MMO: Updated Medicare Advantage Compliance Addendum and First Amendment to Compliance Addendum

MEDICAL MUTUAL OF OHIO BROKER UPDATE:

Date: September 20, 2022

Subject: Updated Medicare Advantage Compliance Addendum and First Amendment to
Compliance Addendum
Topic: Medicare
Applies to: Medicare Advantage

The Centers for Medicare & Medicaid Services (CMS) released new marketing requirements for the 2023 calendar
year that go into effect Oct. 1, 2022. These requirements can be found in the Final Rule in 42 CFR 422.2274(g) of
the Medicare Compliance Addendum

READ FULL UPDATE FOR 2024 CERT SEASON HERE

MMO Special Broker Update: Pre-Order Your Medicare Advantage Supplies Now

Click here to place your pre-order for 2023 Medicare Advantage pre-enrollment materials.

Pre-orders must be received by Tuesday, August 30, in order to guarantee delivery prior to October 1. Orders received after August 30 will begin shipping in the order they were received.

What is available for pre-order?

  • Plan Highlights Brochure: provides comparison of plan options by region
  • Pre-Enrollment Kit: includes a marketing brochure, individual Summary of Benefits documents and an enrollment application customized by region.

Want to learn more about our 2023 Medicare Advantage plans? Visit our First Look microsite.

 

Questions or issues with pre-ordering? Contact your CSM Service Rep! 

Medical Mutual of Ohio: MA Provider Network Update

Sourced from MMO’s Broker Update Announcement from 7/26/22:

Effective Aug. 1, 2022, the Ohio State University Wexner Medical Center (OSUWMC) providers will return to Medical Mutual’s Medicare Advantage network. Medical Mutual has entered into an agreement that grants our Medicare Advantage members access to OSUWMC’s University Hospitals, Arthur G. James Cancer Hospital, outpatient care clinics, primary care providers, specialists and other ancillary providers.

 

READ FULL PRESS RELEASE HERE

MMO: MedMutual Access PPO Out of Network Copay Clarification

Special Broker Update

Sourced from MMO communication on 3/31/22

 

In 2022, Medical Mutual introduced a new Medicare Advantage $0 premium MedMutual Access PPO plan. We appreciate the interest you’ve shown in this plan so far.

We recently learned that we miscommunicated a plan feature during our broker training sessions and want to clarify. With the Access PPO plan, the out of network $2000 deductible will apply first, before out-of-network copays are applied.

We apologize for the inconvenience this miscommunication may have caused. 

 

If you have any questions please contact your CSM representative for more information.

 

Medical Mutual of Ohio: MedMutual Advantage® PPO Plans Available for Year-Round Enrollment

Sourced from MMO’s Special Broker Update Email from 1/26/22:

 

Medical Mutual is happy to announce our MedMutual Advantage PPO plans received Medicare’s highest rating, 5 out of 5 Stars, for 2022. The Centers for Medicare and Medicaid Service (CMS) rates Medicare Advantage plans annually on the quality of their health and drug services.

  • Medical Mutual was awarded 5 out of 5 Stars for providing members access to the care they need when they need it and helping them quickly make any necessary healthcare appointments
  • Medical Mutual achieved 5 out of 5 Stars for providing top-notch customer service
  • Medical Mutual attained 5 out of 5 Stars by delivering the highest quality healthcare coverage to their members on a consistent basis

Because of this high ranking, Medicare beneficiaries can use the one-time 5-Star Special Enrollment Period (SEP) anytime until Nov. 30, 2022, to switch to a MedMutual Advantage PPO plan. Medicare Advantage plans are a great choice for clients who are looking to change and upgrade their access to healthcare coverage.

How to Apply:

If your clients prefer to enroll in a MedMutual Advantage PPO plan during this SEP with a paper application, they will need to use an updated Enrollment Form instead of the one included in the enrollment booklet. This updated form is available on MyBrokerLink. We have also updated our online application for this SEP. The online application is our preferred enrollment method. When filling out either form, your client should indicate that he or she is joining a plan with a 5-Star Enrollment Period.

