MMO Med Supp Premium Credits Offered to Members

Medical Mutual Issuing Premium Credits to Individual Plan and Medicare Supplement Plan Members

10/16/2020

Medical Mutual is issuing a premium credit to all members enrolled in our Individual plans (ACA, grandfathered and grandmothered) and members enrolled in a Medicare Supplement insurance plan prior to June 1, 2020. The credit reduces the members’ December medical and dental premiums by 40%.

 

While Medical Mutual has been at the forefront of offering support to our communities through our Pandemic Relief Initiative, the premium credit is meant to make that support a little more personal for our members where we can, and provide some financial relief during these challenging and uncertain times.

 

Eligible existing members in Individual ACA plans are being notified of the premium credit via letter the week of Oct. 12, 2020. These members can expect to see the premium credit when they receive their December 2020 invoice or deduction amount if the member is on autopay. Letters to eligible members in Individual grandfathered and grandmothered plans, as well Medicare Supplement insurance plans, are expected to be released the week of Oct. 19, 2020.

 

Invoices for December premiums that show the premium credit could reach members as early as Nov. 1, 2020. Information regarding Medical Mutual’s plan to offer relief to fully insured group customers will be coming soon.

 If you have questions please contact your Cornerstone Senior Representative. 

MMO October Medicare Updates

Medicare Updates 

·         Send members the quote so they can complete the entire application.

·         Complete the application on behalf of your clients and email them the application to sign and submit.

·         Purchase a screen-sharing service, such as Zoom. You can then screen-share while completing the application on a member’s behalf. Once you arrive at the signature page, the member must request access to your screen to sign and submit the application.

For all three options, start with these steps:
·         Visit MyBrokerLink and log in.

·         Go to the Sales & Quoting tab and click Quote/Enroll Medicare.

  • Key changes for 2021 include:
    • A new $0 premium Signature HMO plan in Regions 1 and 3
    • An expansion of our Secure HMO plan to all of Regions 1 and 3 – while this plan has a $0 premium for members who receive 100% of the Low Income Subsidy (LIS), it’s a budget-friendly option for all members
    • The Classic, Secure and Signature HMO plans provide between $100 and $150 in over-the-counter benefits for members in Regions 1 and 3
    • All plans include more dental coverage, with some offering comprehensive coverage
    • All plans now include an on-demand telehealth (telemedicine) benefit
  • If your clients have questions on how to access care when their provider is not available or they are traveling, please share the Where to Receive Care Away from Home flier.
  • If you have submitted your Medicare Advantage (MA) Addendum but haven’t completed your MA certification, it’s not too late.
    •  Visit MyBrokerLink and log in.
    •  Go to the Sales & Quoting tab and click Medicare Advantage.
    •  Select Training and Certification.
  • The 2021 Medicare Supplement rates and online enrollment will be released mid-to-late October.

 

Mutual of Omaha: Aim High During This Medicare AEP!

To ascend great heights, you must prepare. Literally. Above 7,000 feet, you must go through a process of altitude acclimation. And the higher you climb, the more you must prepare.
The same goes for your Med supp sales during Medicare’s Annual Enrollment Period (AEP).

Here are a few things that will help you on your way to the top by selling our Medicare supplements:

MACRA – You’ll need to understand how MACRA (the Medicare Access and CHIP Reauthorization Act) impacts which Medicare supplement plans your clients are eligible to purchase.
Guaranteed Issue Rights – It’s important to know if your clients have guaranteed-issue rights and what plans are available to them.
Proof of MA Disenrollment – You’ll need to make sure to submit documentation for Medicare Advantage enrollees switching to a Med supp plan.

Don’t worry. We have a handy flyer to help you get ready for your AEP ascent.
  Download the Flyer  

 

If you have any questions or want to get contracted with Mutual of Omaha please contact your CSM representative. 

