Earn Up To $200 With The Medical Mutual’s Medicare Supplement Bonus Program

MMO Med Supp bonus programs are an exciting way to be compensated for selling a very competitive and reputable Medicare Supplement plan.

Take advantage of the MMO Med Supp bonus program that will earn you up to $200 an application.

 

Click here for the full details.

Updates to Aetna/Coventry 2018 Pharmacy Network

Aetna pharmacy networks vary by plan so it’s important to understand the differences. For 2018 Aetna has 3 pharmacy networks, two of which are being used in Ohio. Some important points to note:

Walgreens is moving from a preferred pharmacy to a standard pharmacy…so it’s still in network, but will not have preferred pricing. On the new Select PDP, Walgreens is out of network (P3 network).

  • P1 – (All OH) MAPD – all plans
  • P1 – (All OH/KY MAPD plans, Aetna Rx Saver PDP, First Health Value Plus PDP)
  • P3 – (Aetna Select PDP)

The biggest difference between the two:

  • Walmart is NOT preferred in P3
  • No Aetna Rx Home Delivery in P3
  • Walgreens is out of network on P3 (Walgreens non-preferred/standard on P1)

S2 is used in states where there aren’t many preferred pharmacies so that pharmacy network does not use preferred pharmacies.

 

Read more here.

Premier Health Will be Out-of-Network for United Healthcare Members In January

Premier Health in Southwest Ohio will be out-of-network starting Jan. 1, 2018. The following United Healthcare Medicare Solutions plans in the southwestern Ohio and Kentucky regions will be impacted:

  • AARP MedicareComplete (HMO) Plan 6 H5253-052
  • AARP MedicareComplete (HMO)  Plan 2 H5253-053
  • AARP MedicareComplete (HMO) Plan 3 H5253-054
  • Dual Complete® (HMO) H5253-059
  • Dual Complete (HMO-POS) H5322-028

 

Member information

  • Letters to impacted members will start arriving Oct. 23 alerting them to the network change.

 

Members in AARP Medicare Supplement Insurance Plans, insured by UnitedHealth care Insurance Company, will not be impacted by this change and may continue to access care from any doctor or hospital that accepts Medicare patients.

Filing Lead Generator Websites with Humana

Effective immediately, Humana sales agents do not have to submit lead aggregator websites from which they purchase MA or PDP leads to Humana for review and approval. Though lead aggregator websites are no longer required to be submitted to Humana for review and approval, sales agents using these websites for the purpose of obtaining leads to sell Humana MA or PDP are still responsible for ensuring the websites are compliant with CMS regulations and other applicable state and federal laws. If Humana becomes aware of a noncompliant lead source via complaint or otherwise, Humana will take corrective action.

Humana: COPC Back in Network

Humana is happy to announce that Central Ohio Primary Care (COPC) in Columbus, OH will continue to be in network for all Humana products (HMO, PPO, and PFFS) heading into 2018.

 

Read More Here

URGENT NEWS: Humana MP MISPRINT on Walmart PDP flyers & PDP POP Brochures

Please discard ALL Humana Walmart PDP flyers and Walmart PDP POP brochures that you may have received and delete any Walmart PDP flyer and Walmart PDP POP brochure PDF’s that may have been saved. There is an incorrect $400 deductible listed on these pieces when in fact the Walmart PDP has a $405 deductible on T3, T4 and T5.

Humana will be reprinting and redistributing once they are corrected.  Please see a list of form numbers below that were impacted.

