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The Latest Industry/Carrier Announcements and Updates
[/vc_column_text][/vc_column][/vc_row][vc_row margin_top=”0″ margin_bottom=”0″ full_width=”true” padding_left=”40″ padding_right=”40″ bg_position=”top” bg_repeat=”no-repeat” bg_cover=”false” bg_attachment=”false” padding_top=”40″ padding_bottom=”40″ parallax_speed=”0.1″][vc_column width=”2/3″][vc_toggle title=”January 28: Cigna HealthSpring Updated Provider Directory” open=”false”]
NC and SC Provider Directory 2014 – 1.27.2015
Please delete all previously saved versions and replace them with the attached.
Reminder: Never verify “in-network” status by calling the doctors office or facility. Always/only use the tools provided by C-HS to identify “in-network” provider.
Navigation:
- Please use the tabs at the bottom of the spreadsheet to navigate by provider or facility type (PCP, Specialist, Hospital, Etc).
- Use the arrows at the top of each column to sort or search (State, City, County, Provider Name, Etc.)
- Use “Ctrl + F” buttons to type specific search criteria (like a first name or a street name).
- Please call or email if you need assistance navigating this document; or if you would like a tutorial on use.
Providers can also be located by visiting Cigna’s website at http://www.cigna.com/medicare/medicare-advantage/find-doctor, or by calling agent support (HAAL) at (866) 442-7516.
[/vc_toggle][dt_gap height=”10″][vc_toggle title=”January 22: IMPORTANT News from Medico” open=”false”]
All Medico Insurance Company agents MUST download the NEW Dental, Vision and Hearing and Hospital Indemnity applications, which were effective January 1, if you have not done so already.
We appreciate your business, however, we are no longer accepting the old applications. If we receive an old application, you will have to rewrite it on the new application.
Please visit the Medico Information Center (MIC) website to download the new application. Click on Forms, select Order Supplies/Print Forms. You can also order new applications by calling Agent Services at 1-800-547-2401 (option 3). If you are unsure if your application is up-to-date, call Agent Services.
The best way to avoid using outdated applications is to utilize MyEnroller, our electronic application platform. When you use MyEnroller, you will always have correct applications and accurate rates. Plus, your client’s policy will be issued quicker and you’ll get paid sooner!
[/vc_toggle][dt_gap height=”10″][vc_toggle title=”January 21: Humana External Sales Newsletter” open=”false”]
Medicare Annual Disenrollment Period (ADP) The Annual Disenrollment Period began January 1st and continues through February 14th. During this period members may choose to disenroll from their MAPD or MA plan and go back to Original Medicare. To accomplish this, the member would contact Humana to request the disenrollment. Members are also eligible to use a SEP to enroll in a PDP plan. Individuals may use the “ADP” SEP code subsequent to having submitted a disenrollment request or may simply enroll in a PDP plan resulting in automatic disenrollment from their previously elected MAPD or MA plan and placing them back on Original Medicare. Please Note: Members cannot elect an alternate MAPD or MA plan during the Annual Disenrollment Period. |
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Members may also choose to purchase a Medicare Supplement to enhance their Original Medicare benefits during this time. Individuals enrolled in just a PFFS with no Rx plan must request disenrollment from that plan in order to be eligible for this SEP, as enrollment into a PDP plan would not result in the automatic disenrollment from the MA Only plan. If the member is currently enrolled in both a PFFS with no Rx plan and a stand-alone PDP, he or she will have to actually disenroll from the PFFS plan if they wish to return to Original Medicare. Please remember to utilize the proper election period when completing applications. In addition, a Scope of Appointment (SOA) is needed for each face- to- face sales appointment that you conduct. All applications should be submitted promptly; within 24 hours of taking the signature. |
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New and Improved Changes to Humana’s Agent Portal In an effort to streamline information for agents, we have made some changes to the Agent Portal. These changes include:
