Allwell 2020 AEP Helpful Tips & Trends

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Administrative Payment Payouts, SEP Notice, MBI Locator, and Ascend Resources

AEP is in full swing and it’s important that Allwell keeps you, their brokers, informed and up-to-date on any and all information that will help you be more successful. Below are some hot topics Alllwell wanted to share with you.

 

Tip # 1: Administrative Payment Payouts

Don’t forget that when you initiate a VBE ($50) and Blue Button ($30) you will receive an extra $80 in administrative payments.*

VBE payouts have already started so make sure you are logging into your Allwell Broker Portal to keep track of your payments.

Blue Button payouts will commence as of November 20, 2019.

Administrative Payments are paid out on a weekly basis.

For any questions or concerns about your administrative payments please call Broker Services at 1-844-202-6811

Tip # 2: Special Enrollment Period (SEP) for Beneficiaries Affected by Severe Weather

If your client or client’s authorized representative has been affected by severe weather as documented by the Federal Emergency Management Agency (FEMA) and were not able to enroll, dis-enroll, or switch their Medicare health or prescription drug plan due to the disaster, they may be eligible for an SEP. If your client qualifies for an SEP they have four (4) full months from the day the disaster occurred to enroll, dis-enroll or switch their plan.

When enrolling your client for a weather related emergency or major disaster SEP within the Ascend online application you must make sure to use the correct election selection in the election period section of the application.

The election you need to choose is: “I was affected by a weather-related emergency or major disaster as declared by the Federal Emergency Management Agency (FEMA). One of the other statements here applied to me, but I was unable to make my enrollment because of the natural disaster.”

For more information about SEP please visit: https://www.cms.gov/AboutCMS/AgencyInformation/Emergency/Downloads/MedicareBeneficiaryDisasterEnrollmentQsandAs.pdf

For more information about areas that qualify as a disaster area please visit: https://www.fema.gov/disasters

Tip # 3: How do I Help my Client Locate their Medicare Beneficiary Identifier (MBI) Number?

It is important that you use your clients MBI number on the enrollment application when enrolling your client into an Allwell plan. If you don’t use your client MBI number the application process is slowed down considerably.

Your client can find their MBI number by:

  • Looking on their newly issued Medicare Health Insurance Card
  • Calling the Medicare help line at 1-800-633-4227
  • Logging into their gov account

If your client is new to Medicare and doesn’t have a Medicare card yet, they can get their Medicare number by logging into their Social Security Account

Tip # 4: Find Valuable Documents and Videos in the Ascend Resource Library

The online Ascend platform is so much more than just an online application platform. Once logged into the portal you can access the Resource Library where you can find valuable documents and videos to assist you in all your Allwell Sales. You will find documents such as Evidence of Coverage, Summary of Benefits, Sales Presentations, VBE training, Blue Button demo training and much more.

For More Information on Using the Allwell Online Application Platform, Ascend Check out Allwell’s FAQs

ASCEND FREQUENTLY ASKED QUESTIONS

Medical Mutual November Updates

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Medicare Supplement Updates:

  • MMO’s Medicare Supplement rates have been approved. Soon you will be able to quote and enroll members electronically. Click here to view the rate sheet. Please note, effective Jan. 1, 2020, members’ rates will be based on age and gender.
  • Medicare Supplement renewals for 2020 are scheduled to mail shortly. As a reminder, current members will renew at the new business rates. Members will not receive a renewal notification until the anniversary month. The renewal will include any rate updates in coordination with the member’s gender and age.
  • As you reach out to your Medicare Supplement members, remember to ask if they would like to add the Supplement Plus plan to their coverage. This plan provides dental, vision and hearing benefits for only $28 a month.
  • Effective Jan. 1, 2020, Medicare Supplement plans C, F and High-Deductible F will no longer be available for sale to members newly eligible for Medicare.
    • Newly eligible members are defined as individuals who turn 65 years old on or after Jan. 1, 2020, or anyone who first becomes eligible for Medicare benefits due to age, disability, or end-stage renal disease, as defined by the Centers for Medicare and Medicaid Services (CMS), on or after Jan. 1, 2020.
    • Applicants eligible for Medicare prior to Jan. 1, 2020, will be allowed to purchase plans C, F, or High-Deductible F.
  • MMO made enhancements to the Medicare Supplement commission statement, which now lists the commission amount.
  • November is the last month you can submit Medicare Supplement applications without medical underwriting. Members are eligible to move from their current Medicare Supplement plan to any Medical Mutual Medicare Supplement plan without medical underwriting. All applications must be received by Nov. 30, 2019, for a Dec. 1, 2019, effective date

Medicare Advantage Updates:

  • If you are selling Medicare Advantage in Cuyahoga, Medina or Summit counties, be sure to order the Secure Enrollment kit. This is the only kit that includes our new competitive Secure plan, which offers the following features:
    • Low monthly premium of $15 ($0 premium for full low-income subsidy)
    • $3,700 maximum out of pocket
    • Primary care physician visit is $0, specialist visit is $30
    • Over the counter (OTC), dental, vision and hearing benefits
    • SilverSneakers® program
    • Post-discharge transportation
  • ChenMed in Central Ohio has been added to the Medicare Advantage HMO network.
  • Effective Jan. 1, 2020, the Physician’s Group of Southeastern Ohio (PGSEO) and Canyon Medical Center physicians will no longer be part of Medical Mutual’s Medicare Advantage network.

