Humana Broker Newsletter: Important 2022 News & Updates
Humana’s Broker Relationship Newsletter from 7/8/21:
Humana’s Broker Relationship Newsletter from 7/8/21:
Humana communication from 7/8/2021:
We strive to continually improve our sales materials year in and year out. We used consumer research as well as your feedback for opportunities to enhance our materials. Some of the enhancements you can expect for 2022 are:
Order Site Enhancements
Need to Know Information
Learn more about all the great materials we have put together for 2022 by watching the Marketing Materials Overview video
Sales materials will be available to order on July 13th.
If you certify/recertify prior to this date, you will receive and e-mail on July 13th with a link to order materials. You can also order through certification/recertification courses, vantage and individual link beginning July 13th. For more information access our How to order Medicare Materials job aid here.
Humana’s June Updates in Vantage from 6/30/21:
The June updates for Vantage are now available. Read below to see how Vantage has changed for you.
NEW! Order ID Cards:
Agents now have the ability to Order an ID card through the My Humana Business section for active medical members if a request has not been made in the last 14 days. Whether the request is successful or not, you will receive a message once the button has been selected. However, if the request is unsuccessful, you should select the Service Inquiries link in the pop up message and create a service inquiry for your member.
This new feature is located on the Consumer Profile page for your active members as an easy to click button.
Telephonic Consumer Protection Act (TCPA)
Vantage is now running a compliance check on member phones to check if they are requesting to not be called. You will now see that members who are protected under TCPA will have a red “Humana Do Not Call” statement by the telephone icon.
Inactive Policies Report
We have changed this Report from displaying all of the Inactive policies to showing only the most recent. Located on the card and within the My Humana Business Center under the Reports tab, the report will now only show the Inactive policies from the last 3 months (previously displayed the past 24 months). Inactive Policies will still be available for 24 months and can be accessed using the filters and search functionality in Business Center.
BACK AGAIN! Upload Paper Applications
This feature has now been turned back on! You will once again be able to upload your paper applications through the Quote & Enroll card. The Upload Paper Application feature allows you to attach paper applications electronically and upload to Humana securely with a success message. Please visit Humana MarketPOINT University for more information and training on this feature.
Eligibility Tool: The DSNP eligibility tool is now displaying the Medicare ID in the results section.
LEARN MORE ON ALL THE UPDATES HERE
Earn $50 for completing a Member Care Assessment post enrollment for each new application. Take the additional certification, if you haven’t already, within the Humana MarketPoint University.
Not Trained Yet? Click Here To Access The Course: Revel Portal – Member Care Assessment.
DOWNLOAD THE REVEL PORTAL GUIDE HERE
MCA Course Completion
Please follow these directions If you have recently completed the course and have not received the Revel email or the password window has expired:
MCA Rules and Guidelines
Access the Training = click here to access training
Humana MarketPoint University accessible via Vantage.
to register with Revel, the platform that hosts the MCA
survey and captures data. If you don’t see the email,
be sure to check your spam.
like Enrollment Hub or FastApp through Vantage.
take an optional seven to 10 minute health survey that
will help Humana better serve them. Let them
know that the survey is completely optional, that their
responses will not affect their premium or benefits in
any way and that they can stop the survey at any time.
Do not pressure members into completing the survey if
they do not feel comfortable doing so as this is
into Revel online and follow the scripted survey. Once
the survey is complete, Revel will send survey
results to Humana for additional screening and
insecurity, loneliness/social isolation or
transportation barriers, immediately direct them
to appropriate resources using them Bold Goal Whole
and applicable training are met, including ensuring
the survey was only given to members who agreed
to participate in it and after their enrollment is
complete, you can earn an extra cash incentive (up
to $50/survey*). Check your contract for additional
details and requirements.
Key Links & Documents:
2021 SDOH Agent Whole Health Toolkit: https://ignitewithhumana.com/ed/playbooks/bold-goal/bold-goal-whole-health-toolkit/
Posted from a Humana MS communication on 4/16//21:
New Proof of Guaranteed Issue Requirement for Med Supp Submissions for Replacement of Coverage
Beginning the weekend of 4/17/2021, Med Supp applications submitted as GI due to Replacement of Coverage will need to include proof of prior coverage showing loss of Medicare Advantage/MAPD or Group/Employer Coverage. Based on this new requirement, applications submitted as GI for replacing prior coverage will pend. Other qualifying GI right scenarios, OEP, and UW submissions will continue to follow existing processes.
