SureBridge Important AEP Reminders

Soured from SureBridge Broker Announcement from 10/14/21: 

Be Ready for Selling Season – Important Reminders

We’re glad to work with agents like you who are committed to using their expertise to help customers through the challenging task of finding health insurance and supplemental coverage. As we enter the peak selling-season of the year, we wanted to remind you of a few important sales practices to help protect you and your book of business.

As shared in the Chesapeake/SureBridge “Sale Practice” and “Ethics & Compliance” trainings:
• Only you, as licensed and appointed agent with Chesapeake, can:
o Sell, solicit or negotiate business on behalf of Chesapeake/SureBridge,
o Conduct sales (product) presentations, and
o Assist your customers with the application/enrollment process.

• The use of sales assistants, enrollers and/or screeners who are located outside the United States to conduct business on behalf of Chesapeake/SureBridge is strictly prohibited.

Keep in mind, having another person make calls, do some of the work, or even just act as a language translator, if they are not licensed and appointed, and perhaps even more importantly – if they are not located in the United States, could put your contract with Chesapeake at risk.

Let your customer know they can count on you!

You have the expertise your clients need, and they trust you to help them through the insurance process. By following these sales practices, you not only help ensure your reputation with your customers, but you also help ensure compliance with your Producer Agreement (PA). We value your skills, we appreciate the effort it takes to become licensed and appointed, and we are grateful you choose to do business with us!

 

If you have questions about your PA and/or sales practices, contact your CSM  Sales Director today! 

WellCare Helpful Tip: Locating Legacy Centene or WellCare Plan Info

From WellCare Broker Bulletin on 10/13/21: 

As you are aware, in 2022 our entire family of Medicare products will now be offered under one national Wellcare brand. Although all Medicare products will be presented under the Wellcare brand, work continues to combine all systems and processes into one combined platform.

 

Health Plan Websites

There are instances where you may need to access health plan information for prior legacy Centene or WellCare offered Medicare products. These plans include Allwell, Fidelis Care, Health Net, ‘Ohana, Trillium Advantage and Ascension Complete.

Health plan information can be obtained by visiting the specific health plan website, which will also provide access to additional information, such as Find a Provider, Formulary, and more.

Be sure to look out for interactive banners on each plan website, which will quickly route you between legacy brands.

 

The Ascend Advantage

As a reminder, the easiest and fastest way to ensure that you are seeing ALL Medicare plans available in your area and you are credited for each sale is to use the Ascend Enrollment Platform.

 

If you have any questions or concerns on the legacy plans contact your CSM Service Rep.

Mutual of Omaha’s License & Appointment Additions Made Easier for You!

Effective 10/13/2021 Directly From Mutual of Omaha:

Marketers and Producers will no longer need to call or email Mutual of Omaha to add/update a license.  Up to date license information will be synced daily, ensuring the appropriate appointments are reflected in our system.

  • Auto-Updates:  Up to date license information, including newly obtained licenses will load automatically to Mutual of Omaha for each state a producer is licensed in
  • Contactless Experience:  With an automatic license load, Marketers and Producers will no longer need to take time to submit a request for their information to be added or updated in Mutual of Omaha’s system
  • Improved Underwriting Flow:  Applications will no longer be held up due to no license and appointment if the producer has obtained the necessary license with the state

 

After the license is added or updated Mutual of Omaha’s appointment automation process will give each producer the necessary company appointments to sell their contracted products.

This also eliminates the need for marketers and producers to call into MOO’s area to check on appointment status since the system automatically will be adding these, including pre-appointment states. You can also find producer contracting and ready to sell (PDP) status on SPA.  Mutualofomaha.com/broker

 

If you have any questions, please contact CSM Contracting Department.

WELLCARE SUPPLY PICKUP – OHIO MARKET

Wellcare has a contingent supply of sales kits available for pick up for brokers in need of supplies. The pick up materials are not intended to replace your AEP supply. They are a limited supply resource for marketing needs through 10/18. Certification status will be confirmed before supplies are released.