Marketing Collateral Material Available:

We are developing a number of marketing materials you can use with your clients during this SEP, including fliers, postcards and advertisements. Your Medical Mutual Account Manager can help you identify the appropriate material for your audience and customize it with your contact information.

5-Star SEP Marketing Rules & Limitations:

  • Clients can only switch to a 5-Star rated plan one time during the SEP
  • Any reference to the overall Star rating must make it clear the rating is “5 out of 5 Stars” for Medical Mutual’s 2022 MedMutual Advantage PPO plans. This should not imply that our highly rated 4.5-Star HMO plans are available during the SEP
  • Medicare clients can be informed the 5-Star SEP is available and they can be enrolled in a 5-Star plan from Dec. 8, 2021-Nov. 30, 2022
  • You are not permitted to specifically reach out to clients enrolled in lower-rated plans nor tell them to specifically request this SEP
  • You can put out general marketing communications or announcements to all clients who have the option to switch to a 5-Star plan during this SEP and encourage them to contact you to learn more

Marketing Material Requirements:

  • All materials must include the appropriate disclaimer that refers to Star ratings:
    • “Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.”
  • Marketing materials cannot specifically target enrollees in poor performing plans

You may include CMS’ gold star icon on materials that clearly relate to the contract that received 5 out of 5 Stars. It is prohibited to create your own gold star icon.

 

 

Medical Mutual of Ohio: Important Information on Secure HMO Plan LIS Levels

Taken from MMO’s Special Broker Update from 10/21/21:

Important Information on Secure HMO Plan LIS Levels

 

As you know, the Secure HMO plan has been a great option for those members who are full LIS. It has also provided agents the opportunity to offer a competitive plan at $0 premium. We feel it is important to share in advance that, as we move into 2022, the premium will be changing. Members who are full LIS will now receive a bill for $2 per month beginning in January 2022. 

 

We understand expenses are a priority for these members, which is why we wanted to ensure you were made aware of this change. We also want to provide you with the information in advance so you can reach out to your clients and determine which product best fits their needs moving forward. 

 

Click Here to view the Secure plan LIS premium levels for 2022. You can download a copy of this flier on MyBrokerLink.

 

 

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

Medical Mutual of Ohio Broker Update: New Member Assessment Rewards

MMO Broker Announcement from 10/5/21: 

New Member Assessment Rewards Brokers and Helps Medicare Advantage Members

Applies to: Medicare Advantage

 

Starting Oct. 15, 2021, Medical Mutual will pay brokers $100 each time they submit a member assessment on the behalf of newly enrolled Medical Mutual Medicare Advantage members with 2022 effective dates. To earn the $100 payment, brokers must complete the assessment with the member within three business days of enrollment.

In addition to the New Member Assessment Program reward, we are also pleased to announce that starting Jan. 1, 2022, Medicare Advantage renewal rates for policies with an original effective date on or after Jan. 1, 2021 will be updated each year based on the Fair Market Value renewal rates set by the Centers for Medicare and Medicaid Services (CMS).

New Member Assessment Program Details:

The new member assessment is meant to connect newly enrolled Medicare Advantage members to the helpful resources and programs that Medical Mutual offers to help them navigate their benefits and maintain their best health possible. Resources and programs for members include dedicated care navigators, transitional care services and more.

The new member assessment is built into the online application process and will be available via a link on the application confirmation page. It will also be included in the submission confirmation email. It takes approximately five minutes to complete.

To learn more about the assessment and its benefits for members and brokers, please review the New Member Assessment flyer.

Medical Mutual will also be hosting two virtual meetings to review the New Member Assessment Program and answer your questions. There will be two meetings to meet your schedule:

October 6
10 a.m. – Join us on Zoom:
https://medmutual.zoom.us/j/84598525701?pwd=bS9uWTZWQVpCZzF2NUxldkZtNGJsZz09
Meeting ID: 845 9852 5701
Passcode: 114258

October 7
10 a.m. – Join us on Zoom:
https://medmutual.zoom.us/j/84598525701?pwd=bS9uWTZWQVpCZzF2NUxldkZtNGJsZz09
Meeting ID: 845 9852 5701
Passcode: 114258

 

