2020 Medicare parameters are now available.
For 2020, Aetna has a new $0 premium MAPD plan, the Aetna Medicare Premier (HMO) H0628-005. Aetna also has a new 2020 Dual Eligible Special Needs Plan, the Aetna Medicare Assure (HMO D-SNP) H5337-001. Both plans offers your Northeast Ohio clients a strong provider network and impressive supplemental benefits!
Learn more about our new Aetna Medicare Premier (HMO)
The 2020 Aetna Medicare Premier (HMO) H0628-005 is available in Ashland, Belmont, Columbiana, Cuyahoga, Geauga, Harrison, Jefferson, Knox, Lake, Lorain, Mahoning, Medina, Morrow, Portage, Richland, Stark, Trumbull, Tuscarawas and Wayne counties. Benefits include:
- Comprehensive provider network
- No referrals required
- $0 annual medical deductible
- $10 PCP/$30 Specialist (in-network)
- Plan allowances on dental, vision & hearing benefits—No dental network
- Over-the-counter (OTC) benefit—$45 allowance per quarter
- 24 one-way non-emergency trips per year
- SilverSneakers® fitness benefit—Free membership at participating
Discover the new Aetna Medicare Assure (HMO D-SNP)
The 2020 Aetna Medicare Assure (HMO D-SNP) H5337-001 is available in Belmont, Carroll, Columbiana, Coshocton, Cuyahoga, Franklin, Fulton, Guernsey, Lake, Lorain, Lucas, Mahoning, Medina, Montgomery, Morgan, Muskingum, Ottawa, Portage, Stark, Summit, Trumbull, Tuscarawas, Wayne and Wood counties. Benefits include:
- $0 or low-cost monthly premium
- Access to the Aetna HMO statewide provider network
- $3,000 dental allowance, including dentures and crowns
- Robust hearing and vision benefits
- 40 one-way non-emergency trips per year
- 28 home-delivered, post-discharge meals, at no cost
- 40 one-way non-emergency trips per year
- SilverSneakers® fitness benefit
- OTC benefit—$210 per quarter
- $150 fall prevention package
For more information contact Cornerstone’s Jaime Lebron, Sales Director of NE Ohio.
Integrity Marketing Group, LLC (“Integrity”), the nation’s largest independent distributor of life and health insurance products, today announced it has entered into a definitive agreement to acquire North American Senior Benefits (“NASB”), an insurance marketing organization based in Lawrenceville, Georgia. As part of the deal, NASB Co-Founder Seixas “Chad” Milner III, Co-Founder and President Craig Harvey, and the other NASB equity partners will become owners in Integrity. Financial terms of the contract were not disclosed.
NEW AND EXCITING:
New underwriting process and application tracker
Starting October 1, our underwriting process will give you faster decisions for underwritten Aetna Medicare Supplement applications. We have not altered our underwriting philosophy in any way. Most applications will have a decision within a few minutes. This exciting change also comes with an updated online application tracker, to give you clearer visibility to those decisions.
Changes: Point-of-sale telephone interview and voice signature option
To help make the underwriting process even easier for you, we’ll no longer require or offer a point-of-sale telephone interview as of October 1, 2019. We’ll also be discontinuing the voice signature option.
- If any point-of-sale interviews are still pending after October 1, the phone line will still be available to use until those interviews are complete.
- Instead of a voice signature, you’ll continue to have 3 easy signature options for your electronic applications: security question signature, in person signature, email signature.
Our new underwriting process
Once we receive your Medicare Supplement electronic application, we will provide one of the following underwriting decisions within a few minutes:
- Needs further review
We will also provide decisions on your paper applications once we have verified all required information has been included with the submission. This review may delay how soon the decision is displayed on the website.
- Approved applications will be processed as normal.
- If an application needs further review, the application will be reviewed by our underwriting staff. And if necessary, our associates will call your client with targeted questions for clarification. This new telephone interview process will be easier for your client, as we will not need to review all health questions.
- If an application is declined, we’ll send the applicant (and you) a letter with details about how to get a copy of the information used to help with the underwriting decision. The application tracker on the agent website will show if an application is declined. A copy of the letter will be accessible within 24 hours.
