Medical Mutual Changes How Commissions Are Accessed

Effective April 16, 2018, Medical Mutual commission statements will be accessible only through MyBrokerLink and will no longer require a separate registration or log-in. The first commission statements available on MyBrokerLink will be for the March 2018 commission payment.

Click here to learn more.

Medical Mutual Offers Medicare Advantage Coverage Options

Medical MutualPremier Health Plan is exiting the market effective April 1, 2018, and Medical Mutual would like to remind brokers that they are able to offer their clients losing that coverage exceptional Medicare Advantage coverage options.

Why Medical Mutual may be a good fit for your clients:

  • Their provider network includes Kettering and Premier hospital systems, along with Greene Memorial, Springfield Regional, Upper Valley, and Atrium Medical Center
  • Competitive plan options available with their Region 1 Classic HMO plan, including a $0 monthly plan premium, $3 PCP copay and MOOP of $4,300
  • Ability to earn an additional $50 by encouraging your client to see their PCP in the first 90 days with MMO—applies to new and existing Medicare Advantage members
  • Guaranteed issue for Premier Medicare Advantage members for ALL of their competitively priced Medicare Supplement plan options, including Plan G
    • Medicare Supplement plans also include SilverSneakers and an increased commission schedule for 2018
  • Dedicated local service and support for brokers and members

Medical Mutual Coverage of Diabetes Testing Supplies

Medical Mutual will provide the seven essential diabetes testing supplies at no out-of-pocket cost to Medicare Advantage members actively participating in their Disease Management program for diabetes. The seven essential testing supplies available at no additional cost include a glucose meter, glucose strips, control solution, lancing device, lancets, pen needles, and syringes.

Medical Mutual March Updates: Commissions, Bonus Programs, And More!

Medical MutualMedical Mutual recently released a number of updates regarding commission statements, broker bonus programs, the Internal Revenue Bulletin (IRB) 2018-10, and MedFlex HMO plans:

  • Effective April 16, 2018, commission statements will be accessible only through MyBrokerLink and will no longer require a separate registration or login.
  • Small Group (1-50) New Sales Bonus Program and Small Group Volume Bonus Program
  • In response to the IRS Internal Revenue Bulletin, members have until April 15, 2019, to correct an overage if the $6,900 limit for HSAs is exceeded in 2018.
  • The new MedFlex Network, a non-gatekeeper HMO designed to reduce the total cost of care and give members the freedom to choose their providers, has been available to large groups since January 1, 2018.

Click here to read full updates.

UPDATES TO CLEVELAND TRAINING SESSIONS: Medicare Training Sessions with Cornerstone

NOTE: The training for February 22, 2018, has been rescheduled as a webinar for March 22, 2018, at 2:00 pm. See below for additional details…

ATTENTION SENIOR MARKET BROKERS!

Join Cornerstone at our Cleveland office this month as we present a series of specialized training sessions with our carrier partners that are geared toward helping you maximize your book of business.

TRAINING SPECIAL: Attend one or two sessions and receive a free CE voucher. Attend all three sessions and receive two free CE vouchers, valued at 24-credit hours!


HumanaTuesday, Feb. 27th

10:00 am–12:00 pm

Humana D-SNP

Are you looking to increase your client base? Please attend this session to learn how to sell Humana’s  D-SNP product to clients all year around!

Content that will be discussed:

  • Humana’s plan design
  • What’s the sales sizzle?
  • How to target the product

Cornerstone’s Cleveland Office

4500 Rockside Road Suite 330

Independence, OH 44131

REGISTER

 

Thursday, March 22nd

2:00 pm–3:00 pm

WEBINAR: Grow Your MMO Business

Please join us to learn what resources are available to help grow your Medical Mutual of Ohio business.

Topics to be discussed:

  • Online tools
  • Sales events
  • PCP visit program

Access code: 927 781 551

REGISTER

ATTENTION CLEVELAND BROKERS | Register Today for Upcoming Training Sessions

Join Cornerstone at our Cleveland office this month as we present a series of specialized training sessions with our carrier partners that are geared toward helping you maximize your book of business.

