Outline of Coverage

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

Important Message from Humana & Aetna: Members Who Requested to Have Premiums Withheld by SSA/RRB in 2019

FROM HUMANA MARKETPOINT: 

  • Humana has taken action for our impacted members and worked quickly to re-trigger deductions with a 6/1/2019 effective date (next available date).
  • Members were sent a letter on 5/9 (verbiage below) that states we have requested a future date (6/1/19) due to a SSA delay and the amount they owe – letter contains a remit slip.
  • Customer Service has been ramped up for potential calls and no collection actions will take place due to them being on SSA/RRB.

Please see the letter verbiage below. Members should call our Customer Care Team at 1-800-457-4708 if they have questions.

Thank you for choosing Humana for your Medicare coverage.

You asked us to deduct your monthly premium from either your Social Security (SSA) or Railroad

Retirement Board (RRB) benefit check. Your request could not be processed in time for the next

premium payment. We requested your premium deduction to begin with the next available premium

payment for 06/01/2019. It can take SSA or RRB up to 90 days to process this request. At that time,

you may see up to three months of premiums deducted from your check.

You are responsible for paying the monthly premium(s) due prior to 06/01/2019. Please make a

payment for the amount due of $.

To PAY YOUR PREMIUM:

Go to Humana.com/pay or use the MyHumana mobile app

Detach and mail the payment slip below with your payment

Call our Customer Care Team at 1-800-457-4708. If you use a TTY, call 711.

FROM AETNA: 

We want to notify you about an issue affecting all Medicare members who elected to pay plan premiums from their Social Security Administration (SSA) or Railroad Retirement Board (RRB) check.

Background

Normally, when members select this premium payment option, the SSA/RRB withholds funds from members’ SSA/RRB checks to cover their plan premiums.

Unfortunately, due to a system issue, this did not occur for two or more months starting February 1, 2019. This issue affected all carriers, not just Aetna. Although the system issue is now fixed, the SSA/RRB cannot retroactively deduct premium payments from members’ checks.

What do members need to do?

Because these members now have past-due accounts, their premium payment method has changed to direct billing, effective February 1, 2019. This means they now need to pay any past-due premium amounts to Aetna directly.

Member communication

Members will receive a letter explaining what happened and what they need to do later this month. Letters are being mailed in waves, between May 10-24, so members will receive them over several weeks. View the member letter.

What happens next?

  • We’ve already submitted a new request to restart SSA premium deduction for the affected members, effective June 1, 2019. If the request is accepted by SSA, they will send members a letter of approval. Please be aware this can take up to 90 days.
  • Please explain to your clients that SSA will only deduct future premiums from their Social Security check as of the effective date noted in their approval letter, so any balances owed up until that effective date must be paid to Aetna directly. Members need to pay premiums directly to us for any months the SSA or RRB doesn’t cover.

While these members are not currently at-risk for termination due to nonpayment, they do need to begin making payments to ensure their plan does not face termination for nonpayment in the future.

 

 

 

Please contact your Cornerstone Senior Marketing representative if you have any questions.