Allwell’s COVID 19 Updates and Procedures

Monday March 23, 2020

Dear Allwell Broker

Thank you for all that you do to transform the health of our communities and your dedication to our under served and vulnerable populations, particularly in this time of uncertainty.

Our teammates and partners are the heart and soul of this organization. The health and safety of our employees, partners, members, and communities is our uncompromising priority. We are closely monitoring the coronavirus (COVID-19) situation and are engaging regularly with medical professionals, the Centers for Disease Control (CDC), the World Health Organization (WHO), and other government agencies as the situation evolves.

 

Company leadership, our business resilience teams, and representatives from across our businesses are engaging daily to monitor the situation as it evolves and are taking measures to keep employees and partners safe, minimize the risk of exposure to COVID-19, and ensure that we can continue to provide the services that our members rely on for their health and well-being. That said, Centene would like to offer some options on how to keep you and your clients safe while still making sure business is being conducted.

 

Telephonic MAPD Marketing Appointments

Due to the current state of COVID-19 as of 3/16/2019, Centene will allow agents to conduct telephonic MAPD sales appointments with beneficiaries.

Remember, when conducting telephonic MAPD marketing appointments with Medicare prospects seeking only MAPD information; all current CMS Medicare Marketing Guidelines, Centene policies, etc. must be followed including consent to contact and documented Scope of Appointment. The Scope of Appointment (SOA) can be initiated via email or text through the Ascend application and must be in an ‘accepted’ status prior to discussing any plan information. If your client does not have access to email or a method of texting traditional paper SOA forms are required.

 

After all CMS requirements are met, an agent may proceed with a telephonic MAPD marketing appointment and assist with a discussion of plan details and formulary/physician searches. Please use the presentation checklist as a way to ensure that all important topics are covered.

 

If your client agrees to enroll, the agent may:

·    Use Remote Agent Telephonic Enrollment (RATE) within the Ascend Online Enrollment Platform (must be an enrolled Ascend user)

·    Provide their Ascend PURL information to the client; or

·    Send a plan Enrollment Guide which includes a paper application (and all required documents) to be completed by their client

 

Remote Agent Telephonic Enrollment (RATE)

RATE is a powerful enrollment tool within the Ascend Mobile Application (AMA) that enables you to enroll your clients by phone. The platform will allow you to enroll your clients and still initiate a Value Based Enrollment (VBE).

 

Some important things you should know are:

·    RATE is only available with an iPad and runs on iOS technology.

·    Check that you have the latest version of iOS installed on your iPad.

·    You must have the latest version of Ascend – you can do this by logging into Ascend and it will ask you to download the latest version.

·    Verify that your Ascend Resources are up to date. You can check this by clicking on “Resources” and confirming that “Resources are up to date” in the top right-hand corner of the application.

·    Once in the Ascend Mobile Application (AMA) make sure that you click the drop-down menu under your name in the top right-hand corner of the application and choose “Accepting Calls.”

·    Disregard the “Unavailable” section in the drop down menu.

·    Telephonic sales must be done using RATE only.

·    Confirm that your RATE access is functional and that you have your unique 1-800 number found in the same drop-down menu next to “My Number.”

·    If you are conducting a telephonic sale, appointments must get a documented Scope of Appointment (SOA) prior to starting the appointment.

·    You can NOT initiate or accept a RATE call if you are already in a scheduled meeting.

·    Your iPad should be used in landscape mode, this will ensure that you can view the “Start Meeting” button.

·    You MUST follow the approved RATE script – all phone calls are recorded.

·    The RATE script should be downloaded to another device or printed out as the script cannot be viewed on the same iPad screen.

·    Agents should review the entire RATE script prior to using RATE for the first time and be aware of all statements that must be covered including those that MUST be read verbatim.

·    You can NOT initiate Blue Button using RATE.

·    Make sure that the enrollment is complete prior to initiating the VBE. If selecting “Call Now” for VBE, ensure that you have wrapped up conversations with your client as they will be called immediately after clicking “Call Now”.

·    Once your RATE enrollment is complete send an enrollment guide to your client to ensure they have access to important and required documents.

 

For further information on RATE please download the following documents

 

RATE Training

 

RATE Best Practices

 

RATE Approved Script ENGLISH

 

RATE Approved Script SPANISH

 

RATE Tutorial Video

 

Personalized URL

Every agent who is registered to use Ascend has a Personal URL (PURL) that you can use to connect your client with the Ascend online enrollment tool if you are not able to do a face to face meeting.

 

The PURL can be found in the Agent Portal (tile on the home screen of AMA) and accessed with the same Ascend credentials. Your PURL can be sent electronically to your client who wish to do an online enrollment on their own.