 

As a reminder, please be sure to submit termination requests to the appropriate email to ensure their timely processing. Click here to view the contact sheet.

Aetna to WellCare Billing Transition for Members

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Members transitioning from Aetna to WellCare will need to complete a new EFT form for WellCare. The completed form must be mailed (not faxed) and include a copy of a voided check. The mailing address is on the EFT form.

MORE: Important….and encouraged!
Members can also go on to the Member WellCare Portal and select credit card payments, or choose to draft their online checking or savings to make payment on their desired date.

IN THE WORKS: Notification to transitioning members
Aetna is planning a post card campaign to those Aetna EFT transitioning members notifying them to re-register via the portal or call center.

WELLCARE – EFT FORM

Wellcare 2020 Enrollment App Updates Now Available

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Update Required!

We are excited to announce that the WellCare Enrollment Platform is ready for 2020! This mobile application is available on Apple, Android, and Windows 10, and designed to save you time and improve the experience of enrolling new members.

*The Windows and Android versions are now available; Apple will be released later today.

*If you have the 2019 app installed, a manual update is required for 2020.

Advantages:

  • Perfect companion to the WellCare electronic Scope of Appointment capture.
  • No paper application is required when the WellCare Enrollment Platform is used.
  • No cellular/wireless data access, no problem. There are online AND offline modes included.
  • No time lost faxing paper applications.
  • Electronic applications are processed in a fraction of the time compared to paper.

2020 New Features:

  • Seminar section (optional) for preloaded events.
  • EFT (Electronic Funds Transfer) form built into the app.
  • Medicare ID double-entry confirmation built in.
  • Policy premium entry (not required) included.

For additional information and instructions to remove the 2019 Mobile SOA and Enrollment app and download the 2020 Mobile SOA and Enrollment app, please click the link below.

 

WELLCARE ENROLLMENT APP UPDATES

 

As always, your CSM team is here to help! For more information or questions please contact your Cornerstone Senior Marketing representative.

 

Earn An Extra $50 For Every MA Plan With UHC & The Health Assessments

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Exciting News! Health Assessment Payment Available for All Medicare Advantage Plans

Effective Oct. 1, 2019, agents will receive a payment for a qualifying Health Assessments when you use LEAN to submit an application.

BEFORE YOU START, READ THIS FAQ

How to get started

  • You must be an appointed, licensed and certified UnitedHealthcare® Medicare Solutions agent. Go to www.uhcJarvis.com to complete certifications.
  • You must complete the required Model of Care Training to be eligible for this program. Log on to Jarvis >Knowledge Center>Training>Certifications. In the ‘Electives’ section of LearnSource, choose Model of Care Training. This training includes valuable information about the benefits of a Health Assessment and instructions on how to use a website to submit the assessment.
  • Once you complete the training, you will be auto-registered into the Health Assessment website. You will receive an email from a company called ‘Revel’ with instructions to access the website.

Once you’re registered

  • After completing a qualifying LEAN enrollment application with the consumer, you can go to the Health Assessment survey page on Jarvis. Qualifying plans include: Medicare Advantage (MA), Medicare Advantage with Part D (MAPD), Dual Special Needs Plan (DSNP) and Chronic Special Needs Plan (CSNP).
  • Log on to the Health Assessment website and help the member complete the assessment.
  • If all eligibility requirements have been met you will receive a $50 payment for each Health Assessment submitted for applications received through LEAN, paid out on your standard commission schedule.
    • Any stand-alone Part D Plan (PDP), AARP® Medicare Supplement, ISNP, or non-commissionable MA/MAPD, DSNP or CSNP is not eligible for payment.
    • Also excluded are any applications that do not result in an enrolled member.
    • A Health Assessment must be submitted for each application submitted to qualify.

Note: Refer to FAQ for additional eligibility requirements

Benefits for Members and Agents Members

The Health Assessment has several benefits, from providing a health summary that members can share with their primary care physician (PCP) to helping identify members who may be eligible for UnitedHealthcare programs that assist them with managing their health. It’s important to note that results from the Health Assessment do not impact enrollment eligibility, membership or costs.

As always, complete a thorough needs assessment to ensure you are offering the most appropriate UnitedHealthcare Medicare plan for the consumer.

Disclaimer

Not all MA/MAPD, DSNPs or CSNPs are eligible for this Health Assessment payment program. If a member becomes ineligible due to a non-qualifying chronic condition, DSNP ineligibility or other reason, you may not be eligible for payment.

Integrity’s NEWEST Proprietary Plans: Humana’s New Med Supp ACHIEVE is Now Available in KY!