Are you wondering how MACRA works and how it will affect you and your clients? I have attached a cheat sheet that will help you have a better understanding of MACRA.
Aetna has launched their MACRA 2.0 strategy in 15 states with more coming either later this year or early next year. Watch for your e-bulletins for more information.
August launches for MACRA 2020 – SC, IL, LA, AZ and TN
July launches – AL, GA, IA, MI and MS
September launch – FL
October launches – OH, NC, KS and PA
What does all this mean?
Aetna plan F rates will be on average within $15-$20 a month of our plan G rates and our plan F rates have been lowered. You will be able to offer a high deductible G with effective dates after 1/1/20
Why is Aetna putting out rates that are so competitive on plan F?
There are tens of millions reasons why. After 1/1/20 anyone on a Medicare Supplement currently or Medicare eligible by 12/31/19 will still be able to purchase plan C, F and HIF after 1/1/2020. These clients that would like to receive a very competitive plan F rate with us will need to go through underwriting so this with be a very healthy group of insureds which can mean lower rate increases.
Aetna has a new agent services phone number: 866-272-6630
New Quoting App!
Aetna has launched their new app for quoting all products. You no longer have to save the link to you home page. All you need to do is download our “quote on the go” app from the app store. You can quote every product Aetna offers in one easy format!
UPDATE FROM UHC REGARDING THE SANCTIONS IN OHIO:
In Ohio, this effects only Dual Plan H5322-028 (Light Blue banded kit), which is now Closed to New Enrollment for 2020. Members on this plan can remain for as long as they like. Agents will continue their AOR status and be paid their renewal commissions.
The reason for this sanction is: the aggregate medical loss ratios of the 9 states included in this plan number, were less than the CMS required 85%. So in essence UHC didn’t lose enough money on that plan.
To note: Ohio was not a contributor to the low losses ratio, UHC had plenty.
UHC has replaced H5322 with H8125-002 for those 75 counties, so they can continue to serve Dual beneficiaries in the State of Ohio.
This does not affect the other Dual Plan H5253-059 (Purple banded kit) which serves Metropolitan 13 counties in Ohio.
All UHC Ohio Plans starting with: H5253 are all 4.5 stars plans and not effected!
By Christopher Snowbeck , Star Tribune
UnitedHealthcare is facing enrollment restrictions next year in one of its Medicare Advantage health plan contracts, regulators say, because the insurer hasn’t been spending a large enough share of revenue on the health care needs of enrollees.
The sanction from the Centers for Medicare and Medicaid Services (CMS) applies to just one of United’s many contracts with the federal government to sell Medicare Advantage health plans and doesn’t apply to coverage sold in Minnesota.
Minnetonka-based UnitedHealthcare, the nation’s largest health insurer, says it fell out of compliance due to federal legislation that reduced the insurer’s tax liability last year. The sanction applies to a health plan contract for coverage sold in nine states to less than 1% of the company’s roughly 6 million Medicare Advantage members. The states include Florida, Georgia, Kansas, New Hampshire, New Jersey, Ohio, Oklahoma, Texas and Virginia.
“CMS imposed enrollment sanctions on a subsidiary of UnitedHealthcare … because the organization did not meet a Medical Loss Ratio (MLR) of at least 85% for a third consecutive year,” CMS said in a response to Star Tribune questions.
“This enrollment suspension will be in effect for contract year 2020,” the federal agency said. The federal MLR rule “requires that a percentage of revenue should be used for patient care, rather than for other items [such] as administrative costs or profit.”
UnitedHealthcare is one of the nation’s largest sellers of Medicare Advantage plans, a newer form of Medicare coverage in which enrollees opt to receive federal health insurance benefits through a private managed care company. In 2019, roughly one-third of Medicare beneficiaries are opting for Medicare Advantage coverage, according to the Kaiser Family Foundation, as opposed to receiving benefits through the original Medicare program.
The federal government monitors the share of revenue that Medicare Advantage plans spend on patient care needs, vs. the amount spent on administration and kept as profit. This measure is called the “medical loss ratio,” and it’s a standard way for regulators and consumers to assess the profitability of health plans.