Medical Mutual September 2020 Updates

Medicare Updates (Over 65)

  • Be sure to review MMO’s 2021 Medicare Advantage products. They have made several enhancements to current portfolio to meet your clients’ needs. In addition, MMO will be offering a new $0 monthly premium plan in select counties and have expanded the Secure HMO plan into 44 counties. Click here to view our First Looks Medicare Advantage plan overview.
  • Medicare Advantage kits are available for agents who are currently certified. Follow these steps to order:
    • Visit MyBrokerLink and log in.
    • Go to the Order Supplies tab.
  • If you are not currently Medicare Advantage-certified, please follow these steps to access Medical Mutual’s 2021 Medicare Advantage certification training:
    • Visit MyBrokerLink and log in.
    • Go to the Sales & Quoting tab and click Medicare Advantage.
    • Select Training and Certification.
Note: If this is your first time getting certified, you will need to complete the Medicare Advantage addendum.
  • Don’t forget! Medicare Supplement and Medicare Advantage plan members have access to SilverSneakers®. Check out these SilverSneakers fliers and PowerPoint presentation to share with your clients. Included is information on the Tuition Rewards program available to SilverSneakers members.
  • As a reminder, effective July 1, 2020, Medical Mutual is waiving copays for in-network primary care provider (PCP) visits and in-network lab and diagnostic testing performed on the same day as PCP visits for all Medicare Advantage members through Dec. 31, 2020.
  • For Medicare Advantage members wanting to receive acupuncture treatment – MedMutual Advantage members can receive 12 acupuncture sessions for the first 90 days of treatment, with an additional eight sessions if improvement is seen in the member’s condition. A maximum of 20 acupuncture sessions per year will be covered.
  • Effective Jan. 1, 2021, all PCPs, specialists and facilities associated with the Ohio State University Wexner Medical Center (OSU) — including Ohio State University Hospital, Ohio State East Hospital, The James Cancer Hospital and The Ohio State University Physicians — will no longer participate in Medical Mutual’s Medicare Advantage network. To communicate this change and provide options for members to find new in-network providers, letters were mailed in August to Medicare Advantage members with recent claims from OSU providers. Those utilizing OSU for PCP-related services also received alternative provider contact information for in-network PCPs.

MMO: Pre-Order Your MA Supplies NOW!

Pre-orders for 2021 Medicare Advantage materials are now available in the Order Materials section of MyBrokerLink. This pre-order opportunity will close on Friday, September 11, though you will be able to continue ordering after that date. Only orders placed by September 11 will be guaranteed for arrival prior to October 1. Any orders received after September 11 will start shipping on October 1 in the order they were received.

Visit MyBrokerLink now to place your order for any materials you need for the 2021 Annual Enrollment Period, including updated pre-enrollment kits for all three regions. This year’s kits are customized to the HMO and PPO plans in each region, and include individual Summary of Benefits documents, an application specific to that region and a brochure explaining the benefits of our plans.

If you are selling in Region 1 or Region 3 , MMO expecs a majority of your sales to be in the HMO Classic, Secure and Signature plans. They recommend only ordering a few of the other HMO and PPO kits.

If you are selling in Region 2, MMO expects a majority of your sales to be in the HMO Classic plan. They recommend only ordering a few of the PPO kits.

If you are not selling in multiple regions, MMO encourages you to only order 1-2 of the kits that are outside of your service area.

If you plan to sell virtually this Annual Election Period, please attend one of MMO’s webinars. Click a link below to R.S.V.P.

MedMutual Advantage plans include:

  • $0 medical deductibles
  • $0 or low prescription drug deductibles
  • Dental and vision coverage with options for extra coverage
  • A credit to spend on over-the-counter medical supplies like bandages, aspirin and cough medicine delivered to a member’s home
  • SilverSneakers® fitness membership
  • Telemedicine visit options
  • Transportation services and home meals program after inpatient hospital stay

 

Any Questions contact your CSM representative.

