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November 2020 - In this issue
Commercial plans
Medicare plans
WellSpark Health
For all brokers
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Savings for your clients with Virtual plans
Your clients may need ways to save when it comes to health insurance for 2021. That’s why we added new plan designs to give individuals more options.
Have a doctor on-call with Virtual plans
With new Virtual plans, individuals can get unlimited virtual visits with Teladoc® at $0 copays. Teladoc’s medical professionals are available 24/7/365 to diagnose and treat many non-emergency conditions. They can even prescribe medicine, if needed. Virtual plans are available to individuals who buy SOLO plans or plans through Access Health CT. Note: Virtual plans do not include the EmblemHealth Prime network.
Ask your sales representative if you’d like more information on Virtual plans for your clients.
Telemedicine is not appropriate for all covered services, and restrictions may apply. Teladoc® and the Teladoc logo are registered trademarks of Teladoc Health, Inc. and may not be used without written permission.
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ID card update for commercial – group and individual – clients in 2021
Please remind your clients that every ConnectiCare member with individual plans will receive a new member ID card by Jan. 1, 2021. With the new cards, all commercial members will have new, 11-digit member ID numbers that begin with the letter “K.”
This applies to:
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New and renewing individual plan members with SOLO plans and plans sold through Access Health CT,
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Renewing small group and large group plans with effective dates of Jan. 1, 2021, and
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Members of large group plans with renewal dates from Feb. 1 to July 1, 2021.
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Letters with re-issued ID cards will include a reminder to destroy old cards after Jan. 1, 2021.
Refer to the October issue of SalesCall for more Jan. 1, 2021 updates for commercial plans.
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Updated business FAQs for COVID-19
We revised our frequently asked questions (FAQs) for businesses about the coronavirus (COVID-19). Areas that were updated include: testing; telemedicine and telehealth; Fixed Funding Solutions and self-funded solutions; furloughs, layoffs, and reduction in work hours; and COBRA extension.
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Please note to your clients: individual premium payments are due Jan. 1
We must receive the first month’s premium before we mail ID cards to new individual (SOLO or through Access Health CT) subscribers. Instructions for paying are on the premium bill and on our website. Renewing subscribers’ January premiums are also due Jan. 1 so they remain covered.
Other billing-related changes for individual clients include:
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New address to send premium payments: We are moving our premium payment accounts to JP Morgan Chase. The new payment address will be listed on 2021 bills starting with January’s bill. It is:
ConnectiCare
P.O. Box 21849
New York, NY 10087-1849
Note: If clients send payments to our previous banking partner, we will see that payments are applied to the correct accounts.
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New payment website available through connecticare.com: For members who prefer to pay online, they can set up new premium payment accounts in December. We will send letters to your clients who arranged for automatic payments in 2020 so they can update their information.
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New billing date for SOLO subscribers: We will mail invoices to SOLO subscribers around the 14th of the month. That’s the same time as we send invoices to members with plans sold through Access Health CT.
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How individual clients can end their ConnectiCare coverage
Your clients with Access Health CT or ConnectiCare SOLO plans must take action if they want to end their coverage.
ConnectiCare members with plans through Access Health CT must call Access Health CT at 1-855-805-4325 by the last day of the month they want their coverage to end. If they don’t notify Access Health CT by the deadline, they may end up owing the premium. And, they may be responsible for reconciling with the Internal Revenue Service (IRS) if they receive advance payments of the premium tax credit for the next month.
ConnectiCare SOLO plan members must call 1-877-634-2401 (TTY: 711) from 8 a.m. – 7 p.m. Monday to Friday, 9 a.m.- 3 p.m. Saturday to cancel their coverage. They can also mail or fax their cancellation request. They should include their name, policy number, and the date their policy should be cancelled:
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Mail to: 175 Scott Swamp Road, Farmington, CT 06032. Attention: SOLO Enrollment
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Fax: 1-860-678-5274
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Simply stopping premium payments does not cancel coverage. Members are automatically re-enrolled if they don’t notify us and will be responsible for the January premium.
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Adding dental coverage for SOLO quotes or enrollments
Have a new or renewing SOLO member who wants dental coverage? Add dental coverage to their quote or enrollment in just a few easy steps:
1. On the plan listing page, click “Select.”
2. Scroll to the top section and click “Add dental.” You’ll see a check mark next to the button copy when it is added.
3. You can then click “Next” at the bottom of the page to continue with the quote or enrollment.
Remember that if a current member is changing their SOLO plan, you must reselect dental to continue their dental coverage for 2021.
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2021 broker commission plan for individual sales
We’re pleased to share that our broker commission plan remains the same for 2021. For all 2021 renewals, we will pay $15 per month per individual, both on and off the exchange, up to a cap of three individuals per family.