WELLCARE OHIO PICK UP DATES AND LOCATIONS

Cincinnati
Thursday, 10/14 from 10 a.m. to 2 p.m.
Panera Bread | 5555 Glenway Ave., Cincinnati OH 45238

Independence
Thursday, 10/14 from 10 a.m. to 2 p.m.
Panera Bread | 6700 Rockside Rd., Independence, OH

Cincinnati
Friday, 10/15 from 10 a.m. to 2 p.m.
Panera Bread | 8115 Montgomery Rd., Cincinnati OH 45236

Toledo
Friday, 10/15 from 10 a.m. to 2 p.m.
Panera Bread | Franklin Park Mall 4050 Tallamage Rd., Toledo, OH

Lakewood
Monday, 10/18 from 10 a.m. to 2 p.m.
Panera Bread | 14701 Detroit St., Ste 100, Lakewood, OH 44107

Dayton
Tuesday, 10/19 from 10 a.m. to 2 p.m.
Panera Bread | 6550 Miller Ln., Dayton, OH 45414

CSM Broker News: Discount Drug Cards | Don’t hand your clients over to a Call Center!

Discount Rx cards are gaining in popularity and offering a discount drug card to your clients is an excellent way to provide extra value.  The discount Rx card gives your clients an opportunity to find potentially better pricing when filling prescriptions, and could yield substantial savings.   However, it’s important to know that the card you provide your client could also give them direct access to a quick alternative to explore Medicare coverage options from a national competitor.

 

GoHealth and GoodRx Medicare Agreement

This past August, GoHealth and GoodRx announced an exclusive agreement to bring GoHealth’s Medicare enrollment and engagement solutions directly to GoodRx users. GoodRx consumers will be able to access information about GoHealth’s market-leading Medicare plan selection solutions directly from the GoodRx platform.

Read the full article

 

GoodRx Alternative

Cornerstone Senior Marketing has partnered with Clever Rx to offer our broker partners the Clever Rx prescription discount card.  Set up your free account and offer your clients a discount Rx card that helps them save up to 80% on prescription drugs at over 80,000 pharmacies nationwide, including Walgreens, Kroger, CVS, and Walmart.

Clever Rx holds several unique and significant advantages over other prescription savings programs, like GoodRx, and it pays brokers a commission on every script that is filled.  Learn more about the advantages of CleverRx today! 

The CleverRx Advantage
Why CleverRx is Better
How to Use CleverRx

 

Questions? Please reach out to your Cornerstone Senior Marketing Sales Representative for additional information about Clever Rx.  Call 614-763-2255 today.

Carrier Star Ratings for PY 2022 & In Ohio

The Health Plan:

The Health Plan’s SecureCare (HMO) received a 4.5 overall Star Rating for 2022 by CMS

The Health Plan’s SecureChoice (PPO) received 4 stars for 2022 by CMS

 

Click here for the official corporate press release from THP.

 

Devoted Health:

Devoted received 5 Stars for a few measures they are very proud of, including:

Also, both Florida and Texas Devoted plans earned a 4.5 Star Rating out of 5 Stars in 2022 by CMS.

 

UnitedHealthcare:

UnitedHealthcare’s 5 Star plans in Central Ohio for 2022!

UnitedHealthcare’s 5 Star plans in Southwest Ohio for 2022!

UnitedHealhcare’s NE Ohio Plans with a 2022 5 Star Rating!:

Watch for more UHC information coming soon for other ratings! View UHC’s 2022 Star Ratings Agent FAQ Document.

 

Cigna: Information took from Cigna Broker Announcement from 10/8/21

Cigna is excited to share that we expect 89% of our Medicare Advantage and Prescription Drug Plan (MAPD) customers will be in a 4-Star rated plan or higher nationally for the 2022 calendar year – up from 88% for 2021 and 87% for 2020. This is the fifth year in a row we have improved our Stars performance.

Our high scores can be attributed to:

  • Continued strong performance on administrative measures.
  • Strong results from HEDIS, which is a set of clinical metrics that allows users to compare quality across plans.
  • Solid results from CAHPS, which is a survey that goes to plan customers annually to gauge their perception of the care they receive from their plan and providers.

