News & Blog

Highmark's Exciting Changes for their 2024 OTC Benefit

You've asked, and you have received! Highmark is happy to announce they're improving their OTC Benefit experience for their members. Beginning 1/1/2024, members will enjoy increased product offerings, more user-friendly website features, the ability to track orders and monitor OTC allowance, and an overall improved customer service experience. 

Highlights of December’s Pennie Community Workgroup

In case you missed it, below are the highlights of December’s Pennie Community Workgroup. 

NC Medicaid Expansion

The North Carolina Medicaid Expansion Began December 1, 2023. Here's what's new:

North Carolina has expanded who can get Medicaid starting December 1, 2023. Adults ages 19 through 64 earning up to 138% of the federal poverty line (e.g., singles earning about $20,000/year or families of three earning about $34,000/year) may be eligible. Current beneficiaries with full Medicaid coverage will not see any changes.  The state expects to expand coverage to approximately 600,000 individuals in North Carolina.

Humana's Last- Minute Application Tips and Rules

With the end of AEP right around the corner, Humana has some last minute application topics.

If you need a last minute paper application enrollment, the downloadable, printable SOA, Standard Application, DSNP Application, and CSNP Pre-qualification forms are attached.

Sometimes during the last day of an enrollment period, Humana systems are overloaded by the volume of activity.  If this happens, and you need to use Enrollment Hub for an Electronic or Telephonic Signature for a last minute enrollment, please try using this link to access Enrollment Hub Directly (instead of through Vantage):

MassMutual Ascend Talks Best Interest Standard in Kansas, Oregon, and Washington

Important developments are underway - hear the news from MassMutal Ascend: the Best Interest Standard is coming to multiple states!

Ambetter Health's New Agent of Record Rule

Ambetter Health has announced that effective Dec 31, 2023, the Agent of Record (AOR) will be locked in for the 2024 policy plan year. Agents must be licensed appropriately, contracted, appointed, and certified to be designated as the AOR. The initial lock date is Dec 31, 2023. All Ambetter Health's enrollments will be locked in for the 2024 policy plan year, with the broker listed as the member's AOR as of Dec 31, 2023. This includes new enrollments, renewals, and brokered and non-brokered membership. The broker portal will reflect the designated broker on Jan 3, 2024.



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