As a reminder, all releases must be submitted to carriers prior to these deadlines in order for agents to sell this AEP.
- Cigna Healthspring – 9/15/2024
- Humana – 9/30/2024
Please reach out to your account managers with any further questions.
Carrier Eligibility Checks
The below list contains details regarding all the different avenues to confirm Medicaid Eligibility by State given the limitations by HealthPlan. We have included instructions to set up agent portals, links, and agent support phone numbers to call the health plan directly.
- Aetna Medicaid Eligibility lookup available for:
- AL, AR, CA, CO, CT, FL, GA, KS, KY, LA, MD, MI, MS, MO, NC, NV, NY, OH, PA, SC, SD, TX, WV
- Think Agent Portal construction requires self-initiation; agents will receive an error in attempting to gain access, but Aetna will manually create accounts if you call into 866-714-9301 (option 5 in phone tree for ThinkAgent support)
- ThinkAgent Link: https://app.thinkagent.com/sign-in
- Anthem Medicaid Eligibility lookup available for:
- CA, CO, CT, FL, CA, IA, IN, KY, LA, MO, NC, NJ, NV, NY, OH, TN, TX, VA, WA, WI
- Anthem Agent Support: 844-274-6355
- Cigna for brokers (self-sign-up process) / individual lookup available for:
- AL, AR, CO, CT, FL, GA, MS, PA, MD
- Cigna: https://cignaforbrokers.com/public/login
- Phone calls into Cigna: DE, MO, OH, TN, TX
- Cigna Agent Support 866-442-7516
- WellCare via Change Healthcare lookup available for:
- AL, AR, TN, IL, AZ, CA, FL, GA, IN, KY, MO, MS, NC, CT, NJ, NY, OH, TX, WA, WI
- Wellcare Agent Support: 866-211-0544
- UHC Medicaid Eligibility lookup available for:
- DC, DE, GA, MT, NC, OH, SD, TX
- UHC Agent Support: 888-381-8581
| State | Aetna | Anthem | Cigna | WellCare | UHC |
| AL | AL | AL | AL | ||
| AK | |||||
| AZ | AZ | ||||
| AR | AR | AR | AR | ||
| CA | CA | CA | CA | ||
| CO | CO | CO | CO | ||
| CT | CT | CT | CT | CT | |
| DE | DE | DE | |||
| DC | DC | ||||
| FL | FL | FL | |||
| GA | GA | GA | GA | GA | |
| HI | |||||
| ID | |||||
| IL | IL | ||||
| IN | IN | IN | |||
| IA | IA | ||||
| KS | KS | ||||
| KY | KY | KY | KY | ||
| LA | LA | LA | |||
| ME | |||||
| MD | MD | MD | |||
| MA | |||||
| MI | MI | ||||
| MN | |||||
| MS | MS | MS | MS | ||
| MO | MO | MO | MO | MO | |
| MT | MT | ||||
| NE | |||||
| NV | NV | NV | |||
| NH | |||||
| NJ | NJ | ||||
| NM | |||||
| NY | NY | NY | NY | ||
| NC | NC | NC | NC | ||
| ND | |||||
| OH | OH | OH | OH | OH | OH |
| OK | |||||
| OR | |||||
| PA | PA | PA | PA | ||
| RI | |||||
| SC | SC | SC | |||
| SD | SD | SD | SD | ||
| TN | TN | TN | |||
| TX | TX | TX | TX | TX | TX |
| UT | |||||
| VT | |||||
| VA | VA | ||||
| WA | WA | ||||
| WV | WV | WV | |||
| WI | WI | ||||
| WY |
UHC Marketing Guidance for Plan Year 2025
We recently received UHC’s Marketing Materials Guidelines document for PY2025. Notable changes are (1) requiring that benefits grids for variable benefits fields be submitted along with marketing material at the time of carrier submission; and (2) prohibiting the use of SSBCI benefits and targeting DSNP beneficiaries outside of AEP due to the final rule for 2025. Please note that this does not change the way items and materials are submitted to GoHealth and as a result submitted to United Healthcare or any other Health Plan partner.
The full UHC document can be found here.
As we are sure you are all planning for the upcoming AEP season’s marketing and lead generation efforts, please use these guidelines to ensure that your marketing is ready for carrier submission as soon as possible.
As you know, we will be sending out our Q2 Partner Update video later in June. If you can submit any questions you have about this new guidance to us by June 10, we will try to incorporate answers into our video.
We will continue to share new carrier guidance as we receive it.
Wellcare – NPN Required For All Applications
As a reminder, the use of 6-digit Wellcare Broker Producer ID (PID) was discontinued in 2022 and replaced with National Producer Number (NPN).
Important Information to Prevent Payment Delays
- The submission of an application with the old Wellcare Broker Producer ID (PID) may result in the incorrect Agent of Record (AOR) for the member.
- Effective July 1, 2024, Wellcare will discontinue the manual process to convert the PID to NPN.
- It is imperative that agents ensure their NPN is used for all application submissions going forward.
Urgent: H5199 & H7175 Wellcare Plan Removal from Marketing and Enrollment
Important – Suspended Enrollments and Marketing for MAPD Plans in Florida and North Carolina
Attention Valued Partner,
Wellcare would like to make you aware that all enrollment and marketing activities are suspended effective Jan. 12, 2024, for plans under the two contracts below:
- Florida MAPD PPO Contract (H5199)
- North Carolina MAPD PPO Contract (H7175)
Additionally, these two contracts will not be renewed for Plan Year 2025. Each of them will end on Dec. 31, 2024.
