Per direction from The Centers for Medicare and Medicaid Services (CMS), the Special Election Period for Individuals Affected by a Government Entity-Declared Disaster or Other Emergency (also known as the DST-SEP) election process will change effective April 1, 2025. In addition to changes for affected individuals (“customers”), there will be changes to how you, our…
CMS Announces 15Additional Drugs forMedicare Price Negotiation In This Edition: 15 Drugs Selected for Second Round of Negotiations Under the Medicare Drug Price Negotiation Program CMS recently announced the 15 Part D drugs selected for the second round of negotiations under the Medicare Drug Price Negotiation Program. Negotiations with participating manufacturers of the 15 selected…
As your members start using their Flex Card, it’s important that members shopping locally for OTC items are familiar with the Essence Flex Spend App. This App allows members to check their OTC balance, find approved retailers and verify if items are approved with the bar code scanner function. To view the Essence Flex Spend…
JANUARY AGENCY NEWSLETTER Updates to Sub-Agency Contracting Exciting Update for 2025: Simplified Onboarding Process for Downline Agencies As part of our updated processes for 2025, sub-agency contracts will no longer be required to onboard your downline agencies. Instead, as part of the new process, we will simply reach out to you for approval as the…
Important Reminders for 2025 Plan Benefits Attention Valued Partner, With the new year underway, we would like to provide you with a few important reminders to help you assist your members in utilizing their 2025 plan benefits. Topics for your attention today include: Pharmacy Processing Information and Medicare Prescription Payment Plan (M3P) Reminders Wellcare Spendables…
Helping Our Clients Transition to theFitOn Health Program As our members begin navigating their gym activity in 2025, we are aware of common member inquiries regarding FitOn customer service, account registration, and access to their preferred gyms/classes. The following suggestions and resources should help navigate these common inquiries to ensure a smooth transition to FitOn…
Critical Network Updates: Main Line Health,The Ohio State University Health System,Lifeline Medical Associates In This Edition: Effective January 1, 2025, Highmark Medicare Advantage members no longer have in-network access to Main Line Health physicians and facilities. Members impacted by this disruption received communications from Highmark in early October, alerting them to the possibility of Main…
Highmark is aware that Steward Health Care has announced they will be closing some or all the facilities at Sharon Regional Health System in northwest Pennsylvania. According to the closure notice filed, the effective date will be January 6, 2025. Highmark has been closely following discussions and developments related to this matter, anticipating the impact…
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If you do NOT sell for all MA organizations or PDP sponsors in the service area:
Currently we represent 24 organizations which offer 6711 products in your area. You can always contact Medicare.gov, 1‑800‑MEDICARE, or your local State Health Insurance Program for help with plan choices.
