Devoted Health’s DSNP is Available for Full and Partial Dual-Beneficiaries

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Devoted communication from 11/25/20:

At Devoted Health, we are always thinking about our members and optimizing the care that they will receive. Which is why we’ve been working hard to come up with plans they’ll be excited about. We are thrilled to announce that effective immediately, both full and partial-dual prospects are eligible for our D-SNP plan for 2021 enrollment. It’s simple – one Plan Benefit Package (PBP) to meet the needs of full and partial-dual beneficiaries. For full duals eligible for our D-SNP plan (QMB+, SLMB+, FBDE), all Medicaid and Medicare benefits are available and covered by Devoted Health at no cost plus supplemental benefits! For partial duals eligible for our D-SNP plan (QMB, SLMB), Medicare and supplemental benefits including dental and transportation are covered at no cost.

Don’t Forget:

  • Our enrollment process is easy:  simply fill out the enrollment form (electronically via Agent Portal or paper) for any qualifying prospect and we’ll take care of the rest. Don’t forget you can call our Agent Support line at 1-877-764-9446 to confirm eligibility.  In cases when enrollee still does not qualify for our D-SNP plan, our Prime plan is a great alternative
  • Call them back: contact partial-duals who had previously been denied for D-SNP plan and will now qualify – our team will call you in the coming weeks if you had any denied apps due to D-SNP eligibility this AEP
  • Use updated Summary of Benefits (SOB): you can find our electronic version of new D-SNP SOB here and our local sales leaders will be distributing paper version in a few weeks (be sure to use the most updated version which includes SLMB and QMB beneficiaries moving forward). Available service areas include: Miami-Dade, Broward, Palm Beach, Osceola, Seminole, Orange, Clay, Duval, Nassau, Hillsborough, Pinellas and Polk counties .

Reminder: our $50 Health Risk Assessment (HRA) incentive

Our new D-SNP plan includes lots of free tools and services to help care for our members. To help us figure out which ones might work for new members, we’re asking you to complete a HRA form with your D-SNP enrollees.  For this AEP only, if you complete the HRA form before the end of year (December 31st) for 1/1/2021 enrollment, you’ll receive $50¹ (this is an extension of our 14-day requirement previously).  To complete an HRA form, complete and submit an application in Agent Portal (you can do this regardless of application submission method). We recommend completing the HRA form at the same time as enrollment to ensure completion. It takes less than 10 minutes to complete.

HRA is only used to help match members with Devoted Health services and answers don’t impact an enrollee’s premium or application processing.  And don’t forget, members will receive $25 in Devoted Dollars Visa® prepaid card for completing the HRA and staying enrolled in our D-SNP plan in January.

 

 

Devoted Health: Halfway through AEP 2021 Season- What you need to know

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Devoted communication from  11/23/20:

Now that we are more than half way through this AEP season, we want to share easy-to-use documents which highlight our 2021 Devoted Health Medicare HMO plans by market and key reminders on our 4 main online portals and how they can help you with selling our plans. 

Our easy-to-use plan summary by market: 

Which online portal does what again? 

All of our broker-related information is in our Agent Portal and  Devoted broker webpage.  These resources should help you answer most of your questions, should you have additional questions, please contact Agent Support who can help with questions such as LIS levels, DSNP, etc. (our contact info below).  Additionally, the 4 main portals you will use are (login info and more details below):

  1. Miramar Agent: Onboarding and certification portal
  2. Agent Portal: One-stop-shop to Devoted Health resources and an easy way to submit an electronic application
  3. Marketing Portal: Order marketing materials and other Devoted swag
  4. Commissions Portal: Payment portal

Did you know?

Early results prove Devoted Health’s ability to deliver excellent care. For 2021, Devoted Health’s Florida Contract earned a 5 Star Part D Summary Rating. We are too new to be measured for the overall Star Rating from Medicare for 2021.  Our high-touch clinical programs ensure that members get the medications and care they need.

* Visit https://www.medicare.gov for more information on Star Ratings. Star Ratings are based on 5 Stars. Star Ratings are assessed each year and may change from one year to the next.

Need more Marketing Materials? Order here!

