Where to Turn Resource Fair, September 2016, United Healthcare
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Brian DeVinney & Lauren Yuran from United Healthcare discuss updates to the United Healthcare Dual Complete Medicare Advantage healthcare plans
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Where to Turn Resource Fair, September 2016, United Healthcare
- 1. Created by: Melissa Sipusic / WPA Team UnitedHealthcare
- 2. 2 Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. Qualifications = Qualifications: -Live in licensed UHC county area -Full Medicaid Benefits -Have Medicare Part A & B
- 3. Confidential property of UnitedHealth Group. For Agent use only. Not intended for use as marketing materials for the general public. Do not distribute, reproduce, edit or delete any portion without express permission of UnitedHealth Group. 9.30.2014 Key Benefits Key Benefits Selling Points 11 County Service Area: WEST: EAST: Erie Northampton Crawford Lehigh Lawrence Berks Beaver Lancaster Allegheny York Westmoreland UnitedHealthcare Dual Complete H3113-009 Zero Cost Sharing Pennsylvania
- 4. Confidential property of UnitedHealth Group. For Agent use only. Not intended for use as marketing materials for the general public. Do not distribute, reproduce, edit or delete any portion without express permission of UnitedHealth Group. 9.30.2014 Market Specifics | 2016 4 Benefits UnitedHealthcare Dual Complete Plan H3113-009 Service Area Allegheny, Beaver, Crawford, Erie, Lawrence, Westmoreland Premium $0 PCP Co-Pay $0 Specialist Co-Pay $0 Inpatient Hospital $0 up to 90 days Outpatient Surgery $0 Diabetes Monitoring Supplies $0 Preventative Dental $0 Exams, Cleanings every 6 months and X-rays Comprehensive Dental Up to $2500 Crowns, fillings, extractions, periodontal Vision $0 routine eye exam/2 years $150 credit glasses/contact lenses every 2 years Routine Hearing $0 annual hearing test $1,000 allowance for hearing aids/2 years Rx Co-Pays Generic ($0-$2.95) Other Medications ($0-$7.40) First Line Health Product Catalog $150 per quarter $600 annually Transportation 48 one-way trips per year Referrals Required No NurseLine Speak with registered nurse 24/7
- 5. Key Benefits UnitedHealthcare Dual Complete -- H3113-009 PA Dental ($2,500 limit/year) •Oral Exams - $0 copay; 1 every 6 months •Routine Teeth Cleanings - $0 copay; 1 every 6 months •Dental X-Rays - $0 copay; frequency is based on dentist recommendation •Comprehensive Dental - $0 copay for routine restorations, extractions and crowns Hearing •$0 copay for annual hearing test •$1,000 allowance for hearing aids every 2 years FirstLine Health Products Catalog •$150 quarterly for purchases from the approved health products •Members must place a minimum order amount of $30 with each order •There are no shipping and handling costs •Items will be delivered directly to the member’s door •Expires annually! Vision •$0 copay for a routine eye exam, one eye exam every year •$0 copay for eyewear; up to $150 credit every 2 years for lenses/frames and contact lenses
- 6. 6 Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. Qualifications = Qualifications: -Live in licensed UHC county area -New To Medicare and/or Turning 65 --Have Medicare Part A & B
- 7. 7 Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. SEP What creates an SEP -NTM (New To Medicare) -About to celebrate a 65th Birthday *enroll into a plan 3 months prior, during, 3 months after birthday month -Move to a new state/ New County -Current Plan leaves the area -LIS (Low Income Subsidy) -PACE/PACENet-Dual Special Needs Special Election Period
- 8. 8 Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. SEP LIS Qualifiers: Low Income Subsidy If Qualify, Medicare may pay for:
- 9. Sales Outreach & Development Confidential property of UnitedHealth Group. For Agent use only. Not intended for use as marketing materials for the general public. Do not distribute, reproduce, edit or delete any portion without express permission of UnitedHealth Group. 8.7.15 Market Specifics | 2016 9 Benefits AARP Medicare Complete Plan 1 H1944-010 AARP Medicare Complete Plan 2 H1944-011 AARP Medicare Complete Plan 1 H1944-012 AARP Medicare Complete Plan 2 H1944-013 Plan Highlights New low premium plan for those shopping on value. Includes SilverSneakers® New mid-level premium plan offering more robust benefits. Includes Preventive Dental and SilverSneakers® New low premium plan for those shopping on value. Includes SilverSneakers® New mid-level premium plan offering more robust benefits. Includes Preventive Dental and SilverSneakers® Service Area Allegheny, Beaver, Lawrence, Westmoreland Allegheny, Beaver, Lawrence, Westmoreland Crawford, Erie Crawford, Erie Premium $19 $49 $19 $89 PCP Co-Pay $15 $5 $15 $5 Specialist Co-Pay $45 $35 $45 $35 Inpatient Hospital $345 Days 1-5 $225 Days 1-7 $345 Days 1-5 $225 Days 1-7 Outpatient Surgery 20% $225 20% $225 Max Out-of-Pocket $6700 $4900 $6700 $4900 Routine Dental N Y N Y Routine Hearing Y Y Y Y Rx Co-Pays $2/$12/$45/$93/25% $2/$8/$45/$95/33% $2/$12/$45/$93/25% $2/$8/$45/$95/33% Rx Deductible $315 (T3, T4 & T5 only) $0 $315 (T3, T4 & T5 only) $0 Referrals Required Y Y Y Y
- 10. Events 10 Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
- 11. QUESTIONS 11 Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. & WE APPRECIATE YOU!
Notes de l'éditeur
- Obtain map image from: http://quickfacts.census.gov/qfd/maps/
- Do: Go over the brand/logo, the plan name, plan number and dual eligible type (refer to the chart on slide 16). Point out the map and since it is small, the counties are listed also. Say: Now we’ll look at the selling points for this state. Do: Click on the selling points star.
- Presenter Preparation – Insert key benefits information Paste in table data Add or delete columns as needed Change font to Arial Increase font size to fit better Stretch size if needed [click]
- Say: This slide introduces the added benefits of a Dual SNP in the state of _________ (insert state). These represent our competitive advantage in this state. Do: Review each benefit. Say: (if including the Health Products Catalog) The Health Products catalog is one of many benefits of enrolling into a UnitedHealthcare Dual SNP. Avoid using statements that may lead a consumer to believe that the Health Products catalog is a discount plan or that they are enrolling in this discount plan as opposed to a Medicare Advantage SNP plan. Note: The term “Comprehensive Dental” is a category of benefits. It does not mean that it is all-encompassing. Shown on this slide is what is included in Comprehensive Dental for this plan. Comprehensive Dental, like other benefits, vary by plan.
- Presenter Preparation – Insert key benefits information Paste in table data Add or delete columns as needed Change font to Arial Increase font size to fit better Stretch size if needed [click]