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Highmark Blue Shield

Agent Use Only - Confidential

 

 SENIOR MARKETS UPDATE

 

Coronavirus (COVID-19) Updates

 

 

As the COVID-19 situation continues to evolve, we want to provide you with some additional options for completing and submitting enrollment applications.  We have updated the guidelines below to remove any time restrictions (with the exception of the SOA guidelines) and added an option for telephonic enrollment.

Regardless of the client’s requested effective you have the following options for a safe and compliant consultation and application submission.  These processes are effective immediately until further notice.  

  • NEW! Telephonic Enrollment Option – Once you have completed a phone consultation with the prospect and the prospect is ready to complete the enrollment, you may conference call our dedicated enrollment line for the beneficiary to complete the enrollment telephonically. The personnel staffing the enrollment line are unlicensed agents and will not be able to provide consultative assistance to you or the beneficiary.  If the beneficiary has any plan specific questions, they will be directed to call their agent back to assist before completing the enrollment.
    • ​​​Phone Number: 1-866-673-9112
    • Required Information: Please provide the agent your name and NPN, the beneficiaries name, and the plan they wish to enroll in.  The agent staffing the line will then process the enrollment telephonically.
    • To ensure all applications are properly processed, you must send the beneficiary’s name, DOB, and selected plan to HighmarkSeniorMarkets@highmark.com

 

  • Mail Option - 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.

  • Online Enrollment: Please direct your clients to https://medicare.highmark.com/where you can review plan options over the phone with them and the beneficiary can complete an online application.  
    • 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.  

REMEMBER! Scope of Appointment – In all situations, you are still required to capture an SOA. 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. 


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

Keep up to date with all of Highmark’s COVID-19 updates and FAQs at the following site: https://faqs.discoverhighmark.com/