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CareAllies is a “Managed Service Organization” that supports doctors and doctor-networks with administrative services and marketing initiatives. We have been working with CareAllies and their affiliated providers for over a year, and are excited to introduce our first growth initiative in Texas and Alabama. Below you can read more about CareAllies and their doctors. CareAllies is aligned to Cigna in all markets outside Texas, and within Texas is multi-payor.
Goal: educate beneficiaries about CareAllies-aligned doctors and add interested beneficiaries to their panel
Map of CareAllies-aligned physicians:
About CareAllies
Website: https://www.careallies.com/
Texas and Alabama Campaign
CareAllies would like us to work closely with their clinics in Southern Texas and Alabama. The IPAs are listed below, but you can reference the map to view all of their clinics.
Southern Texas
TX Plans accepted: Humana / Aetna / Devoted / Cigna / BCBS TX. Note Cigna has a strong DSNP product in Southern Texas.
The primary doctor-networks in Southern Texas include:
- Doctors Organize Care (Harlingen, TX)
- Hidalgo Offers Physician Excellence (McAllen, TX)
- Lower Valley Physician Alliance (Brownsville, TX)
- The three above are organized as VOP Docs: https://vopdocs.com/
Alabama
AL Plans accepted: Cigna. Note Cigna has a 5-star plan so patients qualify for SEPs.
The primary doctor-networks in Alabama include:
- Baldwin IPA
- Cullman Primary Care IPA
- Dallas IPA
- Emerald Shores IPA
- Etowah IPA
- Franklin Medical Network IPA
- Hattiesburg IPA
- Jest IPA
- Little River Canyon IPA (Al0085)
- Msgc-Lighthouse IPA
- Providence Medical Network IPA
- Red Mountain IPA
- River Region IPA
- Shelby Chilton IPA
- Southern Medical Physicians IPA
- Summit West IPA
- Tallaco IPA
- TN Valley IPA/Huntsville
- USA Health IPA (USAH)
- Walker IPA
- West Al IPA
Campaign Requirements
You must identify any sale related to CareAllies in the Spark Platform by (1) updating the “Source” as “CareAllies” (instructions) (2) adding the doctor you aligned with the beneficiary
Campaign Dashboard
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Exclusive UnitedHealthcare Assisted Living Plan (IESNP)
Through Spark’s relationship with Pinnacle & United Healthcare, Spark agents have exclusive access to the UnitedHealthcare Assisted Living Plan (IESNP) plan, commissionable for the first time.
Most Important Info:
Contact Jill Suranie for questions at any time: jill_suranie@optum.com
- Recording of Training: UHC IESNP Overview 8/31
- Complete County and State Plan List for 2024 HERE
- How-To Guides:
- Get Certified to Sell
- How to Qualify and Enroll a Client
- How to Engage Facilities
- Walk Clients Through LOC Process
- Identify Ideal Candidates
- Plan Overview HERE (you may need to register to gain access)
Why sell the plan?
Participating agents have exclusive access to a 5 Star IESNP plan that can be sold to members in facilities AND at home, particularly helpful for beneficiaries NOT currently getting any assistance (IE on Medicaid/Dual), giving them access to benefits similar to a dual plan.
Quick Plan Overview:
- Five-Star Plan
- $1,500 Max Out-of-Pocket
- $3,000 + Dental Benefit
- $200 + Quarterly OTC Credits
- PPO plan, utilizing a network similar to regular UHC plans
Benefits differ by plan, see state-specific information for local benefit structure.
How do I get set up?
The process to get set up for the UHC IE-SNP is a bit different than other products. Below are the steps to become active:
- Go to the Pinnacle IE-SNP Page and click the “Become Ready To Sell” Link
- Important Note: You must be logged into the Pinnacle site to access the page, if you do not have a login click “register” at top right corner. If assistance is needed logging in, reach out to supporthealth@pfsinsurance.com.
- Watch the training Video
- Scan the QR Code which will take you to an attestation page
- Complete the attestation
- Within 24-48 hours you will receive a commission amendment and an additional “Invite only” certification will be added to your Learning Lab in Jarvis.
- Complete “2024 Institutional & Institutional-Equivalent Special Needs Plans Certification” (85% required to pass)
- Print a copy of the certificate
- Agent should show Ready to Sell in Jarvis within 24-48 hours.
How do I enroll clients?
Where can I find more information?
- The Pinnacle site with sign-up information: https://pfsinsurance.com/uhc-iesnp
- UHC product site: https://www.uhcassistedlivingplan.com/
Where is the plan available and who qualifies?
Complete County and State Plan List for 2024
- 2023 States include: AL, CO, CT, FL, GA, IL, IN, IA, MN, MS, MO, NJ, NY, NC, OH, OR, PA, RI, SC, TX, UT, VA, WA, and WI
- Additional 2024 States include: DC, KS, KY, MD, OK, TN
- For more information, Click Here
What can I share with clients?
Please note there is a difference between getting certified with UnitedHealthcare Assisted Living Plan (IESNP) and with UHC. If you’re looking to get certified with UHC, please read through the walkthrough.
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