1 / 0

H0504_13_200 08162013 S2468_13_200 08162013

Blue Shield’s 2014 Medicare sales event. H0504_13_200 08162013 S2468_13_200 08162013. Agenda. Blue Shield Accomplishments What you need to know – updates and commissions MA-PD Plans Medicare Supplement Plans PDP Plans Specialty Benefits Q&A. Recent Accomplishments.

brie
Download Presentation

H0504_13_200 08162013 S2468_13_200 08162013

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Blue Shield’s 2014 Medicare sales event H0504_13_200 08162013 S2468_13_200 08162013
  2. Agenda Blue Shield Accomplishments What you need to know – updates and commissions MA-PD Plans Medicare Supplement Plans PDP Plans Specialty Benefits Q&A
  3. Recent Accomplishments Affordability mission – 2% pledge 4 Star quality rating* Medicare Advantage County Expansion *Applies to Blue Shield’s 2013 MAPD and PDP plans. Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  4. What you need to know for the 2014 MA-PD and PDP Annual Election Period (AEP)

  5. Things to remember…..

    Annual Election Period (AEP) 2014 MA-PD and PDP applications accepted 10/15/2013 through 12/7/2013 for a 1/1/2014 effective date Applications cannot be submitted prior to 10/15/2013, except for initial coverage individuals who can submit as early as 10/1/2013 for a 1/1/2014 effective date Medicare Advantage Disenrollment Period (MADP) MA plan enrollees may disenroll from 1/1/2014 through 2/14/2014 and return to Original Medicare (may also enroll in a PDP plan during this time) Applications must be submitted in a timely manner Submit to Blue Shield within 24 hours of the applicant getting it to you A member packet must be provided whenever an application is provided to a prospect Must include Plan Rating info, Summary of Benefits and Multi-Language insert

  6. Certification and Events

    Producer must complete an annual Medicare Certification (i.e through AHIP) as well as Blue Shield’s MA-PD and PDP product-specific training prior to a sale (no exceptions, & no commissions will be paid to non-certified brokers) In order to receive commissions on Blue Shield products, you must be individually appointed by Blue Shield or endorsed by an agency appointed by Blue Shield prior to submitting applications Get Your $100 AHIP Reimbursement Sell five Blue Shield MA-PD plan enrollments in order to be reimbursed a maximum of $100. PDP & Medicare Supplement Plan Sales DO NOT QUALIFY for reimbursement. Sales Event Reporting Please use the latest Master Sales Event template.
  7. Commissions Update
  8. 2014 Commissions MA-PD – $532 new, $266 renewal PDP – $56 new, $28 renewal Medicare Supplement Plans– 20% first year, 10% renewal Lifetime Renewals were added in 2013 for MA-PD and PDP in addition to Medicare Supplement Plans.
  9. 2014 Blue Shield 65 Plus HMO benefit changes
  10. 2014 Blue Shield 65 Plus HMO and Blue Shield 65 Plus Choice Plan HMO benefit changes For the 2014 benefit year, Blue Shield has lowered the member cost-sharing forSkilled Nursing Care in the following plans:
  11. 2014 Blue Shield 65 Plus HMO and Blue Shield 65 PlusChoice Plan HMO benefit changes For the 2014 benefit year: Blue Shield 65 Plus HMO members will have the option of adding an Optional Supplemental Dental HMO Plan for a set monthly premium! Blue Shield 65 Plus CHOICE Plan HMO will include embedded dental benefits at no additional cost, AND members will also have the option of adding an Optional Supplemental Dental HMO Plan for a set monthly premium.
  12. 2014 Blue Shield 65 Plus HMO County Expansions
  13. Blue Shield 65 Plus 2014 County Expansions For the 2014 benefit year, Blue Shield 65 Plus HMO will expand into 3 new counties with competitive benefits: New counties as of 2014: Contra Costa County (Partial) - Blue Shield 65 Plus (HMO) Fresno County- Blue Shield 65 Plus (HMO) Santa Clara County (Partial) - Blue Shield 65 Plus (HMO) Contra Costa Santa Clara Fresno
  14. blue shield 65 plus (HMO) benefits For the 2014 benefit year, Blue Shield’s MAPD plans in the new counties will include the following Maximum Out-of-Pocket (MOOP) amounts:
  15. blue shield 65 plus (HMO) benefits *Benefit Period : A Benefit Period begins with the first day of the Medicare-covered Inpatient Hospital stay or Skilled Nursing Facility stay and ends with the close of a period of 60 consecutive days, during which you are not an Inpatient of a Hospital or Skilled Nursing Facility.
  16. blue shield 65 plus (HMO) benefits
  17. blue shield 65 plus (HMO) benefits
  18. blue shield 65 plus (HMO) benefits
  19. blue shield 65 plus (HMO) benefits
  20. blue shield 65 plus (HMO) benefits
  21. blue shield 65 plus (HMO) benefits *Part D drug formularies vary by plan. Refer to Blue Shield 65 Plus HMO and Blue Shield 65 Plus Choice HMO plan formulary lists for details. only.
  22. blue shield 65 plus (HMO) benefits