 

Some important things you should know are:

·    Your PURL is unique to you and is created on your first login to the agent portal (once you login click on “View Enrollments” and the PURL will be at the top of the page).

·    The PURL is attached to your writing numbers so that you will get credited for the sale when an enrollment is made through the tool.

·    The Ascend Quote and Enrollment tool will look the same for the agent as it would in the AMA, however, lead information and other items like Scope of Appointment will not be merged into the application.

·    VBE and Blue Button are NOT options when using your PURL.

 

While we are in unprecedented times it is important that to take precautionary measures to keep yourself and your loved ones safe so please use the alternative enrollment options whenever possible.

 

Paper Application

If you are sending an Enrollment Guide with a paper application, make sure that you complete the Office Use Only section including your name and NPN. Do not fill out the received date.

 

Special Enrollment Period (SEP) for Beneficiaries affected by COVID-19 (Coronavirus)

The COVID-19 pandemic is declared a national emergency with incidents declared on the FEMA website for all US states. Therefore CMS guidelines surrounding Special Enrollment Periods will be in effect. If your client or client’s authorized representative has been affected by COVID-19 as documented by FEMA and were not able to enroll, dis-enroll, or switch their Medicare health or prescription drug plan during another valid election period due to the national emergency, they will have a Special Enrollment Period (SEP) that is currently available.

 

For more information about COVID-19 SEP please visit: https://www.fema.gov/disasters

 

Hours of Operation:

As of now, all call centers will be operating business as usual. As our country continues to prepare and execute safety measures, we will continue to evaluate business processes that will ensure the safety of all partners.

 

Protecting our members, employees, and partners conducting home visits:

Centene is taking steps to cover COVID-19 testing and screening services for Medicaid, Medicare, and Marketplace members and is waiving all associated member cost share amounts for COVID-19 testing and screening.

We will not require prior authorization, prior certification, prior notification, or step therapy protocols for COVID-19 testing and screening.

Enhanced protocols have also been created to ensure our pharmaceutical services continue to be available for members through supply chain management.

To lower the risk of transmission of illness we suggest taking precautions, such as reaching out by telephone prior to home visits to ensure that those being visited are not experiencing any symptoms related to COVID-19. As always, please ensure to adhere to all CMS guidelines.

 

We encourage you to reference the Centers for Disease Control and Prevention (CDC) website as well as local government guidance for current updates. Further, ensure to use the following precautionary measures to support a safe and healthy environment:

·    Thorough hand washing with soap and water for at least 20 seconds — hand hygiene is the most effective method to control the spread of many viral illnesses.

·    Using alcohol-based (containing at least 60 percent) hand sanitizer.

·    Covering your mouth when you cough or sneeze by coughing and sneezing into a tissue and then disposing of the tissue in a wastebasket.

·    Thoroughly cleaning surfaces that may be contaminated.

·    Avoiding shaking hands and close contact with people who are sick.

 

We appreciate your cooperation and support in serving our members and communities in this time of need and uncertainty. As the situation evolves, please know that additional measures will be taken with a local-oriented approach, and we will continue to ensure our employees and partners are supported and safe.

 

If you have any questions regarding the above information please reach out to your local Account Executive or to our Broker Services team at 1-844-202-6811 Monday through Friday, 9:00am to 5:00pm all time zones.

 

Thank you for your continued support.

 

Allwell

 

Approval ID: SCApproved-320-EFT-20200320

Disclaimer: For Agent use only – Not approved for presentation or distribution to Medicare beneficiaries

MMO’s NEW MA Electronic SOA Now Available!

Medicare Advantage Electronic Scope of Appointment Now Available

Date: March 20, 2020
Category: Enrollment
Applies to: Medicare AdvantageAs we all work to adapt to the ongoing coronavirus disease known as COVID-19 changes, we are implementing new, temporary business procedures to ensure that you have what you need to continue to do business. Effective immediately, you are now able to send and receive a Scope of Appointment (SOA) via email. This will help you assist your customers, while remaining compliant, without having to meet face to face or requiring a printed SOA form.

Steps for sending an electronic SOA

  1. Send your client an email with the required information. See example email here. Please note: The sections highlighted in yellow should be customized for each client before you send the email.
  2. Have your client reply to your email with “I agree” in the body copy.
  3. Once you have your client’s permission, you can send the enrollment application.
  4. Use this online enrollment guide for quick tips on how to send applications to members.
  5. Make sure you save the email correspondence, as we will be conducting random audits to ensure this process is compliant. You do not need to submit copies of the emailed SOAs unless requested.

As a reminder, you can also submit Medicare Supplement applications through the same online enrollment tool. Medicare Supplement applications do not require a SOA.

Still have questions?
Attend one of our upcoming webinars for more information on the online application process. You can also contact your individual Account Manager with any questions.

