Magnolia Health Adds Mississippi Health Partners to Statewide Network

Magnolia Health Adds Mississippi Health Partners to Statewide Network

Nearly 700 physicians, 13 hospitals join company’s Allwell Medicare Advantage Plan

JACKSON, Miss., Oct. 16, 2017 (GLOBE NEWSWIRE) — Magnolia Health, a leading Mississippi-based Coordinated Care Organization, has added Mississippi Health Partners, a managed care network of nearly 700 physicians and 13 hospitals throughout central Mississippi, to its Allwell Medicare Advantage provider network. MHP includes flagship hospital systems Baptist Medical Center and St. Dominic – Jackson Memorial Hospital.

As a Medicare Advantage plan, Allwell offers all of the benefits of Medicare Part A and Part B, plus additional services, like the prescription drug coverage of Medicare Part D. Under the partnership, Allwell enrollees will have access to exemplary health care services offered by Mississippi Health Partners’ vast network of health care providers.

“As a result of this partnership, our Allwell Members will have access to the highest quality health care that central Mississippi has to offer,” said Aaron Sisk, president and CEO of Magnolia Health. “The Mississippi Health Partners network includes hundreds of the best physicians and several of the premier facilities in the Jackson metropolitan area and we are very excited to add them to our Allwell network.”

Enrollees can choose Allwell during the upcoming annual enrollment period, which runs Oct. 15 to Dec. 7. Allwell offers comprehensive health care benefits, including preventive care, wellness programs, inpatient hospital care, physician visits, emergency care, urgent care, dental care, vision care, mental health services, rehabilitation services, prescription drug coverage and more.

About Magnolia Health
Magnolia Health is a long-term solution to help the state of Mississippi enhance care for Medicaid and CHIP recipients, while most effectively managing taxpayer dollars. A physician-driven, Mississippi-based Coordinated Care Organization (CCO), Magnolia is backed by its parent company, Centene Corporation (Centene). Centene has more than 30 years of experience in Medicaid, CHIP and other government-funded programs such as Supplemental Security Income (SSI) and long-term care. For more information about Magnolia, visit www.magnoliahealthplan.com.

About Mississippi Health Partners
Mississippi Health Partners understands the importance of high-quality, affordable health care for businesses and their employees. That’s why hundreds of Mississippi’s most successful companies have chosen MHP to meet their health care needs. MHP is a Jackson, Miss.-based managed care network committed to providing employers and payors the best health care while controlling cost. The network has nearly 700 highly qualified physicians and 13 respected hospitals – including Baptist Medical Center, St. Dominic – Jackson Memorial Hospital and Methodist Rehabilitation Center. For more information about MHP, visit www.mhpartners.com.

Special Election Period Available to Members Affected by a Weather Related Emergency or Major Disaster

Special Election Period Available to Members Affected by a Weather Related Emergency or Major Disaster

As you know, hurricanes Harvey, Irma, and Maria caused disruption in Texas, Louisiana, Florida, Georgia, South Carolina, Puerto Rico and the U.S. Virgin Islands. The Centers for Medicare & Medicaid Services (CMS) have extended a Special Election Period (SEP) to Medicare beneficiaries affected by the hurricane and flooding that followed. The SEP will run from the start of the incident through Dec. 31, 2017.

Who is eligible?
Any beneficiary who resides in, or resided in, an area for which the Federal Emergency Management Agency (FEMA) has declared an emergency or major disaster (see www.fema.gov/disasters) is eligible for the SEP, if the beneficiary was unable to enroll in a plan during another qualifying election period. In addition, beneficiaries who do not live in the impacted areas but receive assistance from someone living in one of the affected areas also qualify for this SEP.

What does this mean for beneficiaries?

  • Eligible beneficiaries who are unable to make a plan selection during the Annual Enrollment Period (AEP) have until Dec. 31, 2017, to enroll in a 2018 Plan. Eligible beneficiaries who wish to change their health and/or prescription drug plan, but are unable to do so during the Annual Enrollment Period (Oct. 15, 2017-Dec. 7, 2017), will now have until Dec. 31, 2017 to enroll in a 2018 plan. Enrollments taken between Dec. 8 and Dec. 31, 2017, are effective Jan. 1, 2018. You must submit a paper application. Use the SEP enrollment type code on the application, and write in Weather Related Emergency, for any enrollments taken between Dec. 8 and Dec. 31.
  • Eligible beneficiaries who were eligible for a different SEP, or aged into Medicare, but were unable to enroll during the allotted time period, will have their election period extended. Eligible beneficiaries who had/have a qualifying election period (e.g., aged into Medicare, are aging into Medicare or are qualified for a different SEP) but were unable to enroll in a plan during the allotted time, have until Dec. 31, 2017 to enroll. Enrollments received are effective the first day of the following month. For example, if a beneficiary aged into Medicare and had until Aug. 31, 2017, to enroll but was unable to complete the enrollment process, the beneficiary can enroll now. If the beneficiary enrolls Oct. 10, 2017, the beneficiary’s plan will be effective Nov. 1, 2017. Use the SEP enrollment code on the paper application, and write in Weather Related Emergency.

