|WellPoint Affiliates Offer Wide Range of Options for Medicare’s Annual Election Period|
Most Medicare Advantage Plans Include Dental and Vision, Online Visits, Additional Benefits
“We recognize that no two
Some of the highlights include the following.
Health care provider collaboration. WellPoint has developed new, value-based contracting partnerships with high-quality providers across the country in an effort to both coordinate health care and improve the quality of care for its members while working to ensure appropriate services are provided. “Through these new types of relationships, we are working more closely with health care providers than ever before,” Russo said.
New plan options. WellPoint affiliates are adding Dual-Eligible
Special Needs Plans (DSNPs) in 145 counties in 12 states this year.
DSNPs are MA plans that provide enhanced benefits to people eligible for
Additionally, traditional Health Maintenance Organizations (HMOs), which
tend to provide lower costs, are being introduced in 67 new counties in
nine states; and Local Preferred Provider Organizations (PPOs), which
tend to provide greater flexibility and choice, are being added in two
Additional benefits. Vision and dental benefits are being added in most WellPoint-affiliated MA plans this year where they didn’t exist previously. This is important since vision and dental health are closely aligned to overall health. Dental benefits, in particular, can be difficult for seniors to secure. According to a 2013 WellPoint survey, only four in 10 older Americans (41 percent) said they currently had dental coverage and 32 percent of those without insurance admitted forgoing dental care because they had other expenses to worry about.
Most WellPoint-affiliated MA plans will now also include a program to help members with advanced illness planning. The Vital Decisions program provides counseling by telephone to help members with certain advanced illnesses identify their goals, share them with loved ones and take steps toward meeting them.
More preferred pharmacies. Members of all of WellPoint’s
affiliated Part D standalone Prescription Drug Plans (PDPs) and most of
its affiliated Medicare Advantage Prescription Drug Plans (MAPD) can
save on their drug copays by using a preferred pharmacy. The number of
preferred pharmacies is increasing by almost 50 percent this year with
the addition of CVS/pharmacy, Food Lion,
Healthy programs. Speaking of staying healthy, the SilverSneakers fitness program will once again be available in most WellPoint-affiliated MA plans this year to help members stay active, while addressing aging issues. SilverSneakers facilities are located at thousands of convenient locations nationwide.
Online visits. LiveHealth Online will be featured in many WellPoint affiliated MA plans in 13 states this AEP. LiveHealth Online allows members to visit a board certified doctor on a secure connection over the Internet via a smart phone, tablet or computer. Members can see these doctors on their own schedule in certain non-emergency situations without having to leave their homes. Moreover, if medically appropriate and allowed by the state, LiveHealth Online’s doctors can send prescriptions directly to a nearby pharmacy. A summary of each visit is created and can be forwarded to the patient’s primary care doctor with their permission, supporting continuity of care and collaboration among providers.
For details about WellPoint affiliated
WellPoint is working to transform health care with trusted and caring
solutions. Our health plan companies deliver quality products and
services that give their members access to the care they need. With
nearly 69 million people served by its affiliated companies, including
more than 37 million enrolled in its family of health plans, WellPoint
is one of nation’s leading health benefits companies. WellPoint
companies serve members as the
WellPoint affiliates are PPO, LPPO, RPPO and HMO plans with a
This plan is available to anyone who has both Medical Assistance from
the State and
1 Data source is CPSC