Medical Mutual to Send Out Annual Membership Survey

Medical Mutual will send out a 10-minute survey to all group officials from their email list the week of May 29. Group officials must complete the survey within 2 weeks about their membership representatives and enrollment and premium billing processes. The survey is designed to give group officials the chance to provide feedback and suggestions to improve Medical Mutual’s Membership enrollment services.

(Applies to: small group (51–99), 100+ full insured, 100+ self-funded)

 

RESOURCES

Medical  Mutual Broker Update (May 25)

Members of Grandmothered Small Groups Receive Letter About Transitional Relief Extension

Medical Mutual mistakenly sent out a letter regarding a notification about the Ohio Department of Insurance (ODI) to some members in grandmothered small groups. The letter was intended for group officials, who will receive revised letters this week explaining their extended rates following ODI’s adoption of the transitional relief extension. If groups inquire about members receiving the letter, please let groups know the letter was sent by mistake and their members can discard the communication.

Questions? Concerns? Contact your Cornerstone representative today.

MMO Plans Available through Cornerstone!

Join Cornerstone to partner with one of Ohio’s oldest and largest carriers!

Medical Mutual of Ohio was ranked the no. 1 Medicare Advantage carrier for growth in 2016.

Cornerstone is the leading FMO for Medical Mutual of Ohio for Individual, Medicare Supplements, and Medicare Advantage Plans. Join us now for access to the tools, technology, and resources necessary to grow and retain your business.

 

Cornerstone provides the right tools, technology, and broker training to ensure your clients receive the best in the market. For more information, contact us today!

Why partner with Cornerstone?

  • A growing team of experts that will help support your business efforts
  • Exclusive access to Broker Centric to access customizable marketing materials and training tools
  • Complimentary quoting tools
  • Marketing platforms
  • Lead generation opportunities
  • A referral program for business that you may not want to handle in house that enables you to be compensated
  • Corporate counsel to help you remain compliant
  • T65 lists for your marketing efforts

Medical Mutual of Ohio Training in Cleveland

Join Cornerstone and Amanda McFarland from Medical Mutual of Ohio for MMO training dates in Cleveland.

Are you primed for success? Register now to learn more about…

  • Medical Mutual Advantage plans
  • What’s the value?
  • Compliance — what agents need to know

DATE: June 28, 2017

TIME: 10:00 am–12:00 pm

LOCATION: Cornerstone’s Cleveland Office

4500 Rockside Road, Suite 330, Independence, OH 44131

RSVP: Click HERE

Medical Mutual of Ohio Training in Cleveland

Join Cornerstone and Amanda McFarland from Medical Mutual of Ohio for MMO training dates in Cleveland.

Are you primed for success? Register now to learn more about…

  • Medical Mutual Advantage plans
  • What’s the value?
  • Compliance — what agents need to know

DATE: June 1, 2017

TIME: 10:00 am–12:00 pm

LOCATION: Cornerstone’s Cleveland Office

4500 Rockside Road, Suite 330, Independence, OH 44131

RSVP: Click HERE

Medical Mutual Updating Step Therapy Programs Beginning July 15

Medical Mutual’s step therapy programs for prescription drugs, which promote clinically effective alternative drugs to improve cost savings and quality of care, will be updated effective July 15, 2017. In early May, Express Scripts will send out a letter to members who have filled a alternative drug prescription in the last month about the new requirements, which will be specific to the drug(s) that the member takes. Medical Mutual expects that the updates will effect up to 9,600 members.

These updates do not apply to Medicare Advantage and Medicare Supplement plans.

 

Not appointed with Medical Mutual? Contact your Cornerstone representative today to get started!

RESOURCES

Updates to Step Therapy Programs Begin July 15, 2017; Express Scripts to Notify Members

Medical Mutual Making Claims Adjustments Involving University Hospital Providers

After discovering that two pediatricians at University Hospital Medina Health Center were incorrectly loaded into the SuperMed network, Medical Mutual is working to update the directory so that the 70 members whose in-network claims were rejected will receive revised Explanation of Benefits statements with the correct claim information. Members who already submitted payment for those claims may be entitled to a refund.

For more information, contact your Cornerstone representative today.

RESOURCES

Medical Mutual Broker Update — May 3, 2017

Medical Mutual Requests Count for Total Number of Employees

Per the requirements laid out by CMS, Medical Mutual is requesting that all group health plan officials with 150 or fewer members report their total number of employees to help ensure Medicare accurately coordinates benefits and property pays claims. The total count should include full and part-time employees in each location, but does not include the total number of dependents under the plan.

Contact your Cornerstone representative today to submit your total number of employees.

 

RESOURCES

Letter from Medical Mutual

Medical Mutual Broker Update — May 3, 2017

Medical Mutual Now One of Express Script’s Top Five Health Plan Customers

Medical Mutual’s pharmacy benefit manager (PBM), Express Scripts, will lose Anthem business at the end of the current contract in 2019. Medical Mutual does not anticipate that this change will negatively effect their business with Express Scripts, noting that, due to Anthem’s departure, Medical Mutual is now one of Express Script’s top five health plan customers.

Medical Mutual’s contract with Express Scripts will run through 2020 and their pharmacy and finance departments will conduct a market check to be sure that their rates remain competitive.

RESOURCES

Medical Mutual Broker Update — May 3, 2017

Express Scripts Plunges After Losing Biggest Client Anthem

Medical Mutual to Offer Extended Rates for Transitional (Grandmothered) Groups

On March 23rd, the Ohio Department of Insurance announced the transitional relief extension, which is designed to allow all transitional/grandmothered plans to remain effective through December 31, 2018. In response, Medical Mutual will allow all existing individual and small group (1–50) transitional plans to maintain that status through December 31, 2018.

There will be no change for groups that renewed in October through December 2016.

Click here for more information.


For more information, or to get appointed with Medical Mutual, contact a Cornerstone representative today.