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Disease management could also be a reason to join a MAPD plan. Some carriers offer a case worker to help their members for certain conditions, post hospitalization, etc.
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Disease management could also be a reason to join a MAPD plan. Some carriers offer a case worker to help their members for certain conditions, post hospitalization, etc.
Dual plans are great for these members. Depending on the area, they have access to HMO/PPO plans, most of members Medicaid or QMB plans pay most of IF not ALL of their copys, co-insurance and deductibles and in some states, they pay out of network costs as well as the premiums. It gives extra benefits like gym memberships, transportation, vision, hearing (covers hearing aids) dental (some plans cover dentures/implants), medical alert buttons at no cost, and now some dual plans are offering virtual visits with no copay. Some companies now have "onboarding" for these members and the departments help these members find doctors in network and set them up with their OTC benefits etc.
Dual plans are great for these members. Depending on the area, they have access to HMO/PPO plans, most of members Medicaid or QMB plans pay most of IF not ALL of their copys, co-insurance and deductibles and in some states, they pay out of network costs as well as the premiums. It gives extra benefits like gym memberships, transportation, vision, hearing (covers hearing aids) dental (some plans cover dentures/implants), medical alert buttons at no cost, and now some dual plans are offering virtual visits with no copay. Some companies now have "onboarding" for these members and the departments help these members find doctors in network and set them up with their OTC benefits etc.
Because you make a commissionI am in AZ and I have met a couple people lately that were on AHCCCS (AZ's Medicaid program) before they become eligible for Medicare. They have become so comfortable with Medicaid that they are hesitant to consider MAPDs for dual eligibles. Other than benefits such as dental, vision and OTC stuff that are offered by MAPDs for the duals, are there any other reason why these people should consider signing up for a dual program?
TIA.
Yeah, it's hard to make a living when only 85-90% remain on the books from year to year.
At least that's my experience. Those that have your attitude probably don't sell duals.
Rick
Yes they can. I don't mess with some of those people because Medicaid can better serve them sometimes. Like with home healthcare.
But if the are really unorganized, or have no one to help them, then I think a dual plan can help them.
From a recent UHC study the average person on an MAPD stays 4.2 years and the average person on a MAPD DUAL stays on for 4.7 years..Yeah, it's hard to make a living when only 85-90% remain on the books from year to year.
At least that's my experience. Those that have your attitude probably don't sell duals.
Rick