Humana MP: Important Update Regarding Plan Changes

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2020 Compliance Communication

Before AEP, we communicated that Humana will no longer accept plan change requests through the Agent Statement of Enrollment Correction (ASEC) form from an agent. Now is a good time to conduct a review of the enrollment applications you have submitted in AEP to ensure they have processed and the member is enrolled in the right plan. If you find a member who was mistakenly enrolled in the wrong Contract/PBP, you will need to obtain a new application prior to December 7 in order to use AEP to correct the member’s enrollment for a January 1, 2021 effective date.

Keep in mind that members must have a valid election code at the time the new enrollment application is being submitted. If you catch the error on December 8, for example, you will no longer be able to submit a new application using AEP to correct the plan type and will need to see if they are eligible for another election period. If they do not have another valid election period, you will need to advise them of their next opportunity to enroll in a plan.

Please ensure you are reviewing every application carefully prior to submitting to ensure you have the correct Contract/PBP and Plan Type Bubble selected.

Please note: The ASEC form may still be used for election type code, effective date, and demographic changes.

Questions? Please reach out to your Cornerstone Senior Marketing Representative.

We’re here to help!

614-763-2255
email: service@cornerstoneseniormarketing.com

Not contracted with Humana? Reach out to your Cornerstone Senior Marketing Sales representative to get appointed!

AEP Ends MONDAY Dec. 7: Cornerstone’s Tips for Smooth App Processing!

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AEP ends  MONDAY December 7
Tips for smooth application processing.

Important information about the last days of AEP and submitting enrollment apps.

The following tips will help ensure your hard work this AEP pays off and your applications are processed correctly, including those submitted on December 7, 2020.

1. AEP application submission deadline: ALL applications must be submitted no later than 11:59 pm on December 7.

2. Date the application. It’s important to include a date on every enrollment application. Applications without a date, received after December 7, 2020, are assigned the date the application was received by the carrier, which can invalidate apps received after AEP ends. Apps that you receive on December 7 must be submitted to the carrier, dated December 7.

3. Faxing Applications: If faxing the application, remember to keep a copy of your successful fax transmittal as confirmation of submission.

4. Application Submission Guide: Click the link below to download the application enrollment submission process, by carrier.

Submitting Applications Document

Note: If you have questions about last minute submissions, we’re here for you!

Please call 614-763-2255

Cigna Protects YOU as the Agent on Record

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Cigna Communication from
Our Agent of Record commitment

Even though you are an independent agent, we consider you part of Team Cigna. We appreciate the work that you do every day on our behalf and understand the effort it takes to build a book of business. We want to make sure you understand that we’re committed to protecting your Agent of Record status and protecting the commissions you’ve earned for the customers you’ve enrolled.

At Cigna:
• We understand that sometimes existing customers need to change plans and would prefer that they remain with Cigna.
• We want to reduce the work associated with plan changes and free your time to focus on servicing and growing your book of business.
• We want you to trust that we will protect your interests and that we value you and your current relationship with the customers you’ve enrolled.

Our commitment to you

When an internal Cigna agent completes a plan change for one of your existing Medicare Advantage customers, you will remain the Agent of Record (AOR) and continue to receive renewal commissions on plan changes.

How will we do this?

Cigna has established a Dedicated Plan Change unit within the CARL team that exists solely to help existing customers transition from one plan to another. This unit is staffed by licensed service representatives, not Sales Agents.

• When an existing customer makes a plan change by calling our Dedicated Plan Change line directly, your AOR status will remain unchanged.
• When an existing customer calls customer service inquiring about a plan change, the customer service representative will transfer the customer to our Dedicated Plan Change line and your AOR status will remain unchanged.
• When an existing customer initiates a plan change through one of Cigna’s internal field sales or telesales agents our team member will either refer the customer to our Dedicated Plan Change line or complete the plan change themselves. In either case, your AOR status will remain unchanged.

The Agent of Record policy applies to:

• Active, licensed, appointed and 2021 certified agents at the time of the customer’s plan change

The Agency of Record policy does not apply when:

• The original agent is no longer eligible or terminated
• Another active, licensed, appointed and 2021 certified, external agent (not employed by Cigna) facilitates the plan change
• The plan change is facilitated through an external Cigna appointed call center agent/agency

The plan change process

As an agent, you still have the option to fill out a new application to submit for current customers.

Customers can call 1-855-649-5105 to connect to
the dedicated Plan Change Queue

 

Any questions contact your CSM representative. 

 

 

ALERT: Uploading Paper Apps to Humana’s Vantage

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Upload Paper Applications will be turned off December 11, 2020

Urgent notice regarding Upload Paper Applications

Please be aware that the Upload Paper Applications link in Vantage will be turned off on December 11, 2020 at 5pm EST, until further notice.

Agents are able to submit paper applications via Vantage through the December 11th date until 5pm EST. Please remember to NOT include any credit card information on your paper applications submitted via Vantage as that information is strictly prohibited.

A new notification will be sent when the link is re-enabled. Alternatively, agents may submit paper applications via Humana Doc Transmitter app, fax, and regular mail. Further details on these methods will be forthcoming.

If you require additional information, please contact your service rep or email: service@cornerstoneseniormarketing.com

 

 

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.

 

 

WellCare’s Agent Connect System Issues

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UHC Medicaid Eligibility Lookup Tool Enhancement

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UHC announcement from 11/23/20: 

UHC Medicaid Eligibility Lookup Tool Enhancement

We are excited to announce an enhancement to the Medicaid Eligibility Lookup Tool on Jarvis. Regardless if the Medicaid ID is provided, your Medicaid eligibility search results will now display the member’s Medicaid ID. This enhancement is available for the following states: Alabama, Arizona, Arkansas, Colorado, Delaware, Washington DC, Florida, Georgia, Hawaii, Indiana, Kentucky, Kansas, Maine, Michigan, Mississippi, Nebraska, Nevada, New Mexico, North Carolina, Ohio, Pennsylvania, South Carolina, Texas, Tennessee, Virginia, Washington and Wisconsin.

For step-by-step information on how to use the new Medicare and Medicaid Eligibility Lookup tool, review the detailed job aid available on Learning Lab.

 

If you have questions, reach out to your Cornerstone rep.

Important: MediGold Scope of Appointment

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MediGold’s Scope of Appointment

No longer required when submitting application

Effective immediately, MediGold no longer requires that a Scope of Appointment (SOA) form be summitted with enrollment forms.

In addition, the MediGold branded SOA form does not need to be used either.  Any carrier approved SOA, or a generic CMS approved SOA form may be used.  Agents must continue to follow CMS guidelines for completing the SOA form and CMS record retention guidelines must be followed.

 

Questions? Reach out to your CSM representative for more information

Cigna Provider Directory for Ohio- DOWNLOAD NOW

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Helpful Reference Guide: View a copy of Cigna’s updated Provider Directory for Ohio HERE.

 

If you have any questions, please reach out to your Cornerstone representative.

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!