SureBridge Policy Migration Release Schedule

SureBridge message from 10/30/20:

We recently communicated the following schedule for migrating in-force policies to our new policy administration system:

  • Oct. 29: Policies will be locked in the system so changes cannot be made to them via customer service or customer portal until the state is fully converted to the new administration system.
  • Oct. 29 – Nov. 9: Initial system conversion for in-force business only, excluding List Bill customers and those with DVH products. (To be converted in February 2021)
  • Nov. 3 – Nov. 9: Policies will be migrated by geographic state bundles. As the policies are migrated, customers will then be able to make changes via customer service and the new customer portal.
  • 2021: New business will convert after Open Enrollment ends.

There has been a change to the policy release schedule for regional bundles. Several of the release dates have changed and the state of MA will not be converted until February 2021. MA will remain on the SureBridge Mainframe until it is converted.

Click here to view the latest state release schedule map.

We are excited about the changes that are coming and look forward to better serving you and our customers. There is no action required by the Agent. 

Centene/WellCare 2021 Star Ratings

Centene is pleased to announce their 2021 Star Ratings!

Each year, the Centers for Medicare & Medicaid Services (CMS) issues objective ratings on all Medicare Advantage and Medicare Drug plans to determine if they provide high-quality care for their members.

These quality scores include several factors, such as the clinical care members receive, their service experience, and member feedback detailing how well plans did in various categories. Using a one through five-Star rating system, CMS evaluates nearly 50 measures, broken into multiple areas.

Centene oversees CMS Star measures and performance within five chapters:

  • Admin/Ops (service quality)
  • CAHPS (member satisfaction)
  • HEDIS (clinical services)
  • HOS (Health Outcomes Survey)
  • Pharmacy (taking prescribed medications)

Achieving positive quality ratings is vital. These ratings are crucial to Centene members, brokers and partners, and their overall growth. With CMS’ increased focus on patient experience and access to care, Centene must continue to put members first and empower them to partner with their providers to make good healthcare decisions.

Downloadable 2021 Star Ratings:

  • Click here to access 2021 Star Ratings for all Centene health plans.

 

NOTE: 2021 Star Ratings are state- and product-specific.

 

Action Required: Please ensure that you are distributing the most current 2021 Star Ratings. Be sure to dispose of any outdated Star Ratings.

 

Anthem 2021 MA Enrollment Kits – ACTION NEEDED!

FYI Brokers: When ordering Anthem 2021 MA Enrollments you may receive a kickback message stating incorrect information on the ‘Helpful Contact Information’ page.  See below for the full Anthem message :

Dear agent or broker,

Thank you for ordering 2021 Anthem Medicare Advantage enrollment kits.

We want to make you aware there is an issue on the last page of the enrollment kits you ordered as listed below. On the Helpful contact information page, there is a Transportation vendor listed that should not have been included because non-emergency transportation isn’t covered by this plan. So please reach for your nearest Sharpie pen and cross out that listing.

Please rest assured that the member’s Summary of Benefits included in the kits you have contains the correct coverage information.

We apologize for this inconvenience, and thank you for your continued support. If you have any questions, please reach out to your regional sales manager or contact Medicare Agent Services at medicaresalestraining@anthem.com.

Anthem Agent Services

Order Date:

Kit Code:

__________________________________________________________________________________________________________________________________

If you have any questions, please reach out to  your CSM service rep.

Don’t Forget Dental This Medicare AEP with Dental Care Plus Group

Don’t Forget Dental This Medicare AEP

Are your Medicare clients considering the cost that dental care can add to their living expenses? Oftentimes, Medicare participants mistakenly believe that Medicare covers regular trips to the dentist. That isn’t always the case.

DCP’s individual dental plans complement Medicare plans – filling gaps in coverage on routine dental procedures like cleanings and fillings.

With these plans DCP offers our broker partners:

  • Flat 10 percent commission on new sales and renewals.
  • Personalized URL to receive credit for your sales and email notification when a sale is made. Request one here.
  • Easy online enrollment for your clients at MyDentalCarePlus.com.
  • Hard-copy, paper application for your clients that prefer it. Please contact DCP individual product consultants at (888) 253-3279 if you are interested in utilizing this tool with your clients.

Customizable sales materials for your use are available by clickinghere

 

Questions? Contact your CSM representative today! 

Longer Hold Times with SureBridge’s Customer Service & Producer Support

SureBridge Experiencing Longer Hold Times
SureBridge announcement as of 10/27/20:
Customer Service and Producer Support are experiencing longer than usual hold and processing times in advance of the upcoming policy migration associated with the new SureBridge Policy Administration System that will occur October 29 – November 9, 2020.