When a Medicare Advantage plan’s MLR drops below 85% for three consecutive years, the government can suspend new enrollment in the plan while letting current enrollees maintain the coverage. In a Sept. 11 letter to UnitedHealthcare, CMS said the medical loss ratio (MLR) was 71.3% in 2016, 83.9% in 2017 and 84.1% in 2018 for health plans within the contract that’s being sanctioned.
In a response to Star Tribune questions, UnitedHealthcare said the MLR last year fell below the mark — despite added benefits — because the company saw a financial benefit from the federal Tax Cut and Jobs Act, which became law in late 2017. The company says it subsequently factored the change into its calculations and anticipates achieving an MLR above 85% in 2019.
“While we won’t be enrolling new members in [this contract] for 2020, existing members will continue to receive the same level of care and support, including an increase in their coverage and benefits,” the insurer said in a statement. “UnitedHealthcare also has additional Medicare Advantage plans available in many of these markets.”
“We anticipate that we will achieve the MLR threshold in 2019 for [this contract], which will allow us to resume enrollment in these plans in 2021,” UnitedHealthcare said.
The health plan contract that’s being sanctioned primarily provides coverage for people who quality for benefits from both Medicare and the state-federal Medicaid program. UnitedHealthcare officials have said these products for “dually eligible” enrollees are an important growth area for the company.
If the MLR for a Medicare Advantage plan falls below the 85% mark for five years, the government can terminate its contract with the health plan. CMS says the regulatory action against UnitedHealthcare is the first time the agency has suspended enrollment in a Medicare Advantage plan due to noncompliance with the MLR rule.
Administrative Payment Payouts, SEP Notice, MBI Locator, and Ascend Resources
AEP is in full swing and it’s important that Allwell keeps you, their brokers, informed and up-to-date on any and all information that will help you be more successful. Below are some hot topics Alllwell wanted to share with you.
Tip # 1: Administrative Payment Payouts
Don’t forget that when you initiate a VBE ($50) and Blue Button ($30) you will receive an extra $80 in administrative payments.*
VBE payouts have already started so make sure you are logging into your Allwell Broker Portal to keep track of your payments.
Blue Button payouts will commence as of November 20, 2019.
Administrative Payments are paid out on a weekly basis.
For any questions or concerns about your administrative payments please call Broker Services at 1-844-202-6811
Tip # 2: Special Enrollment Period (SEP) for Beneficiaries Affected by Severe Weather
If your client or client’s authorized representative has been affected by severe weather as documented by the Federal Emergency Management Agency (FEMA) and were not able to enroll, dis-enroll, or switch their Medicare health or prescription drug plan due to the disaster, they may be eligible for an SEP. If your client qualifies for an SEP they have four (4) full months from the day the disaster occurred to enroll, dis-enroll or switch their plan.
When enrolling your client for a weather related emergency or major disaster SEP within the Ascend online application you must make sure to use the correct election selection in the election period section of the application.
The election you need to choose is: “I was affected by a weather-related emergency or major disaster as declared by the Federal Emergency Management Agency (FEMA). One of the other statements here applied to me, but I was unable to make my enrollment because of the natural disaster.”
For more information about SEP please visit: https://www.cms.gov/AboutCMS/AgencyInformation/Emergency/Downloads/MedicareBeneficiaryDisasterEnrollmentQsandAs.pdf
For more information about areas that qualify as a disaster area please visit: https://www.fema.gov/disasters
Tip # 3: How do I Help my Client Locate their Medicare Beneficiary Identifier (MBI) Number?
It is important that you use your clients MBI number on the enrollment application when enrolling your client into an Allwell plan. If you don’t use your client MBI number the application process is slowed down considerably.
Your client can find their MBI number by:
- Looking on their newly issued Medicare Health Insurance Card
- Calling the Medicare help line at 1-800-633-4227
- Logging into their gov account
If your client is new to Medicare and doesn’t have a Medicare card yet, they can get their Medicare number by logging into their Social Security Account
Tip # 4: Find Valuable Documents and Videos in the Ascend Resource Library
The online Ascend platform is so much more than just an online application platform. Once logged into the portal you can access the Resource Library where you can find valuable documents and videos to assist you in all your Allwell Sales. You will find documents such as Evidence of Coverage, Summary of Benefits, Sales Presentations, VBE training, Blue Button demo training and much more.