If you haven’t already, go ahead and reorder more Enrollment Kits which will include an individual Summary of Benefits book for all plans available in each market, in addition to all pertinent forms and literature required for enrollment.   SOAs are not included in the kit so be sure to order that separately or use the online version (English/Spanish).  Not sure how to order? Use our 2021 Marketing Materials Ordering Guide for steps on how to complete your order.

 

Paper Applications – sign and date

 

Faxing Submission Requirements

  • Fax cover page (or document with same fields)
  • Enrollment form (included in sales kit)
  • Enrollment receipt (included in sales kit)
  • Scope of Appointments (SOA):  this form is double-sided this year, please be sure to fax both sides

Mailing Submission Requirements

  • Enrollment form
  • Enrollment receipt

 

Don’t forget to write your NPN on all enrollment form pages prior to faxing to ensure we can reach out to you if all faxed pages don’t come through properly. The Enrollment Receipt must be submitted  with all paper enrollment forms (carbon copy should stay with the beneficiary).

 

Extended Agent Support hours 

In addition to our regular hours: Monday-Friday 9AM – 8PM EST, we’re excited to add Extended Weekend Agent Support Hours during AEP:

    • Saturdays 11/7 -12/5 (9AM-7PM EST)
    • Sunday : 12/6 only  (11AM-9PM EST)

 

 

Quick Resources 

  • Scope of appointment (English/Spanish)- online version that will email you a copy (instructional video here)
  • Play the full Devoted Sales Presentation Video OR use our handy Flipbook
    • Sales Video (English) — can be downloaded in our marketing portal
    • Sales Video (Spanish) — can be downloaded in our marketing portal
    • Sales Flipbook

 

As always, we’re here to support you every step of the way. Don’t hesitate to contact Agent Support if you have questions or need assistance. We wish you a safe and successful  AEP selling season!

Devoted Health’s Exciting Details on Ohio Plans

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Devoted Health Message from 10/26/2020:

We are here to support you every step of the way, here is some key info about 2021 Devoted Health Medicare HMO plans in Ohio, update on Star Rating scores and quick access to our resources.

2021 Ohio Plans

We are excited to offer our plans to 13 NEW counties in Metro Cleveland, Sandusky and Akron/Canton Ohio this year including Saver HMO plan which includes a $50 Part B buydown!

Benefit Highlight of the Week

We are proud to offer very competitive plans this year to our members and we think they’ll be particularly excited about (in addition to our top-notch Guides dedicated to “holding the hands” of Moms and Dads through this process):

  1. 0 copay for Tiers 1 and 2 prescription drugs and through the gap on Core and Prime 
  2. $120 / Quarter on OTC benefits on Core and Prime 
  3. Wellness Bucks for use towards health & wellness items and services, like personal fitness or activity fitness trackers (e.g. Apple Watch, Fitbit) $150 on Core and Prime, and $300 per year on Saver!
  4. $0 SilverSneakers membership on all plans

Unsure of which plan is best for a prospect?  Below are general guidance on our 4 types of plans and additional benefits that set us apart and here are Extra Help charts: 

Key Provider Partner Highlight

  1. Unity Health Network: leading physician-led organization recognized for moving toward value over volume
  2. Northern Ohio Medical Specialists (NOMS): multi-specialty practice dedicated to delivering excellent care to patients while growing into one of the largest independent physician organizations in the region 

 

Did you know?

 Early results prove Devoted Health’s ability to deliver excellent care. For 2021, Devoted Health’s Florida Contract earned a 5 Star Part D Summary Rating. We are too new to be measured for the overall Star Rating from Medicare for 2021.  Our high-touch clinical programs ensure that members get the medications and care they need. 

* Visit https://www.medicare.gov for more information on Star Ratings. Star Ratings are based on 5 Stars. Star Ratings are assessed each year and may change from one year to the next.

 

Quick Resources 

Devoted Health AEP 2021 Plan Highlight & Process Overviews

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Devoted Health Message from 10/15/20:

 

AEP 2021 is finally here!  Whether you have partnered with us in years prior or not, we are thrilled to have you as part of the Devoted Health Team! There is so much to be excited about, even with a pandemic going on. Your safety is always top of mind for us, so don’t forget to take the proper precautions when selling in the field. We are here to support you every step of the way, here is some key info about how we built our 2021 Devoted Health Medicare HMO plans, updates on our new processes, and quick access to our resources.