Medical Mutual of Ohio July Updates: 2021 Certs and More

Medicare July 2020 Updates
  • Medical Mutual’s 2021 Medicare Advantage certification is now available. To access the certification, follow these steps:
    • Visit MyBrokerLink and log in.
    • Go to the Sales & Quoting tab and click Medicare Advantage.
    • Select Training and Certification.
You will be required to complete the AHIP certification before the Medical Mutual modules. If you did not get certified for 2020, this certification will apply for both 2020 and 2021.
  • Medicare Advantage Online Enrollment Enhancement: MMO is continually evaluating their processes to ensure brokers can assist clients in the way they are most comfortable during COVID-19. Many agents are moving toward a no-contact approach and using tools such as Zoom to secure enrollment. If you are using Zoom or a similar program, you can secure the enrollment form with the client (applicant). You must give the applicant control to sign and complete the enrollment process. In doing so, it is MMO’s expectation that the client is driving the enrollment form, not the agent. This feature can be used for both Individual and Medicare product lines.

 

  • Effective July 1, 2020, Medical Mutual is waiving copays for in-network PCP visits and in-network lab and diagnostic testing performed on the same day as PCP visits for all Medicare Advantage members through Dec. 31, 2020. Members are receiving an email or letter telling them about the applicable change(s).

 

  • MMO recently created two Turning 65 fliers that agents can send to clients who are aging in to Medicare. View sample #1. View sample #2. If you are interested in customization, please let me know.

 

 

  • As part of MMO’s ongoing Member Health Quality campaign, they will be sending in-home Hemoglobin A1C Test kits to approximately 2,500 Medicare Advantage plan members who have been diagnosed with diabetes and are due for this screening based on prior claims.

 

  • As you know, Centers for Medicare & Medicaid Services guidance states that individuals are not permitted to be enrolled in a Medicare Supplement and Medicare Advantage plan at the same time. Please guide your clients on how to terminate their Medicare Supplement plan if they are enrolling in a Medicare Advantage plan.

Medical Mutual of Ohio 2021 MAPD Certification Info

June 24, 2020
Special Broker Update
 
2021 MAPD Certification Available Beginning June 29, 2020
Category: Training
Applies to: Medicare Advantage
It’s time to complete your Medical Mutual Medicare Advantage certification. You must complete the AHIP certification before you can access the Medical Mutual certification modules. AHIP will automatically share your certificate of completion with Medical Mutual. The Medical Mutual certification link can be found in your MyBrokerLink account under Sales & Quoting, Medicare Advantage, Training and Certification. Completion of all modules is required before you can sell Medical Mutual Medicare Advantage products for 2021. Brokers are given a $50 discount by accessing AHIP training through our Medical Mutual link.

 

Training Modules and Additional Resources
Modules can be downloaded from Web Courseworks upon module completion. These will be in PDF format. This year we combined the HMO and PPO product modules into one for a more streamlined product training experience. We want to remind you that the educational video plays at the end of the Dos & Don’ts: Formal Educational Events module. You must remain on the first slide of the video for at least one minute. We recommend watching the entire video, but you will have the option to stop the video and complete the module. This video is also posted on MyBrokerLink for future reference and use under Knowledge Center, Reference Materials, Medicare Advantage.

 

Product Highlights

  • Expanded $0 HMO approach with a new option to complement our current Classic $0
  • Secure plan now being offered in 44 counties
  • OTC and enhanced dental on more plans
  • Reduction in copays on most plans
If you have not yet certified for 2020, completion of the 2021 certification will allow you to sell for the remainder of 2020 and all of 2021.

Please watch out for upcoming product meetings in your region. Contact your Individual Account Manager with any questions.

 

MMO Broker Update

2021 MAPD Certification Available Beginning June 29, 2020

It’s time to complete your Medical Mutual Medicare Advantage certification. You must complete the AHIP certification before you can access the Medical Mutual certification modules. AHIP will automatically share your certificate of completion with Medical Mutual. The Medical Mutual certification link can be found in your MyBrokerLink account under Sales & Quoting, Medicare Advantage, Training and Certification. Completion of all modules is required before you can sell Medical Mutual Medicare Advantage products for 2021. Brokers are given a $50 discount by accessing AHIP training through our Medical Mutual link.