In addition to the changes on Agent Portal’s main page, the MarketPoint Learning Portal now has a new look. Although the page looks a little different, it still works the same when accessing My Assignments, the Course Catalog or launching courses from the Current Enrollments list. Along with its new look we have added a new Search feature that allows you to search for a term. That is right—you now have the ability to search for pieces of content within a course. Your search results will provide you with the supplemental materials that are available in course materials. Please use the attached job aids to explore the new features of the Agent Education tab and MarketPoint Learning Portal now on Agent Portal. JOB AID: How to Access MarketPoint Learning Portal My Assignments in Agent Portal |
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MarketPoint University MarketPoint University is your one stop shop for all things Healthcare Reform! Agents will find important training on markets, products, renewals, how to get certified on the FFM and much more. Soon, MarketPoint University will be expanded to include information on a variety of subjects. Be sure to keep coming back to check out the exciting changes to MarketPoint University. |
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Medicare Members EyeMed Benefit Beginning in 2015, we have removed information about selecting an EyeMed network provider and how members tell providers about their benefits from the Medicare Advantage Evidence of Coverage (EOC) and Annual Notice of Changes (ANOC) documents. Humana’s Medicare ID card doesn’t include a reference to EyeMed. Please make sure your Medicare members understand their EyeMed benefit. Here are some things they should be aware of:
The Humana/EyeMed discount is different than an EyeMed benefit and is automatically available to members of Humana’s Medicare Advantage plans and Dental plans. EyeMed does not receive information for members who have the Humana/EyeMed discount (and not the EyeMed benefit). The provider applies the discount at the point of sale and does not need to submit a claim. Discount-only members do not have an ID card; they just need to tell the provider they have the Humana/EyeMed discount. Members with an EyeMed benefit cannot use their funded benefit and discount within the same transaction. Members can locate EyeMed providers using Humana.com or by calling EyeMed Customer Service at 1-888-289-0595. The EyeMed Select network offers retail locations (including LensCrafters, Pearle Vision, Sears, JC Penney, and Target Optical) as well as a wide array of independent locations. |
[/vc_toggle][dt_gap height=”10″][vc_toggle title=”January 21: Manhattan Life Rate Adjustment for North Carolina” open=”false”]
A rate increase for North Carolina has been approved. There is a 3% increase for plans A, C, F and N; no increase for plan G. Click here to view / print the new rate card. The effective date for all in-force policies outside of the 12 month Please refer to the points below to determine which rates should be applied for new applications:
Summary of this information:
To order or download / print new business supplies with the new rates, simply log in to the https://my.aimc.net agent portal. |
[/vc_toggle][dt_gap height=”10″][vc_toggle title=”January 20: BCBSNC Social Security Withdrawal Letter, PABOL Process Change & Dashboard Update” open=”false”]
Social Security Withdrawal Letter, PABOL Process Change and Dashboard Update
BCBSNC to Mail Letters to 4100 Affected Medicare Advantage Members
Social Security Withdrawal
We are in the process of mailing out letters to 4100 Medicare Advantage members regarding payment from their Social Security Administration (SSA) check.
Last week, BCBSNC identified 4,100 Medicare Advantage members who had originally elected SSA withdrawal but were issued an invoice for their January 2015 bill. These are members who, prior to 2015, were enrolled on a $0 monthly premium plan and elected to have their premium deducted from their Social Security Administration (SSA) check. Due to SSA guidance, members with no premium are not approved for SSA withdrawal. When these members transitioned to a plan with a premium, their Social Security (SS) check deduction election was not in effect and therefore, these customers defaulted to direct bill.
We are in the process of mailing out letters to all affected members to determine how they wish to proceed. A sample of this letter is attached below.
The letter states that we will assume the member wants payments deducted from their SSA check unless the member contacts BCBSNC prior to February 1, 2015.
If action is not taken, the member will continue to be direct billed until the SSA process can be implemented; typically a 2-3 month process. This means the new plan premium amount would be withdrawn and paid to BCBSNC by the SSA effective April 1, 2015.
All members will be notified prior to this date if the SSA accepts or rejects their SS.
Other options provided in the letter include a monthly invoice from BCBSNC or bank draft.
