Anthem Revisions to 2021 Medicare Supplement Commission Schedules

Revisions have been made to Anthem’s 2021 Medicare Supplement base schedules adding the language:

“Replacement policies will be paid at the renewal rate in alignment with state DOI guidelines”.

See below for specific state schedules

OHIO

KENTUCKY

INDIANA 

 

If yo have any questions please reach out to your Cornerstone rep.

Devoted’s Virtual Coffee Chats & Music for Your Clients

February begins the “Virtual Coffee Chat” for new Devoted members who are your clients.  Devoted asks that you reach out and invite them to attend by using the link below.  These orientation meetings will provide helpful information and serve to answer frequently asked questions.

 

Virtual Coffee Chat Registration Link

https://devotedhealth.zoom.us/meeting/register/tZcrcuisqT0qHNyH2DU1LoAcT2HMT0lY4XDq

 

Devoted Health is also sponsoring the “Music and More” Series.  Your clients are welcome to attend these fun filled musical events and bring a friend where they will hear great music and learn to get the most from their health plan.  Your clients will learn how to save money with their Over-the-Counter credit, how to get the free Medical Alert Device and so much more!!

 

Virtual Music and More Events Link

https://www.devoted.com/member-events

 

Medical Mutual Feb. Updates- PLUS Summa Health Added to Network!

MMO Broker Update: 2.2.21:

Summa Health Added to Medicare Advantage Network Effective April 1, 2021
Category: Network
Applies to: Medicare Advantage
Effective April 1, 2021, Summa Health and their employed physicians will be part of the Medical Mutual Medicare Advantage network. Summa Health offers a wide range of high-quality primary care providers, specialists, hospitals and other facilities throughout Summit, Medina, Portage, Stark and Wayne counties.

We are in the process of updating our directory for the effective date. In the interim, please direct provider inquiries to your Medical Mutual representative.

 
 
Aultman, Aultman Orrville and Alliance Community Hospitals Added to NE Ohio HMO Network Effective Feb. 15, 2021
Category: Network
Applies to: Individual
Effective Feb. 15, 2021, Aultman Hospital, Aultman Orrville Hospital and Alliance Community Hospital will be part of the Medical Mutual NE Ohio HMO network. Aultman offers a wide range of high-quality hospitals and other facilities throughout Stark, Tuscarawas, Carroll, Holmes and Wayne counties.

We are in the process of updating our directory for the effective date. In the interim, please direct provider inquiries to your Medical Mutual representative.

 
2021 COSE MEWA Benefit Changes and SuperMed Share® Launch
Category: Network
Applies to: MEWA
The COSE MEWA product portfolio is updated with new plan additions and plan modifications for 2021. Among these updates, is the expansion of SuperMed Share® to the COSE MEWA market. All 2021 COSE MEWA plan designs are available for quoting in early February, with an effective date of May 1, 2021…
Read More »
 
 
Formulary Updates Effective April 1, 2021 for National Preferred Formulary
Category: Pharmacy
Applies to: Individual, Small Group (1-50), 51-99, 100+, MEWA
Effective April 1, 2021, minor changes are being made to the exclusion list for our National Preferred/National Preferred Plus formulary. A list of drugs added to the list can be viewed here. In addition, a full updated exclusion list is available here. There are no changes to the Basic/Basic Plus or High Performance Plus formularies at this time.

As a reminder, the National Preferred/National Preferred Plus formulary applies only to specific self-funded groups that elected it, including most MedFlex plans. Any members currently taking affected medications will receive a letter notifying them of these changes at least 60 days before they take effect. These changes will immediately apply to new groups that enroll on or after April 1, 2021 and any members who begin taking these medications after April 1, 2021.

 
 

Anthem Alert: Medicare Advantage AOR Policy Change

Anthem Announcement from 2/1/21:

 

Plan changes trigger an automatic update to the Medicare Advantage Agent of Record

Changing Agent of Record (AOR) status is now easier for YOU and your clients. Previously, your client making a

plan change had to submit a signed, hand-written letter requesting you as their Agent of Record.