  23. Blue ShieldMedicare Supplement Plans

  24. 2014 Blue Shield Medicare Supplement plans Blue Shield offers 7 of the 2010 standardized plans: A, C, D, F, & K High Deductible F &N Affordable monthly rates A wide choice of plans The freedom to select their own doctors Plans are age banded in pricing All plans include the basic core benefit Blue Shield offers the SilverSneakers Fitness Program at no additional cost
  25. Welcome to Medicare rate savings New to Medicare? Then we want to welcome you! Beginning December 1st, 2012, new member can save $15 each month for the first 12 months* on the Blue Shield Medicare Supplement plan rates if he/she is new to Medicare Part B To qualify: The member must be age 65 or older Blue Shield must receive the application within 6 months of the date he/she first enrolled for benefits under Medicare Part B Welcome to Medicare Rate Savings is available for all Medicare Supplement plans offered by Blue Shield *These additional monthly savings are due to increased efficiencies from administering Medicare Supplement plans under this program/service are passed on to the subscriber. For more information, refer to the Producer Information Booklet or contact your Blue Shield of California Regional Sales Manager
  26. Easy$PaySM Program No checks to write No postage to pay If your clients choose to use our Easy$PaySM method of automatic deductions for payment of their monthly dues, they save $3 per month* Note: Automatic deductions are available through checking or savings accounts only. Current Easy$PaySM members will automatically receive the $3 savings** *These additional monthly savings are due to increased efficiencies from administering Medicare Supplement plans under this program/service are passed on to the subscriber. **For more information, refer to the Producer Information Booklet or contact your Blue Shield of California Regional Sales Manager
  27. Blue Shield extends its Medicare Supplement Plan Special Open Enrollment Period Blue Shield of California is pleased to extend its Medicare Supplement plan Special Open Enrollment period through June 30, 2014. Your clients currently enrolled in a Medicare Supplement plan qualify, and may transfer to any open Medicare Supplement plan offering benefits equal to or lesser than those provided in their current plan without going through underwriting. Individuals enrolled in another carrier’s plan just submit a new application without having to complete a health questionnaire*. Current Blue Shield members must simply complete the Guaranteed Acceptance Application Form to take advantage of this special open enrollment period. *Individuals currently enrolled in a Medicare Supplement plan from another carrier must submit a replacement of coverage form along with the new application.
  28. 2014 Blue Shield Medicare Prescription Drug Plans (PDP)
  29. 2014 Blue Shield Part D (PDP) Plan changes Effective January 1, 2014, Blue Shield will continue to offer two PDP plans: Blue Shield Medicare Enhanced Plan Blue Shield Medicare Basic Plan
  30. Blue Shield Medicare Prescription Drug Plans (PDP) * Blue Shield Medicare Prescription Drug Plans have different Part D drug formularies. Refer to the Blue Shield Medicare Enhanced Plan and Blue Shield Medicare Basic Plan formulary lists for details.
  31. Blue Shield Medicare Prescription Drug Plans (PDP)
  32. Blue Shield Medicare Prescription Drug Plans (PDP)
  33. Blue Shield Medicare Prescription Drug Plans (PDP)
  34. Blue Shield Medicare Prescription Drug Plans (PDP)
  35. Blue Shield Medicare Prescription Drug Plans (PDP)
  36. New Optional Supplemental Dental HMO plan As part of Blue Shield 65 Plus in 2014, we will be offering a NEW optional supplemental Dental HMO plan for a low monthly premium of $12.20. Benefit Summary (see Evidence of Coverage for a complete list of covered services, exclusions and limitations):
  37. New Optional Supplemental Dental HMO plan Benefit Summary, continued (see Evidence of Coverage for a complete list of covered services, exclusions and limitations):
More Related