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  Kelsey-Seybold team to expand Humana's Medicare Advantage provider network Major insurance hub Humana has partnered with multi-specialty group practice Kelsey-Seybold Clinic to sign an in-network agreement that Humana hopes will allow expanded access to value-based care through a broadening of its Medicare Advantage provider network in the Houston area. The insurer expects the move will expand access to care to include members of its Medicare Advantage HMO plans. With this agreement that becomes effective Jan. 1, 2022, Houston-area members of Humana Medicare Advantage HMO plans will have in-network access to care at more than 26 convenient Kelsey-Seybold Clinic locations. They also will have access to more than 500 providers in 55 medical specialties across the Houston-Galveston region. Humana has stressed that the new relationship will emphasize the insurer's focus on value-based care, as well as access to proactive health screenings and programs focused on preventing illnes

 Medicare Supplement Underwriting Rules  The Medicare Annual Enrollment Period (AEP) is approaching soon. It’s important to follow the Open Enrollment (OE) and Guaranteed Issue (GI) rules set by CMS and to prevent application processing delays:  Clients who are eligible for OE or GI are not allowed to go through full medical underwriting for a Medicare supplement policy.  Producers cannot choose how they want the application to be processed, we must follow CMS requirements. To learn more, visit Agility's Mutual Contracting page. 

CMS Final Rule Extends Marketplace Open Enrollment to January 15, 2022   On September 17, 2021, the Centers for Medicare & Medicaid Services (CMS) finalized changes that follow through on President Biden’s promise to build on the Affordable Care Act and expand health coverage access for Americans. The changes are the third installment of the payment notice for 2022.   There are many important policy updates that Marketplace agents and brokers should be aware of prior to the beginning of the plan year 2022 Open Enrollment Period (OEP). These include: An extension of the OEP is extended from November 1, 2021, to January 15, 2022, annually for Marketplaces on the federal platform. Clarification for Special Enrollment Period (SEP) rules regarding enrollees who qualify for a maximum advance premium tax credit (APTC) amount of zero dollars. A monthly SEP for APTC-eligible individuals whose household income does not exceed 150 percent of the federal poverty level (FPL). Clarification on t

  CVS-Aetna Branded Obamacare Plans Target 8 States For 2022 Launch CVS Health is looking to sell individual coverage with the “CVS-Aetna” brand on exchanges under the Affordable Care Act in up to eight states for 2022. Citing better market conditions and quality low priced health plans it can offer. CVS Health’s Aetna health insurance unit left the ACA’s exchanges four years ago under prior Aetna management along with other insurers that were unable to manage rising costs of uninsured patients signing up for such coverage. CVS explained the company is just now working with insurance regulators and submitting plans and rates to offer individual coverage under the ACA, which is also known as Obamacare after President Obama. CVS isn’t yet disclosing the states it plans to offer these plans, executives confirmed Tuesday. The CVS-Aetna move back into the ACA individual business comes under a more supportive White House under President Joe Biden, who was Obama’s vice president when the ACA

We heard you. We listened. We took action. The new Molina Marketplace Provider Online Directory is live for all Molina states and lines of business!    New Provider Directory includes: Improved look and feel Google-esque search functionality Search by category or common searches Interactive map Multiple languages Members can login using their My Molina account to see only doctors contracted with their plan Once logged in, all settings can be customized to the member 1. Visit:  https://molina. sapphirethreesixtyfive.com/ 2. Select the State and Marketplace plan (i.e. “TX – Molina Marketplace”) 3. Enter the zip code you’d like to search 4. Adjust the radius as needed, the default is 10 miles     And don't forget about your Molina Contracting now available for 2022!  

  Agents and Brokers: Get Contracted & Appointed to Sell  Cigna ACA & Dental Plans  Today! Cigna Is Adding 93 Counties - Increasing Customer Reach By Nearly 64%  Cigna Individual and Family Plans is happy to announce an  expansion to three new states and 93 new counties for 2022 . This means more of your customers can access Cigna products and you can enjoy a more successful Open Enrollment Period.  Register  for the upcoming Market Launch Event Series to learn more about Cigna’s 2022 expansion and product options in your markets. Our markets include :  Markets: Individual and Family Cigna Products: ACA On and Off-Exchange Health Plans, Dental 2022 ACA State Availability: Arizona, Colorado, Florida, Georgia, Illinois, Kansas, Mississippi, Missouri, Pennsylvania, North Carolina, Tennessee, Utah, and Virginia 2022 ACA Expansion Areas: Arizona  – Expanding to Gila, Pinal, and Yavapai Florida  – Expanding to Miami-Dade Georgia  – 43 counties covering southeastern GA Mississippi  –

  Health Care Service Corporation Launches Biggest Expansion of Medicare Advantage Plans in Company’s History Healthcare Service Corporation (HCSC), which operates health plans in Illinois, Montana, New Mexico, Oklahoma, and Texas, announced the business is increasing its footprint in the Medicare Advantage market to serve in addition to 90 new counties, increasing access to new inclusion options for in addition to 1.1M additional Medicare-eligible people. The expansion is the business concern’s largest aid area and product growth in its record, particularly in rural and underserved areas. HCSC’s Medicare Advantage plans grant Medicare-eligible individuals greater flexibility and choice fashionable coverage, offering enhanced benefits. Premiums can vary by geography, with some $0 premium HMO and PPO plan offerings. Medicare Advantage plans could also support additional benefits beyond usual Medicare, including (or the alternative to purchase) dental, vision, and hearing insurance at a