Member Impact
- Current members of plans under these contracts DO NOT need to be moved to alternate plans until the Annual Enrollment Period starting in Oct. 2024.
- Current members will remain enrolled in their plans through Plan Year 2024.
- Current members will continue to have uninterrupted access to their full plan benefits through the entirety of Plan Year 2024.
Important Takeaways
- As of Jan. 12, 2024, members can no longer enroll in plans under these two contracts, and all enrollments for these plans will be denied.
- Also as of this date, agents and agencies can no longer market these plans.
- All enrollment materials related to these plans have been removed from Wellcare sites and enrollment platforms, and materials are no longer available for downloading, printing, or ordering.
Plans Impacted
Wellcare appreciates your prompt attention to this update. For any questions regarding these plans, please reach out to your local sales leader.
As always, they thank you for your continued partnership.
This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.
Cigna AEP Resources for Brokers
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This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.
Cigna PDP Reminders and Rules of Engagement Updates
Read below for Rules of Engagement updates and important PDP reminders from Cigna.
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This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.
Wellcare: AEP Readiness Resources Are Now Available!
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This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.
Cigna Virtual High Five – September
Hello Call Center partners!
Cigna knows you are getting ready for the busy selling season with AEP right around the corner! To help you prepare, they’ve compiled the top 5 things to know about Cigna Medicare this month in Cigna’s newest Virtual High Five. Check it out below!
#1 – Recorded Training – Now Available
Cigna’s recorded training for Call Centers is now ready! Check it out with the link here: Growing Your Business with Cigna Medicare Advantage in 2024
Below are the topics included in the training…
- Why Cigna
- Sales tools & support
- 2024 national benefits overview
27 minutes long – check it out and share with your agents today!
#2 – Putting a Little Magic into Medicare
NBA great Earvin “Magic” Johnson is featured in Cigna’s new Medicare marketing campaign, “Hey, Rookie.” This omni-channel campaign includes a 30-second TV spot that will air in 26 select Medicare Advantage priority markets across the U.S.
Mr. Johnson is turning 65 next year, and he’s a “rookie” to Medicare. In the TV spot, Johnson interacts with a number of Medicare pros, including “Judy” from Cigna Healthcare’s recent “Wisdom Comes with Benefits” Medicare campaign.
See the preview below!
Cigna Healthcare | Medicare Advantage | “Hey, Rookie” | :30 – YouTube
#3 – The Retention Mindset Video Series
Get out the popcorn and soda – it’s movie time!
Announcing a blockbuster new series of videos designed to embolden new and seasoned agents to drive new sales and retain their customers. Here are the topics…
- Why Retention Mindset Sells More – The What, Who and When of the Retention Mindset for Call Centers. Available today through Producers’ University à Media Room
- Supplemental Benefits (coming soon) – Don’t leave home without them! Sure to make the pickiest of customers stay in the plan
- Doctors, Drugs, and Dental (coming soon) – A must watch! Check out how to keep customers in the know about all the important benefits so they never want to leave!
- Customer Cadence (coming soon) – Everything an agent needs to know about a customer’s calendar – to share with them. Keep on top of what’s coming to their mailbox and computer inbox! A happy customer is an informed one
Each video will be sure to entertain and educate!
#4 – New Ways to Submit HRAs
Cigna’s heard your feedback and has worked to make HRA facilitation easier and faster than before.
As of October 1, 2023, you will be able to access our HRA in the following locations:
- SunFire or ConnectureDRX: HRA embedded in each program for agents that are fully integrated into the respective vendor platform.
- CignaforBrokers: For non-SunFire users and/or non-ConnectureDRX agency partners – Use single sign-on to access the SunFire HRA via the “Health Risk Assessment” link in the Tools section.
- eEnrollment: HRA embedded at the end of the customer enrollment process. Access by clicking the “Cigna HRA Survey Tool” button on the enrollment Submission Confirmation screen.
You can continue to use the Icario tool to facilitate HRAs with your customers until December 31, 2023. After this date, Icario will no longer be available to facilitate HRAs, but you will be able to use the new tools listed above.
Make sure all agents (Licensed and Non-Licensed) certify for 2024 HRAs through Producers’ University – Reach out to your Account Manager with any questions on this process for your agents.
You’ll have until December 22, 2023 to submit the HRA for any customer applications taken from October 1 – December 7 of 2023.
#5 – Enhanced Provider Look-up Tool
As Cigna recently announced, their new and improved provider look-up tool is live! The tool now includes better provider information, a smarter search function, and faster capabilities.
Watch their promotional video here to learn more about the new features in our enhanced provider look-up tool.
Please click here for a Provider Lookup Tool – Quick Start Guide and reach out to Cigna representatives with any questions!
Cigna thanks you for being a valued Call Center partner. Please reach out with any questions as we ramp up for an exciting AEP!
This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.
Cigna Enhanced Provider Look-Up Tool is Live!
| The enhancements will make your selling experience easier than ever before.
As Cigna recently announced, their new and improved provider look-up tool is live! The tool now includes better provider information, a smarter search function, and faster capabilities. Watch Cigna’s promotional video here to learn more about the new features in their enhanced provider look-up tool.
Cigna Agent Resource Line (CARL) 866.442.7516 7 a.m. to 6 p.m. CST, Monday through Friday |
