UHC Will Now Process Tamiflu Coverage

In response to this year’s severe flu epidemic and the shortage of generic anti-flu medicine, UnitedHealthcare will process coverage for the brand version of the flu medicine, Tamiflu, as a single-source brand, effective immediately.

For more information, contact your Cornerstone representative today.

UHC Adds Shingrix Vaccine To Preventive Benefits

UnitedHealthcare will include the Shingrix vaccine as a covered benefit for certain customers beginning April 1, 2018. This vaccine is available in network through most physicians’ offices, urgent care centers, and convenience care clinics.

For more information, contact your Cornerstone representative.

UnitedHealthcare Is Helping Its Members Lose Weight

UnitedHealthcare’s Real Appeal weight loss program is part of most of their fully insured health plans at no cost to the group or their employees. This program is available for UMR and UHC ASO self-funded groups as well.

The Real Appeal program is designed to help participants lose weight and prevent weight-related health conditions. Each member enrolled in the program will receive one year with a personalized transformation coach who can help customize the program to fit their needs. The program also includes weekly online group classes, interactive videos, and a Success Kit, which is full of healthy weight management tools including fitness guides, recipe books, weight scale, and more.

Last fall, UHC celebrated the success of their 100,000+ participants that have collectively reached a new milestone of one million pounds lost:

  • 82% of the participants lost weight
  • 38% had 5% or more weight loss
  • 10 pounds on average were lost per person

Click here to read the full whitepaper that details the medical cost savings observed from Real Appeal.


Contact your Cornerstone representative for additional details.

Lock In Your Customers’ Dental Rates with UHC

Help your customers get a 5 percent second-year rate cap when they add a dental plan from UnitedHealthcare by July 31, 2018.

The guidelines:

  • Effective dates are March 1, 2018–July 31, 2018.
  • Group size 2–100 eligible lives.
  • Offer not available to groups situs in RI, WI, WA, FL (2-50), ACEC groups.


UHC is Taking Steps to Combat the Opioid Epidemic

National opioid trends indicate that 4.5 million Americans have a substance use disorder with prescription painkillers. The economic impact of the opioid epidemic is staggering, with $55 billion in health and social costs related to prescription opioid abuse each year, and $20 billion in the emergency department and inpatient care for opioid overdose. Since 1999, the rate of overdose deaths involving opioids has nearly quadrupled, and over 165,000 people have died from prescription opioid overdoses.

For more than a decade, UnitedHealthcare (UHC) has been investing in multidimensional programs to help reduce the abuse of opioids while providing patients with both temporary and chronic pain access to safe and effective treatment—including non-opioid options. A number of programs and policies are in place to help prevent the misuse of opioids, and provide quick and appropriate access to opioid addiction treatment.

UHC has released a quick reference guide for Opioid Overutilization Prevention and Opioid Use Disorder Treatment Programs. Learn more about what UHC is doing to combat this epidemic.

UHC’s efforts have made a tangible impact on helping reduce the potential over-prescribing and overlap of opioid treatments. In 2015 alone, a 93 percent success rate was achieved with the company’s Retrospective Narcotic Overutilization program, but UHC’s work is far from done.

Resources continue to be invested in programs aimed at both the prevention and treatment of opioid addiction, taking into account the Centers for Disease Control and Prevention (CDC) Guidelines for Prescribing Opioids for Chronic Pain. By connecting physicians, pharmacists, drug manufacturers, government, health plans, consumers, and customers, UHC strives to build a modern, high-performing, simpler, health care system that works better.

51–99 UHC Quotes And Renewals Are Net Of Commission

Brokers with existing 51–99 groups likely received notification from UHC about this change. This is a reminder!

Quotes and renewals for large groups will have NO COMMISSIONS. The broker will need to build this into rates as a PEPM—no percentage of premium is allowed in Ohio.