Upcoming Webinars

Tuesday March 24, 2020 at 10am
Meeting ID: 922 514 984
Join Meeting

Thursday March 26, 2020 at 10am
Meeting ID: 926 678 879
Join Meeting

Thursday March 26, 2020 at 2pm
Meeting ID: 926 005 988
Join Meeting

Contact your Account Manager

Mike Broderick
Account Manager
419-595-6366
Mike.Broderick@medmutual.com

Steve Cooley
Account Manager
614-378-4571
Steve.Cooley@medmutual.com

Jennifer Detrick-Myers
Account Manager
513-684-8199
Jennifer.Detrick-Myers@medmutual.com

Amanda McFarland
Account Manager
440.572.6367
Amanda.McFarland@MedMutual.com

Anthem’s Limited Agent Support Center Staff

A Message from Anthem as of 3/19/20:

During these times of change, Anthem asks that you be patient with. As of yesterday (3/19/20) California has issued a statewide shelter. Our Medicare Agent Support center is based in California. This will reduce the number of agent services representatives we have available. Wait time will be longer than normal.

To help with the wait time we ask that you use the DSNP Validation tool. Also, email issues when you can. Please add member name, id, and dob with any details you can provide.

In the wake of these unprecedented times we appreciate your patience and partnership.

 

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

UCT’s Online Enrollment Process

UCT provides you with products that can be written through electronic applications on your computer and submitted through your email directly to UCT!

Read full message here

Humana Requesting Submission of Online Enrollments

Humana has a strong commitment to the health and well-being of our members, associates, and agents. At this time of rapidly changing information and concern about the coronavirus disease 2019 (COVID-19), Humana is putting measures in place to help provide a safe workplace and maintain our ability to care for members.

Enrollment Application Submission Options

We have made great strides over the last year in reducing the amount of paper applications submitted and promoting the use of electronic enrollment channels driving faster enrollment, better visibility to agents, and a more seamless onboarding experience for members. In an effort to minimize utilization of the postal system and our vendor partners, we are strongly encouraging the use of electronic channels for application submission.  Additionally, the electronic channels have historically lower error rates and will be processed faster and more efficiently than paper applications, reducing the overall stress on the enrollment process and provide faster access to care.

Effective immediately, we are requesting that agents submit enrollment applications using our Enrollment Hub or FastApp electronic tools, with the prospect/member’s permission.  

If a paper application is necessary, we are requesting those be submitted using:

  • Vantage Upload Paper Application form (Click here for instructions)
  • Humana Enrollment Document Transmitter App (see instructional video here)
  • Fax- 1-877-889-9936

During this time, agents should NOT mail paper applications, as postal service delays or vendor limitations that prevent our ability to receive and process these applications are possible.

Your cooperation is appreciated as we strive to provide the best member experience and avoid disruption in care. We will continue to keep you updated about when we expect to resume our standard operating procedures.

UHC Medicare Solutions LEAN Electronic App with Esign

Agents can complete apps, start to finish, electronically with the prospect esigning at their home.  UHC is hosting trainings including an esign refresher, via webinar, starting March 24th.  Due to limited space, please sign up for only ONE session.

Register:  Tuesday, 3/24 @ 2p CST

Register:  Wednesday, 3/25 @ 3p CST

Register:  Thursday, 3/26 @ 11a CST

Register:   Friday, 3/27 @ 1p CST

 

Anthem advancing Med Supp comimssions starting April 2020 and more!

Medicare Supplement commissions will be paid for 9 months in advance beginning in April.  Learn more here.

Medicare Supplement Plan offerings for Under 65 applicants.  In most cases, an under-65 applicant must apply to enroll in a Medicare Supplement plan within six months of their Part B effective date, unless they have a Guaranteed Issue right.  Learn more.

Primary Care Physician Auto-Assignment – Member Impact:  Improve member satisfaction by making sure you client’s Primary Care Physician (PCP) selection is correct to avoid PCP auto-assignment.  Learn more.

Anthem, Inc. Acquires Beacon Health Options:  Joining forces enhances whole-person health care in new ways!  Learn more.

 

Aetna Medicare Solutions: Keeping you informed about COVID-19

Keeping you informed about COVID-19

Aetna Medicare Producer News March 16, 2016:  As we continue monitoring the outbreak of the coronavirus, also known as COVID-19, we remain focused on the health and safety of our members and agents. As an agent, you play an important role in keeping members informed. We encourage you to check our website frequently for updated information about the virus and tips for staying healthy, and to learn about the ways we’re supporting members.

Read the full update here.

 

 

 

 

How is Humana Responding to the Coronavirus?

