2021 Plan Offerings...7.18.20 2021 Plan Offerings SNEAK PEEK for Producers July 2020 This material...
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7.18.20 2021 Plan Offerings SNEAK PEEK for Producers July 2020 This material is for producer informational purposes only . It is general in nature and should not be relied upon or used for advertising or any other solicitation or communication with membership, other insurers, or any other person.
Transcript of 2021 Plan Offerings...7.18.20 2021 Plan Offerings SNEAK PEEK for Producers July 2020 This material...
7.18.20
2021 Plan
Offerings
SNEAK PEEK
for Producers
July 2020
This material is for producer informational purposes only. It is general in nature and should not be relied upon or
used for advertising or any other solicitation or communication with membership, other insurers, or any other person.
16+million members*
Largest customer-owned
health insurer in the U.S.
OUR PURPOSE
To do everything in our power to stand with our members in sickness and in health
*Includes Part D members with some duplication of Med Supp and Part D members
Ou
r Fo
un
da
tio
n
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Medicare
• Brand - You can trust
• Blue Journey – Transition
• Stability – Consistent
• Access - Expansion
• Care - Enhancements
• Holistic - One stop shop!
• EXTRA BENEFITS!
Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and proprietary.
Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
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We partnered with several local communities fueling
funding and support efforts most impacted by COVID-
19. We’re committed to helping our members stay
informed, access the care and coverage they need.
C O V I D R e s p o n s e
$0 Copay Testing: Lab tests to diagnose COVID-19 are
covered at no cost.
$0 Testing-Related Visits: Visits to get COVID-19 testing
are covered at no cost to you at in-network clinics and
facilities.
No Cost Treatment: Cost-sharing waivers for COVID-19
treatment are offered for members of all fully insured group,
individual, Medicare (excluding Part D), Medicare
Supplement, and Medicaid plans from April 1 through Aug.
31, 2020.
“Check-in Calls”: MAPD members receive check-in calls to
address any concerns, Rx refill needs and take advantage of
their OTC as well other wellness benefits.
Here for our members.
About Our Cost-Sharing Waivers for Treatment
Cost-sharing waivers for COVID-19 treatment are offered for members of all fully insured
group, individual, Medicare (excluding Part D), Medicare Supplement, and Medicaid plans.BCBS COVID-19 Community Collaboration Fund
Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and
proprietary. Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
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We believe our members want convenient
and easy ways to access care and support.
C a r e Y o u r W a y
In-home Visit: Care Coordinator Support
Telephonic: 24/7 Nurse Hotline
Virtual Visits: Telehealth MDLIVE (NEW 2021)
Access options to care and service for our members.
S e r v i c e Y o u r W a y
Phone: Customer Service Live Support
7 Days a Week, Hours 8am-8pm
Automated: IVR (Interactive Voice Response)
Check Claim Status, Order ID Card Replacement,
Request Materials (Directory/Formulary), Provider
Mailing/Fax Information – Available English/Spanish
Online: Blue Access for Members
Check Claim Status, Order ID Card Replacement,
Access Materials (Directory/Formulary)–and more
Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and proprietary.
Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
Market Previews
2021 Plans
5Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and proprietary.
Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
PRESCRIPTION DRUG REFILLS
CLOSE COORDINATION
between health care providers & local
community programs/services
Here’s some of the wayswe help keep our membershealthy, informed & safe.
OTC ALLOWANCE
BCBSIL.COM/MEDICARE
tools to easily manage your plan, health tips, and important COVID-19 info
FREE SILVERSNEAKERS®†
FITNESS PROGRAM
TELEHEALTH
by MDLive
Welcome / Check In
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TRANSPORTATION
NEEDS
BCBSIL.COM/COVID-19
C o n v e n i e n t , s e c u r e a c c e s s t o b o a r d -c e r t i f i e d d o c t o r sf o r u r g e n t , n o n -
e m e r g e n c y m e d i c a l n e e d s
Access via mobile app,
online video or telephone
24/7 NURSE HOTLINE
EXTRAS BENEFITS
$0 copay
MEMBER REWARDS
HEALTH
ASSESSMENT-
INCLUDES COVID-19
RISK REVIEW
*New in 2021Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and proprietary.
Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
VISIONDENTAL HEARING
PROGRAM HIGHLIGHTS & REGISTRATION
HOME TEST KITSPREVENTIVE SCREENINGS
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Market Texas
MAPD Highlights
• NEW Telehealth by MDLive - $0 Copay for urgent, non-emergency care
• $0 Plan premium options with enhanced benefits
• New $0 PPO plan options—See market
• New lower-cost PPO plan options—See market
• New and enhanced EXTRA BENEFITS--Dental, OTC, Vision
• Expanded $0 Copay for primary care provider options
• Lower copays for primary care and specialist
• $0 Copay at preferred pharmacies for select prescription drugs
• Lower RX preferred generic/brand copays
• MAPD -- $0 Copay on 100 Day Supply for Tier 1 (Mail Order)
• Expanded national pharmacy network—Now including Walmart
• Members earn up to $100 in healthy action activities—Healthy Actions Rewards Program
Market Service Area – Expansion
• Current Counties – 40+
• NEW Expanding Counties – 10
• PPO Expansion Counties – 4
Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and proprietary.
Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
4 LOCATIONS - Dallas 6 LOCATIONS - Houston
• Take Virtual Office Tours: Invite your clients to take
tour online or onsite
• Attend Online “Meet A Doc” Session: Personally
meet the Sanitas doctors and hear about how they
deliver care
• Learn More: Contact your BCBSTX Rep/RSM or GA/NMO
One Stop Shop
Care & Customer Service – Urgent Care,
Lab, Imaging, Care Coordination, Wellness &
Disease Management Program, plus onsite
BCBSTX customer service staff
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Texas Medicare Provider Partner
Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and
proprietary. Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
Texas Dallas Fort Worth
Plan Name
MAPD
TX Value
(HMO)
TX Choice Plus (PPO) TX Choice Premier (PPO)
INN OON INN OON
Premium $0 $0 $62
Area Collin, Dallas, Denton, TarrantCollin, Dallas, Denton, Tarrant, Cooke, Fannin, Hill,
Johnson, Navarro, Rockwall, Wise, Hood*
MOOP $3,400 $7,550 $11,300 $7,550 $11,300
Hospital Inpatient$275/Day
(Days 1-5)
$372/Day
(Days 1-5)50%
$265/Day
(Days 1-7)50%
Primary Care Physician $0 $10 50% $5 50%
Specialist $20 $50 50% $35 50%
Annual Prescription
Deductible$200 (Tiers 4-5) $445 (Tiers 3-5) $295 (Tiers 3-5)
RX Copays Preferred $0/$8/$39/$93/29% $0/$13/$40/$93/25% $0/$13/$40/$93/27%
Extra Benefits
$0 Copay Telehealth*, Silver Sneakers, 24/7 Nurse Line, Member Rewards are on all plans, OTC , Transportation,
Dental, Vision* and Hearing* on selected plans
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*New in 2021Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and proprietary.
Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
Plan Name
MAPD
TX Basic
(HMO)
TX Choice Plus (PPO) TX Choice Premier (PPO)
INN OON INN OON
Premium $0 $0 $90
AreaChambers, Fort Bend, Hardin, Harris, Jefferson,
Liberty, Montgomery, Orange
Chambers, Fort Bend, Hardin, Harris, Jefferson, Liberty, Montgomery, Colorado*,
Galveston*, Matagorda*, Wharton*
MOOP $3,400 $7,550 $11,300 $7,550 $11,300
Hospital Inpatient $350/Stay$372/Day
(Days 1-5)50%
$275/Day
(Days 1-5)50%
Primary Care Physician $0 $20 50% $5 50%
Specialist $30 $50 50% $35 50%
Annual Prescription
Deductible$0 $445 (Tiers 3-5) $295 (Tiers 3-5)
RX Copays Preferred $0/$8/$39/$93/33% $0/$13/$40/$93/25% $0/$13/$40/$93/27%
Extra Benefits
$0 Copay Telehealth*, Silver Sneakers, 24/7 Nurse Line, Member Rewards are on all plans, OTC , Transportation,
Dental, Vision* and Hearing* on selected plans
Texas Houston
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*New in 2021Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and proprietary.
Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
Texas San Antonio
Plan Name
MAPD
TX Value
(HMO)
TX Choice Plus (PPO)
INN OON
Premium $0 $0
AreaAtascosa, Bandera, Bexar, Cameron, Comal, El Paso, Hidalgo,
Kendall, Medina, Willacy, Wilson
Atascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina, Wilson,
Gonzales*, McMullen*, Real*
MOOP $4,000 $7,550 $11,300
Hospital Inpatient$200/Day
(Days 1-6)
$372/Day
(Days 1-5)50%
Primary Care Physician $0 $5 50%
Specialist $30 $35 50%
Annual Prescription
Deductible$195 (Tiers 4-5) $350 (Tiers 3-5)
RX Copays Preferred $0/$8/$39/$93/29% $0/$13/$40/$93/26%
Extra Benefits$0 Copay Telehealth*, Silver Sneakers, 24/7 Nurse Line, Member Rewards are on all plans, OTC* , Transportation,
Dental*, Vision* and Hearing* on selected plans
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*New in 2021Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and proprietary.
Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
Texas Austin
Plan Name
MAPD
TX Value
(HMO)
TX Choice Plus (PPO) TX Choice Premier (PPO)
INN OON INN OON
Premium $0 $0 $90
AreaTravis, Bastrop*, Burnet*, Caldwell*, Hays*,
Lee*, Williamson*
Bastrop, Burnet, Caldwell, Fayette, Hays,
Lee, Llano, Travis, Williamson, Milam*, Lampasas*
MOOP $6,700 $7,550 $11,300 $7,550 $11,300
Hospital Inpatient$275/Day
(Days 1-5)
$372/Day
(Days 1-5)50%
$275/Day
(Days 1-5)50%
Primary Care Physician $0 $20 50% $5 50%
Specialist $35 $50 50% $35 50%
Annual Prescription
Deductible$300 (Tiers 4-5) $445 (Tiers 3-5) $300 (Tiers 3-5)
RX Copays Preferred $0/$8/$39/$93/27% $0/$13/$40/$93/25% $0/$13/$40/$93/27%
Extra Benefits$0 Copay Telehealth*, Silver Sneakers, 24/7 Nurse Line, Member Rewards are on all plans. OTC* , Transportation, Dental,
Vision* and Hearing* on selected plans
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*New in 2021Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and proprietary.
Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
Texas The Valley
Plan Name
MAPD
TX Value
(HMO)
Texas Basic
(HMO)
TX Choice Plus (PPO) *
INN OON
Premium $0 $0 $20
AreaAtascosa, Bandera, Bexar, Cameron, Comal, El
Paso, Hidalgo, Kendall, Medina, Willacy, WilsonCameron, Hidalgo, Webb, Willacy El Paso*, Cameron*, Hidalgo*, Willacy*
MOOP $4,000 $3,400 $7,550 $11,300
Hospital Inpatient$200/Day
(Days 1-6)$350/Stay
$325/Day
(Days 1-5)50%
Primary Care
Physician$0 $0 $5 50%
Specialist $30 $30 $40 50%
Annual Prescription
Deductible$195 (Tiers 4-5) $445 (Tiers 3-5) $350 (Tiers 3-5)
RX Copays Preferred $0/$8/$39/$93/29% $0/$8/$39/$93/25% $0/$13/$40/$93/26%
Extra Benefits$0 Copay Telehealth*, Silver Sneakers, 24/7 Nurse Line, Member Rewards are on all plans, OTC , Transportation,
Dental, Vision* and Hearing* on selected plans
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*New in 2021Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and proprietary.
Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
Texas El Paso
Plan Name
MAPD
TX Value
(HMO)
Texas Basic
(HMO)
Texas Choice Plus (PPO) *
INN OON
Premium $0 $0 $20
AreaAtascosa, Bandera, Bexar, Cameron, Comal, El
Paso, Hidalgo, Kendall, Medina, Willacy, WilsonEl Paso El Paso*, Cameron*, Hidalgo*, Willacy*
MOOP $4,000 $3,400 $7,550 $11,300
Hospital Inpatient$200/Day
(Days 1-6)
$200/Day
(Days 1-6)
$325/Day
(Days 1-5)50%
Primary Care
Physician$0 $0 $5 50%
Specialist $30 $30 $40 50%
Annual Prescription
Deductible$195 (Tiers 4-5) $255 (Tiers 4-5) $350 (Tiers 3-5)
RX Copays Preferred $0/$8/$39/$93/29% $0/$8/$39/$93/28% $0/$13/$40/$93/26%
Extra Benefits$0 Copay Telehealth*, Silver Sneakers, 24/7 Nurse Line, Member Rewards are on all plans. OTC* , Transportation,
Dental*, Vision* and Hearing* on selected plans
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*New in 2021Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and proprietary.
Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
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Market Illinois
MAPD Highlights
• NEW $0 PPO Plan in Chicago Metro
• New PPO plan options
• New Exclusive $0 MAPD HMO plan—Includes Lake and Kendall counties
• NEW Telehealth by MDLive - $0 Copay for urgent, non-emergency care
• New and enhanced EXTRA BENEFITS--Dental, OTC, Vision
• Expanded $0 copay for primary care provider options
• Lower copays for primary care and specialist
• Lower maximum out-of-pocket
• $0 Copay at preferred pharmacies for select prescription drugs
• Lower RX preferred generic/brand copays
• MAPD -- $0 Copay on 100 Day Supply for Tier 1 (Mail Order)
• Expanded national pharmacy network—Now including Walmart
• Members earn up to $100 in healthy action activities—Healthy Actions Rewards Program
Market Service Area – Expansion
• Current Counties – 4
• NEW Expanding Counties – 15
• Includes McHenry, Lake, Kendall, Sangamon and more—See markets
Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and proprietary.
Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
Illinois Chicago Metro
Plan Name
MAPD
Basic
(HMO)
Basic Plus
(HMO/POS)
Premier Plus
(HMO/POS)
Choice Plus (PPO) Choice Premier (PPO) Classic (PPO) *
INN OON INN OON INN OON
Premium $0 $0 $83 $79 $141 $0
Area Cook, DuPage, Kane, McHenry*, Will Cook, DuPage, Kane,
McHenry, Will*
MOOP $3,400 $3,900 $4,500 $6,700 $10,000 $5,900 $10,000 $7,550 $11,300
Hospital Inpatient$225/Day
(Days 1-7)
$220/Day
(Days 1-7)
$190/Day
(Days 1-8)
$295/Day
(Days 1-6)50%
$250/Day
(Days 1-7)50%
$320/Day
(Days 1-6)50%
Primary Care
Physician$0 $0 $0 $10 50% $5 50% $25 50%
Specialist $25 $40 $35 $40 50% $40 50% $50 50%
Annual Prescription
Deductible$0 $0 $0 $445 (Tiers 4-5) $0 $445 (Tiers 3-5)
RX Copays Preferred $0/$8/$39/$93/33% $0/$13/$40/$93/25% $0/$13/$40/$93/33% $0/$13/$40/$93/25%
Extra Benefits$0 Copay Telehealth*, Silver Sneakers, 24/7 Nurse Line, Member Rewards are on all plans, OTC , Transportation, Meals,
Dental, Vision and Hearing on selected plans
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*New in 2021Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and proprietary.
Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
Illinois Springfield & Central
Plan Name
MAPD
Basic
(HMO) *
Choice Plus (PPO) *
INN OON
Premium $20 $50
AreaChristian, DeWitt, Logan, Macon, Mason, Menard, Montgomery,
Morgan, Moultrie, Piatt, Sangamon, Shelby*
MOOP $5,500 $7,550 $11,300
Hospital Inpatient$275/Day
(Days 1-7)
$295/Day
(Days 1-6)50%
Primary Care Physician $0 $5 50%
Specialist $40 $40 50%
Annual Prescription
Deductible$0 $0
RX Copays Preferred $0/$8/$39/$93/33% $0/$13/$40/$93/33%
Extra Benefits$0 Copay Telehealth*, Silver Sneakers, 24/7 Nurse Line, Member Rewards, OTC, Meals,
Dental, Vision, Hearing
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*New in 2021Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and proprietary.
Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
Illinois Chicago Metro – Effective 1/1/21
NEW Exclusive MAPD HMO Plan
Plan Name
MAPD
Blue Medicare Advocate Health
(HMO) *
Premium $0
AreaLake, Kendall
Cook, DuPage, Kane, McHenry, Will*
MOOP $3,500
Hospital Inpatient$225/Day
(Days 1-7)
Primary Care Physician $0
Specialist $30
Annual Prescription Deductible $0
RX Copays Preferred $0/$8/$39/$93/33%
Extra Benefits$0 Copay Telehealth*, Silver Sneakers, 24/7 Nurse Line, Meals, Member Rewards,
OTC, Transportation, Dental, Vision and Hearing
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*New in 2021Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and proprietary.
Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
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Market New Mexico
MAPD & DSNP Highlights
• NEW Telehealth by MDLive - $0 Copay for urgent, non-emergency care
• Enhanced DSNP and MAPD EXTRA BENEFITS-- Dental, OTC, Vision
• Lower-cost MAPD PPO plan
• $0 Plan premium option with enhanced benefits
• $0 Copay for primary care provider option
• $0 Copay at preferred pharmacies for select prescription drugs
• MAPD--$0 Copay on 100 Day Supply for Tier 1 (Mail Order)
• Expanded national pharmacy network—Now including Walmart
• Members earn up to $100 in healthy action activities—Healthy Actions Rewards Program
Market Service Area – Counties 6
Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and proprietary.
Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
New Mexico MAPD
Plan Name
MAPD
NM Basic
(HMO)
NM Select
(HMO)
NM Choice Plus
(PPO)
INN OON
Premium $10 $0 $39
Area Bernalillo, Sandoval, Torrance, ValenciaBernalillo, Dona Ana, Sandoval, Santa Fe,
Torrance, Valencia
Bernalillo, Sandoval, Santa Fe, Torrance,
Valencia
MOOP $5,100 $4,500 $6,700 $10,000
Hospital Inpatient$325/Day
(Days 1-5)
$325/Day
(Days 1-5)
$280/Day
(Days 1-7)50%
Primary Care Physician $0 $0 $20 50%
Specialist $50 $50 $40 50%
Annual Prescription Deductible $250 (Tiers 4-5) $150 (Tiers 4-5) $350 (Tiers 4-5)
RX Copays Preferred $0/$8/$39/$93/28% $0/$13/$40/$93/30% $0/$13/$40/$93/26%
Extra Benefits$0 Copay Telehealth*, Silver Sneakers, 24/7 Nurse Line, Member Rewards are on all plans, Meals,
OTC , Dental, Vision and Hearing on selected plans
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*New in 2021Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and proprietary.
Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
Plan Name
DSNP
NM Dual Care Plus
(HMO)
Area Bernalillo, Dona Ana, Sandoval, Santa Fe, Torrance, Valencia
Transportation 24 One-way trips
Telehealth by MD Live MD Live $0 Copay
OTC $200 Quarterly
Dental
Preventive: $0 copay
1 exams, 1 cleanings
Comprehensive: $2,000 allowance per year
Vision Hardware $150 Allowance/2 years
Meal Service 28 Meals/14 Days
Member Rewards Members Earn Up to $100/Year
New Mexico DSNP Extras
*New in 2021Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and proprietary.
Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
22
Market Montana
MAPD Highlights
• NEW Telehealth by MDLive - $0 Copay for urgent, non-emergency care
• Lower copay for primary care
• New--OTC offering on Optimum PPO
• Added and enhanced EXTRA BENEFITS--Dental, OTC, Vision
• $0 Copay at preferred pharmacies for select prescription drugs
• Lower RX preferred generic/brand copays
• Expanded national pharmacy network—Now including Walmart
• MAPD--$0 Copay on 100 Day Supply for Tier 1 (Mail Order)
• Members earn up to $100 in healthy action activities—Healthy Actions Rewards Program
Market Service Area – Expansion
• Current Counties – 9
• Expanding Counties – 2
Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and proprietary.
Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
Montana MAPD
Plan Name
Classic (PPO) Optimum (PPO)
INN OON INN OON
Premium $40 $131
Area Cascade, Flathead, Gallatin, Lake, Lewis and Clark, Lincoln, Missoula, Ravalli, Yellowstone, Carbon*, Silver Bow*
MOOP $6,700 $10,000 $3,900 $10,000
Hospital Inpatient$360/Day
(Days 1-5)50%
$275/Day
(Days 1-5)50%
Primary Care Physician $10 50% $10 50%
Specialist $45 50% $35 50%
Annual Prescription Deductible $445 (Tiers 4-5) $350 (Tiers 4-5)
RX Copays Preferred $0/$13/$40/$93/25% $0/$13/$40/$93/26%
Extra Benefits$0 Copay Telehealth*, Silver Sneakers, 24/7 Nurse Line, Member Rewards are on all plans, Meals,
OTC , Dental, Vision and Hearing on selected plans
23
*New in 2021Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and proprietary.
Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
24
Market Oklahoma
Highlights
• New $20 PDP RX Secure low cost option
• Lower Plan G Rates for the AEP
• Increased household discount on supplement plan G
• Walmart now a preferred pharmacy
MS Plan NameBlue Cross Medicare
Supplement
Plan G $128*up to 20% lower rate than other carriers
Rate reflects Male Age 65, Non-Tobacco HH Discount Applied (Area 2)
PDP Plan NameBlue Cross Medicare RX
Secure*
Premium $20
Deductible $445 (Tiers 3-5)
Retail $1/4/47/35%/25%
Mail Order $3/12/141/35%/NC
MS + PDP = Winning Combination
*New in 2021Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and proprietary.
Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
25
Act Now – Training On Us
Limited Time Offer
• Complete BCBS
before 10/1
• Sell 10 MAPD or PDP
during AEP
• Earn Free AHIP Credit
*New in 2021Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Confidential and proprietary.
Distribution to consumers, other insurers or any other person or company is strictly prohibited and may be grounds for termination of your agreement with HCSC.
7.18.20
Ask Me About…• Certification – Training On Us!
• Virtual Selling – How To & Tips
• Access to materials, supplies &
producer selling guide
• Easy to use quote/enroll tools
26
• Medicare 101
• Medicare Deep Dives
• Formulary Info – RX Lookup Tool
• Provider Finder – Find Docs with ease
• Our ongoing Medicare boot camps
Plan designs and service areas described in this document are pending government approval and are therefore subject to change.
For producer use only. Confidential and proprietary. Distribution to consumers, other insurers or any other person or company is
strictly prohibited and may be grounds for termination of your agreement with HCSC.
El PasoFernie Archuleta| Medicare Regional Sales Manager
Email:<[email protected]
Mobile: 915.929.9559
Dallas Fort WorthWoody Key| Medicare Regional Sales Manager
Email: [email protected]
Mobile: 214.649.4871
HoustonDon Muir | Medicare Regional Sales Manager
Email: [email protected]
Mobile: 713.819.5334
San Antonio/The ValleyDaisy Barrera | Medicare Regional Sales Manager
Email: [email protected]
Mobile: 210.307.0502
AustinVictoria R. Trevino| Medicare Regional Sales Manager
Email: [email protected]
Mobile: 210-844-7896
7.18.20
Ask Me About…• Certification – Training On Us!
• Virtual Selling – How To & Tips
• Access to materials, supplies &
producer selling guide
• Easy to use quote/enroll tools
27
• Medicare 101
• Medicare Deep Dives
• Formulary Info – RX Lookup Tool
• Provider Finder – Find Doc’s with ease
• Our ongoing Medicare boot camps
Plan designs and service areas described in this document are pending government approval and are therefore subject to change.
For producer use only. Confidential and proprietary. Distribution to consumers, other insurers or any other person or company is
strictly prohibited and may be grounds for termination of your agreement with HCSC.
IllinoisSteve Sak | Medicare Regional Sales Manager
Email: [email protected]
Mobile: 312.560.5084
7.18.20
Ask Me About…• Certification – Training On Us!
• Virtual Selling – How To & Tips
• Access to materials, supplies &
producer selling guide
• Easy to use quote/enroll tools
28
• Medicare 101
• Medicare Deep Dives
• Formulary Info – RX Lookup Tool
• Provider Finder – Find Doc’s with ease
• Our ongoing Medicare boot camps
Plan designs and service areas described in this document are pending government approval and are therefore subject to change.
For producer use only. Confidential and proprietary. Distribution to consumers, other insurers or any other person or company is
strictly prohibited and may be grounds for termination of your agreement with HCSC.
OklahomaJack Spratt| Medicare Regional Sales Manager
Email: [email protected]
Mobile: 918.551.3185
7.18.20
Ask Me About…• Certification – Training On Us!
• Virtual Selling – How To & Tips
• Access to materials, supplies &
producer selling guide
• Easy to use quote/enroll tools
29
• Medicare 101
• Medicare Deep Dives
• Formulary Info – RX Lookup Tool
• Provider Finder – Find Doc’s with ease
• Our ongoing Medicare boot camps
Plan designs and service areas described in this document are pending government approval and are therefore subject to change.
For producer use only. Confidential and proprietary. Distribution to consumers, other insurers or any other person or company is
strictly prohibited and may be grounds for termination of your agreement with HCSC.
MontanaDanette Giono| Medicare Regional Sales Manager
Email: [email protected]
Mobile: 406.439.6395
7.18.20
Ask Me About…• Certification – Training On Us!
• Virtual Selling – How To & Tips
• Access to materials, supplies &
producer selling guide
• Easy to use quote/enroll tools
30
• Medicare 101
• Medicare Deep Dives
• Formulary Info – RX Lookup Tool
• Provider Finder – Find Doc’s with ease
• Our ongoing Medicare boot camps
Plan designs and service areas described in this document are pending government approval and are therefore subject to change.
For producer use only. Confidential and proprietary. Distribution to consumers, other insurers or any other person or company is
strictly prohibited and may be grounds for termination of your agreement with HCSC.
New MexicoFrank Amaro| Medicare Regional Sales Manager
Email: [email protected]
Mobile: 505.239.0925
