Anthem Releases Updated Medicare Supplement Rates

Anthem has released their updated Medicare Supplement rates effective July 1, which includes the introduction of Plan G to their portfolio. Like Plan F, Part G covers Medicare Part B Excess Charges, however, it does not cover the annual Part B deductible. And remember, all Modernized Anthem Medicare Supplement members are also now eligible for the Silver Sneakers Fitness program which offers members a basic membership at no extra cost*.

The new rates for Anthem’s Medicare Supplement plans are below.

Please be aware that with this release Anthem has also updated their Medicare Supplement application.  The new application as well as the updated kits will be available to order through custom point on May 16. Old applications will may be rejected.

Interested in getting appointed with Anthem? Contact your Cornerstone representative today.

 

RESOURCES:

Ohio Anthem BCBS July 2017 Supplemental Rates

 

*SilverSneakers is a value-added program. It is not insurance and not part of the Medicare Supplement insurance plans. It can be changed or withdrawn at any time.

 

Have you registered for Senior Expo 2017?

Dental Care Plus Group Offers Four Different Plan Options

The Dental Care Plus Group has four different plan options for your customers to choose from, and four rate tiers to cover spouses, children, or the whole family. DCPG pays a flat 10 percent commission on both new sales AND at renewal.

For more information about DCPG plans, click here.

 

Not appointed with DCPG? Contact Cornerstone today to get started!

 

RESOURCES:

www.dentalcareplus.com/individual-info

AETNA WEBINAR: Refresh Your Knowledge of Aetna & Coventry’s Fitness Benefit

Smiling senior woman swimmers in pool

WPA agents: Join Aetna and Coventry for a webinar discussing the ins and outs of their 2017 Medicare Advantage (MA/MAPD) plan’s fitness benefit.

Some topics that will be covered in the webinar include:

  • The free monthly fitness club membership at participating facilities
  • The at-home fitness kit options
  • Traveling with Silver&Fit
  • Online tools and resources

DATE: May 17, 2017

TIME: 10:00 am–11:00 am EST

REGISTRATION: To register, contact your Cornerstone representative today.

Webinar details will be sent after you register.

AETNA NETWORK ADDITION: Ohio Valley Surgical Hospital in Springfield, OH

Effective May 15, 2017 Ohio Valley Surgical Hospital will join Aetna networks in Cincinnati, Dayton, and Northern Kentucky. The hospital participates for a myriad of products, including Aetna Medicare Plan PPO, Aetna Medicare Plan HMO, and more.

Ohio Valley Surgical Hospital currently participates for the following products:

 

 

Please note: Currently these provider contracts do not support Network Access Businesses (NAB) products.

 

Improved Hospital and Physician Access

Ohio Valley Surgical Hospital is located at 100 West Main Street, Springfield, OH 45504. This addition will increase member choice and improve hospital and physician access in this service area.

 

DocFind/directory information

Ohio Valley Surgical Hospital has been added to Aetna’s DocFind online directory by the effective date. Current printed provider directories do not include Ohio Valley Surgical Hospital but will be included in the next directory edition.

 

Questions? Contact your Cornerstone representative for answers.

Anthem’s Online Billing System Delayed Indefinitely

ACA Small Groups in Kentucky will not receive notices electronically through EmployerAccess. Clients will continue to receive paper invoices, but can pay their premiums using any of the online payment options within EmployerAcess.

For  more information, contact your Cornerstone representative.

RESOURCES

Online Billing Suspended for ACA Small Groups in Kentucky

Aetna Will Exit Obamacare Individual Insurance Market (Virginia)

Aetna will exit the Obamacare individual insurance market in Virginia because of the “financial risk” and “growing uncertainty in the marketplace.”  The move only affects individual plans sold on and off the federal Obamacare exchange at HealthCare.gov.

T.J. Crawford, Aetna’s spokesman, said in an email, “Despite significantly reducing our exchange footprint, our individual commercial products could potentially lose more than $200 million in 2017.”

Source: CNBC (http://www.cnbc.com/2017/05/03/aetna-will-exit-obamacare-markets-in-virginia-in-2018.html)

Customers covered by Aetna through employers or Medicaid and Medicare Advantage plans will not be affected by this change.

 

Questions? Contact your Cornerstone representative today.

RESOURCES

Aetna Will Exit Obamacare Markets in Virginia in 2018

Aetna to Exit Virginia Obamacare Individual Insurance Market

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

Ohio Valley Surgical Hospital Joins Aetna Cincinnati/Dayton/NKY Networks

Effective May 15, 2017 Ohio Valley Surgical Hospital will join Aetna networks in Cincinnati, Dayton, and Northern Kentucky. The hospital participates for a myriad of products, including Aetna Medicare Plan PPO, Aetna Medicare Plan HMO, and more.

The addition will increase member choice and  improve hospital and physician access.

Questions? Contact your Cornerstone representative for answers.