| SureBridge Simplified Draft Date Schedule |
| SureBridge communication from 11/20/20: |
As a result of agent feedback, we have reviewed and simplified our billing draft date schedule for policies migrated to the new policy administration system!
We apologize for any challenges the original schedule may have created and look forward to continuing to better serving you and our customers. |
MediGold offers a broad range of Medicare Advantage products and access to providers and hospitals where members live
Click below to help your clients identify the provider network nearest to them.
If you have any questions or need more details on this information, reach out to your CSM rep.
Anthem and Cincinnati Eye Institute have resolved their contract negotiations and CEI has agreed to rescind their notice of termination.
CEI will remain IN-NETWORK for all Medicare business- HMO, PPO, and DSNP.
Cincinnati Eye Institute has also committed to notify Anthem members of their continued participation in Anthem networks on or before Thursday, November 26, 2020.
If you have any questions please reach out to your Cornerstone Senior Marketing representative.
Your customers now have access to myCigna.com, a portal that will allow better access and understanding of the benefits that come along with their Cigna Medicare Advantage plan.
After creating an account on myCigna.com, Medicare Advantage customers can:
myCigna can even help your customers find the best prices on their prescriptions! myCigna is available NOW to all Medicare Advantage customers. Make sure yours know about this valuable and easy-to-use tool!
If you have any questions regarding Cigna’s MA plans/products, contact your CSM representative.
Earn a FREE 1,000 piece mailer to start the new year!
Start the new year off right with a FREE 1,000 piece mailer. This generous marketing bonus is available to all agents that submit a minimum of 5 Humana Medicare Advantage applications between November 13 – December 31, 2020.
Thank you for all you do and have a great AEP!
The HealthPlan notice from 11/16/2020:
There is an update to THP Medicare Supplement commission/admin rates in WV. This update is required so that we can comply with the State of West Virginia Regulatory Rule 114-24-14, which went into effect 4/1/2020. The rule requires that carriers pay the same amounts paid in year 2 for all compensated renewal years. Unfortunately, the legislative change was missed by THP until now.
Summary Change
Current WV Medicare Supplement
20% YEARS 1-5
4% YEARS 6-10
ADMIN : 1% YEARS 1-5, .5% YEARS 6-10
Updated Schedule WV Medicare Supplement
New/Open Enrollment: 20% YEARS 1-8
Guaranteed Issue: 10% YEARS 1-8
ADMIN: New Open Enrollment: 1% / Guaranteed Issue: .5% YEARS 1-8.
There are no other changes to either Ohio or West Virginia rates.
This change was effective 4-1-2020. This means that you may see back-dated commission or admin. that is owed to you on future commission statements. This will be paid by end of year in most cases.
We apologize for this late notice. Procedures have been put into place to ensure that we deliver any compensation changes by 9/1 each year, moving forward. We are asking that your office reach out to Tracie Soptelean, Manager Broker Relations on how you would like this information communicated to your agents. She has the updated exhibits that you can personally send to your agents or she can send an email notification. Please let her know as soon as possible how you would like to procced.
Cigna is committed to helping veterans in many ways, and one of those ways is with our Veterans Support Line. This free service is available to any veteran, as well as their caregivers and families, no matter if they are a Cigna customer or not.
This free service is available around the clock, 365 days a year, at 855.244.6211.
Some of the common issues our team helps with include:
Make sure all your customers know about this free service from Cigna.
MediGold is honored to announce that it has received a 4-Star Overall Plan Rating out of 5 stars1 for our 2021 Ohio HMO plans. This rating is the result of the combined efforts of our passionate colleagues and network providers.
Thank you for your continued participation with MediGold!
1 Centers for Medicare & Medicaid Services evaluates plans based on a 5-star rating system. Star ratings are calculated each year and may change from one year to the next. 2021 Star Ratings are based on services and care members received in 2019 and are posted at Medicare.gov.
Attention Ohio Brokers:
Premier Health and PriMed Physicians joining the MediGold Network in 2021. For the latest information and Medigold network announcements CLICK HERE.
WellCare/Centene Announcement from 11/13/20:
Retroactive Enrollment Reminders
Did You Know – CMS monitors and scrutinizes retroactive enrollments that result from broker errors during the initial enrollment application process? As such, these largely preventable, broker-related errors present compliance issues for Centene that may have downstream effects on any related broker contractual arrangements. As a best practice, please review all applications prior to submitting to ensure accuracy of the submission.
For further insight, we have identified some of the most common mistakes to watch for:
If you have any further questions, please contact your Cornerstone rep.
Unity Health Removed from Network Starting Jan. 1, 2021
Category: Network
Applies to: All
We were unable to reach an agreement with Unity Health Network, a multi-specialty physician group with locations in Summit, Portage, Medina, and Stark counties. As a result, all providers associated with the Unity Health Network will be removed from Medical Mutual’s commercial and Medicare Advantage networks, effective Jan. 1, 2021.
To communicate this change and provide direction for members to find new in-network providers, we will send a letter to approximately 7,800 commercial and 900 MHS members who received services from a Unity Health provider in the past year. Letters have already been mailed to affected Medicare Advantage members.