2021 Star Ratings Below are Centene’s RY 2021 Star Ratings. Each year, the Centers for Medicare & Medicaid Services (CMS) issues objective ratings on all Medicare Advantage and Medicare Drug plans to determine if they provide high-quality care for their members. These quality scores include several factors, such as the clinical care members receive, their service experience, and member feedback detailing how well plans did in various categories. Using a one through five-Star rating system, CMS evaluates nearly 50 measures, broken into multiple areas. Centene oversees CMS Star measures and performance within five chapters: Admin/Ops (service quality) CAHPS (member satisfaction) HEDIS (clinical services) HOS (Health Outcomes Survey) Pharmacy (taking prescribed medications) Achieving positive quality ratings is vital. These ratings are crucial to members, brokers and partners, and overall growth. With CMS’ increased focus on patient experience and access to […]
Next Week – Molina Market Sales Sessions for Washington
Are you trying to find the most effective way to sell this AEP? Next week Molina is offering nine Market Sales Sessions for Washington. These are half an hour time slots for you to talk through strategy and lead generation ideas. Only one broker can sign up for each spot, so don’t delay! Please note: · Register using the links below. · Each event is set up to only allow one person to register, after that it will be marked as “the session is full”. · If all the timeslots are filled or if none of these times work for your schedule, please reach out to the Market Medicare Sales Manager at the contact information below and you can schedule a time that better fits your schedule. Monday Nov. 2nd 9:00 AM PST Monday Nov. 2nd 3:30 PM […]
Anthem: 2021 HSA limits, claims processing change, and more
Producer Online News October 29, 2020 Support Your Clients Individual News Use these resources to make Individual Open Enrollment easier Anthem has gathered new sales materials, member tools, and tools to check renewal status and track applications. Stay Informed Group News New HSA 2021 limits offer boost to member savings The IRS increased HSA contribution limits for 2021. The IRS also announced 2021 HSA-qualified health plan limits and FSA contribution limits. Both give members the opportunity to save more and boost their financial wellbeing. Group News 2021 claims processing change may impact member cost share for E&M services Anthem is changing how they process claims for Evaluation and Management services. The member cost share for services provided at an outpatient place of service may change starting with January 1, 2021, effective dates. Group & Individual News Anthem is […]
Highmark: Have Clients in Freedom Blue PPO?
Have Clients in Freedom Blue PPO? As members consider their plan choices for next year, the current Freedom Blue PPO members may be considering Highmark’s other PPO options but there are quite a few reasons members would want to stay in their current plan! In Western PA… Lower maximum out of pocket on all Freedom Blue PPO plans ValueRx: $5500 Select: $5000 Classic: $4500 More robust formulary included on Freedom Blue PPO Select and Classic plans Lower copays on Tier 3 and Tier 4 medications on all Freedom Blue PPO plans Non-emergency medical transportation included on all Freedom Blue PPO plans Does not require previous acute care inpatient hospital stay Up to 24 one-way trips during calendar year at $10 copay per trip NEW! Meal delivery following first inpatient hospital stay in calendar year when discharged to home included on […]
Mutual of Omaha Express – October 28th
A Weekly Update for Mutual of Omaha’s Brokerage Sales Distribution October 28, 2020 | Life Insurance Can You Keep All the AG49-A Changes Straight? Keeping up with all of the IUL changes can be confusing. Mutual of Omaha is making it simple. Their IUL products don’t have any changes due to AG49-A and that’s because they’ve always designed client-friendly products that do not take part in the ‘illustration games’. Learn more. A Life Insurance Rider as a Long-Term Care Planning Solution LTC Awareness month is a great time to reach out to clients to discuss their planning needs. For some clients, a life insurance policy with a long-term care rider might be a planning solution to consider. IUL Express Client Video Be sure to share the IUL Express video with your clients. It provides visual examples of how Mutual […]
Join Molina’s November New Mexico Broker Sessions!