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Ways-to-pay premium bills for your Medicare clients
Your clients will get their first 2021 Medicare Advantage invoices in the mail around the middle of December. Clients can visit connecticare.com/paypremium for all the ways to pay. They can:
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Make a one-time payment as a guest. Clients will need their member ID numbers from their ID cards or premium bills to make guest payments. Please remind members to include “01” at the end of their member ID if paying by phone.
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Sign in to the ConnectiCare website to manage payments and schedule one-time or recurring payments with a debit or credit card or bank information.
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Renewing Medicare Advantage members who set up automatic payments may need to adjust the payment amounts for their 2021 premiums. They can do this as soon as they get their first 2021 invoice.
Medicare enrollees who are new to ConnectiCare can pay their first month’s bill online as a guest or use one of several payment options described on our website’s payments and accounts page.
Please note, Medicare members who are not renewing for 2021 and still owe 2020 premium are responsible for any outstanding premium balance.
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New provider directories available, with updated dental provider information
Our dental provider information has been updated. We’re mailing new provider directories to Medicare members who requested them in the past year. We’re also letting other members with dental benefits know the information was updated. Members can use the directory to help them find a dental provider that participates in the ConnectiCare dental network, administered by DentaQuest. They can visit out-of-network providers but may have to pay more. The latest provider information is always available using the “Find a doctor” tool on connecticare.com.
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WellSpark Health offers employee benefits for the modern workforce
WellSpark Health, a ConnectiCare subsidiary, is bringing the next generation of employee benefits to employers in Connecticut and nationally. WellSpark’s customized, innovative solutions help employers manage the health of their workforce with wellbeing, disease prevention and management solutions. WellSpark clinicians use proven, proprietary diagnostic tools, powered by Silver Fern Health, to unlock each person’s unique behavioral, social and environmental barriers to health and wellbeing. Read a recent press release and article from the Hartford Business Journal. Follow us on LinkedIn for more news and events.
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Remind your clients: check what services and medicines need preauthorization
Preauthorization means that we review a medical service or prescription medicine before we’ll cover it. This helps see that your clients (and all members) are using medicines or getting services that are right for their conditions. We encourage you to advise your clients to look up what services or medicines will need preauthorization in 2021. The services are included in their plan documents or Evidence of Coverage.
Here’s some general preauthorization information you can share with your clients.
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ConnectiCare in the community
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ConnectiCare President Eric Galvin and WellSpark Health President Roberta Wachtelhausen recently appeared on Pulse of the Region to discuss the recent Connecticut Insurance and Financial Services (CT IFS) Insurance Capital Summit.
Our employees have been working remotely since March but brought their culture of health home with them. They continued to engage in health coaching and physical activity – and helped ConnectiCare receive a Gold recognition in the American Heart Association Workplace Health Achievement Index.
Laurie Blier, director of ConnectiCare Center operations, recently appeared on WPLR’s For the People. to discuss open enrollment, and how ConnectiCare Centers can help members select and enroll in a health plan.
For our Spanish-speaking audiences:
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Jose Gomez, an account executive in Medicare Sales, recently joined Dinámica Pure Adrenalina for a Facebook Live event, where he discussed individual open enrollment and how to know the difference between COVID-19, flu, and cold symptoms.
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Gomez was joined by medical director Dr. Sandra Rivera-Luciano on El Show de Analeh to discuss individual and Medicare open enrollment, the importance of the flu shot, and COVD-19 vs. flu vs. cold symptoms.
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Much more to see! Follow us on social media to stay up to date:
Facebook | LinkedIn | Instagram | Twitter
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© 2020 ConnectiCare | 175 Scott Swamp Road | Farmington, CT 06032 | Privacy Policy| Social Media Policy
ConnectiCare is a brand name used for products and services provided by ConnectiCare Insurance Company Inc., and its affiliates, members of the EmblemHealth family of companies.
ConnectiCare is an HMO/HMO-POS plan with a Medicare contract. Enrollment in ConnectiCare depends on contract renewal. ConnectiCare Insurance Company, Inc. is an HMO D-SNP plan with a Medicare contract and a contract with the Connecticut Medicaid Program. Enrollment in ConnectiCare depends on contract renewal.
Coverage is provided by and services are administered as follows: In Connecticut: Group HMO and POS coverage, and Individual HMO coverage is underwritten by ConnectiCare, Inc.; Group coverage for coinsurance plans and Individual POS coverage is underwritten by ConnectiCare Insurance Company, Inc. In Massachusetts: Group HMO and POS coverage is underwritten by ConnectiCare of Massachusetts, Inc. FlexPOS, PPO coverage, ASO/Self-funded services, and Dental products are administered or underwritten by ConnectiCare Insurance Company, Inc.
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