Therefore, if the member wishes to remain on withdrawal from their SSA check, no action is needed other than to keep paying the invoiced amounts until set up is complete. If the member wishes to move to another mode of payment, (a monthly invoice from BCBSNC or bank draft), they can contact customer service.
PABOL Process Change
Effective February 1, 2015, you will no longer be required to provide a copy of the PABOL application to an over-65 applicant.
In the past, BCBSNC has advised you to provide a copy of the PABOL application for senior products to the member because of the requirement that an applicant must have a copy of their application prior to enrollment. BCBSNC did not provide this copy in the Medicare Advantage or Part D member kits.
During this past annual enrollment period, BCBSNC began mailing copies of applications to all members prior to enrollment. Note that these applications are mailed to the member and are not part of the member guide.
We have confirmed that this process is working smoothly.
Effective February 1, 2015, you will no longer be required to provide a copy of the PABOL application to an over-65 applicant.
You are still required to complete the DV or MADV form depending on product.
It is expected that you will maintain copies of all applications in your files as reference.
We hope to simplify the process for you by eliminating this documentation step.
Dashboard Update
BCBSNC made a slight change to the how the PABOL applications are taken by our system.
Due to this change, the application status for Medicare Advantage and PDP applications has moved from the “MA/PDP application” tab to the “Submitted Application” tab. Please see the PDF document attached below for a visual.
Please use the “Submitted Application” tab to track all of your O65 applications.
Note that these applications are not moving from “submitted” status to “enrolled” on your dashboard. This is a known issue and a fix is targeted in mid-February. After the February update, the status of all future applications will update automatically.
If you have any questions or concerns, please contact your regional sales executive.
[/vc_toggle][dt_gap height=”10″][vc_toggle title=”January 20: Manhattan Life Rate Adjustment for North Carolina” open=”false”]
A rate increase for North Carolina has been approved. There is a 3% increase for plans A, C, F and N; no increase for plan G. Click here to view / print the new rate card. The effective date for all in-force policies outside of the 12 month Please refer to the points below to determine which rates should be applied for new applications:
Summary of this information:
To order or download / print new business supplies with the new rates, simply log in to the https://my.aimc.net agent portal. |
[/vc_toggle][dt_gap height=”10″][vc_toggle title=”January 20: Manhattan Life Rate Adjustment for Mississippi” open=”false”]
A rate increase for Mississippi has been approved. There is a 4% increase for plans A, C F and N; no increase for plan G. Click here to view/print the new rate card. The effective date for all in-force policies outside of the 12 month Please refer to the points below to determine which rates should be applied for new applications:
Summary of this information:
To order or download / print new business supplies with the new rates, simply log in to the https://my.aimc.net agent portal. |
[/vc_toggle][dt_gap height=”10″][vc_toggle title=”January 20: 12% Household Discount offered by Medico” open=”false”]Medico Corp Life Insurance Company is offering a 12% Household Discount for Medicare Supplement Plans in AL, IA, NE, SD, SC, TX & WI effective April 1, 2015. To qualify for a 12% Household Discount, the applicant must live in the same household with another person over 18 years of age, regardless of whether they sign up for coverage with Medico.
States in which Medico Corp Medicare Supplement Plans are currently available in will continue to have a 7% Household Discount. These states include AZ, CO,GA, KS, KY, MI, NC, OH, PA & WV.[/vc_toggle][dt_gap height=”10″][vc_toggle title=”January 19: Manhattan Life Rate Adjustment for Louisiana” open=”false”]
A rate increase for Louisiana has been approved. There is a 5% increase for plans A, C and F; no increase for plans G and N. Click here to view/print the new rate card.
Please refer to the points below to determine which rates should be applied for new applications:
Summary of this information:
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[/vc_toggle][dt_gap height=”10″][vc_toggle title=”January 15: Manhattan Life Rate Adjustment for SC” open=”false”]
A rate increase for South Carolina has been approved. There is a 3% increase for all plans. Click here to view/print the new rate card.
Summary of this information:
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