Please read the FAQ sheet that reviews the following:

  1. In Ohio, brokers can only charge PEPM, no percentage of premium allowed (other States are allowed to charge a % of premium).
  2. You can use the UHC agreement or the broker can use their own form.
  3. UHC can collect this commission or the group can pay the broker directly.
  4. If the commission is being paid to a broker and not an agency, the group must provide a 1099 to the broker at the end of the year.  If commissions are paid to an agency, it says to consult their tax attorney.


Click here to view the FAQ.

Click here to view the Billing and Collection Agreement.

Click here to view the Checklist.

Click here to view the Service Fee Agreement.

Premier and UnitedHealthcare Renew Network Relationship

On January 2, Premier and UnitedHealthcare announced a multi-year network relationship to provide southwest Ohio residents enrolled in the UnitedHealthcare commercial and Medicare Advantage health plans with access to in-network Premier Health’s facilities and physicians. This agreement ensures access to Premier Health’s physicians and facilities for Medicare Advantage plans and restores access for commercial plans effective January 1, 2018.

Click here for the official release from UnitedHealthcare.

Click here for the official release from Premier.

UHC Direct Debit Update For Group Sizes 1, 2, or 3

UnitedHealthcare’s Scheduled Direct Debit program deducts premium payments automatically from your clients’ bank account and helps then streamline their monthly invoice payment process and organize payment records. This program allows for predictable cash outflow and creates a consistent process for your clients’ premium payments.


Click here for more details.

UnitedHealthcare Fixed Indemnity Plans Available

Fixed indemnity plans pay your clients fixed benefits when they receive an eligible medical service specified in their plan. These fixed benefits can help offset amounts your clients may have to pay out of pocket. There are a few reasons why a Fixed Indemnity plan may be the right fit for your clients:

  • Fixed indemnity plans help fill gaps in coverage. These plans can help your clients pay their out-of-pocket medical costs and supplement their major medical insurance.
  • Fixed indemnity is help for the expected and unexpected. Fixed Indemnity plans may cover things like doctor’s visits, prescriptions, outpatient services like labs and X-rays, hospital stays for illness and injury, and surgical procedures.
  • Fixed indemnity plans offer predictable fixed payments. Fixed indemnity plans pay a predetermined amount for certain health care services, regardless of the amount charged by the provider.
  • These plans are available all year long – no enrollment periods to contend with. Health ProtectorGuard is renewable up to age 65.


For more information, contact your Cornerstone representative.

UnitedHealthcare Med Solutions DSNP Roadshow Event

UnitedHealthcare is excited to say their Dual Special Needs Plans (DSNP) are growing! Join them for a DSNP Roadshow event to learn how they can support your business after AEP so you can continue to be unstoppable!

UnitedHealthcare’s DSNP is their fastest growing Medicare plan segment. Take advantage of the untapped market in your community and learn:

  • How many dual eligibles are in your market and how to engage them
  • Enhanced plan benefits and training
  • Learn specific local strategies and marketing support available.
  • Best DSNP sales practices
  • Food and beverages will be served

Receive door prizes and giveaways!

All licensed agents…Mark your calendar!


DATE: Monday December 11, 2017

TIME: 10:00 am–12:00 pm

LOCATION: DoubleTree by Hilton Cleveland Independence

6200 Quarry Lane | Independence, OH 44131



DATE: Tuesday December 12, 2017

TIME: 10:00 am–12:00 pm

LOCATION: Cincinnati Marriott North

6189 Muhlhauser Rd. | Cincinnati, OH 45069



DATE: Monday December 18, 2017

TIME: 10:00 am–12:00 pm

LOCATION: Radisson Hotel at University of Toledo

3100 Glendale Avenue | Toledo, OH 43614

*Professional photographer available for complimentary head shot photos



DATE: Tuesday December 19, 2017

TIME: 10:00 am–12:00 pm

LOCATION: Double Tree by Hilton Hotel Columbus–Worthington

175 Hutchinson Ave. | Columbus, OH 43235

*Professional photographer available for complimentary head shot photos