News

Medicare Annual Disenrollment Period (ADP)

The Annual Disenrollment Period began January 1st and continues through February 14th. During this period members may choose to disenroll from their MAPD or MA plan and go back to Original Medicare. To accomplish this, the member would contact Humana to request the disenrollment. Members are also eligible to use a SEP to enroll in a PDP plan. Individuals may use the “ADP” SEP code subsequent to having submitted a disenrollment request or may simply enroll in a PDP plan resulting in automatic disenrollment from their previously elected MAPD or MA plan and placing them back on Original Medicare.

Please Note: Members cannot elect an alternate MAPD or MA plan during the Annual Disenrollment Period.

Members may also choose to purchase a Medicare Supplement to enhance their Original Medicare benefits during this time.

Individuals enrolled in just a PFFS with no Rx plan must request disenrollment from that plan in order to be eligible for this SEP, as enrollment into a PDP plan would not result in the automatic disenrollment from the MA Only plan. If the member is currently enrolled in both a PFFS with no Rx plan and a stand-alone PDP, he or she will have to actually disenroll from the PFFS plan if they wish to return to Original Medicare.

Please remember to utilize the proper election period when completing applications. In addition, a Scope of Appointment (SOA) is needed for each face- to- face sales appointment that you conduct.

All applications should be submitted promptly; within 24 hours of taking the signature.

New and Improved Changes to Humana’s Agent Portal

In an effort to streamline information for agents, we have made some changes to the Agent Portal. These changes include:

• The Education link located on the main page of the Agent Portal has been renamed to Agent Education
• The MarketPoint University access point, once on the main page of the Agent Portal, has been moved to the Agent Education page.
• The title and link to the Access Certification/Recertification and Training link has been renamed MarketPoint Learning Portal (title and link).
• The Agent Education page now contains the links to Market Point Learning Portal, MarketPoint University and the MarketPoint Library.

In addition to the changes on Agent Portal’s main page, the MarketPoint Learning Portal now has a new look. Although the page looks a little different, it still works the same when accessing My Assignments, the Course Catalog or launching courses from the Current Enrollments list. Along with its new look we have added a new Search feature that allows you to search for a term. That is right—you now have the ability to search for pieces of content within a course. Your search results will provide you with the supplemental materials that are available in course materials.

Please use the attached job aids to explore the new features of the Agent Education tab and MarketPoint Learning Portal now on Agent Portal.

JOB AID: How to Access MarketPoint Learning Portal My Assignments in Agent Portal
JOB AID: How to Access MarketPoint Learning Portal Course Catalog in Agent Portal
JOB AID: How to Access MarketPoint University in Agent Portal
JOB AID: How to Use the MarketPoint Learning Portal Search Function

MarketPoint University

MarketPoint University is your one stop shop for all things Healthcare Reform! Agents will find important training on markets, products, renewals, how to get certified on the FFM and much more. Soon, MarketPoint University will be expanded to include information on a variety of subjects. Be sure to keep coming back to check out the exciting changes to MarketPoint University.

Medicare Members EyeMed Benefit

Beginning in 2015, we have removed information about selecting an EyeMed network provider and how members tell providers about their benefits from the Medicare Advantage Evidence of Coverage (EOC) and Annual Notice of Changes (ANOC) documents. Humana’s Medicare ID card doesn’t include a reference to EyeMed.

Please make sure your Medicare members understand their EyeMed benefit. Here are some things they should be aware of:

• Make sure that members with the EyeMed supplemental benefit (either mandatory or optional) code VIS731-799 know to tell the EyeMed Select provider that they have the EyeMed benefit. Providers can validate member benefits in the EyeMed system using the member’s name and date of birth.
• EyeMed Select network providers will submit claims for routine wellness comprehensive exams with refraction/dilation and materials to EyeMed.
• If the member has an EyeMed PPO benefit with out-of-network (OON) benefits, it’s the member’s responsibility to submit the EyeMed OON claim form with an itemized receipt to EyeMed.
• Certain types of post-cataract eyewear may be covered as a Medical benefit excluding post-cataract eyewear. Members should review their Humana Medicare Advantage benefit information and ask Humana for further information.

The Humana/EyeMed discount is different than an EyeMed benefit and is automatically available to members of Humana’s Medicare Advantage plans and Dental plans. EyeMed does not receive information for members who have the Humana/EyeMed discount (and not the EyeMed benefit). The provider applies the discount at the point of sale and does not need to submit a claim.

Discount-only members do not have an ID card; they just need to tell the provider they have the Humana/EyeMed discount. Members with an EyeMed benefit cannot use their funded benefit and discount within the same transaction.

Members can locate EyeMed providers using Humana.com or by calling EyeMed Customer Service at 1-888-289-0595. The EyeMed Select network offers retail locations (including LensCrafters, Pearle Vision, Sears, JC Penney, and Target Optical) as well as a wide array of independent locations.