Most exciting is that we’ve achieved a 5-Star plan rating in Florida for the fourth year in a row! This is such an outstanding result, made more difficult to achieve over the past 18 months by the COVID-19 pandemic. Our 5-Star rating puts this plan in the top fifteen percent of all plans offered nationally. As you know, it also means that we can enroll members and market our products year-round in Florida. If you have brokers in this state, please encourage them to meet with our local team and learn more about this 5-Star opportunity, our enhanced benefit offering and improved network position.

Additional highlights of our 2022 Stars Ratings include:

  • A fourth year of 4.5 Star HMO performance in Alabama, Tennessee, and Texas (which make up nearly half of our current MAPD enrollment).
  • North Carolina’s HMO maintained 4.5 Stars, and South Carolina’s HMO achieved 4.5 Stars for the first time.
  • Arizona’s and Mississippi’s HMO plans both improved from 4 Stars to 4.5 Stars.
  • Georgia’s HMO and Illinois’ HMO both improved to 4 Stars.
  • Pennsylvania’s HMO held its 4-Star rating.
  • Our North Texas PPO earned 4 Stars for the first time.

Based on historical CMS rules, we anticipate our nationwide enrollment weighted average will again be 4.5 Stars for 2022 – our third consecutive year of earning this rating! This is exciting because this rating determines the Stars revenue we will earn in 2023 for our newer Medicare contracts that have not yet received their own ratings, allowing us to offer richer benefits to customers in many of our new geographies.

Overall, we are proud of our results, and excited to share them with our broker partners. These results underscore our commitment to delivering affordable, predictable, simple Medicare Advantage plans. For the approximately 20 million Medicare beneficiaries who live in the markets we serve – and who will start shopping for a Medicare Advantage plan next week – our strong Stars scores will help differentiate us in the marketplace.

 

SummaCare: Information took from SummaCare Broker Announcement from 10/11/21

SummaCare’s Medicare Advantage Plan has been recognized with a 4.5-Star (out of 5) overall rating for 2022 by the Centers for Medicare and Medicaid Services (CMS).

 The annual star ratings assist consumers in determining how well a health plan is performing in areas such as:

  • How satisfied members are with the health plan
  • How effectively the health plan assists its providers in prevention and detection of illnesses
  • How well the health plan maintains the overall well-being of its members
  • How quickly the health plan responds to the members’ needs in regards to receiving care and addressing members’ concerns, including appeals

 

Medical Mutual of Ohio: 5 Star Rating Plans in Ohio for 2022!

Information pulled from Medicare.gov

 

Humana KY: 2 Northern Kentucky Plans receiving 5 Star Rating for 2022!

Humana Kentucky Medicare Advantage HMO Plan Receives Prestigious 5-Star Rating

Louisville, KY – October 8, 2021 – Humana Inc. (NYSE: HUM), one of the nation’s leading health and well-being companies, has announced that its Kentucky HMO plan offered through Humana Health Plan of Ohio, Inc. has received the highest possible quality rating for the 2022 plan year from the Centers for Medicare and Medicaid Services (CMS). The Kentucky HMO plan, which is offered in Boone, Campbell, Grant, Kenton and Pendleton counties in Kentucky, is one of four of Humana’s Medicare Advantage plans in the nation that received a 5-star rating, reflecting Humana’s commitment to high quality care, patient-centered clinical outcomes and reliable customer service.

 

READ FULL HUMANA PRESS RELEASE

 

AultCare’s PrimeTime Health Plan: Information from AultCare Broker Announcement on 10/13/21

AultCare is pleased to announce the Centers for Medicare and Medicaid Services (CMS) awarded PrimeTime Health Plan with a 5 out of 5 star rating for 2022!

This top rating is a result of PrimeTime Health Plan’s dedication to quality of care and quality of service.

AultCare is excited that a 5 star rating allows the organization to market the plan year-round, which means you can sell their plans throughout the 2022 year.