Agent action
If a consumer contacts you as a result of this SEP, you may help them enroll in one of our plans and earn a commission. You must:

  1. Ask the beneficiary for proof that the beneficiary resided in an affected area (e.g., driver’s license or utility bill reflecting the beneficiary’s address).
  2. If the beneficiary is unable to provide proof, ask the beneficiary if they attest that they lived/live in an area impacted by the hurricanes.
  3. Once you verify eligibility, you can proceed with the application.
  4. You must use a paper application. Use the SEP election type code on the application, and write in Weather Related Emergency.

Annual Enrollment Period (AEP)

Please note that this Special Election Period is in addition to the Annual Enrollment Period. If beneficiaries in the impacted areas want to enroll in a plan, or change plans during AEP, with a Jan. 1, 2018, effective date, use the AEP election code, NOT the SEP enrollment code.

Contact
If you have any questions, please contact the Producer Help Desk at phd@uhc.com. If you have compliance questions, please email compliance_questions@uhc.com and be sure to include your full name, contact information and writing number.

October 5, 2017.Confidential and proprietary. For internal/agent use only. Do not distribute.

CSI/CSI Life AEP Contest 2017

PUT MORE CASH IN YOUR POCKET!

Projected growth in Medicare Advantage market highlights untapped opportunities, study finds

Published 08/14/2017

Despite rapid-fire growth that has resulted in upwards of 33% of all Medicare beneficiaries now being enrolled in Medicare Advantage plans, few health plans are proactively marketing their offerings to consumers and all but a select few plans are falling short when it comes to successfully addressing provider integration and access to care for their members.

Those are the key findings of the J.D. Power 2017 Medicare Advantage Study, released Aug. 10.

“Medicare Advantage plans represent a significant growth opportunity, but many health plans are not maximizing that potential,” said Valerie Monet, Senior Director of the Insurance Practice at J.D. Power. “Our data shows that the ability to deliver consistently strong customer satisfaction in the Medicare Advantage market is becoming a key differentiator for the leaders in this space and that satisfaction is achieved through a series of highly choreographed best practices.”

Following are some of the key findings of the study:

• Health plans missing premarketing opportunity: Enrollment in Medicare Advantage plans has been consistently growing. The proportion of the population age 65+ in the U.S. is projected to increase from 14% to 21% in the coming two decades. Despite the significant opportunity to capture share of this market as they qualify for Medicare benefits, just 11% of members in the 60+ age cohort indicate that they had received any communications from their health plan regarding moving from current coverage to a Medicare Advantage plan. Among the 11% who have received premarketing contact from their health plan, overall satisfaction scores are 52 index points higher than among those who received no marketing contact (762 vs. 710, respectively, on a 1,000-point scale).

• Just half of members completely understand how their plan works: Industry-wide, just 54% of Medicare Advantage plan members say they “completely” understand how their plan works. When it comes to the cost for prescription drugs, fewer people understand how this works compared with last year.

• Provider integration remains a friction point for most members: Ensuring members generally see their doctor as a trusted partner in their medical care is the most important factor driving the highest levels of overall satisfaction with Medicare Advantage plans. Somewhat surprisingly, it is not the soft skills that engender this feeling of trust, but rather assistance navigating the myriad of healthcare providers and managing associated costs that matter most.

• Coordination of care emerges as key driver of customer satisfaction: A new KPI in 2017 is found to be one of the most important factors driving overall satisfaction with Medicare Advantage plans — coordination of care among doctors and other healthcare providers — but most members say their plan isn’t able to effectively help them with this. On average, just 34% of Medicare Advantage plan members indicate their plans met this criterion.

• Medicare Advantage member satisfaction stable year over year for most health plans: Overall satisfaction with Medicare Advantage plans is 799, on average, which is 9 points higher than the J.D. Power 2016 Medicare Advantage Study. Despite the significant opportunity to grow in this segment, only one plan improved the member experience significantly from the previous year, WellCare.