Many customers are calling in reference to the customer letter sent by SureBridge announcing billing changes associated with this migration. We have posted a customer FAQ on Chesapeakeplus.com and MySureBridgeInsurance.com (for customers who have already migrated to the new system) to assist with explaining this transition and changes to billing.

Customers and agents can make policy changes, check coverages or make billing changes through the current customer portal at Chesapeakeplus.com through Wednesday 10/28/20 or use the new customer portal at MySureBridgeInsurance.com after the polices have migrated to the new system.

Provided below for your review are links to materials customers will receive when their policies are migrated to the new system.

 

WellCare: EFT/ACH Vendor Payment Postponed

WellCare communication from 10/26/20:

WellCare’s transition to a new broker payment vendor is delayed. Originally the transition was to take place on October 30, 2020; now, it will take place on November 13, 2020.

  • The first payout using the new vendor will take place on November 13, 2020.
  • You will continue to receive payment through our existing process and vendor until the transition is completed.

There will be no interruption in broker payments, as we transition to the new broker payment vendor.

 

If you have any questions, please contact your CSM service representative. 

Anthem DSNP Broker Bonus!

Connect Your New D-SNP Members to the Support They Need While Earning EXTRA CASH!

Great News! Beginning with 11/1/2020 effectives, Anthem Blue Cross and Blue Shield will reimburse brokers $50 for their time and effort to complete and electronically submit Health Risk Assessments for new members enrolling in a D-SNP plan.

Completing a Health Risk Assessment (HRA) is an important part of helping Anthem connect your new D-SNP members with the support and care they need. It only takes a few minutes to complete!

It’s fast and easy to submit your new D-SNP member’s application and Health Risk Assessment through mProducer!

Here’s How It Works:*

  • Each HRA must be completed and electronically submitted at the point of sale along with the application.
  • Reimbursement payments of $50 per HRA will be processed once the new D-SNP application is approved and the new member is active.
  • HRA completions for current members moving to or switching between D-SNP plans are not eligible for payment.
  • Reimbursement payments will be included in commission statements.

*Reimbursement for HRA completion will be paid to the writing agent identified on the enrollment application within 60 days of the policy’s effective date. Reimbursement payments will only be paid for new D-SNP policies in participating plans sold with 11/1/2020 and beyond effective dates

Anthem Reminder: Commission Change to PDP Enhanced Plans for 1/1/21 effective dates

Reminder: Commission Change to PDP Enhanced Plans

Personal Producing Agent (PPA) commission schedules for 2021 Medicare Advantage (MA), Medicare Advantage Prescription Drug (MAPD) and Prescription Drug Plans (PDPs) were distributed in August 2020.  Recent business decision will result in changes to the previously distributed schedules.

Beginning with policy effective dates of January 1, 2021 and beyond, there will be no base commission paid on new sales or plan changes for PDP Enhanced plans in all applicable states.  All other PDP plans will continue to pay commission as previously communicated.  Additionally, Anthem will continue to pay commissions on Enhanced Plans sold prior to January 1, 2021 policy effective dates.

This change is necessary as we continue to make every effort to deliver strong service to our PDP members and prospects.  Click here to view the revised PPA commission schedule.

Questions?

Please reach out to your Cornerstone Senior Marketing Rep – we’re here to assist with any questions you may have regarding this Anthem Broker notice

Anthem AEP 2021 Success Tips

AEP is finally here! Anthem provided tips below to ensure you have a SUCCESSFUL and STRESS-FREE season!

Submission of  Applications

When submitting your enrollment applications, Anthem offers many options. Electronic submission of applications is the preferred method.  However, you can check on the status of both electronic and paper submissions using Producer Toolbox and going to Menu > Applications.

 

Electronic Submission

  • Using mProducer, you can take applications on-line, capture electronic Scope of Appointment forms, and never touch a piece of paper!  Access mProducer directly at https://mproducer.anthem.com or from the Producer Toolbox by clicking on Tools & Resources and then selecting the mProducer link.  mProducer also allows you to transfer your applications to your client, and validates your application entries to reduce the chance your application will be pended for additional information.  It will also show you the reasons why an application is pended, and allows you to respond electronically.

 

Paper Applications

  • You may still submit applications via mail or fax.  However, these means of submission are typically associated with higher pend rates and slower turnaround time, and do not provide you with the option to respond to requests for information online like you can when using mProducer.

 

Application Reminders:

  • Remember “CACL:” Clean, Accurate, Complete & Legible applications will ensure timelier processing.
  • Avoid submitting duplicate applications for the same person.
  • P.O. Box may be used as a mailing address but NOT as a permanent address.
  • Submit all pages.
  • Ensure all the application signatures are obtained.
  • Attach “voided” check with every bank draft request.
  • Savings accounts must be ACH certified to be eligible for bank draft.