This change is specific to applications submitted as GI when an applicant answers yes to the “are you replacing MA or employer coverage” questions during the application process*.
During the enrollment process, if the enrollment team determines that the application was submitted as GI for replacement of coverage and no verification of prior coverage was included with the application, a communication will be sent to the Agent and Member.
Examples of forms of verification of prior coverage include: Disenrollment Letter, Plan Exit Letter, Denied Claim, or Letter from Employer stating coverage is ending.
No additional Humana form for prior coverage has been created to go along with the verification outside of the standard enrollment forms. A form of the verification above will be all that will be needed in addition to the standard enrollment forms.
When submitting applications when loss of prior coverage is the GI right, proof of loss of coverage can be submitted as follows:
*Applications submitted with special Guaranteed Issue rights i.e. Birthday or Annual rules (CA, OR, MO, and WA) or State Regulations offering expanded GI rights (CT, MA, NY, and VT) are excluded from this process change.
Before AEP, we communicated that Humana will no longer accept plan change requests through the Agent Statement of Enrollment Correction (ASEC) form from an agent. Now is a good time to conduct a review of the enrollment applications you have submitted in AEP to ensure they have processed and the member is enrolled in the right plan. If you find a member who was mistakenly enrolled in the wrong Contract/PBP, you will need to obtain a new application prior to December 7 in order to use AEP to correct the member’s enrollment for a January 1, 2021 effective date.
Keep in mind that members must have a valid election code at the time the new enrollment application is being submitted. If you catch the error on December 8, for example, you will no longer be able to submit a new application using AEP to correct the plan type and will need to see if they are eligible for another election period. If they do not have another valid election period, you will need to advise them of their next opportunity to enroll in a plan.
Please ensure you are reviewing every application carefully prior to submitting to ensure you have the correct Contract/PBP and Plan Type Bubble selected.
Please note: The ASEC form may still be used for election type code, effective date, and demographic changes.
Questions? Please reach out to your Cornerstone Senior Marketing Representative.
We’re here to help!
Not contracted with Humana? Reach out to your Cornerstone Senior Marketing Sales representative to get appointed!
Upload Paper Applications will be turned off December 11, 2020
Urgent notice regarding Upload Paper Applications
Please be aware that the Upload Paper Applications link in Vantage will be turned off on December 11, 2020 at 5pm EST, until further notice.
Agents are able to submit paper applications via Vantage through the December 11th date until 5pm EST. Please remember to NOT include any credit card information on your paper applications submitted via Vantage as that information is strictly prohibited.
A new notification will be sent when the link is re-enabled. Alternatively, agents may submit paper applications via Humana Doc Transmitter app, fax, and regular mail. Further details on these methods will be forthcoming.
If you require additional information, please contact your service rep or email: email@example.com
Humana announcement on 10/1/20:
Beginning January 1, 2021, DaVita Inc. dialysis centers will no longer be in the Humana Medicare Advantage plan network.
While Humana continues to negotiate with DaVita, Inc., we wanted to make you aware of the change as it currently stands, as well as how Humana is planning to help members currently receiving treatment at DaVita Inc. dialysis centers.
Actions Humana is taking to support affected members:
Both the trust you’ve built and the conversations you share with your clients is invaluable to us during this transition, and we thank you for your ongoing partnership with Humana.
Humana Update: DE-SNP Tool
The Dual Eligibility SNP tool is a new link on the Quote & Enroll card. This tool provides dual eligibility status for prospective members. If you have the member’s Medicaid information, you can enter it into the tool and receive eligibility status back. You no longer need to call ASU to get this information as it is now at your fingertips through Vantage.
Effective 9/1, Humana can no longer accept an Agent Statement of Enrollment Correction (ASEC) form for corrections to contract/PBP numbers. This is considered a plan change and requires Humana to send a correction to CMS, which we are no longer able to do. Humana must comply with these new guidelines.
This change was reflected in the IGNITE Newsletter sent to partner agents on August 27th.
If you have any questions or concerns please reach out to your Cornerstone representative.