For More Information on Using the Allwell Online Application Platform, Ascend Check out Allwell’s FAQs
Medicare Supplement Updates:
- MMO’s Medicare Supplement rates have been approved. Soon you will be able to quote and enroll members electronically. Click here to view the rate sheet. Please note, effective Jan. 1, 2020, members’ rates will be based on age and gender.
- Medicare Supplement renewals for 2020 are scheduled to mail shortly. As a reminder, current members will renew at the new business rates. Members will not receive a renewal notification until the anniversary month. The renewal will include any rate updates in coordination with the member’s gender and age.
- As you reach out to your Medicare Supplement members, remember to ask if they would like to add the Supplement Plus plan to their coverage. This plan provides dental, vision and hearing benefits for only $28 a month.
- Effective Jan. 1, 2020, Medicare Supplement plans C, F and High-Deductible F will no longer be available for sale to members newly eligible for Medicare.
- Newly eligible members are defined as individuals who turn 65 years old on or after Jan. 1, 2020, or anyone who first becomes eligible for Medicare benefits due to age, disability, or end-stage renal disease, as defined by the Centers for Medicare and Medicaid Services (CMS), on or after Jan. 1, 2020.
- Applicants eligible for Medicare prior to Jan. 1, 2020, will be allowed to purchase plans C, F, or High-Deductible F.
- MMO made enhancements to the Medicare Supplement commission statement, which now lists the commission amount.
- November is the last month you can submit Medicare Supplement applications without medical underwriting. Members are eligible to move from their current Medicare Supplement plan to any Medical Mutual Medicare Supplement plan without medical underwriting. All applications must be received by Nov. 30, 2019, for a Dec. 1, 2019, effective date
Medicare Advantage Updates:
- If you are selling Medicare Advantage in Cuyahoga, Medina or Summit counties, be sure to order the Secure Enrollment kit. This is the only kit that includes our new competitive Secure plan, which offers the following features:
- Low monthly premium of $15 ($0 premium for full low-income subsidy)
- $3,700 maximum out of pocket
- Primary care physician visit is $0, specialist visit is $30
- Over the counter (OTC), dental, vision and hearing benefits
- SilverSneakers® program
- Post-discharge transportation
- ChenMed in Central Ohio has been added to the Medicare Advantage HMO network.
- Effective Jan. 1, 2020, the Physician’s Group of Southeastern Ohio (PGSEO) and Canyon Medical Center physicians will no longer be part of Medical Mutual’s Medicare Advantage network.
As a reminder, please be sure to submit termination requests to the appropriate email to ensure their timely processing. Click here to view the contact sheet.
Members transitioning from Aetna to WellCare will need to complete a new EFT form for WellCare. The completed form must be mailed (not faxed) and include a copy of a voided check. The mailing address is on the EFT form.
MORE: Important….and encouraged!
Members can also go on to the Member WellCare Portal and select credit card payments, or choose to draft their online checking or savings to make payment on their desired date.
IN THE WORKS: Notification to transitioning members
Aetna is planning a post card campaign to those Aetna EFT transitioning members notifying them to re-register via the portal or call center.
We are excited to announce that the WellCare Enrollment Platform is ready for 2020! This mobile application is available on Apple, Android, and Windows 10, and designed to save you time and improve the experience of enrolling new members.
*The Windows and Android versions are now available; Apple will be released later today.
*If you have the 2019 app installed, a manual update is required for 2020.
- Perfect companion to the WellCare electronic Scope of Appointment capture.
- No paper application is required when the WellCare Enrollment Platform is used.
- No cellular/wireless data access, no problem. There are online AND offline modes included.
- No time lost faxing paper applications.
- Electronic applications are processed in a fraction of the time compared to paper.
2020 New Features:
- Seminar section (optional) for preloaded events.
- EFT (Electronic Funds Transfer) form built into the app.
- Medicare ID double-entry confirmation built in.
- Policy premium entry (not required) included.
For additional information and instructions to remove the 2019 Mobile SOA and Enrollment app and download the 2020 Mobile SOA and Enrollment app, please click the link below.
As always, your CSM team is here to help! For more information or questions please contact your Cornerstone Senior Marketing representative.