 

Scope of Appointment Form (SOA)

It’s important to obtain an SOA in advance and to observe the intent of the SOA requirement, which is to protect potential clients from sales of unwanted products.

We would prefer you use the Anthem SOA form whenever possible; however, in situations when you may not have our form on hand, you may use another carrier’s SOA form, as long as the other carrier’s SOA form is CMS approved. To validate that an SOA form is indeed CMS approved, look for a Material ID in the lower left corner of the document with a CMS approval date.

You have two ways to record the SOA:

  • Capture an Electronic Scope of Appointment (eSOA) using mProducer.
    • Recent enhancements allow you to have the beneficiary sign the eSOA and send back to you.
  • Use a paper SOA.

 

Find a Provider

 

  • You may also access the 2021 Provider Directory by going into CustomPoint.  To locate information on applicable specialty service providers (transportation, vision, dental, acupuncture, PERS, Telemonitoring, Weight Watchers, Silver Sneakers, etc.), download the applicable Provider and Pharmacy Directory. These vendors are listed under the “OTHER PROVIDERS” section of the directory.

 

 

Sales Event Changes and Process

                When it comes to meeting with your potential clients, you have options:

  • Face-to-face interaction is one selling tool available to help you meet your individual sales goals. Whether you choose to participate is a personal decision. If you need help with evaluating your options, you should talk with your manager.
  • Should you choose not to participate in face-to-face selling, you will still have access to all of the other sales tools to help you meet our annual sales goal.
  • Medicare Sales leadership team will continue to evaluate the necessity for face-to-face interaction, when it should be implemented, when it should be utilized, and how to meet market demand.

 

Reporting Sales Events

All sales event data must be entered in the Sales Event Tracker located on the certification site. This includes both face-to-face and virtual events

  • Events must be entered more than five calendar days prior to the start date of your event. The system calculates the 5 days according to the start time of your event.
  • Confirm the date, time, and content of the event with the venue prior to reporting the event for in-person events, and reconfirm as the date of the event approaches, especially if the venue requires marketing/sales event approval.
  • Should you need to cancel or modify an event, report it as soon as possible. Event cancellations or modifications must be reported no less than two business days prior to the scheduled event in accordance with policy.
  • When entering virtual events, enter your company address or address of the location where the virtual event will be hosted. Please do not enter any URL links in the certification site.
  • All in-person events must list a physical street address as shown in Google Maps. If you are holding an event in a park or on a street corner, you must enter the address of the closest business to where you will be located and use the “venue address 2 field” to add additional details that will pinpoint your exact location.

 

Ohio Medicare Broker Team

 

Regional Sales Managers:

Beverly J Danner: 513-203-6349. Beverly.Danner@Anthem.com

Brian Wissel: 513-274-3756, Brian.Wissel@Anthem.com

Dave Embaugh: 614-361-6945, Dave.Embaugh@Anthem.com

Kristen Troesch: 614-285-2914, Kristen.Troesch@Anthem.com

Lisa Perren: 216-217-3303, Lisa.Perren@Anthem.com

Stacey Bon: 513-236-7162, Stacey.Bon@Anthem.com

 

Sales Support:

Gena Cerasuolo: 440-417-4460, Gena.Cerasuolo@Anthem.com

Kimberly Kirn: 513-391-7391, Kimberly.Kirn@Anthem.com

 

Agent & Broker Resources:

Electronic Application Submission: https://mproducer.anthem.com

Learn how to submit with mProducer: https://youtu.be/L6AKW4uO9d8

Medicare Support: (800) 633-4368 or medicareagentsupport@anthem.com

Licensing & Contracting: (877) 304-6470 or anthem.brokers@anthem.com

Commissions – 800-367- 5896 or senior_salescomp@anthem.com

Application Status Only Line – All States – 1-855-277- 6071 or seniorappstatus@wellpoint.com

Broker Training: https://www.anthembrokerconnection.com/home

Manage Your Book: https://brokerportal.anthem.com

The Health Plan Receives 4-Star Rating for 2021

The Health Plan SecureCare (HMO) Medicare Advantage plan in Ohio and West Virginia has been recognized with a 4-Star overall rating for 2021 by the Centers for Medicare and Medicaid Services (CMS)!

Every year, Medicare evaluates plans based on a 5-star rating system to measure how effective they are in the following areas:
• Member Satisfaction
• Provider Satisfaction
• Healthy Outcomes
• Customer Service
The Health Plan’s SecureChoice (PPO) Medicare Advantage Plan was also awarded a half-star increase to a 3.5-Star rating.

2021 Star Ratings Marketing documents:
H3672
H8604