 

2021 Plan Highlights

By now you should have heard about our 2021 benefits. If you haven’t, here are some quick highlights you should keep top of mind while meeting with your clients.

 

Devoted Health is committed to building the right plan for “Mom”.  That’s why we have built sustainable plans for the long term:

 

  • Competitive benefits that we can maintain year-to-year without member disruption
    • Intention is to offer competitive benefits that will help us sell and retain members while not going overly aggressive and needing to make drastic changes in the future
  • HMO network built to last
    • Partnering with a high-performing PCP network
    • A large specialist network built through collaboration with PCPs to ensure the ones the PCPs prefer are included and that they have proven high-quality outcomes.

 

Better member experience – it’s in the details

 

Not only do we offer extremely competitive benefits across the board, we’ve also built our benefits to avoid common member pain points*:

 

  • Coverage for extras such as compression stockings, mastectomy sleeves, wigs, bathroom safety equipment, and Personal Emergency Response System (PERS)
  • Earn Devoted Dollars for preventive screenings and annual PCP visits
  • All colonoscopies are $0, both preventive and diagnostic, at any network location – this includes polyp removal in conjunction with a colonoscopy
  • Grocery Delivery Service: Up to $20 per month ($240 per year) for chronically ill members (excludes cost of food)
  • Part B drug cost share (when applicable): Cost share only applies to portion of the drug administered – if drug remainder is discarded, the discarded cost  is covered 100% by Devoted Health
  • And many more! Be sure to check out all our benefits at www.devoted.com

*Not all Devoted Health plans offer these benefits

 

Important processes to know

 

Agent Portal 

Have you logged onto our Agent Portal?  It’s a one-stop-shop to Devoted Health resources and an easy way to submit an electronic application (instructional video here).  Here is the Quick Start Guide or give us a call and we’ll walk you through it.

 

Paper Applications

For submission of paper enrollments  we now require the following pertinent enrollment pieces to be completed thoroughly and  included when sending to us:

 

Faxing Submission Requirements

  • Fax cover page (or document with same fields)
  • Enrollment form (included in sales kit)
  • Enrollment receipt (included in sales kit)
  • Scope of Appointments (SOA):  this form is double-sided this year, please be sure to fax both sides

 

Mailing Submission Requirements

  • Enrollment form
  • Enrollment receipt

 

Don’t forget to write your NPN on all enrollment form  pages prior to faxing to ensure we can reach out to you if all faxed pages don’t come through properly. The Enrollment Receipt must be submitted  with all paper enrollment forms (carbon copy should stay with the beneficiary).

 

Quick Resources 

  • Scope of appointment (English/Spanish)- online version that will email you a copy (instructional video here)
  • Play the full Devoted Sales Presentation Video OR use our handy Flipbook
    • Sales Video (English) — can be downloaded in our marketing portal
    • Sales Video (Spanish) — can be downloaded in our marketing portal
    • Sales Flipbook

As always, we are here to support you every step of the way. Don’t hesitate to contact Agent Support if you have questions or need assistance. We wish you a safe and successful  AEP selling season!

 

Devoted Health Resources for AEP 2021

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Message from Devoted Health on 10/1/20:

As Devoted welcomes AEP 2021, we want to jump right in and share some important information to help you hit the ground running!

New enrollment submission process – ALERT!

For submission of paper enrollments we now require the following pertinent enrollment pieces to be completed thoroughly and  included when sending to us:

Faxing Submission Requirements

 

Mailing Submission Requirements

  • Enrollment form
  • Enrollment receipt

 

Pro Tip: Write  your NPN on all enrollment form  pages prior to faxing to ensure we can reach out to you if all faxed pages don’t come through properly.

 

The Enrollment Receipt must be submitted now with all paper enrollment forms (carbon copy should stay with the beneficiary). We highly recommend submitting electronic applications. If you haven’t previously used an electronic app, check out what you are missing with our agent portal or give us a call and we’ll walk you through it. 

 

Health Risk Assessment – (Florida ONLY this AEP)

Want to earn an extra $50 per application? We’re excited to launch our agent-facilitated Health Risk Assessment (HRA) for new D-SNP members in Florida ONLY this AEP. Brokers can receive $50 for completing this assessment within 14 days of the application. In order to receive compensation, Broker HRA must be the first completed HRA post-enrollment, and eligible members should be actively enrolled at the time of commission payment.

