PremiumAssistSM Services for Medicare Advantage Plans and Dual SNPs
Human Arc offers dual eligibility outreach, enrollment and re-determination services for Medicare Advantage Plans, as well as re-determination services for dual Special Needs Plans.
Dual Eligibility Outreach and Retention Services
Many of your Medicare Advantage health plan members may be missing out on Medicare Savings Programs that help pay Medicare Part B monthly premiums. Connecting eligible members to these programs means more money for them and a bigger impact to your bottom line.
With PremiumAssist Dual Eligibility Outreach and Retention Services, Human Arc’s experts identify your members who are potentially eligible for these Medicare Savings Programs, screen them for eligibility, and guide them through the application process from beginning to end—even managing re-enrollment year after year.
You benefit from:
You’ll increase plan income with higher capitation to the health plan for these members, now considered dual-eligible.
Clients commonly experience initial eligibility conversions up to an additional 5% of active members, with more than 94% of members initially assisted re-enrolled after the first year.
Ongoing Revenue Opportunity with Minimum Expenses.
Our solution requires zero investment in personnel or equipment.
Increased Member Income and Expanded Member Loyalty.
Enrolled members receive more each month in their Social Security checks. Because you’ve helped connect them to this benefit, they will know you are looking out for their best interests.
A benefit that provides your members information about access to government and community assistance programs for which they may qualify, including the Medicare Part D Low Income Subsidy (LIS or “Extra Help”) to help cover prescription expenses.
The Human Arc Edge
Armed with Human Arc’s nearly three decades of industry experience and long-standing agency relationships, our specialists have the resources and knowledge to successfully guide members through the enrollment process.
Fast, Effective Member Outreach.
Over the years, Human Arc has built a strong relationship with CMS. Our customized communication templates meet all CMS requirements and enable us to quickly obtain approval and execute.
Our approach ensures outreach does not interfere with your day-to-day operations, pull on your staff’s time, or take away from other important Medicare Advantage plan initiatives.
Our services are characterized by deep experience working with older populations and others with special needs. Our specialists put an emphasis on dignity and personal privacy to maximize response rates and ensure continued cooperation when it’s time to reapply.
We monitor the CMS Monthly Membership Reports following enrollment to verify successfully enrolled members are brought into the Medicare Part B premium assistance benefit.
Security and Compliance.
You can rest assured your patients’ information is kept confidential and remains fully protected with Human Arc’s experts who are 100% trained on HITECH/HIPAA.