Discover Molina Medicare’s exciting offerings in New Mexico Attend one of the November Training Sessions! Right now is a great time to become more familiar with the details of Molina’s products and tools in order to better position their plan in your client presentations. Please join! Supplemental Deep Dive Providing a walk through on how to expand your book of business through a short deep dive training into our Value Added Benefits. Wed, Nov 4th – 9:00 am MST Wed, Nov 11th – 9:00 am MST Small Talk Events (in person) Come get your questions answered, pick up some enrollment kits, plan overview guides, broker marketing order forms, and promos or just join in for some small talk! Drop by whenever you have a few minutes so Molina can hear more about how this AEP is going for […]
Centene Partners with the National Council on Aging (NCOA)
Centene Partners with the National Council on Aging (NCOA) Centene has joined forces with the National Council on Aging (NCOA) to help improve the health and well-being of older Americans. This exciting, joint effort gives our valued customers and employees access to NCOA’s BenefitsCheckUp, a free and confidential web-based service that helps older adults with limited incomes identify what benefits they may qualify for and how to apply for them. Since 2001, nearly 9 million people have used BenefitsCheckUp to find programs that help them pay for prescription drugs, health care, food, housing, utilities, tax relief and more. BenefitsCheckUp can be used on any computer or mobile device. The tool includes more than 2,500 public and private benefits programs from all 50 states. A BenefitsCheckUp screening can be completed here. Additionally, on Oct. 28, leaders from NCOA and Centene’s WellCare […]
Anthem Online News — Voice Signature in Spanish and Chinese — Update Star Ratings Fliers — Compliant Sales — and MORE!
Medicare Producer News Anthem Voice Signature Now Available in Spanish and Chinese Enrolling your clients over the phone via the Voice Signature tool is the safest method…now you can do it in Spanish or Chinese. Learn More › 2021 Plan Star Rating Fliers Clear your enrollment kits of any old 2020 Plan Star Ratings and replace them with the new 2021 Star Ratings. Complete this switchover by October 29. Learn More › Sales Oversight Corner: October Sales Event Tips and Reminders Know the rules for conducting both virtual and in-person sales events so you’re always staying compliant. Learn More › October Sales Oversight Corner: Avoiding Sales Allegations by Using Your Tools Being careful and thorough in your sales presentations and discussions with clients will help you avoid charges of noncompliance, called sales allegations. Learn More ›
Highmark’s 2021 Medicare Star Ratings Now Available
Now Available: Highmark’s 2021 Medicare Star Ratings The Centers for Medicare & Medicaid Services (CMS) released Highmark’s 2021 Medicare Star Ratings earlier this month. Highmark is pleased to announce that the Community Blue Medicare PPO, Complete Blue PPO, and Freedom Blue PPO plans in Pennsylvania obtained a Star Rating of 4.5! This is the 8th consecutive year that Highmark’s Security Blue HMO product has been rated 4 Stars or higher. It is also the 7th consecutive year that the Freedom Blue PPO products in PA have received at least a 4 Star rating. Highmark’s Star Ratings performance reflects their commitment and ongoing investment to improve the health care experience for members. To download and print the 2021 Star Rating sheets, click the blue links below: Community Blue Medicare PPO: 4.5 Star Rating Community Blue Medicare HMO: 4 Star Rating Complete […]
WellCare: The Ascend Advantage: Enroll by Phone or Video Chat
RATE – Remote Agent Telephonic Enrollment You received this email on Saturday, but there was a typo. The correct Broker Support number is (866) 822-1339. WellCare apologizes for any confusion this may have caused. Did you know you can use Ascend to enroll a member by phone or video chat? Ascend makes enrollments even easier by allowing any broker to complete a compliant enrollment by phone! In addition the Ascend Mobile App can be used to complete an enrollment by video chat! Helpful Resources: Click here to download the Ascend RATE Quick Start Guide. Click here to download the Ascend Video Enrollment Guide. To obtain your own RATE number please contact your local sales leader or call the Broker Support line: (866) 822-1339. The Ascend help desk cannot provide you with a RATE telephone number. Testing out […]
