The Broker Beat
Keeping a pulse on Essence news and resources
NEWS YOU CAN USE
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Member Corner
Quick access to member materials. Everything you need for your customers.
Help Your Members Get Started
Use the Producer Portal tools to manage your business with us. We make it easy to:
- Complete applications online.
- Track applications.
- View your book of business.
- Check your commission statements.
- Review your Ready to Sell (RTS) status, certifications and license information.
- Watch training videos.
- Access Storefront to order sales materials.
Storefront marketing and enrollment materials can help you achieve your selling goals with Essence.
Get ready for AEP with these items you can’t pass up.
- Enrollment Kits
- Giveaways
- Sales Presentations
Log in to the Producer Portal to customize, order and print/download materials from Storefront today.
FREQUENTLY ASKED QUESTIONS
Essence has a goal to help members with their overall health. Choosing a primary care physician (PCP) can be the first step in a health plan. HMO and PPO plan members can benefit from establishing a relationship with a PCP to:
- Keep their health on track.
- Ask health-related questions and get advice.
- Coordinate their care with other physicians.
Essence plans cover many preventive services for $0 copay, including primary care visits. The Member Website, EverythingEssence.com has a provider search tool to see a list of in-network providers. There are options to filter by distance, gender, spoken language and more. As an agent, you also have access to the provider search tool on the Producer Portal to help your clients find a PCP. The enrollment form includes a section to add PCP information.
When it comes to member resources for prescription drug information, Essence has it covered.
After logging in to the Member Website, EverythingEssence.com, members can navigate to the "Pharmacy" page to:
- Search for covered drugs with the Formulary Search Tool.
- Find a preferred pharmacy close to home.
- Sign up for mail-order delivery.
Members can use our new and improved Formulary Search Tool to find costs for covered drugs. They can also learn about the Medicare Prescription Payment Plan, getting Extra Help for prescription drug costs, and covered diabetic testing supplies at retail pharmacies. Help your clients get the most out of the prescription drug benefit by sharing all the resources available on the Member Website.
The Flex Card is a preloaded debit card that’s available with most plans to use for:
- Non-Medicare-covered dental, vision and hearing items and services. Some plans also include the option to use it for medical copays.
- Eligible health-related over-the-counter items (OTC). Examples include pain relievers, vitamins and first aid products. OTC is not available with every plan.
How it works:
Members with the Flex Card benefit receive the entire annual allowance to use in-network and out-of-network in any of the allowed categories (see above) when membership begins. Members in plans that include the OTC benefit will receive a quarterly allowance that’s separate from the Flex Card allowance (if available on their plan). The OTC allowance expires at the end of each quarter. The allowance is valid at eligible physical retail locations or the online Essence OTC store.
The Member Website, EverythingEssence.com, includes FAQs and additional information about:
- How to use the Flex Spend Mobile app
- What can be purchased with the Flex Card
- Where to use the Flex Card
- How to check the Flex Card balance
- How to access the online Essence OTC store
Essence members can sign in to learn more about their Flex Card.
Dental
Dental coverage for Essence members varies by plan.
- All plans include Medicare-covered dental services.
- Most plans have a Flex Card for additional dental coverage.
DentaQuest® is the dental benefit administrator for Essence. Contact information is on the back of the Essence member ID cards. Locate in-network providers on the DentaQuest.com website or call 1-800-214-9881 (TTY: 711).
Vision
Vison coverage for Essence members varies by plan.
- Most plans include coverage for routine checkups and visits with a vision specialist. Plus, an allowance for things like glasses.
- Members in plans with a Flex Card, can use it for additional eyewear coverage.
EyeMed® is the vision benefit administrator for Essence. To find a provider, visit [EyeDocLocator.EyeMedVisionCare.com/Essence/en] or call 1‑833‑918‑0475.
Note: Essence suggests calling the provider office (dental and vision) to confirm the office participates with DentaQuest or EyeMed and accepts Essence plan members. PPO plan members may see out-of-network providers if they agree to treat Essence members.
Visit EssenceHealthcare.com/Welcome to find virtual meetings and recorded webinars with more details on dental and vision benefits.
Essence plans offer:
- Built-in hearing coverage.
Note: HMO plan members must see a qualified audiologist or provider in the Essence network. PPO plan members may go outside the network if the provider accepts Medicare and agrees to treat them.
All plans include hearing exams and screenings as well as an allowance to help with the cost of hearing aids.
Essence partners with Amplifon Hearing Healthcare for hearing aids, but there are no network restrictions.
Website: AmplifonUSA.com/Essence
Phone: 1-877-846-7076 (TTY: 711)
- Free fitness membership.
SilverSneakers® is the fitness and well-being program included at no extra cost. Participating locations can be found on their website.
Website: SilverSneakers.com/Locations
Phone: 1-888-423-4632 (TTY: 711)
What do I need to know about the Oura Ring?
The [Oura Ring] is available with some PPO plans.
- Members in a plan with this benefit can order an Oura Ring free of charge and have free access to the Oura App.
- Oura Ring is a wearable wellness tracker that translates your body’s most meaningful messages to transform how you feel every day. Track heart health, activity, skin temperature, sleep patterns, SpO2 (blood oxygen), stress indicators and much more.
- More information is available on the Member Website.
CALL GUIDE:
Customer Service vs. Producer Support
Producer Support
Toll-free: 1-877-259-8657
Monday through Friday, 8 a.m. to 6 p.m., CST
Saturday 8 a.m. to 1 p.m., CST during the AEP