Medicare Flashes

New In-Network Providers Added

July 17, 2018

Union Hospital and Union-employed physicians in the Terre Haute, IN, area are now in-network for Illinois Medicare Advantage HMO and POS plans, providing members with more savings and more options for care.

Union Associated Physicians Clinic providers are being added to our provider search as they become credentialed. Members should not consider Union providers as in-network until they show up in the provider search. Members can also call the Member Services number on the back of their ID cards to confirm that providers are in-network.

Please let your clients in the Terre Haute area know of these new options.

New Contracting Feature on Your Health Alliance for Brokers

June 26, 2018

We’re pleased to announce that non-contracted brokers in your agency can now complete a Health Alliance contracting request for any product through Your Health Alliance for brokers.

Our Your Health Alliance Guide for Brokers can help walk interested agents through this process. After they’ve submitted all the required documentation, we’ll review the request and email them about next steps within 3 business days.

Please contact Broker Support at 1-877-917-8489 or BrokerServices@healthalliance.org with questions.

2019 Medicare Advantage Contracting Available on Your Health Alliance for Brokers

June 26, 2018

Our plan year 2019 Medicare Advantage contracting is now available on Your Health Alliance for brokers. All required documents must be uploaded under Plan Year 2019 on the Medicare Advantage Contracting tab, not emailed to us.

Our Your Health Alliance Guide for Brokers can help walk you through this process. After you’ve submitted all the required documentation for 2019, you’ll be emailed a link to online product training once it’s available, around the end of August.

All brokers must recertify every plan year per CMS rules. If you do not complete 2019 contracting, which includes uploading documents, completing product training (available at in-person trainings or online, which will be available late August) and e-signing the DocuSign contract, before December 31, 2018, you will not be paid new member commission or renewals in 2019.

Please remember that 2019 benefits can’t be discussed until October 1, 2018. If you have questions, contact Broker Support at 1-877-917-8489 or BrokerServices@healthalliance.org.

New Broker Support Line

June 19, 2018

To better serve you, we’ve set up a new phone line just for brokers at 1-877-917-8489. You can also email BrokerServices@healthalliance.org.

This Broker Support Line is for marketing and sales-related support for all product lines. Our goal is to answer your questions or quickly connect you with the person who can help. Hours of operation are 8 a.m. – 5 p.m. CT. We’ll respond to voicemails and emails within one business day.

You can call the Broker Support Line for help in these areas and more.

• Contracting as an agency or agent
• Using YourHealthAlliance.org for brokers
• Applications and checking enrollment status
• Status of marketing material orders
• Using our online quoting and enrollment tools
• Agent of record questions
• Training/certification questions or confirmations
• Seminar/event reservations

Please continue to call Member Services at 1-800-965-4022 for member questions, including:

• Member-specific benefit questions or details
• Claims status or denials for members
• Billing or payment questions
• Member demographic updates
• Preauthorization status or to check if preauthorization is needed

We value our brokers, and we hope this new resource saves you time and makes it even easier to work with us.

Next time you have a question, call the Broker Support Line at 1-877-917-8489 or email us at BrokerServices@healthalliance.org.

Okanogan Valley Pharmacy Closing

June 12, 2018

Okanogan Valley Pharmacy is closing today and will no longer be a preferred cost-sharing pharmacy for Health Alliance Northwest members. Omak Pharmacy is the closest preferred cost-sharing pharmacy, and there are many other in-network pharmacies in the area where members can get prescriptions filled at the standard cost-sharing coverage amount.

A preferred cost-sharing pharmacy is an in-network pharmacy that has signed a contract with us to offer certain prescription drugs at a lower cost. At these pharmacies, members can get $0 Tier 1 generics and a 90-day supply of their medication for 2 copays. At standard cost-sharing pharmacies, members have a small copay for Tier 1 generics and can get a 90-day supply of their medication for 2.5 copays.

If you have clients on Companion plans who may use Okanogan Valley Pharmacy, please let them know about its closing and their other options.

If you have clients on Companion plans who may use Okanogan Pharmacy, please let them know about its closing and their other options.