Additionally, a 5 star rating allows AultCare to enhance plan benefits and programs for your members. These enhancements improve  members’ quality of life and experience with the health plan, leading to continued positive outcomes.

Throughout the rest of the year and into 2022, AultCare representatives will continue to work with you and provide the necessary educational materials to promote PrimeTime Health Plan and its 5-star rated benefits to your clients.

Thank you for your dedication to PrimeTime Health Plan ast they show Ohio communities why PrimeTime Health Plan is one of the highest rated Medicare Advantage Plans in Ohio!

2022 MedicareCENTER Updates & General FAQ’s as of 10/6/21

Happening now…

  • The carriers listed below are in the process of being uploaded to the system and should appear in MedicareAPP on or before Thursday, October 7, 2021.
    • Devoted Health
    • MediGold
    • Medical Mutual of Ohio
    • The Health Plan
  • Provider information will not be fully functional in MedicareAPP and the Integrated Quoting and Enrollment (CRM) platforms until 10/15.

FAQ’s…

 

  1. Why aren’t all of my carrier appointments showing in the 2022 platform?

 

  1. Most carrier appointments should appear correctly in the system the morning of Thursday, October 7 2021.

 

  1. Where did the non-licensed plans button go?

 

  1. All non-licensed plan details are received directly from CMS.  The ability to view these plans will be integrated to the platform closer to 10/15/21.

 

  1. I need to reset my password/register for the system and am getting an expired link in the email to reset/verify, even though I just submitted the request.

 

  1. First, clear all Google Chrome browser cache and cookies.  Next, copy the link from the body of the email and paste into the navigation bar within a Google Chrome browser.  If this does not work, reach out to MedicareCENTER support or contact your Cornerstone Senior Marketing Service Rep.

 

  1. I may have typed my email incorrectly when registering for the system.  How do I update my email?

 

  1. The day after registration MedicareCENTER will manually confirm your account.  The next day you will be able to log into the system using your NPN and the password set at registration.  Once you have accessed your account, navigate to the profile page  from the drop-down menu under your name (top right corner of the screen) and update your email.

 

  1. Can an IEP/ICEP application for 1/1/2022 be submitted before 10/15/2021?

 

  1. No.  Per regulation, these applications cannot be submitted until 10/15/21.  All consumer facing functions should not be utilized until 10/15/21, including SOA’s and agent PURL access.

 

New…

  • Option to complete the Health Risk Assessment/Value Based Enrollment/Member Care Assessment through Medicare APP is available for the carriers listed below.  View the process here.
    • Humana (link to carrier site/form)
    • Aetna (link to carrier site/form)
    • Wellcare (link to carrier site/form)
    • Devoted (complete on Connecture/MedicareAPP)
    • BCBS MI

 

Questions?     CALL US TODAY       614-763-2255   or email:    service@cornerstoneseniormarketing.com

Anthem’s Health Risk Assessment with DSNP Applications

Anthem Update from 10/5/21: If agents submit an HRA (Health Risk Assessment) with DSNP applications, your reimbursement is increasing from $50 to $100 per HRA  for effective dates 11/1/2021.

In addition to the incentive increase, agents will soon see a shorter more consolidated HRA that will be available for 11/01/2021 effective dates and the time to complete and submit the HRA has been extended to 7 calendar days from the point of sale.

 

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

 

You have the option to either:

  • submit the HRA electronically via mProducer by utilizing the HRA link on the submission confirmation notification page (PREFERRED METHOD) or
  • complete a fillable PDF of the HRA and send it via a secure email to EMOsalesinitiatedhra@anthem.com

 

Reimbursement payments of $100 per HRA will be processed once the new D-SNP application is approved and the new member is active and will be included in your commission statements.

 

If you have any questions or concerns, reach out to your CSM representative.

Medical Mutual of Ohio Broker Update: New Member Assessment Rewards

MMO Broker Announcement from 10/5/21: 

New Member Assessment Rewards Brokers and Helps Medicare Advantage Members

Applies to: Medicare Advantage

 

Starting Oct. 15, 2021, Medical Mutual will pay brokers $100 each time they submit a member assessment on the behalf of newly enrolled Medical Mutual Medicare Advantage members with 2022 effective dates. To earn the $100 payment, brokers must complete the assessment with the member within three business days of enrollment.