Pre-Order Your MA Supplies Now with Medical Mutual of Ohio & More

MMO Special Broker Update from 8/24/21:

Subject: Pre-Order Your Medicare Advantage Supplies Now

Pre-orders for 2022 Medicare Advantage materials are now available in the Order Materials section of
MyBrokerLink. This pre-order opportunity will close on Wednesday, September 8, though you will be
able to continue ordering after that date. Only orders placed by September 8 will be guaranteed for
arrival prior to October 1. Any orders received after September 8 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 2022 Annual Enrollment
Period, including updated pre-enrollment kits for all regions. This year’s kits are customized to the HMO
and PPO plans in each region where we expect you to have a majority of your sales. Each kit includes
individual Summary of Benefits documents, an application specific to that region and a brochure
explaining the benefits of our plans.

MedMutual Advantage product additions and enhancements for 2022:

• Significantly enhanced $0 Signature HMO*, including $0 specialist copay
• New $0 Access PPO plan**
• Substantial cost reductions in diagnostic services (PET scans)
• Cost reductions in Tier 2 prescription drug copays
• New visitor/travel benefit of $2,500 maximum
• Expanded dental benefits to include comprehensive coverage up to $1,000*** in addition to
preventive services

* Available in Cuyahoga, Lake, Medina, Portage, Stark and Summit counties
** Available in Northeast Ohio and Central Ohio, Cincinnati/Dayton and Toledo
*** Available in Signature HMO plans

Medical Mutual: Preparing for the Upcoming Medicare Sales Season

Special MMO Broker Announcement form 6/17/21:

As we prepare for the upcoming Medicare Annual Enrollment Period, we have two important reminders for Medicare-affiliated brokers and agencies regarding our Annual Medicare Advantage Certification and marketing materials to help grow your book of business.

Annual Medicare Advantage Certification Begins June 28, 2021
It’s time to complete your Medical Mutual Medicare Advantage certification. There are numerous changes to the certification process this year, so we encourage you to read this entire update.

2022 Training Course Requirements

You must complete AHIP certification before gaining access to the Medical Mutual certification modules, AHIP will automatically share your completion dates with Medical Mutual once you log on to your Web Courseworks account.

To access your account please follow the below:
• Log into MyBrokerLink
• Select Sales & Quoting
• Select Medicare Advantage
• Training and Certification.

Completion of the 2022 training will certify an agent for both the 2021 and 2022 plan years through a combination year certificate.

Agents will be given five attempts to reach a passing score of at least 85%. The exception to this is the Title 18 attestation module, which must be passed with a 100%.

As a reminder: Agents are given a $50 discount by accessing AHIP training through our Medical Mutual link. If you completed NAHU general compliance and FWA training, please email [email protected] for assistance in accessing the certification modules.

Training Modules and Additional Resources
The Training content pdf can be downloaded from Web Courseworks upon module completion. For 2022 certification, you will not be required to complete the Sales Event module unless you are also certifying for 2021 or will be hosting local area marketing events representing Medical Mutual. As a reminder, 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, however you will have the option to stop the video and complete the module.

Interested in growing your Medical Mutual Medicare book of business? We are here to help!

We have a large portfolio of marketing pieces such as fliers, letters, postcards, banners, advertisements and brochures. Nearly all of these materials are available for personalizing with your agency logo and contact information.

Whether you are marketing during AEP or to a Turning 65 audience, we have the right materials for you. Simply click here to view samples of all that is available to market to your prospects. Please watch out for upcoming product meetings in your region.

 

If you have any questions regarding Medical Mutual of Ohio’s 2020 certification process, please contact your CSM SERVICE REP.

MMO Updates to their Medicare Advantage Certification Site- Please Read!

Medical Mutual of Ohio Notice:

MMO has made updates to their Medicare Advantage Certification site. the first time you access the new site AFTER 5/10/2021, you will need to select the “Forgot your Password” link to reset your password and access to new site.

 

REMINDER: MMO will no longer be accepting Enhanced Access Forms effective 5/17/2021. Principals and Agency Administrators now have the ability to grant enhanced access for agency employees.

 

Any questions or concerns, you can reach out to your Cornerstone Senior Marketing service representative.