What’s New From Anthem: Paperless EOBs, the Anthem Anywhere App, and LiveHealth

Anthem’s Paperless EOB Process

Anthem will no long mail paper explanation of benefits (EOB) to clients for vision services.

  • At the time of service, members will get a receipt that shows their costs for vision services, similar to what they experience when they pick up a prescription at a drugstore.
  • When they get vision care outside their plan network, they’ll still get a breakdown of costs and what they pay, along with any reimbursement check.
  • At any time, members can go online to anthem.com and see how their claims were paid.
  • And if they want a copy of their EOB sent to them by mail or email, they can simply call the number on their member ID card and ask for it.

The Anthem Anywhere App

The redesigned Anthem Anywhere app enables clients to access their health plan information from their mobile device. A couple improvements on the app:

  • A new home page dashboard gives members quick access to key information, like benefits and claims — plus a quick snapshot of what they’ve spent so far.
  • Quick ID card access from home page.
  • One tap directs members from home page to sections on finding care and estimating costs.
  • Easier to check and update profile information.
  • Easy access to other health apps, like Engage, where applicable.

LiveHealth Online Allergy Campaign

Starting April 22, LiveHealth Online kicks off two campaigns to increase overall registration and to raise awareness about the LiveHealth Online Allergy practice. Among members already registered for the app, the allergy campaign targets some with and without past allergy claims, just to remind them how the allergy practice can help.

The registration campaign is a series of communications (emails, phone calls and a direct mail piece) going to group members, encouraging them to register for LiveHealth Online. The campaign targets members 18 years or older, who have not already registered for LiveHealth Online. Anyone who creates a LiveHealth Online account during the campaign is entered in a chance to win a $500 Amazon gift card.

Contact your Cornerstone representative with any questions.

Sell More and Earn More with Anthem SOCA MEWA’s New Business Bonus

Take advantage of Anthem’s SOCA MEWA New Business Bonus.

Tier

Contracts Sold Payout Rate Per Contract
0 Under 50

$0

1 50–149

$100

2 150–249

$150

3 250–399

$200

4 400+

$250

Here are the program details to note:

  • New Southern Ohio Chamber Alliance Benefit Plan (SOCA BP MEWA) groups sold with effective dates between 6/1/19 and 12/31/19 are eligible
  • Group needs to still be active with Anthem as of 2/1/20
  • Agent of record changes do not qualify for the bonus payout
  • Existing Anthem clients that transfer to the MEWA are not eligible for the bonus program
  • New contracts on existing groups are not eligible for the bonus program
  • Payout will be a one-time payment targeted for March/April 2020
  • Bonuses will be paid based on current Anthem commission and licensing contracts
  • Incentive payments will be disclosed and reported where required by applicable law
  • Anthem reserves the right to adjust future bonus amounts if groups are termed retroactively after the period’s bonus program calculations and payments have been made

Contact your Cornerstone representative with any questions.

Earn a Trip to the iHeart Radio Country Music Festival Through Altrua

Altrua HealthShare is offering a chance for Independent Member Representatives (IMR) to earn a trip to Austin, Texas, for the iHeart Radio Country Music Festival.

Any IMR who enrolls a new member in an Altrua plan from April 1, 2019, to April 26, 2019, with a start date of May 1 will automatically be entered to win:

  • Roundtrip airfare for two to Austin and
  • Two nights hotel accommodations and 2 tickets to the event.

IN ADDITION: Altrua is offering the top IMR for each week (pulled Sunday night) a FREE pair of Apple Airpods.

For more information or to get appointed with Altrua, contact Geoff Beglen.

Click here for more information about the trip.

View the Altrua Country Festival flyer.

Register NOW for Anthem SOCA MEWA Training Webinar

Please register for 2019 Anthem SOCA MEWA Training on Apr 30, 2019 9:00 AM EDT.

Click here to register.

Offer one of the hottest, most competitive, and EXCLUSIVE health insurance products in the Ohio small market. Get this training or you may lose clients to brokers who have invested the time to learn this product.

After registering, you will receive a confirmation email containing information about joining the webinar.

UnitedHealthcare Second Year Dental Rate Cap

Help your UnitedHealthcare customers get a 5 percent second-year rate cap when they add a dental plan by August 1, 2019.

The guidelines:

  • Effective dates are January 1, 2019 to August 1, 2019.
  • Group size 2 to 100 eligible lives.
  • Offer not available to groups located in RI, WI, WA, FL (2-50), ACEC groups.

IMPORTANT: FormFire Annual Rate and Census Reconciliation Form Due March 31

Today, many of you received the important notice of the census reconciliation process required for all SOCA BP clients. This reconciliation must be completed by March 31, 2019. It has come to our attention that there was a programming error with regard to the census reconciliation process where you are unable to submit the month and year properly.

Please take note of the following information, which contains the fix to the programming issue in line 8 of the census:

  • To fix the error, right-click on the blue cells in line 8.
  • Right-click and select “Format Cells”.
  • Select “General”.
  • Click “OK”.

You must do this for both the “Month” cell and “Year” cell.

Click here to view the release from FormFire regarding the census reconciliation.

CMS Extends Transitional Relief Until January 1, 2021

The Centers for Medicare & Medicaid Services (CMS) recently released a bulletin extending non-enforcement policies against certain non-ACA-compliant non-grandfathered health insurance coverage in the small group and individual markets.

The extended transitional policy in this bulletin applies for policy years beginning on or before October 1, 2020, provided that all such coverage comes into compliance with the specified requirements by January 1, 2021.

Click here to read the full release from CMS.

Questions? Contact your Cornerstone representative for additional information.

Aetna Funding Advantage New Broker Bonus

Aetna Funding Advantage’s new broker bonus rewards brokers who sell groups using Individual Medical Questionnaires (IMQs) from May 1, 2019, to September 1, 2019.

< 10 subscribers 10 + subscribers
$50 bonus per sold sub $25 bonus per sold sub underwritten without IMQs
or
$100 bonus per sold sub underwritten with IMQs
+
$25 admin fee credit for your client per sold sub underwritten with IMQs

Click here to learn more.

*Please note this bonus program does not apply in FL, GA, NJ, MI or MA.
**2 to 50 in PA/TX, 2 to 100 in N. IL, 5 to 100 in CO/CT/KY/LA/OH, 10 to 50 in NV and 26 to 50 in NC.

Updated Analysis Shows More Competitive ACA Marketplaces in 2019

A 2017 analysis done by the Urban Institute and the Robert Wood Johnson Foundation found “strong inverse associations between the number of marketplace health insurers and premium levels and premium growth; rating regions with few insurers had higher premiums and higher premium growth.” The analysis has since been updated with 2018 and 2019 data, which concluded that more than 20 percent of the U.S. population now lives in an area with five or more marketplace insurers, though there are many regional variations.

For example, more than 40 percent of the population in the Northeast lives in areas with five or more marketplace insurers, while in the South, only 4 percent of residents live in areas with five or more insurers though a majority (nearly 53 percent) live in areas with between one and two insurers. In addition, the analysis found that marketplace premiums in the rating regions with fewer insurers tend to be substantially higher.

Click here to read the full analysis.

Click here to view a summary from the Robert Wood Johnson Foundation.

AFA Now Available for 51–100 Groups in Kentucky

Aetna Funding Advantage is now available for 51 to 100 groups in Kentucky. Review the fact sheet to sell, quote, and enroll with additional bonus dollars available!

Click here to access the fact sheet.

Click here to view the quoting process.

Click here to learn more about the Aetna Funding Advantage bonus program.