 

What’s changing?

If your client makes a PLAN CHANGE with an effective date on or after March 1, 2021, you will automatically be

designated as their Agent of Record for Medicare Advantage and Part D business.

 

The effective date for the Agent of Record change will match the effective date of the plan change. An Agent of

Record change request submitted apart from a plan change will not be accepted for Medicare Advantage and Part D

business.

 

Important Note: AOR rules are not changing for Medicare Supplement Plans or Anthem Extras. These plans

will continue to require a signed, hand-written letter from the member to request AOR changes. We reserve the right

to contact the member in order to validate all Agent of Record changes. If the AOR change request cannot be

confirmed with the client, the change request can be denied.

 

*This is a corporate policy. Not all plans/plan types mentioned are offered in all states. If you have questions, please

contact your Sales Team.

WellCare OTC Benefits: Help Clients Find CVS Pharmacies

WellCare communication from 1/28/21:

We wanted to share a quick reminder about how members can access a key benefit that can make a big difference, our OTC benefit. This benefit gives members $15-$720 per quarter of OTC items from a plan-approved list of products (benefit coverage varies by plan).

CVS is the OTC benefit vendor for several plans in 27 of our Medicare markets. Members in plans with the OTC benefit can order covered products by mail order (phone or online) or in-store at a participating CVS location. When shopping from the catalog, items are shipped to members’ homes at no additional cost. (Reminder: Members are limited to three (3) in- store purchases per quarter).

Find Participating CVS Locations

Here’s how members can quickly find a local participating location:

  1. Go to http://www.CVS.com/
  2. Select STORE LOCATOR, enter a zip code, and choose OTC HEALTH SOLUTIONS
  3. Participating locations in the area of the chosen store will appear

For more information on OTC, check out the following available agent resources:

MedicareCENTER UPDATE: Pharmacy Search Change in MedicareAPP

Pharmacy Search Update: When searching and selecting a particular pharmacy while enrolling and quoting through MedicareAPP, it is important to click the ‘search this area’ button to ensure you are viewing all the pharmacies in that selected zip code.  Please see screenshot below for reference: 

If you have any questions or concerns reach out to your Cornerstone rep.

 

 

Devoted Health’s Newest Features on Agent Portal

Devoted communications from 1.25.21:

new features and updates on our Agent Portal that will help you sell with us:

  • Access your commissions statements
  • View your book of business in one list
  • Requirements for unrecorded phone applications – call our Agent Support (1-877-764-9446) for verbal attestation before 3PM on last day of month

NEW FEATURE – Access Your Commissions Statements on 1/29

Starting on Friday, 1/29 you’ll be able to access your commissions statements in Agent Portal.  How?  Log in here, click “Commissions” on the left hand panel, and view/download your statements.  It’s easy!

For those of you who have Evolve accounts:  the commissions statements in Agent Portal and Evolve will be the same – it’s just one less portal that you have to log into. Historical statements are not available yet, however, you can still access those in Evolve.

For agents who are new to Devoted this year:  you should also receive a payment email this week which summarizes your monthly payment information.  Note that the email is simply a summary, please do not be alarmed by the lack of detail in it.  The email is not the same as your statement, which does provide greater detail on your enrollments.

For indirect payee:  you will not see any statements – please contact your agency for payment information.

 

UPDATED FEATURE – Clients View

You spoke, we listened! Now you can see all your applications and statuses, contacts, and member IDs in one list in Agent Portal.  To learn more about application status definition, hover your mouse over the status. If you’re using a tablet, click the status to view the definition. 

IMPORTANT! UPDATED PROCESS – Remote Sales 

If you are submitting an application using Phone, Unrecorded Line because a face-to-face appointment was not possible for the beneficiary, please read the reminders and updates below: 

Phone, Unrecorded Line applications will not be submitted to CMS without verbal confirmation from the beneficiary on a recorded line. Deadline for Phone, Unrecorded apps is by 3PM EST on the last business day of the month. If you submit after the deadline, you’ll need to submit a new application for the following effective month. If the enrollee would like to complete the verbal attestation after submitting the application, a 3-way call can be initiated with  Agent Support at 1-877-764-9446, during business hours.

