Medicare Advantage Plans

• Dual eligibility outreach, enrollment, retention, documentation and adjustment services.
• Part D solutions for members and Medicare health plans. 

Services for Medicare Plans

• PremiumAssist^SM Dual Eligibility Outreach & Retention Service helps determine potential eligibility of Medicare Advantage plan members for Medicare Savings Programs, assists those eligible to apply (each year), and enables plans to get (and maintain) higher capitation as a result.
• Part D Solutions^SM  helps determine eligibility of Medicare Advantage and prescription drug plan members for the Low Income Subsidy that pays all or part of their Part D premium and related costs. 
• Medicaid Documentation and Adjustment Service identifies discrepancies and disconnects between state and federal Medicaid/dual status listings and then provides documentation so clients can apply for reimbursement at corrected, higher payment levels as well as retrospective adjustments.
• SNP Member Re-determination Service helps special needs plans for dual eligibles to optimize member management through proactive Medicaid re-determination of their existing members.
• Member Complete^SM  is the result of a partnership with the National Council on Aging.  Member Complete combines advanced technologies and applications that allow us to offer members assistance to enroll in community programs for which they qualify.
• "Serving the Dual Eligible Population" is the timely presentation of Human Arc Vice President of Business Development Jill Spencer to attendees of the Medicare Advantage Plans 101 and 102 conference hosted by Financial Research Associates.  In her presentation, Ms. Spencer emphasizes the need for health plans to establish strong communication initiatives focused on lower income members in order to optimize operational success and member retention.
• "Building a Dual Special Needs Retention Strategy" is a presentation delivered by Human Arc Vice President of Business Development Jill Spencer to a Special Needs Plans conference (Maximizing Enrollment and Retention) hosted by Financial Research Associates.  In her presentation, Ms. Spencer concentrates on three critical SNP success strategies: well-planned member communications, dual re-determination support and social outreach programs for members.

Relevant Links

• America's Health Insurance Plans: America's Health Insurance Plans is a national association representing nearly 1,300 member entities that provide health benefits to more than 200 million Americans. AHIP and its predecessor organizations have advocated on behalf of health insurance plans for more than six decades.

2009 - 2010 Federal Poverty Level Guidelines

• 2009 - 2010 Federal Poverty Level calculations by family size, broken out into annual, monthly and hourly terms, and also presented in multiplied form (120%, 135%, 150%, 200%, 250%, 300%, 350, 400%).