Training Modules and Additional Resources
Modules can be downloaded from Web Courseworks upon module completion. These will be in PDF format. This year we combined the HMO and PPO product modules into one for a more streamlined product training experience. We want to remind you that the educational video plays at the end of the Dos & Don’ts: Formal Educational Events module. You must remain on the first slide of the video for at least one minute. We recommend watching the entire video, but you will have the option to stop the video and complete the module. This video is also posted on MyBrokerLink for future reference and use under Knowledge Center, Reference Materials, Medicare Advantage.

 

Medical Mutual May Updates

• As a reminder, Medicare Advantage clients have access to the 24-hour nurse line which can assist with any questions about COVID-19 symptoms or other health-related issues. The nurse line is available toll free for members at 1-888-912-0636.

• Medical Mutual is taking further steps to be accommodating during the COVID-19 pandemic and is implementing a temporary solution for brokers writing Medicare Advantage plans. Effective Mar. 20, 2020, agents will be permitted to send and receive scope of appointment (SOA) consent via email. This will allow you to assist your clients in a compliant way without meeting them face to face or requiring an SOA form to be printed and mailed. Please contact your account manager for email submission template and further information.

• MedMutual Advantage members who are experiencing difficulty paying premiums or out-of-pocket healthcare costs due to COVID-19 may be referred to Centauri’s PremiumAssist program. Centauri will screen members to determine if they are eligible for financial assistance with their Medicare Advantage premiums and other medical expenses through the Medicare Savings Programs (MSP), as well as any additional assistance with prescription drug costs through the Extra Help program. Centauri’s PremiumAssist program can be reached at 1-877-236-4471 (TTY 711 for hearing impaired) Monday through Friday from 9 a.m. to 7:30 p.m. EST

• Effective Mar. 9, 2020, Mom’s Meals is implementing contactless delivery measures for all meals provided to MedMutual Advantage members who are being discharged from the hospital. These measures were implemented to help prevent the spread of the COVID-19. Details on the Mom’s Meals COVID-19 response can be found on MomsMeals.com.

• How are you communicating with your clients during this time? If you need something to talk about, remind the Medicare members of the SilverSneakers program through Medical Mutual. During this time, Medicare members can take advantage of online tools to help them stay fit, including SilverSneakers On Demand, SilverSneakers Go, as well as live Facebook events. Members can login to access these resources through SilverSneakers.com.

Medical Mutual Updates: FDA Removals & Alerts

FDA Requests Removal of Ranitidine (Zantac) from Marketplace Due to Potential Elevated Cancer Risk
Applies to: Individual; Small Group (1-50), 51-99, 100+, MEWA; All Medicare Business
The Food and Drug Administration (FDA) has requested the withdrawal of all forms of Ranitidine (Zantac) from the U.S. market due to a determination that the NDMA (N-Nitrosodimethylamine) in some ranitidine drug products increases to an unacceptable level over time and when stored at higher than room temperatures. NDMA is classified as a probable human carcinogen (a substance that could cause cancer) based on results from laboratory tests.

Member Communication
Members who have recently filled a prescription for this medication will receive a letter notifying them of the FDA’s decision and recommending they talk to their doctor about alternative medications or other ways to help alleviate symptoms without medication.

 
 
FDA Issues Alert Regarding Possible EpiPen Auto-injector Malfunction and User Administration Error
Applies to: Individual; Small Group (1-50), 51-99, 100+, MEWA; All Medicare Business
The U.S. Food and Drug Administration issued a product alert regarding potential errors with Mylan EpiPen 0.3mg and EpiPen Jr 0.15mg auto-injectors, and the authorized generic versions. These errors could either delay or prevent emergency treatment when needed.

Member Communication
A letter will be sent to members to make them aware of this issue and to provide instructions for obtaining a replacement device. There will be no cost for members or groups for replacement EpiPens.