Have you logged onto our Agent Portal?  

Make sure you log-in before commissions are released on 1/29! It’s a one-stop-shop to Devoted Health resources and an easy way to submit an electronic application (instructional video here).  Or give us a call and we’ll walk you through it. 

 

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

Our Marketing Portal where you can order more sales materials

 

Learn Recent Buying Behaviors From Today’s Seniors with Deft Research

Our friends at Deft Research shared some interesting findings on their latest project, “National MedSupp and OMO to MAPD Conjoint Study.”  This study looks at the reasons why both segments of the non-MA senior population are not in MA today, and what from a design perspective needs to happen to bring them in.

 

READ MORE ON THE STUDY HERE

 

If you have any follow up questions please contact your Cornerstone sales rep here

SureBridge Update on Large Call Volume

Communication as of 1/13/21:
As you know, SureBridge customer service has been experiencing high call volumes.  Last month we put in place a call triage system that allows customers with simple requests such as cancellations, policy prints, address changes and ID cards, the ability to simply leave a voicemail message rather than holding to speak to a customer service representative.

Please remember that many changes/inquiries can be made on the new Customer Portal at https://www.MySureBridgeInsurance.com and we have also re-opened the self-service tool at MyPortal.SureBridgeInsurance.com (or www.ChesapeakePlus.com) for customers and agents. The table below provides a list of functionality available through both sites for your convenience.

New Customer Portal

https://www.MySureBridgeInsurance.com

Reinstated Self-Service Tool MyPortal.SureBridgeInsurance.com
Customers with policies that have migrated to the new system are able to:

·       Cancel a Policy

·       Make a Payment (One-time Only)

 

REGISTRATION REMINDERS:

1.     The email to register must match the one submitted at the time of application

2.     DOB must match the application

3.     Do not use the “02” or “08” at the beginning of the Member ID (policy number)

All customers and agents are able to:

·       Cancel a Policy

·       Update Payment Information (Customer only)

·       Address or Phone Number Changes

·       Request ID Cards

·       Request a Duplicate Policy Print

·       Search for a Provider

 

NOTE: Requested changes made on the reinstated Self-Service Tool require manual processing that can take 7-10 days to complete.

These actions allow us to more efficiently route customer calls, however completing these transactions requires manual processing and we are still working though the requests.  This is our top priority and we have brought in a large number of additional resources to work through them as quickly as possible.

Thank you for your patience and support as we work to process all requests as quickly as possible.

URGENT: ODI Lincense Renewal Notificaito Change- PLEASE READ!

Communication from Ohio Association of Health Underwriters from 1/13/21:

Beginning January 1, 2021 the Ohio Department of Insurance will begin sending license renewal notifications via email instead of U.S. Mail.  Renewal notification emails will be sent approximately 90 days, 60 days, and 30 days prior to an agent’s license expiration date to email addresses on file with the department. 

This is a departure from the previous notification schedule, which included a 90 day licensure renewal notification via U.S. mail and a 30 day electronic licensure renewal notification. 

What Does This Mean for Me?

If your license renews in November 2020, December 2020, January 2021, or February 2021 you will still receive the 90 day U.S. mail licensure renewal notification, as well as the 30 day electronic licensure renewal notification. 

If your license renews in March 2021 or after you will NOT receive the 90 day U.S. mail licensure renewal notification. Instead, you will receive three electronic renewal notifications — approximately 90 days, 60 days, and 30 days prior to your license expiration date.

Do I Need To Do Anything? 

Yes! Make sure that your contact information is correct, especially your email address.  Please request contact information updates via the National Insurance Producer Registry’s (NIPR) Contact Change tool. 

If you have any questions, please reach out to the Ohio Department of Insurance at licensing@insurance.ohio.gov or call 800-686-1526.