Transcription
2018 Humana MedicareAgent GuideNevada1
Your Ultimate Medicare Agent Reference Guideo What’s Inside?o Local andNational Contact Infoo Nevada Guidance Centers and HAP Officeso Cheat Sheet – Plan Codeso 2018 Products – Links to all Benefit Summaries,Formularies, etc.o Enrollment Process – How to Submit an Applicationo Agent Toolso Commissions2
Call Us, Let us help you!NV Market Contact Information LasVegas Market Office: 702-837-4401 770 Dixon Mary E. Warm Springs Rd, Ste. 340 Las Vegas 89119Keller, Market Director: 702-837-4415Granger, Agency Manager: 702-719-9325mgranger@humana.com Rachel Townsend,Market Manager: 702-837-4473 RonWilliams, Market Manager: 702-837-4417 TerriWilliams, Manager Sales & Administration: 702-837-4436 ChrisSomoza, Marketing Support Exec: 702-837-44183
Local & National Resources4
Nevada GuidanceCenters and HAP Offices5
Humana Guidance Centers-Open to the publicExercise Classes with certified instructorsCooking demonstrationsTechnology training classesEducational programsWalking groupsHelpful customer service agentsSocial programs, mixersBridgeCraftingMoviesWi-FiFree meeting spaceTouch Down spots for appointmentsFree FAX service for applications
Henderson Guidance CenterGreen Valley area1000 N Green Valley Pkwy #720Henderson, NV 89074702-269-5200In the Smith’s center next to AAA7
Summerlin Guidance CenterSummerlin area8885 W. Charleston Blvd. #100Las Vegas, NV 89117702-380-6170Next to Whole Foods8
Humana Affiliated Provider Offices (HAPs) 5 state-of-the-art medical offices EXCLUSIVE toHumana’s HMO & PPO Medicare membersRed Carpet Service includes expeditedappointment scheduling & referralsOn-site lab servicesAll electronic medical records24 hour medical supportPCP office - Not an urgent care clinic
Confidential/For Agent Use Only10
Confidential/For Agent Use Only11
“Cheat Sheet”Plan Codes, etc.1
2018 Humana MAPD/PDP Plans - State of Nevada
2018 Products:Links to Plan Documents14
Clark & partial Nye Counties Humana Gold Plus HMO H6622-028Click Here for Benefits at a Glance– Click Here for Benefit Summary–Click Here for ANOC-EOC– Click Here for Formulary– Humana Gold Plus SNP Diabetes & Heart H6622-029–Click Here for Benefits at a GlanceClick Here for Benefit Summary– Click Here for ANOC-EOC––Click Here for Formulary15
Clark & partial Nye Counties Humana Gold Plus SNP CLD H6622-030Click Here for Benefits at a Glance– Click Here for Benefit Summary–Click Here for ANOC-EOC– Click Here for Formulary– Humana Gold Plus SNP Kidney Care H6622-031–Click Here for Benefits at a GlanceClick Here for Benefit Summary– Click Here for ANOC-EOC––Click Here for Formulary16
Clark & partial Nye Counties Humana Choice LPPO H5216-036Click Here for Benefits at a Glance– Click Here for Benefit Summary–Click Here for ANOC-EOC– Click Here for Formulary– Humana Choice LPPO H5216-037–Click Here for Benefits at a GlanceClick Here for Benefit Summary– Click Here for ANOC-EOC––Click Here for Formulary17
Clark & partial Nye Counties Humana Choice LPPO H5216-141 (Part B Giveback Plan)Click Here for Benefits at a Glance– Click Here for Benefit Summary–No ANOC, new product for 2018– Click Here for Formulary–18
Washoe County Humana Choice LPPO H5216-038Click Here for Benefits at a Glance– Click Here for Benefit Summary–Click Here for ANOC-EOC– Click Here for Formulary– Humana Choice LPPO H5216-039–Click Here for Benefits at a GlanceClick Here for Benefit Summary– Click Here for ANOC-EOC––Click Here for Formulary19
Prescription Drug Plans (PDP) State of Nevada–––Humana Walmart Rx Plan S5884-175 Click Here for Benefit Summary Click Here for ANOC-EOC Click Here for FormularyHumana Preferred Rx Plan S5884-112 Click Here for Benefit Summary Click Here for ANOC-EOC Click Here for FormularyHumana Enhanced Rx Plan S5884-087 Click Here for Benefit Summary Click Here for ANOC-EOC Click Here for Formulary20
Enrollment:Ordering Materials, How toSubmit an App, SalesPresentation Videos, Scope ofAppointment, etc.21
Ordering Sales Materials/KitsClick HERE to place an orderfor materials using ourwebsite, or contact yourSales Rep or a local Humanaoffice for help obtainingmaterials.A true All-in-One book for2018!!Scope of AppointmentTemporary ReceiptBenefits at a GlancePlan Rating DocumentOTC CatalogApplicationPersonal Health InformationConsent Form Receipt Form SNP Form (if applicable) Confidential/For Agent Use Only22
Paper Applications Confidential/For Agent Use OnlyFax to 877-889-9936,or .All agents can nowsecurely uploadpaper apps throughVantage on theQuote & Enroll card!23
Uploading Paper ApplicationsConfidential/For Agent Use Only24
Electronic EnrollmentsOnce you click onENTER ONLINEENROLLMENT fromthe Vantage homescreen, you will beable to quote/enrollall products you arecertified to sell, in allstates in which wehave an activelicense on file foryou.Confidential/For Agent Use Only25
