October 2023

NEW! 3 MEC Plan Options

for Your Employer Clients

Our Minimum Essential Coverage Plan (MEC) has been so popular we decided to offer two buy-up options - MEC Plus and MEC Advantage.

You can now offer employer groups affordable options that vary from basic preventive coverage to preventive coverage with additional benefits featuring small copays:

• MEC: Preventive services; prescription drug discount
• MEC Plus: Preventive services; prescription drug discount; 1 primary care visit with no copay
• MEC Advantage: Preventive services; $10 copay on generic drugs; 3 primary care visits with $20 copay; 5 lab and x-ray services with $50 copay; 1 diagnostic testing with $200 copay

Start quoting now for effective dates Nov. 1 or later. You can personalize our flyer with your contact information to share with employers. Just click on the image above left for your marketing flyer.

You also can learn more about these plans by clicking on the image of the brochure on the above right. This brochure also can be personalized.

Want to Learn More? Register for Our Webinar

Allied MEC Plans are limited benefit plans that utilize a PPO and are designed to help group plan sponsors satisfy the Affordable Care Act (ACA) Part A requirement to provide Minimum Essential Coverage. Our Executive Director of Sales and Marketing Liz Wilson and Benefits Consultant Randy Wehner will explain how this works at a special webinar.

"Allied's Building Block - MEC Products" Webinar

10 a.m. (CST) Tuesday, Nov. 14

Allied Debuting New Way

to Find RBP Providers

Our Freedom Plans use reference-based pricing (RBP) and we now have a new way to help you, your employers and members determine which providers are more likely to accept the Freedom Plans.

We have partnered with Payer Compass to use the CompassConnect tool to find medical providers. There is no cost to agents or members to use this service.

By calling Allied’s Elite Experience Team at 866-332-1987, you and members can learn:

• Whether a specific provider is open to accepting reference-based pricing
• Whether the provider specializes in a particular type of care
• Providers’ location and contact information

New ID Card Mailing Protocol

Allied National has updated the way it delivers ID cards to members to make the process faster and more convenient. 

At renewal time, ID cards will now be delivered directly to members' homes – not to employers' offices in bulk or to your office. Two sets of ID cards will be embedded in a single page letter containing all the important information they'll need about their plan.

In lieu of flyers, Member Resource pages are available online. These pages feature links to detailed information about all of Allied National’s health plans. 

And as always, members have access to their Self-Service Site from the home page to find information that includes their benefits, plan documents, claim payments and coverage dates. They'll also be able to click on a link that gives them more information about who is covered under their plan. To register for the first time, they need the member ID number from their benefit card, their date of birth and the last four digits of their Social Security number.  

Checklist for Fourth Quarter Final Rates

Fourth Quarter is a busy time for everyone. It goes without saying that the sooner you can request a quote (RFQ), the better your chances are to get it back in a reasonable amount of time.

We want to make this process as thorough and fast as possible for you and your agents. There are several ways we confirm this information, but having health applications and a final enrollment census is key. The list at right for final rates is how you can get to the final rate faster!

Essentially, Allied National needs to be able to confirm the health of the group and who exactly is enrolling before we can issue a final rate.

For assistance or additional information, contact your General Agent our Sales Support at 888-767-7133 or email sales@alliednational.com.

Pivot Health Golden Bonus Opportunity

Now through Dec. 31, 2023, Pivot Health is offering an unlimited bonus opportunity for agents as long as the minimum requirements are met:

• Baseline: Eight (at least 364 day STM Apps) – Pays back to App #1
• $100 in base monthly premium
• 90 days**minimum duration after eight baseline

Click the image at right for full details.

Get to Know the Elite Experience Team

Freedom Plan members have access to Allied’s Elite Experience Team at 866-332-1987. The team is comprised of Senior Client Services Representatives Jason Lukens and Brittney Caravella. Jason has been with Allied eight years and Brittney has been with us three years. Both have years of prior experience working with the public.

Q: What does the Elite Experience Team do?

Jason: We assist members with finding providers that will accept Allied National plans and we set up single-case agreements if needed. We also assist members in any balance billing issues a provider is giving them. 

Q: What do members need to know about reference-based pricing plans like the Freedom Plans?

Brittney: Reference-based pricing means there are no network restrictions. Members can see any provider they choose, so long as the provider is willing to send us a bill. This means any provider they choose is eligible under their health benefit plan. 

Q: When should a member call the Elite Experience Team?

Brittney: Whenever they get a bill that doesn’t match the member responsibility listed on their Explanation of Benefits (EOB) or if there is a provider they would like to see who needs to be educated on the type of plan the member has. 

Q: Can providers call you too?

Jason: If it is regarding a single-case agreement, yes! The idea of the Elite Experience team is to help members rather than providers, however. 

Q: What do you wish people knew about the Elite Experience Team?

Brittney: That we’re here! We, as the Elite Experience Team, have our own phone number to assist with issues and, often, members call into the main line, not knowing they can reach a senior representative directly at 866-332-1987. 

Q: What is your favorite part of being part of the team?

Brittney: My favorite part of being a part of the team is being able to solve problems and lend a helping hand. 

Jason: The best part about our team is how well we communicate with each other. We’re always ready to help assist with each other’s issues or needs. 

Q: What does the perfect weekend look like to you?

Brittney: A perfect weekend is one where I can throw my phone down and not look at it until Monday morning. I would spend time with my new husband (I got married September 9th of this year) and our two pups. It would also involve playing Catan and eating spicy food.  

Jason: I like to relax at home, take my kids to the park or maybe watch some football. I also play guitar, build computers and play tennis! 

New Blog - Why Offering

Level-Funded Health Plans is Good

Open enrollment begins next month, and you and your agents can help your small groups operate more efficiently by showing them level-funded health plans.

Learn more about how level-funded health plans help groups run more efficiently in our latest blog, Why Small Business Owners Should Offer Level-Funded Health Benefits.

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