Medicare Advantage Plan Customer Satisfaction Rankings

Kaiser Permanente ranks highest in Medicare Advantage member satisfaction for a third consecutive year, with a score of 852, which is 49 points higher than the second-ranked plan. Highmark ranks second with a score of 803 and Humana ranks third with a score of 794 (see chart below).

Kaiser outperformed all other plans across five of the six factors that comprise the overall satisfaction index, and was also the only company to receive a “5 – among the best” rating in the J.D. Power.com Power Circle Ratings from consumers, while the second through fifth-place companies managed “3 – about average” ratings. The sixth- through 10th-ranked companies received “2 – the rest” ratings.

The study, now in its third year, measures member satisfaction with Medicare Advantage plans — also called Medicare Part C or Part D — based on six factors (in order of importance):

1. coverage and benefits (25%)

2. customer service (19%)

3. claims processing (15%)

4. cost (14%)

5. provider choice (14%)

6. information and communication (12%)

The 2017 Medicare Advantage Study is based on the responses of 3,442 members of Medicare Advantage plans across the United States.

For more information about the 2017 Medicare Advantage Study, visit http://www.jdpower.com/resource/us-medicare-advantage-study.

Settlers Life Soar to the Summit Conference Bonus


We want to give you a jump-start on production to help you “Soar to the Summit” and join America’s Final Expense CompanySM at America’s Resort, The Greenbrier, next May!  Submit apps May 15th through June 2nd and a Soar to the Summit Bonus credit will be applied toward your annual production at the end of 2017!  See full details here.

Why You Should Add the Cancer Rider to GTL’s Advantage Plus

Which one of these makes more sense for your client’s budget?

$10,000 total out-of-network co-pay for cancer treatment
– or –
$29.75 monthly for $10,000 cancer benefit*

It would take over 28 years of paying $29.75 per month to match the $10,000 benefit!  A 65-year-old would be 93 years old before matching the benefit!

Advantage Plus offers a Lump Sum Cancer Rider up to $20,000 should your clients be diagnosed with cancer — including a benefit for Cancer In-Situ and Skin Cancer!

Click here to learn more about Advantage Plus!
* Based on Lump Sum Cancer Rider of $10,000 at age 65.

Another Hassle-free Innovation, Brought to You by UnitedHealthcare

Another Hassle-free Innovation, Brought to You by UnitedHealthcare

We know agents don’t sit still – you are always on the go, on the road, meeting consumers in coffee shops, community centers and in their homes. You don’t have time for hassles. Remember Jarvis? You haven’t met yet, but in last month’s Focus News you learned how Jarvis’ hassle-free, intuitive platform will be replacing the UnitedHealthcare Distribution Portal at the end of April.

Think of Jarvis as an all-knowing, friendly, helpful pal who makes life easier. All your business tools –LEAN, Agent Toolkit, product guides, Training and more — are in one place and easier than ever to use. Plus, you can expect dynamic content mixed with twenty – first century navigation — making it simpler to find what you need to know, and bringing efficiency to what you need to do.

Jarvis just might become your new best friend. With a modern look and feel, Jarvis is mobile enabled, which makes your busy day a bit less hectic.

Learn More Here

The Impact of Increasing Out-of-Pocket Costs

According to Crain’s March 24, 2017 article, now more than ever, hospitals are struggling to collect payments from insured patients who can’t afford or won’t pay the skyrocketing out-of-pocket costs — and some hospitals may become more aggressive in their collections to reduce bad debt. Click here to read the article.

This trend isn’t going anywhere…and neither is the need for Hospital Indemnity Insurance.

Guarantee Trust Life Insurance Company (GTL)’s Advantage Plus can help clients dramatically reduce their net out-of-pocket expenses, such as deductibles and co-pays related to a hospitalization event. 

Click here to learn more about Advantage Plus!

New Med Supps in OH & TN

Medicare Supplement Plan D now available in Ohio

Aetna now offers Plan D as part of the portfolio of Medicare Supplement options in Ohio. To view the rates, click here.

Why not Plan D?
Plan D is another option for your senior supplement portfolio with these great features:

  • Lower premium rates than Plan G
  • Pays the same commission rate as Plan G

And since Ohio prohibits Medicare providers from charging more than what Medicare allows, Part B excess charges (not covered by Plan D) are not applicable in this state.


NEW Medicare Supplement now in Tennessee

Aetna now offers new Medicare Supplement plans in Tennessee. Not only do the new plans offer competitive rates, but applicants residing in the same household can also apply for a 7% household discount.

Contact MAS Today to Learn More!