This HRA will only be available for D-SNP members through our agent portal upon submission/receipt of the application.

Interested? More information coming soon in a future newsletter!

 

Drug Search Tool – NEW!

Our new drug search tool allows you to search all the medications our plans cover.  The search will identify the drugs that have a quantity limit or  need a prior authorization. You’ll be able to save your search to a list that allows you to go back to your list of saved drugs. You have the ability to save your list as a PDF. If a drug is not covered, it will show a Covered Alternatives link that would show a list of potential alternatives.

 

Self Service Mailer Feature – NEW!

You now have the ability to create a self service direct mailer using one of our available postcards in our marketing portal. The postcards have customizable fields for you to add personal information like a picture, phone number,  email address, and logo. The cost of the mailings is inclusive of the postcard and postage. You will be able to use your Devoted Bucks to pay for these mailings, learn how to earn by participating in our Devoted Broker Loyalty Program.  Watch this step by step video and learn more about placing your order today.

 

Ready to Sell?

We want to make sure you’re fully compliant when selling and marketing Devoted Health Plans this selling season. Make sure you have these items at your fingertips.

Complete a scope of appointment – check out the online one that will email you  a copy.

Play the full Devoted Sales Presentation Video OR use our handy Flipbook.

Here are some other useful links to help you get ready:

 

Please remember CMS does not allow  plans to accept PY2021 enrollments prior to 10/15. Enrollment applications received prior to 10/15 for which there is indication of sales agent involvement in the submission (agent name, contact information, NPN, etc) or agent solicitation (i.e. agent date 10/1-10/14) will be investigated for potential solicitation. If the application is confirmed to be solicited, the enrollee will be informed that the application will be denied, and given the option to re-enroll with their agent. A statement request will be issued to the agent, and corrective action will be assigned based on the findings. 

 

 

Devoted Health’s New Agent Portal & Updates

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Devoted Agent Portal

Devoted is  launching their brand new agent portal in the coming weeks, built from the ground up to make selling Devoted Health quicker and easier.

What’s in it for you?

  • Best online application experience
  • One place to view all your Devoted Health business
  • Links to essential tips, advice, and other resources for selling Devoted Health
  • Digital signature workflows for Scope of Appointment and other forms

Plus, the portal will eventually become your one-stop shop for all agent activities. For those of you who sold with Devoted in the past, the portal will replace their existing enrollment tool.

 

Dipping Devoted toes in the water

As Devoted continues to monitor Covid19, they are constantly evaluating how the organization will make decisions regarding field events.   After careful consideration Devoted has decided to resume tabletop events in the field. However,  they are requiring proper personal protective equipment (PPE) to be worn and social distancing to be exercised.  Proper PPE includes mask, gloves and a face shield.  Also, to promote social distancing they encourage using an acrylic divider or two tables.  PPE can be purchased from our marketing portal if you have earned Devoted bucks.

If you would like to conduct tabletop events, please complete the Register an Event form and follow the event guidelines.

 

Devoted has two PPE kits available 

Use the SKU to search for the kits in the search bar at the top of the page:

  1. Phase 1: DH-PHSE1-KIT
  2. Phase 2: DH-PHSE2-KIT

 

Release Policy & Timeline

As Devoted gears up for the upcoming AEP, if you are thinking about changing your upline affiliation here’s an update on their release policy and timeline:

 

Immediate Release – Brokers will need to get a release  from their current upline on a company letterhead or form dated with a current and future effective date of the release and signed by the principal. The release letter or form must be sent  via email to  agent-support@devoted.com and the appropriate staff must be copied to the email communication from the agency (e.g FMO, GA, etc.) It will take up to 3-5 business days for Devoted to process the request. All parties will be notified via email once the release has been processed.

 

Delayed Release – If  an immediate release is not granted by a broker’s upline, a request for a delayed release can be made by sending an email to agent-support@devoted.com and include  the intent to be released from your upline. The delayed release email will start the clock for the 3 month (90 calendar days) window. A broker can continue to write business until the 3 month period is satisfied. All parties will be notified via email once the delayed release has been processed.

 

Are you certified? If not, start Devoted’s 2021 certification .

If you have a  2021 AHIP or Pinpoint certificate,  the process is simple and will save you a lot of time. If not, you can complete their CORE Medicare Training available within their platform at no charge.