Understanding  Redetermination and Dual Eligible Beneficiaries 

In the past four years, enrollment in Dual Eligible Special Needs Plans (D-SNPs) has doubled to more than five million individuals. The D-SNPs are meant to meet the needs of people who are eligible for both Medicare and Medicaid. 

D-SNPs are one of several plans within the Medicare Advantage program comprise the largest category both in enrollment and the number of plans offered. Due to the nature of D-SNPs, there are challenges for members, and their agents as well. 

A state of emergency was declared, impacting individuals in certain Washington counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to the Washington counties listed below.

There’s a new low-cost network available for your Eastern Wisconsin customers. With access to the Aurora Health and Children’s Wisconsin systems, through EverPointe Elite, quality care is within reach.

EverPointe Elite is available through Allstate Benefits as a single deductible plan. That means members don’t have to worry about out-of-network deductibles or coinsurance. All claims will accumulate to the same member out-of-pocket cost.

With access to the Member Advocacy Program, our team of experts are ready to help members navigate their plan and find providers. Learn more about how EverPoint Elite can help your customers by calling your Allstate Benefits sales representative or 877-225-5077.

Molina Healthcare is implementing a new background check process for agents who have been with the company for two years and have active enrollments. Agents will receive a link from Evolve asking for a signature of approval to run the background check, which will be valid for the duration of their active status with Molina Marketplace.