Newsletter Jan 2016 v8

Broker Newsletter
JANUARY 2016

Today’s Headline Helpful Tips

TopofBArEoPkers Start marketing early.

Field Sales Remember, a person who is 62 or 63 years old will
be turning 65 eventually. You don’t have to wait until
#1 Michele Campbell they are 64 to start marketing to them. Cast a wider
#2 Scott Eder net with your age filter and include Stanford Health
Care Advantage as your Medicare Advantage Plan of
#3 Nicole Daman choice. Keep in contact with the customer and they
#4 Andre Meschi will be more likely to call you when the time comes.

TeleSales Don’t be afraid of technology-
your customer isn’t.
#1 Kevin Holmen
#2 Val Mayer A self-guided sales presentation on a tablet device
will not only keep your customer more engaged, but
#3 Jazmine Abarca will also allow them to go at their own pace and ask
#4 Luz Manzo the questions that are most meaningful to them. Use
online scheduling tools to remind customers about
upcoming sales calls and events.

Medicare Part B

In 2016, the standard Part B premium amount will be $121.80 (or higher depending on

income). However, most people who get Social Security benefits will continue to pay the same
Part B premium amount as they paid in 2015. This is because there wasn’t a cost-of-living
increase for 2016 Social Security benefits. Beneficiaries will pay a different premium amount in
2016 if they:

• Enroll in Part B for the first time in 2016. Previous beneficaries stay at $104.90.
• Don’t get Social Security benefits.
• Are directly billed for Part B premiums.
• Have Medicare and Medicaid, and Medicaid pays premiums. (The state will pay the
standard premium amount of $121.80.)
• Have a modified adjusted gross income as reported on IRS tax return from 2 years ago of $85,000
for an Individual or $170,000 for a Couple ($170.50 to $389.90/month)
• Changes in 2016:
• Part A deductible - $1288 (days 1-60)
• Skilled Nursing - $161.00 per day (days 21-100)

SEP Reminders (Special Enrollment Period)
Beneficiaries can make changes to Medicare Advantage and Medicare prescription drug
coverage when certain events happen in their lives. For example, they can enroll in an MAPD
plan if they move, want to end their expensive group coverage or retire. These chances to
make changes are called Special Enrollment Periods (SEPs). Rules about when they can make
changes and the type of changes you can make are different for each SEP.

MyHealth Online
What does MyHealth offer?
With MyHealth patients can view health information including allergies, medications, lab results and
immunizations. They can also see past and upcoming clinic appointments send messages to their clinics,
schedule appointments and more.

Who can sign up for MyHealth?

Any Stanford Health Care patient, at least 18 years old, with a physician who is in a MyHealth-active clinic,
can sign up for MyHealth.

How can I find out more about MyHealth?

If you would like more information about MyHealth , please have your members speak with their
physicians or a clinic staff member, or review the information on the MyHealth website at :
myhealth.stanfordhealthcare.org.

Which pharmacies are in the Stanford Which hospitals are included in the
Health Care Advantage network? Stanford Health Care Advantage
network?
Stanford Health Care Advantage is contracted with a
number of local independent pharmacies and national Stanford Medical Center
pharmacy chains such as CVS, Safeway, Target and 300 Pasteur Drive
Walgreens. The plan also has a mail order service Palo Alto, CA 94305
through Postal Prescription Services (PPS). Patients
can receive discounts on many prescription drugs Good Samaritan
when ordered through this service. PPS can be reached 2425 Samaritan Drive
at 800-552-6694 or online at ppsrx.com. San Jose, CA 95124
Stanford Health Care Advantage members
and participating providers can visit the Regional Medical Center
Stanford Health Care Advantage website, 225 N. Jackson Avenue
StanfordHealthCareAdvantage.org, or contact San Jose, CA 95116
Stanford Health Care Advantage Member Care Services
at (855) 996-8422 to request a Pharmacy Directory or to Santa Clara Valley Medical Center
inquire about participating pharmacies. 751 S. Bascom Avenue
San Jose, CA 95128

Member ID Cards

Stanford Health Care Advantage provides each member with an ID card, which contains
demographic information about the member as well as important coverage information,
such as the PCP’s name and phone number, copayment or coinsurance responsibilities and
important service phone numbers. It is the member’s responsibility to present his or her
member ID card at the time medical services are obtained.

Stanford Health Care Advantage encourages providers to make a copy of the member’s ID card
for their records and confirm with the member at each visit that the individual’s insurance
coverage and PCP have not changed.

An example of the Stanford Health Care Advantage Healthcare member ID card is illustrated below:

Compliance: Helen’s Helpful Hint

“Marketing activities are prohibited in health care
settings even outside normal business hours.”

What does this include?

No sales presentations, distributing and accepting enrollment applications, or soliciting beneficiaries in areas
where individuals primarily receive health care services or are waiting to receive health care services.

Upcoming Certification Classes Phone Numbers: Ancillary

Day: Friday 1/29/2016 VSP Member Services (800) 877-7195
Time: 11:00am to 1:00pm Delta Care USA (800) 422-4234
Location: Hoover Pavilion Mail Order Prescription (800) 552-6694
Conference Rm. 208 Transportation (844) 772-6627
211 Quarry Rd. TruHearing Program (877) 396-7194
Palo Alto, CA 94304 24/7 Nurse Hotline (844) 546-8773

Find a Doctor

Questions regarding (855) 996-8422
physician network
Co ntuacst!
License Information Broker Support Hotline Member Care Services
Plan Questions (855) 996-8422
Reminder to keep DOI license up to date (855) 640-8422

Continuing Education Dan Bauler
Individual Licensee Information
Senior Manager of Sales and Marketing
This link provides the licensee with a link to “Check (510) 662-3462 Office
Your Education Status” as well as information (707) 816-6109 Cell
on the prelicensing and continuing education
requirements, and the Life Agent Insurer & Agency [email protected]
Annuity Training List. In addition, this link assists
the applicant and licensee with Education Provider Deborah Duran
information, including prelicensing or continuing
education course search. Community Marketing Representative
(510) 662-3472 Office
(408) 510-9557 Cell

[email protected]

Anita Liang

Marketing Coordinator
(510) 662-3481 Office
[email protected]