Your clients and their employees can count on Anthem Anthem is committed to helping dental members get the care they need, when they need it. That’s especially true now during these challenging times. Members should always contact their primary care dentists for all their dental care needs, but in light of office closures and the increasing use of teledentistry through laptops, tablets and smartphones, Anthem is making access to dental care easier than ever. The Dental Prime and Complete networks now include: The TeleDentists The TeleDentists® offer virtual dental care, including emergency exams, and can prescribe medications, if needed. Through June 30, 2020, this care is covered at 100%. Members pay no cost share during this time. Ortho@Home Some of the most popular at-home orthodontia providers support Ortho@Home, Anthem’s new at-home clear orthodontic aligner program. Care is available 24/7, 365 days a year by […]
UPMC GQ New Feature – Manage My Work: Prospects
UPMC GQ added a new feature which will enable you to view and manage prospects groups through a dashboard. This dashboard is similar to the one you use today to manage renewals except that it features categories that are relevant to new groups. A user guide for this new functionality is available for you to learn about this feature: https://p.widencdn.net/rclqti/UPMC-GQ-MMP-User-Guide If you have questions about this new functionality please contact your Sales Support Specialist.
PA Dept of Insurance Authorizes In Person Sales in Yellow Counties
The Pennsylvania Department of Insurance has authorized In-Person Sales to resume – under certain conditions – in counties that are moving to the Yellow Phase. Telework and remote operations must continue where feasible in counties that have been designated to move to the Yellow Phase, however – in instances where that is not feasible – insurance licensees will be permitted to resume in-person operations. Licensees must adhere to the guidance, building safety and business safety orders issued by Governor Tom Wolf that details procedures businesses must follow to conduct in-person operations in counties slated to move to the yellow phase of reopening. The documents linked to below offer full details on how Agents must proceed to be in compliance with Governor Wolf’s orders. PA Insurance Department Notice 2020-14 Guidance for Businesses Permitted to Operate During COVID-19 Business Safety […]
NMOs: New CHLIC Med Supp Coming Soon to NH and NM!
A POLICY YOU CAN SELL A BRAND YOU CAN TRUST CHLIC is coming soon to New Hampshire and New Mexico! On May 25th, Cigna is launching their new Medicare supplement product, insured by Cigna Health and Life Insurance Company (CHLIC), in New Hampshire and New Mexico! CHLIC is now better than ever with new rewards for your customers: Industry-leading 15% Household Discount With the new, multi-tier Household Discount, customers now may be eligible for an industry-leading 15% total discount. Eligible applicants can receive a 6% discount simply for living with someone 18 years or older, and may also be eligible for an additional 9% discount if a member of the household has or is enrolling in a Cigna Medicare supplement plan.1 Active&Fit DirectTM Active&Fit DirectTM2 provides customers with access to over 10,000 fitness centers nationwide for only $25 a month.2 Customers also have access to […]
Anthem: Save the date for July virtual CE
Group & Individual News Virtual Continuing Education coming in July Anthem is offering 8 hours of Continuing Education credits virtually this year in July. You have the flexibility to choose from two times for each four-hour session. Anthem is planning an in-person makeup session later in the year. Please save the dates now. Choose Tuesday July 14 or 28 – Session 1 (Life and Health) – 8:30 am to 12:30 pm Telehealth and Insurance Administrative Services Only 101 Group Term Life Insurance Understanding Star Ratings Choose Wednesday July 15 or 29 – Session 2 (Ethics, Laws and Regulations) – 8:30 am to 12:30 pm Legislative Update and Agent Impacts Ethics in Today’s World Thursday, October 29 – 8-hour makeup session at Richmond Anthem Davis Center (pending COVID-19 safe distancing regulations) State(s): VASegment(s): Small Group, Large Group, Individual
UPMC: Legislative & Regulatory Updates – May, 2020
Below are Legislative & Regulatory updates related to the Health Care Industry for May, 2020 Administration Reaffirms Support for Lawsuit that Could Overturn ACA – Last week, President Trump announced that the Department of Justice will continue supporting a lawsuit currently before the Supreme Court that seeks to strike down the ACA. Trump made the announcement after media reports last week suggested Attorney General William Barr urged the White House to change its position on the lawsuit and seek to preserve parts of the ACA in light of the country’s coronavirus epidemic. The Justice Department had a Wednesday deadline to change its position in a case brought by Republican-led states. A coalition of Democratic state attorneys general and the Democratic-led House of Representatives are defending the law in court. The lawsuit argues that the health law was invalidated when Congress eliminated the law’s tax penalty for people […]
UPMC: COVID-19 Testing Update
COVID-19 Testing Update As state and municipal authorities and employers of all types begin considering options for opening the economy, testing remains a pivotal issue. Diagnostic test of COVID-19 infection – This test is done with a nasal swab. While this test continues to become more widely available, it remains limited in our region and throughout most of the country. This is due to multiple reasons, including that some of the materials needed to collect the specimen and process the test remain in short supply. For example, one of the leading global manufacturers of the nasal swabs is based in northern Italy, which has been closed as a result of the virus. Presence of COVID-19 antibodies – This is a blood draw or serological test. A number of labs have created their own antibody tests, and a few have […]
UPMC Health Plan coverage enhancements in response to the CARES Act
UPMC Health Plan Coverage Enhancements in response to the CARES Act To provide the health care resources needed to address COVID-19, UPMC Health Plan will include the following coverage enhancements for commercial accounts in accordance with the recently enacted CARES Act. The following coverage enhancements apply to fully insured and administrative services only (ASO) plans retroactive to March 1, 2020. Member cost share will be waived at in or out-of-network providers for: Diagnostic testing for suspicion of/exposure to/confirmation of COVID- 19. Also included are serological antibody tests.* Telehealth including AnywhereCare for suspicion of/exposure to/confirmation of COVID-19. Emergency department, observation, office and urgent care visits for suspicion of/exposure to/confirmation of COVID-19. *An order from the member’s attending provider is required for all testing. UPMC Health Plan will continue to cover the following with no member cost share over and above the requirements […]
SureBridge Notification: It’s Time to Act!
It’s time to ACT! On your Annual Compliance Training that is… That’s right, it’s that time of year again. This training is essential for several reasons: It keeps you apprised of SureBridge sales and marketing guidelines, details SureBridge’s expectations for certain regulatory requirements, and it helps you to ensure that clients understand and are happy with what they have purchased, which in turn will help SureBridge business to persist! Why is it Necessary? Failing to comply with certain laws, regulations, and guidelines can be detrimental to you, clients and SureBridge as a company, potentially resulting in fines, a drop in revenue, and damages to our reputation. Many compliance lapses occur when agents just aren’t familiar with a requirement or don’t understand how it applies to them. How It Works Starting May 15th, 305 days after the completion date […]
Your UPMC spring 2020 Quarterly Advantage newsletter
This issue of the UPMC Health Plan Quarterly Advantage producer newsletter features an update on how they have addressed the COVID-19 pandemic, as well valuable information on value-based care, the new UPMC Total Advantage product, their enhanced provider search tools, and other important topics. In addition, the newsletter highlights UPMC’s expansion into Maryland and their new social impact initiatives. The COVID-19 crisis has affected us all, and UPMC is committed to helping you and your clients navigate through it. You can stay ahead of the curve by staying up to date on UPMC Health’s Plan’s products and services. Access the Newsletter Now Questions? Contact producerrelations@upmc.edu.
