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Humana 2019 Updates

Jan 20, 2019, 2 Minute Read

In addition to the current broker bonuses and 2018 dental enhancements, all 2019 Humana Dental PPO plans* will include upgraded preventive services benefits including:

Dental PPO Preventive Services Upgrades*

• Additional routine cleanings and exams. Now three routine cleanings, exam, and x-rays are included per calendar year covered at 100%. (Previously two routine cleanings, exam, and x-rays were included per calendar year.)
• Four periodontal cleanings per calendar year covered at 100%. (Previously these cleanings were covered as a basic service, subject to deductible and coinsurance.) Most plans only offer two periodontal cleanings.
• Increased age limits on select services. Sealants and topical fluoride treatments are now covered through age 16. Space maintainers coverage has increased through age 15.
• Out-of-Network service reimbursement increased to 95th percentile as standard, resulting in 3% Out-of-Network (OON) claims being covered in full. OON U&C for basic and major services are reimbursed at the 90th percentile.

2018 Dental Enhancements Include:

• Unlimited annual maximum is available on Dental PPO plans (except Preventive Plus).
• Dental PPO network expansion with highly utilized providers.
• Lower rates on all DHMO plans.
• Vision material allowances up to $200 with $0 examination.
• Go365 Wellness down to 51 lives minimum.

*Renewals require a new quote request and plan change to qualify for the new upgrades.

To learn more, download the flyer and visit Humana.

Bundling Bonus

Sell a Bundle, Earn a Bundle!

Earn up to a $1,000 bonus when you sell dental, vision, and life to the same employer group before July 31, 2019.

How to Earn The Bonus

• Sell stand-alone specialty lines of coverage to groups with 5-50 eligible enrolled employees.
• Sell Dental plus one specialty line of coverage to groups with 51-99 eligible employees.

Specialty lines of coverage include Dental, Vision, Life, and Accidental Death & Dismemberment (AD&D). Learn more.

100+ Dental & Vision Bonus

Earn a bonus of up to 3% when you sell 100+ size dental and vision groups with January 1 through December 31, 2019, effective dates.

How to Earn The Bonus

• Sell groups with 100 to 999 enrolled subscribers and earn 3% of the annualized premium.
• Sell groups with 1,000 to 5,000 enrolled subscribers and earn 2% of the annualized premium.

To learn more, download the flyer.

Technology Bonus

Submit your first new Humana group through EaseCentral online enrollment and you will earn a $250 bonus (February 1, 2019 – July 31, 2019, effective dates). Claremont can help you set up the group enrollment in EaseCentral so it’s no extra work. Don’t have an EaseCentral subscription? No problem; our eQuote-to-Enrollment service will provide you with all the access you need for online enrollment and application submission. Learn more.

Deliver upgraded benefits at competitive rates with Humana. Get a quote today.

Questions?
Contact our small group experts at 800.696.4543 or info@claremontcompanies.com.