Walmart PDP GNHH30IHH_18 BROCHURE – 2018 PDP – POP Walmart, ENGLISH, Individual Medicare 1000 SPM_POPB_PDPW_MA_18
Walmart Bankers  GNHH30IHHBL_18 BROCHURE – 2018  PDP – POP Walmart, ENGLISH, BANKERS, Individual Medicare 1000 SPM_POPB_PDPW_MA_18BL
Walmart Spanish GNHH30ISP_18 BROCHURE – 2018 PDP – POP Walmart, SPANISH, Individual Medicare 500 SPM_POPB_PDPW_MA_SP_18
Chinese (electronic) GNHH30ICH_18 BROCHURE – 2018  PDP – POP Walmart, CHINESE, Individual Medicare N/A Y0040_SPM_POPB_PDPW_MA_CH_18
Vietnamese (electronic) GNHH30IVI_18 BROCHURE – 2018 PDP – POP Walmart, VIETNAMESE, Individual Medicare N/A Y0040_SPM_POPB_PDPW_MA_VI_18
Creole (electronic) GNHH30ICR_18 BROCHURE – 2018 PDP – POP Walmart, CREOLE, Individual Medicare N/A Y0040_SPM_POPB_PDPW_MA_CR_18
Korean (electronic) GNHH30IKO_18 BROCHURE – 2018  PDP – POP Walmart, KOREAN, Individual Medicare N/A Y0040_SPM_POPB_PDPW_MA_KO_18
Polish (electronic) GNHH30IPL_18 BROCHURE – 2018  PDP – POP Walmart, POLISH, Ind. Medicare N/A Y0040_SPM_POPB_PDPW_MA_PL_18
PDP Walmart “Outlier”  GNHJC36EN
Walmart Rx GNHHM52HH_18 FLYER – 2018 Humana Walmart Rx PDP Plan, ENGLISH, Individual Medicare 500 SPM_FLY_PDPW_18
Walmart Rx/Spanish GNHHM52SP_18 FLYER – 2018  Humana Walmart Rx PDP Plan, SPANISH, Individual Medicare 250 SPM_FLY_PDPW_SP_18

NAHU’s Exclusive Membership Discount Available | Offer Ends Soon!

NAHU’s Exclusive Membership Offer!

Join NAHU today and save $50 off your annual dues as an investment in you and their commitment to the senior market.

BECOME A PART OF NAHU

Don’t wait! Hurry to join by October 15th to receive $50 off your annual dues!

 


 

 Who is the National Association of Health Underwriters (NAHU)?

NAHU is the only professional agent organization that represents agents and brokers who work with Medicare products and Medicare beneficiaries. Their strong relationships on Capitol Hill and growing influence with the Center for Medicare and Medicaid Services (CMS) should make NAHU your valued choice for professional development and advocacy.

 NAHU has a long history of working on Medicare issues. In 2002, NAHU joined in lobbying for a drug benefit and for a new program that would allow private insurance plans to include a separate drug plan to offer benefits to Medicare beneficiaries. After over a year of intense lobbying, the White House invited Janet Trautwein and John Greene to attend the bill signing of the Medicare Modernization Act. As Medicare Part D began the implementation process, NAHU was involved from the beginning, with prescription drug discount cards added to the current program today. NAHU was recognized during a special White House ceremony for extraordinary efforts in enrolling Medicare beneficiaries in Part D.

 

Why be a member of NAHU?

Today, Medicare remains a complex program touching private insurance and government programs alike. It is important that you stay up to date on the issues and regulations, and NAHU is a tremendous resource. 

 

Cornerstone Added Value

Cornerstone has recently accepted an invitation to be a part of NAHU’s Medicare Principals Council, which is specifically comprised of the most senior executives in this type of organization. Members of this group interact with peers at their practice level from around the country.

Medical Mutual of Ohio’s New MAPD PCP Visit Program | Broker Compensation Available!

MMO’s New PCP Visit Program

Medical Mutual is introducing a new Primary Care Physician (PCP) Visit Program for brokers working with Medicare Advantage members.

Medical Mutual will compensate $50 for each Medicare Advantage member you work with who completes a Welcome to Medicare Preventive Exam, Annual Wellness Visit, Annual Wellness Subsequent Visit, or Preventive Service Visit from his/her PCP within 90-days of the member’s 2018 policy effective date.

Click here for more information.

 

In order for you as a broker to be eligible for the $50 compensation, you must be 2018 certified and the Addendum must be completed and returned to Medical Mutual’s compliance department at: MASalesCompliance@medmutual.com.

ANTHEM: Become a Medicare Megastar

Sell 18 approved Anthem Medicare Advantage policies with 1/1/18 effective dates during this AEP season and YOU can become a Medicare Megastar! As a Medicare Megastar, you’re entitled to SUPERHERO benefits like getting your 2019 AHIP certification at no cost!

 

View all the reasons to sell Anthem this year here!

MMO MA Network Update — COPC

Medicare Mutual of Ohio has announced that effective January 1, 2018, Central Ohio Primary Care Physicians (COPC) will no longer participate in Medical Mutual’s Medicare Advantage network. Medical Mutual is diligently working to notify affected members of the provider exit to ensure a smooth member experience. COPC will continue to remain as an in-network provider with all other lines of business for Medical Mutual.