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Humana Achieve Medicare Supplement Plans: Kentucky is ready to sell!

Humana Achieve is now accepting new business in Kentucky with an effective date of November 1 or later. We know how important having everything you need to sell at your finger tips. Below is information on how to access available resources.

View KY Outline of Coverage 

Humana’s ACHIEVE Medicare Supplement is a plan that offers many of the same benefits as Humana’s premier line of products at a great value.

If you are currently contracted with Humana, you already have access to Achieve. There is no additional work on your end so you can focus on serving your clients!

View Humana’s Achieve FAQ’s

PLUS… Producers can earn uncapped bonuses with a minimum of 3 undwritten cases in a month with Achieve plans! 

VIEW BONUS INFO HERE

How to get a Quote:

  1. Visit CSG Actuarial 
  2. Sign in
  3. Medicare Supplement Run Quote
  4. Input an effective date of 10/1/19 or later.
  1. Log onto Vantage
  2. Under Quote & Enroll, click Enter Fastapp
  3. Enter Zip code
  4. Answer questions on page
  5. View rates

How to order Achieve Med Supp sales kits:

  1. Log onto Vantage from Humana.com – or HumanaAchieve.com
  2. Under the Sales & Marketing header, click on Medicare Sales Materials
  3. Click on Medicare Supplement Only Request
  4. Check that all information is correct and click Next; choose the state and insert the quantity of kits needed
  5. Click Next and Submit

How to view FastApp training video:

  1. Log onto Vantage
  2. Under the Education header, click Humana MarketPoint University
  3. Enter Med Supp in the search bar
  4. Click on Launch FastApp – How to complete a Medicare Supplement Plan Enrollment Video

 

View Humana’s Medicare Supplement Contact Card

Centene/WellCare Merger Gets Approval From Five More States

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Article courtesy of WellCare/Hill+Knowlton Strategies

Centene Corp. and Tampa-based WellCare Health Plans Inc.’s planned $17.3 merger has gained the approval of five more states.

Arizona, Connecticut, Georgia, Ohio and Texas join 17 other states that approved of St. Louis-based Centene Corp’s (NYSE: CNC) acquisition of WellCare (NYSE: WCG). This latest round of approvals brings the total count of insurance departments that have signed off on the merger to 24. The companies originally sought the approval of 27 departments.

“We are making important progress in our merger process and are pleased that state insurance regulators continue to see the benefits that our combination will bring to recipients and communities,” Michael F. Neidorff, Centene’s chairman, president and CEO, said in a statement. “We will continue to work with the remaining state insurance regulators to demonstrate how we will provide recipients with access to affordable, high-quality services and products as well as deliver fair compensation for providers and create savings for states.”

The two companies expect the deal to be completed in the first half of 2020. WellCare is one of the Tampa Bay area’s largest public companies, according to Tampa Bay Business Journal research.

Humana’s PDP Vendor Service Level Issues

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Humana is committed to supporting agents in helping members find the best plan for them. Humana previously communicated a toll free number for your PDP members to call if they wanted to change to another PDP. At this time Humana is experiencing long hold times that may not result in the best experience for members.

  • Due to these longer than expected hold times, we encourage agents to complete the plan change themselves using Enroll Hub, AOA, DMM, humana.com (agent will be protected) or the abbreviated paper enrollment form.
  • Humana will advise when service levels return to an acceptable level
  • Remember! Some PDP members experiencing increased premiums may find that a Humana Medicare Advantage plan provides them with benefits and convenience of a prescription drug plan and helps with healthcare costs not covered by Original Medicare and includes lots of other great benefits.

View The Agent of Record Protecion Pledge

WellCare’s Health Risk Assessment | New Incentive for Agents!

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For the 2020 Annual Enrollment Period (AEP) and moving forward, WellCare is excited to announce that they will be offering a $50 incentive for every completed electronic Health Risk Assessment (HRA) for Medicare Advantage (MA) and Dual-Eligible Special Needs (DSNP) members beginning October 15.

On October 14, you will receive instructions on how to set up your electronic HRA account with our partner, Revel. Please be on the lookout for an email sent from: no-reply@connect.revel-health with subject: Welcome to Revel Connect! Note: Your Revel portal must be created through the account setup email received from Revel.

For additional information on the HRA incentive and process, please reference the HRA Agent FAQ.

UHC Important Changes to Paper Apps & Scope of Appointment Instructions

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Reminder! Important Changes to Paper Enrollment Application Submissions and Scope of Appointment Instructions for UHC.

UnitedHealthcare recently changed vendors that process its Medicare Advantage (MA) and Prescription Drug Plan (PDP) paper enrollment applications, not including UnitedHealthcare Senior Care Options (SCO) and People’s Health plans.

Effective immediately, use the these instructions to submit paper enrollment applications for all MA and PDP plans in the UnitedHealthcare Medicare Solutions portfolio, excluding UnitedHealthcare Senior Care Options (SCO) and People’s Health plans.

 

If you have any questions, please contact your Cornerstone Senior Marketing representative.