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Preparing for the fall selling season with new sales tools
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A new messaging platform with sales tools will aid you in the fall selling season and beyond.
As a broker, you can confidently recommend Geisinger Health Plan because of its comprehensive coverage, personalized service and commitment to member well-being. GHP’s tailored solutions address the unique needs of employers and their employees. And your clients gain access to a network of skilled providers, innovative programs and a strong emphasis on preventive care. Keep these in your sales toolbox:
Sales presentation
This presentation contains slides that you can mix and match when presenting to a client, depending on your needs. However, slides may not be edited. We’ll update them regularly, so refer to the most recent presentation on the broker portal.
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Geisinger Health Plan explainer video
Check out our video telling the Geisinger story. You can email it to clients and prospects, use it in presentations and share it on your LinkedIn page. Coming soon: videos on access & network, innovation & excellence and affordability.
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The busy season is fast approaching. Here are some helpful tips for quoting, selling and enrollment.
- Streamline quoting process: When requesting quotes, include all necessary information from the new business checklist. This helps expedite the turnaround time.
- Timely ID cards: Be sure new ID cards are received promptly. Return signed Confirmation of Sales agreements or proposal documents at least 30 days before the group’s renewal date.
- Leverage the broker portal: Log into the broker portal to access the new employer portal to efficiently service your accounts. You can also retrieve KYP/ACA/GFA renewal letters there. Need help? Call 866-488-6653 on weekdays between 8 a.m. and 5 p.m. or email brokerhelp@thehealthplan.com.
- New plan design: Ask your account executive about our new QHDHP HMO plan. This plan design can save your clients money while maintaining high-quality healthcare services.
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Large group client services manager announced
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Michelle Drapcho, formerly the senior account executive service specialist, has been promoted to the newly created position of large group client services manager. She’s been an integral part of the health plan for 24 years, where her dedication and expertise have made a significant impact.
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In the role of senior account executive service specialist, Michelle handled the self-funded book of business, as well as the Aon Benefit Experience national book, managing over 11,000 members. Her exceptional performance has consistently exceeded goals, with an average member retention rate of 97% or higher. Michelle holds a Master of Health Administration and a Bachelor of Science in Labor and Industrial Relations from Penn State.
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Humira to be removed from drug formulary
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Humira® is slated to be removed from the prescription drug formulary for ASO, fully-insured, KYP and GFA plans on Oct. 1, and from the ACA plan formulary on January 1, 2025. Several adalimumab biosimilars are available. These contain the same active ingredient as Humira and have no clinically meaningful differences.
What this means for current members:
- We’ll notify members via mail about this change. The specialty pharmacy providing their medication will work with their doctor to choose a preferred drug and provide a new prescription, if appropriate.
- Similar drugs require prior authorization. However, it’s been configured it in a way that if a member was receiving brand-name Humira, the preferred drugs will continue to be approved without a new authorization.
- Tiering will be the same as Humira.
- Comparable drugs are part of the coupon program, so members won't see any change in their cost-share for the drug.
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Reminder: New ACH forms required for auto-pay for those moving from a Geisinger Funding Alternative plan
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All groups in a Geisinger Funding Alternative (GFA) plan that flip to a new product will receive a new group number. Groups are required to submit a new ACH form to their account executive to continue ACH payments. Without a new form, auto-pay will not continue. (ACH is not required for ACA or KYP plans.)
Questions? Reach out to your account executive.
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Update to GFA new business & renewal proposals helps satisfy Prescription Drug Data Collection requirements
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The Consolidated Appropriation Act of 2021 requires insurance companies and employer-based health plans to submit information about prescription drug and healthcare spending to the Departments of Health and Human Services, Labor and Treasury. To streamline the collection process, beginning in October, new sales and renewals proposals will contain fields to report employer contributions. Before submitting, make sure to complete these fields.
This approach creates efficiencies for brokers and employer groups, ensuring timely, accurate data collection to satisfy the Prescription Drug Data Collection (RxDC) requirements. Questions? Contact your account executive.
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New sales and broker tools
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We’re always adding and updating resources to help you better serve your clients. Visit our resource center today!
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This bulletin is designed to be a helpful guide to administer the health plan to your clients. The group master policy, summary plan description, group subscription certificate and any applicable amendments or riders are the governing documents.
**If you choose to share this information with others, be mindful. Please take care to avoid altering or modifying the original messaging in this bulletin, or any Geisinger communications, in any way.**
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This email was sent by: Geisinger
100 N. Academy Ave., Danville, PA, 17822, US
We respect your right to privacy - view our policy
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