Medicare Conversion Service

• Assisting small group insurance plans in achieving medical cost savings.
• Helping plans provide their disabled members and dependents with the most coverage at the lowest cost.

For small group insurance plans, our Medicare Conversion Service identifies both aged and potentially disabled members who may qualify for Social Security Disability Income (SSDI) and Medicare benefits.¹  By identifying these members and serving them with SSDI and Medicare enrollment assistance, value is provided to all involved parties.

• Members receive monthly cash benefits if eligible for and enrolled in SSDI.
• Employer groups have the opportunity to lower overall premium costs.
• Plans achieve medical cost savings via secondary payer status, and they can increase appeal to small employer groups through abilities to lower premiums.

Human Arc’s Medicare Conversion Service is the most comprehensive solution for commercial insurance plans to the challenges of SSDI enrollment and the opportunities of Medicare conversion:

• Identifying and locating disabled members (spouses, dependents or employees).
• Helping disabled members get SSDI benefits to which they are entitled.
• Helping them enroll into Medicare Parts A and B after 24 months of disability onset.
• Assisting members 65 and older with Medicare Parts A and B enrollment.
• Identifying other coordination of benefits opportunities for dependents.

Predictive modeling— medically based on 14 body systems

The Medicare Conversion Service is the outcome of years of intensive research, development and market testing.  It includes comprehensive medical and scientific input into SSDI candidate identification technology.  Human Arc’s medically-driven, third generation Precision ^sm predictive modeling quickly identifies the likeliest disability candidates, strictly in accordance with government and medical standards.

• Compliance with exacting government disability definitions is optimized because Precision is based on the Social Security Administration’s own 14 body systems of adult (and 15 systems of pediatric) disability criteria.
• You are assured the most effective data mining results. Precision has received significant input from state Disability Determination Unit physicians and PhD’s who rule on applications within Social Security Administration guidelines.

In addition, our technology doesn’t just identify who the optimal candidates are but also where these members are.

Almost three decades of outreach and enrollment experience

• You get more SSDI applications approved faster due to our long, successful relationships with government agencies. We effectively work the SSDI process, pre-notify agencies of our actions, perform pre-adjudication work for them, and provide them with “cleaner,” more viable application packages. 
• Members have trained experts working with them. Our Medicare Conversion specialists are disability-experienced and have passed the Social Security Administration Non-Attorney Demonstration Project exam to qualify to represent plan members. They are expert in compassionate, respectful screening and application support.
• Tested resources assure better outcomes. Our outreach is proven to educate members and elicit interest and active participation from them. We maintain multi-lingual depth and 24/7 access to a national translation service, and we have proven methods for working with diverse member populations.

Footnotes:

1. Medicare is the primary payer for small group insurance plan members who are either aged 65 or older and enrolled in a group with less than 20 employees... or disabled, entitled to Medicare (24 months from onset of disability), and enrolled in a group with less than 100 employees.