Medical Mutual’s SmartChoice Program Expected to Reduce Cost of Imaging Services

Medical Mutual’s SmartChoice concierge program (performed by eviCore Healthcare in partnership with MMO’s Radiology Utilization Management program) launched July 1, 2019, with the intention to help individual and group members to use lower-cost network facilities for approved imaging services like MRIs, CT and PET scans.

The program notifies providers of high cost facilities and recommends lower cost facilities instead. If the provider declines the lower-cost suggestion, the member is then notified that there may be lower-cost and more convenient options available.

Contact your Cornerstone representative for more information.

Accredo Will No Longer Dispense Certain Specialty Drugs

Medical Mutual recently announce that Accredo Specialty Pharmacy will no longer dispense prescriptions for Repatha and Praluent beginning September 1, 2019. These specialty drugs are taken by adults with cardiovascular disease to help reduce the risk of heart attack. Members who require these prescription drugs will need to have them transferred to a participating in-network retail pharmacy of their choice.

For more information on transferring prescriptions, contact your Cornerstone representative.

Medical Mutual Finalized Agreement With New COBRA Vendor

Medical Mutual has finalized its agreement with WEX Health, a new COBRA vendor for existing groups effective September 1, 2019. The new platform, COBRA Options —Brought to you by Medical Mutual, will offer enhanced benefits continuation service and faster set up for new groups.

Contact your Cornerstone representative for more information.

Update From Medical Mutual: Required COSE MEWA Form Available

Medical Mutual recently released a new Sold Case Pre-submission Review form that is required for groups to become part of COSE MEWA. Find the form here or at cosemewa.com.

The form must be filled out completely and accompany all sold case submission documents to ensure timely processing.

Contact your Cornerstone representative with any questions.

Medical Mutual Has Extended The Mid-Size Group Volume Bonus Program

Medical Mutual has extended their Mid-Size Group (51–99) Volume Bonus Program for the period from July 1 to December 31, 2019. This program pays a per-employee per-month bonus on 51–99 group contracts with effective dates through December 31, 2019, as follows:

Tier Mid-size Group Book of Business Bonus Amount
1 75-199 contracts $4 per employee per month
2 200-349 contracts $7 per employee per month
3 350-499 contracts $10 per employee per month
4 500+ contracts $13.50 per employee per month

As a reminder, the Small Group (1–50) Volume Bonus Program is in effect through Dec. 31, 2019.

Click here for more information about the Mid-Size Group Bonus Program.

If you have any questions, please contact your Cornerstone representative.

Medical Mutual Redefines SuperMed Service Area

Starting Jan. 1, 2019, Medical Mutual is redefining their SuperMed service area. The new service area will consist of all 88 counties in Ohio, three counties in Kentucky (Boone, Kenton and Campbell), and the 12 national/ancillary providers, which include labs, medical suppliers and other providers, listed below:

 Accredo Health  LabCorp
 Apria Healthcare  Lincare
 Coram Healthcare  The Little Clinic
 Davita  Quest
 Fresenius Medical Care  St. Elizabeth Healthcare (Kentucky only)
 Hanger  Tri-Health (all locations)

 

For more information, contact your Cornerstone representative.

New Broker Marketing Tools Available from Medical Mutual

Check out new broker marketing tools now available from Medical Mutual on MyBrokerLink. The tools vary per line of business. The new materials include:

  • MyBrokerLink Flier (Individual, 1–50, 51–99, 100+)
  • MyBrokerLink Video (Individual, 1–50, 51–99, 100+)
  • Transitional Coverage Whitepaper (1–50)
  • Small Business Custom Prospecting Letters (1–50)

Click here to learn more about the available materials.

Medical Mutual Releases Updated Small Group ACA Marketing Materials

Medical Mutual recently updated marketing materials for small group ACA plans for 2019. As a reminder, CLE-Care and MedFlex products were added to the Medical Mutual small group product portfolio in 2017. In addition, the expanded MedFlex network will be available for small groups starting January 1, 2019.

Visit Medical Mutual’s MyBrokerLink to access the Small Group ACA Materials, updated for 2019.  Also look for new broker marketing tools and a video overview to navigate the MyBrokerLink portal.

Medical Mutual Releases January 1 Renewals on Portal

Medical MutualAs promised by MMO, they have released January 1, 2019, renewals to the portal today. We are working to pull the renewals and distribute them as soon as possible this week. The December 2018 renewals will be out in a week or two as they passed those by to release the bigger January 1 block. Thanks for your patience as we begin the fourth quarter renewal season!

Join Cornerstone Senior Marketing & Medical Mutual of Ohio’s 2019 Product Rollout Meetings

Medical MutualWe will provide you with a first look at the key selling points for MMO’s 2019 Medicare Advantage plans. Learn about their commitment to meeting the needs of Ohioans in 80 of the 88 counties with:

New Premium Option  |  $0 Region 2 Premium

Diabetic Supplies |  $0 Copay for 7 Essential Diabetic Supplies

Rx Deductibles | Lowered to $160 or $55

Generic Rx Copays | Tier 1: $0 Copay

Additional Benefits | Hearing Aid Benefits Included

 

Tuesday September 11 | Cincinnati

9:00 am–11:00 am

2101 Florence Ave.

Cincinnati, OH 45206

 

Tuesday September 11 | Dayton

1:00 pm–3:00 pm

The Golf Club at Yankee Trace

10000 Yankee St.

Centerville, OH 45458

 

Wednesday September 12 | Lima

9:00 am–11:00 am

Howard Johnson Hotel

1920 Roschman Ave.

Lima, OH 45804

 

Tuesday September 18th | Columbus

9:00 am–11:00 am

Wedgewood Country Club

9600 Wedgewood Blvd.

Powell, OH 43065

 

Wednesday September 19th | Cleveland

10:00 am–12:00 pm

Cleveland Cornerstone Office

4500 Rockside Rd., Suite 330

Independence, OH 44131

*Receive a FREE CE voucher for attending the Cleveland location!

 

Click here to RSVP.