Fast AppConfidential/For Agent Use OnlyOnce you click onENTER ONLINEENROLLMENT youwill enter our “FastApp” system. Thissystem can be usedwhen following thetelephonicenrollment process,and your clients willneed toelectronically signthe app via theirown email address.26
MAPA and iMAPA Face-to-face appointment isnecessary when using MAPA. Do NOT need to beconnected to the internetwhen completing the app,can upload when you returnto the office. For help installing the MAPAsoftware, please contact theMAPA Team at 1-800-3093163, Option 5, then Option3. They can help determineif your machine is MAPAcompatible, and can eventake over your computer andhelp with the installation andset-up!Confidential/For Agent Use Only27
2018 Sales Presentation VideosClick HERE to access the 2018 Humana SalesPresentation Videos in ENGLISH and SPANISH.Confidential/For Agent Use Only28
3 Options for Scope of AppointmentBeginning with the 2018 Medicare Marketing Guidelines, theSOA no longer needs to be completed 48 hours before theappointment – agents can now complete the SOA at any timeprior to the appointment.1. Humana Paper Scope Signed/dated by client prior to appointment/presentation Can type in Humana Scope # when completing an online app Individually bar-coded, so not available in PDF form2. Generic Paper Scope Signed/dated by client prior to appointment/presentation Type in “Generic Scope” when completing an online app3. Humana Telephonic Scope- (866) 945-4471 Client and Agent conference in our IVR Scope phone # “Real-Time” and paperless solution to securing scope Scope # given at end of call, type in this # when completing an online app29
Agent Tools30
What is Humana Vantage?Landing page after logging in at www.Humana.comThe following slides showcase tools that can all be accessed fromthe Humana Vantage home screen once you login with your UserID/Password at www.Humana.com.Confidential/For Agent Use Only31
NewEnrollmentRxCalculatorAbility to viewmultiple pharmacybenefit scenariosincluding selecting aspecific pharmacyAbility to viewdrug coveragedetails includingcoverage, tier,limitations/restrict-ions, and totaldrug costAbility to see at aglance when amember will enterthe Coverage GapConfidential/For Agent Use OnlyIdentify potentialmail order savingsopportunities whenlooking at standardor preferred retail32
NewEnrollmentRxCalculatorConfidential/For Agent Use OnlyAbility to view member costper fill for each drug and filltotalAbility to view stageprogression indicators whenthe deductible is met,Coverage Gap is reached andCoverage Gap ends33
Helping Resolve Client Issues – Agent RSOS Click on CONTACT US inthe upper right handcorner of the Vantagehome screen. Then click on AGENTRSOS EMAIL TEMPLATE,and you will have theoption to submit generalinquiries on behalf ofyour member, or submitcorrections to a recentlysubmitted application.Confidential/For Agent Use Only34
Physician FinderUse the PhysicianFinder Tool to searchfor doctors/facilitiesby name, or search tosee how many may beavailable in a certainzip code. This toolcan be accessed fromwww.Humana.com, orfrom the Vantagehome screen.Confidential/For Agent Use Only35
Tracking your Book of Business Click on ENROLLMENTREPORTING under theBusiness Center heading. You can choose ACTIVEENROLLMENTS to look atyour current Book ofBusiness within a giventimeframe, or you canselect SUBMITTEDAPPLICATIONS to checkstatus of recentlysubmitted business.Confidential/For Agent Use Only36
Marketing Resource Center (MRC)A wide range of Humana-branded tools and campaignsWe’re offering hundreds of self-service flyers, ads, postcards,mailers, letters, and more! Campaigns include: 0 Premium, PDP,AEP Veterans, Humana Go365, Humana Pharmacy, MyHumana, SEP,Turning 65, etc.You can choose from a variety of languages, photography, andseminars to make your materials feel relevant to your market.Agents can customize the materials with their own contactinformation, then save and print locally.Confidential/For Agent Use Only37
Marketing Resource Center (MRC)“Generic” Medicare AEP Pre-ApprovedProspecting Tools are also now available!Many campaigns to choose from! Each containing flyers, postcards,ads, letters, mailers & banner ads with optional seminar fields: Open Enrollment is here! 0 Premium AffordablePremium/Switch & Save More Benefits I sell Insurance DSNP CSNP, Turning 65, 0 PremiumROYConfidential/For Agent Use Only38
Commissions39
Commission InfoClick HERE fordetails on2018 AgentCommissions.Confidential/For Agent Use Only40
Confidential/For Agent Use Only41
–Humana Walmart Rx Plan S5884-175 Click Here for Benefit Summary Click Here for ANOC-EOC Click Here for Formulary
