|
As
the COVID-19 situation continues to evolve, we want to remind you
that Highmark is still accepting applications and we want to
provide you with some information on how you can continue business
compliantly. Many of you may have clients who do not wish to
meet in person. In this event, please follow the guidelines
below:
- If your
client’s requested effective date is three or more weeks out, please
mail the client an application or provide them with the
information on how to access enrollment material from
Highmark’s website. Applications can be mailed back to
you or submitted to Highmark directly. Please make sure
your National Producer Number (NPN) is included on all
applications!
- If you need
to access online material, you or your clients can go to https://medicare.highmark.com/resources,
enter your client's zip code and county, on the left side of
the screen, you will see "Library" where you can
then access "Plan Documents" from the list. This
will include a paper application, Summary of Benefits,
formulary, Evidence of Coverage (EoC), and more.
- If your
client’s requested effective date is within three weeks, please
direct your clients to https://medicare.highmark.com/
where they can review plan options over the phone with you and
complete an online application.
- In an
effort to ensure you receive credit for this enrollment, you
must email HighmarkSeniorMarkets@highmark.com
with the client’s full name, DOB, and include their
enrollment confirmation number received at the submission
point of the online enrollment. All cases will be
reviewed by management and updated to include the AOR as
appropriate.
- This
process is effective immediately through April 30,
2020. In the event we plan to extend this process, you
will be notified.
- Scope of
Appointment – In all situations, you are still
required to capture an SOA. In either situation above, we
suggest you mail an SOA to the client in advance of your sales
consultation and have the SOA returned directly to you.
As always, you are not required to submit the SOA with the
application but must retain a copy per CMS’ record retention
guidelines.
In an effort to reduce delay times, we strongly suggest that
applications are submitted through the Highmark Producer Portal (https://producer.highmark.com).
If you are unable to access the portal or do not know your login
information, please contact one of the resources listed below.
Have questions? Please use the following resources as we have
limited staff available to answer Producer Hotline calls. If
you are unaware of who your assigned representative is, please
reference the map below.
Producer Hotline email box - HighmarkSeniorMarkets@highmark.com
Bill Glas – William.glas@highmark.com
Tom Campedel – Thomas.campedel@highmark.com
Tom Dunaway – Thomas.dunaway@highmark.com
Heather Kolivras – Heather.Kolivras@highmark.com
Stephanie Stanley – Stephanie.stanley@highmark.com
Highmark has created the following site: https://faqs.discoverhighmark.com/ to provide information/tips
pertaining to COVID-19. If you have any additional questions
not included on the website, please contact us at one of the
resources above.
As a reminder, Highmark will cover Coronavirus, or COVID-19,
testing at 100% when recommended by a medical professional. This
means copays, deductibles, and coinsurance do not apply for this
testing. This applies to Medicare Advantage, Affordable Care Act,
and select employer plans; however, please have your client check
with Member Services to see if this applies to their plan. They
should use the number on the back of their card.
Watch for additional communications and information by email or
webinar in the coming days.
|
