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

Open Enrollment for Medicare Advantage is Near! Read Through Humana’s Guidelines

Humana’s Resources to Understanding the Open Enrollment Period

Now that AEP is over with, you have a few weeks to gear up for Open Enrollment Period beginning January 1, 2019 through March 31, 2019! This is a one-time chance for your MA clients to change plans and it comes with some new regulations of which you should be aware.

Click here to view Humana’s OEP guide and guardrails that will help you navigate through OEP.

If you have any follow up questions in regards to OEP reach out to your Cornerstone Senior Marketing representative!

Important News From Humana Med Supp!

Did you know?

Humana Marketpoint

Humana Marketpoint offers plans G & N on a GI basis along with the typical plans (A, B, C, F, K, & L) for clients who are coming off of a group health plan and if they have had Medicare Part B over a six month time frame, along with Silver Sneakers!

For more information, view the 2019 Humana Medicare Supplement Sales Guide.

Questions? Reach out to your Cornerstone Senior Marketing representative today!

NOW AVAILABLE: Humana MP’s Producer Partnership Plan

Humana MarketpointHumana MarketPoint’s 2019 Producer Partnership Plan is here and Cornerstone has the scoop!

The Humana MarketPoint 2019 Producer Partnership Plan (PPP) for Individual Medicare, Medicare Supplement, Dental, and Vision products is now available to agents!

Please take time to review the changes below for plan year 2019.

Click here to view the PPP document.

 

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