COVID-19 Update for External Sales Partners  

As part of our preparation for the impact of coronavirus, we are sharing an overview of our plans and guidance as it relates to our third party relationships, which are a critical piece of our operations and help us provide care to our members every day. If you have any questions, please reach out to your relationship manager at Humana.

Humana Preparedness

As the COVID-19 coronavirus continues to circulate around the world, Humana is being mindful of all we can do to stay safe and healthy and minimize potential disruption to our ability to care for members. Humana is focused on safety and mobility of our associates and the continuity of our operations, especially in areas related to accessing pharmaceutical products and medical supplies. We have enterprise cross-functional teams working together to identify and manage risks, including outreach to our third parties to ensure their plans for this situation complement ours. We’re also coordinating with public health authorities and are ready, with contingency plans in place, should the virus continue to spread.
Humana has trained a specialized group of call center employees to help support members with specific coronavirus questions and concerns, including live assistance with telemedicine. Members can call Humana’s toll-free customer support line, which can be found on the back of their member I.D. card, to be connected to this dedicated team of professionals.

Agent Support Unit

  • Agent Support Unit will begin transitioning all associates to Work at Home over the next several days. There may be service level impacts during this transition.
  • Send any non-urgent requests or questions to agentsupport@humana.com
  • If any urgent needs, please call us at 800-309-3163

 

Telephonic Sales Presentation 
In an effort to protect the most vulnerable population we strongly suggest not meeting face-to-face.  Sales agents may conduct a telephonic sales presentation, with the beneficiary’s permission.

 

Use Humana’s Vantage Agent Portal for Faster Service 

  • Leverage the IVR system to complete a Scope of Appointment (866-945-4471)
  • Electronic Enrollments
    • Enrollment Hub with E-Signature
    • Fast App with E-Signature
  • Digital Marketing Materials
    • Digital Marketing Materials can be used to present plan options after conducting a sales presentation.
    • A beneficiary may complete their own application through Digital Marketing Materials
  • Agent Support
    • Service Inquiries
    • Commission Statements, License and Cert Status
    • My Humana Business Center in Vantage (Enrollment status checks)
  • Humana.com
    • Plan information, drug look up, Find a Doctor

 

Humana 10 Step Appointment Guide

Telephonic Presentation Job Aid

Policy on Telephonic Sales Presentations by Field Sales Agents

 

 

Our Priority
Our highest priorities are to protect associates and preserve our ability to best serve you and promote the health of our members.

Anthem Ohio: Growing Your Business While Dealing with Coronavirus

We are all navigating uncharted territories as we face new developments from the Coronavirus every day. The health and safety of Anthem’s members and you, our partner brokers, is of the utmost importance. Given the demographics of our business, these individuals are at the greatest risk. We know that potential clients may not want to meet in person until we come out the other side of this virus. This presents new challenges for how to continue to write business. To this end, Anthem is committed to share ideas with you that will assist in the ability for you to continue to provide the valued services you offer and allow our senior and dual population to obtain the coverage they need.

 

You will find a presentation on how to transfer an application to your client HERE. Anthem recently made changes to this process. The  document highlights how your client can log in to the application without having to create an account, thereby removing the cumbersome challenges with that process. Once you have transferred the application, your client will receive an email that contains a PIN number.

Please stress the importance of keeping this PIN number available. The number is required to log in to the application. Once they have written down the PIN, they click on the link to the Online Store, enter the PIN and their Date of Birth, and they are then directed to “Complete Your Application” . It is very important that at this point they select “Continue as Guest”. This will bypass the need to create an account and allows them to move immediately into the application.

Please review this document and reach out to any member of the Ohio team with questions. Also, please check www.anthembrokerconnection.com for dates of upcoming webinars where we will be reviewing the entire online application process.

 

Additionally, now is a great time to contact your existing clients and remind them that they have the ability to “visit” a physician from the comfort of their home through our LiveHealth Online benefit. Please see the below information that outlines how you can order co-branded LiveHealth Online brochures at no cost. These are great pieces to share with your existing clients. We encourage you to discuss this benefit with all prospects as well as it positions you as their health care expert who will guide them safely through the buying decision with their health as your number one priority.

 

Now more than ever is an important opportunity to promote LiveHealth® Online doctor visits

Because the health and safety of all we serve is a priority, you can help by encouraging the use of online doctor visits from home with the LiveHealth Online Flier – available NOW on the Sales Toolkit.

 

Visit the Sales Toolkit TODAY and customize the flier with your contact information. Share the flier with prospects, current clients and your community centers of influence. Reminding them of this valuable tool supports our commitment to access to care, especially for those with special needs.

 

LiveHealth Online is a safe and effective way for members to see a board-certified doctor and receive health guidance from home with a smartphone, tablet or computer-enabled web cam.