In addition to the New Member Assessment Program reward, we are also pleased to announce that starting Jan. 1, 2022, Medicare Advantage renewal rates for policies with an original effective date on or after Jan. 1, 2021 will be updated each year based on the Fair Market Value renewal rates set by the Centers for Medicare and Medicaid Services (CMS).

New Member Assessment Program Details:

The new member assessment is meant to connect newly enrolled Medicare Advantage members to the helpful resources and programs that Medical Mutual offers to help them navigate their benefits and maintain their best health possible. Resources and programs for members include dedicated care navigators, transitional care services and more.

The new member assessment is built into the online application process and will be available via a link on the application confirmation page. It will also be included in the submission confirmation email. It takes approximately five minutes to complete.

To learn more about the assessment and its benefits for members and brokers, please review the New Member Assessment flyer.

Medical Mutual will also be hosting two virtual meetings to review the New Member Assessment Program and answer your questions. There will be two meetings to meet your schedule:

October 6
10 a.m. – Join us on Zoom:
https://medmutual.zoom.us/j/84598525701?pwd=bS9uWTZWQVpCZzF2NUxldkZtNGJsZz09
Meeting ID: 845 9852 5701
Passcode: 114258

October 7
10 a.m. – Join us on Zoom:
https://medmutual.zoom.us/j/84598525701?pwd=bS9uWTZWQVpCZzF2NUxldkZtNGJsZz09
Meeting ID: 845 9852 5701
Passcode: 114258

 

Devoted Health- Pre AEP Information

Devoted broker newsletter from 10/1/21: 

We are proud to be the fastest growing new Medicare Advantage plan in the last decade and excited to have the best AEP ahead.  We could not have accomplished our goals without you so we want to sincerely thank you for your partnership.

 

For 2022, we have new markets, new plans and exciting incentives we’d like to share with you:

  • Our 2022 plans: on our website you will find our new PY2022 plans, summary of benefits, EOCs,  and everything you need to know to help you sell with us this AEP

Market Primers: we have designed a handy, single-page reference guide for each market. They offer an overview of the ideal client and key selling points, you can check them out on our Marketing Portal under Resources > Market Primers (log in using your NPN and DOB or reply to this email if you have issues).  For your convenience, we have also mailed you printed versions to arrive over the next few weeks.

 

Introducing our $50 Health Risk Assessment (HRA) incentive on all plans in all markets

 

Did you hear?  We are offering an additional $50 reward when you help enrollees complete and submit an HRA form, this includes applications on all plans in all markets.  Our PY2022 plans include lots of great 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 all of your enrollees.  And if you do so within 5 calendar days of submitting an enrollment application, you’ll get $50.¹ 

HRA is only used to help match members with Devoted Health services like managing medications, controlling chronic conditions like diabetes, or getting settled at home after a hospital stay. The HRA answers don’t impact an enrollee’s premium or application processing. Devoted Health will share responses with doctors to help them offer more personalized care.  And here’s the great part, members enrolling in one of our SNP plans will receive $25 in Devoted Dollars Visa® prepaid card for completing the HRA and staying enrolled in our plan in January. 

If an application is submitted by paper or third-party enrollment vendor, HRA will be available when Devoted Health processes the application. For agent portal submissions, HRA will be available immediately.

To complete HRA form:

  1. Log into Agent Portal
  2. Click “Start Enrollment” and complete the application.  
  3. Once the application is signed and submitted,  you will be prompted to “Complete the Health Risk Assessment (HRA)” form. 

 We recommend completing the HRA form at the same time as enrollment to ensure completion. It takes less than 10 minutes to complete. 

 

Reminders before October 15th 

  • If you’re RTS with Devoted Health for PY2022, go ahead and order all of our PY22 Marketing Materials on our marketing portal, we have exciting new items that will help you sell this AEP