TRAINING SPECIAL: Attend one or two sessions and receive a free CE voucher. Attend all three sessions and receive two free CE vouchers, valued at 24-credit hours!


Thursday Feb. 15th– AllWell D-SNP Training

Time: 9:00 am–11:00 am

Location:  Cornerstone’s Cleveland Office

4500 Rockside Rd. #330 Independence, OH 44131

Are sales slowing down after AEP? Come learn about AllWell’s D-SNP product and continue to sell throughout the year!

You will learn:

  • How to market the product
  • Value-based enrollment information
  • Tools to utilize

Register

 

Thursday Feb. 22nd– Grow your MMO Business Training

Time: 9:00 am–11:00 am

Location:  Cornerstone’s Cleveland Office

4500 Rockside Rd. #330 Independence, OH 44131

Please join us to learn what resources are available to help grow your Medical Mutual of Ohio business.

Topics to be discussed:

  • Online tools
  • Sales events
  • PCP visit program

Register

 

Tuesday Feb. 27th– Humana MP D-SNP Training

Time: 10:00 am–12:00 pm

Location:  Cornerstone’s Cleveland Office

4500 Rockside Rd. #330 Independence, OH 44131

Are you looking to increase your client base? Please attend this session to learn how to sell Humana’s  D-SNP product to clients all year around!

Content that will be discussed:

  • Humana’s plan design
  • What’s the sales sizzle?
  • How to target the product

Register

Medical Mutual 2018 FFM Enrollment Training Webinars

Medical MutualMedical Mutual of Ohio will be hosting a number of webinars throughout 2018 for training on enrollment and business renewals through the Federally Facilitated Marketplace (FFM).

Click here to register.


All 2018 webinars will be held at 10:00 a.m. EST on the following dates:
Tuesday, February 6th
Tuesday, March 6th
Tuesday, April 3rd
Tuesday, May 1st
Tuesday, June 5th
Wednesday, July 17th
Tuesday, August 7th
Tuesday, September 5th
Tuesday, October 2nd

Medical Mutual Releasing Survey to Members

To meet requirements for the National Committee for Quality Assurance (NCQA), Medical Mutual is sending out a survey via email to 3,000 members beginning January 29. The survey is designed to assess members’ understanding of their benefits.

The survey will be sent only to policyholders age 18 and older. Recipients will be randomly chosen from two groups of active members – 1,500 who became members between July 1, 2017, and September 1, 2017, and 1,500 who became members before July 1, 2016. Medicare Advantage members and Medicare Supplement members will not receive the survey.

Click here for more information.

FDA Approves Gene Therapy to Treat Rare Form of Blindness

In December of 2017, the U.S. Food and Drug Administration (FDA) approved the new gene therapy, Luxturna (voretigene neparvovec) (see December 5, 2017 Broker Update). Luxturna, expected to launch in the first quarter of 2018, is meant to treat a rare form of blindness called biallelic RPE65 mutation-associated retinal dystrophy, which is estimated to affect 1,000 to 3,000 total patients in the U.S.

Cincinnati Eye Institute is currently the only facility in Ohio that has been certified to administer Luxturna. Medical Mutual is in the process of contracting with this facility.

Click here for more information.

FDA Approves Shingles Vaccine

Medical MutualThe U.S. Food and Drug Administration (FDA) approved the Shingrix vaccine for the prevention of shingles in October of 2017. This vaccine is given in two doses, two to six months apart.

Medical Mutual will cover the Shingrix vaccine as follows:

Business Segment Coverage
Non-grandfathered and ACA/metal plans Covered up to 100 percent of the cost for all members ages 50 and older, under both the medical and prescription drug benefits (for members with prescription drug benefits through our relationship with Express Scripts)
Grandfathered plans Covered under the medical benefits for members ages 50 and older, subject to deductible and/or coinsurance
Medicare Advantage Covered under members’ Part D coverage; members must pay their applicable cost share (Shingrix is currently Tier 3 on our Medicare formulary, subject to the member’s Tier 3 copay and any deductible requirements)
Medicare Supplement None (shingles vaccines are not covered by Medicare Supplement plans)

 

Click here for more information.