2021 Molina Covered CA OEP Kick Off Presented by: Amy DeMarco, CA Marketplace Sales Manager 1 Your CA Molina Broker Rep Amy DeMarco 657-243-7461 [email protected] 2 2021 Regional Rates Lowest Cost Silver, Gold and Platinum plans in: • Region 16 – Los Angeles County (West) • Region 17 – Riverside and San Bernardino Counties Los Angeles • Region 19 – San Diego County • Region 13 – Imperial County San Bernardino Riverside San Imperial Diego 3 3 $0 Telehealth Benefit for 2021 Virtual medical visits via TelaDoc • Easy access – Register once, three ways to engage • Convenient – 24/7/365 – visit with doctors in 45 secs • Affordable – Co-pays waived for Molina members 4 4 COVID-19 Resources for Molina Marketplace Members • Waiving ALL out-of-pocket expenses related to the treatment of COVID-19 for all Marketplace, Medicare, and Medicaid members through December 31, 2020 • Waiving ALL cost-shares associated with COVID-19 testing in 2020 • Waiving ALL Teladoc service cost-sharing fees for Covered CA members • Free access to a 24-hour Nurse Advice Line: • English: (888) 275-8750 • Spanish: (866) 648-3537 • Free home Rx delivery through CVS Pharmacy 5 5 Online Provider Search https://providersearch.molinahealthcare.com/ 6 6 Hospitals – Los Angeles and Orange Counties Los Angeles County: • Kindred Hospital San Gabriel Valley Orange County: • Adventist Health Glendale • Kindred Hospital South Bay • AHMC – Anaheim Regional Medical Center • Adventist Health White Memorial, Los Angeles • LA County USC Medical Center-DHS • South Coast Global Medical Center • AHMC-Alhambra Hospital Medical Center • Lakewood Regional Medical Center • Coastal Communities Hospital • AHMC-Garfield Medical Center, Monterey Park • Long Beach Memorial Medical Center • College Hospital of Costa Mesa • AHMC-Greater El Monte Medical Center • Los Angeles Community Hospital • Fountain Valley Regional Hospital • AHMC-San Gabriel Valley Medical Center • Los Angeles Downtown Medical Center • Garden Grove Hospital and Medical Center • Beverly Hospital, Montebello • Martin Luther King Jr Community Hospital • Huntington Beach Hospital • Centinela Hospital Medical Center, Inglewood • Memorial Hospital of Gardena • Kindred Hospital Brea • Emanate Health Queen of the Valley Hospital, West • Methodist Hospital of Southern California, Arcadia • Kindred Hospital Santa Ana Covina • Miller Children’s Hospital, Long Beach • Kindred Hospital Westminster • Emanate Health Inter-Community Hospital, Covina • Mission Community Hospital, Panorama City • La Palma Intercommunity Hospital • City of Hope National Medical Center, Duarte • Monterey Park Hospital • Los Alamitos Medical Center • Coast Plaza Hospital, Norwalk • Norwalk Community Hospital • Orange County Global Medical Center • College Medical Center, Long Beach • Olive View UCLA Medical Center-DHS, Sylmar • Placentia-Linda Hospital • Community Hospital of Huntington Park • Pacifica Hospital of the Valley, Sun Valley • South Coast Global Medical Center • East Los Angeles Doctors Hospital • Pomona Valley Hospital Medical Center • University of California Irvine Medical Center • Encino Hospital Medical Center • San Dimas Community Hospital • West Anaheim Medical Center • Foothill Presbyterian Hospital, Glendora • Sherman Oaks Hospital • Western Medical Center – Anaheim • Good Samaritan Hospital, Los Angeles • Southern California Hospital at Culver City • Harbor UCLA Medical Center-DHS, Torrance • Southern California Hospital at Hollywood • Hollywood Presbyterian Medical Center • Southern California Hospital at Van Nuys • Keck Hospital of USC, Los Angeles • St. Francis Medical Center, Lynwood • Kindred Hospital Baldwin Park • Valley Presbyterian Hospital, Van Nuys • Kindred Hospital La Mirada • Whittier Memorial Medical Center • Kindred Hospital Los Angeles • Kindred Hospital Paramount 7 7 Hospitals – Riverside, San Bernardino, San Diego, Imperial Counties San Diego County: Riverside and San Bernardino Counties: Imperial County: • Alvarado Hospital, San Diego • Arrowhead Regional Medical Center, Colton • Pioneers Memorial Hospital, Brawley • Kindred Hospital San Diego • Barstow Community Hospital • El Centro Regional Medical Center • Palomar Medical Center, Escondido • Chino Valley Medical Center • Pomerado Hospital, Poway • Corona Regional Medical Center • Rady’s Children’s Hospital San Diego • Desert Regional Medical Center, Palm Springs • Scripps Health Green Hospital, La Jolla • Desert Valley Hospital, Victorville • Scripps Memorial Hospital Encinitas • Eisenhower Medical Center, Rancho Mirage • Scripps Memorial Hospital La Jolla • Hemet Valley Medical Center, Hemet • Scripps Mercy Hospital Chula Vista • Hi-Desert Medical Center, Joshua Tree • Scripps Mercy Hospital, San Diego • Inland Valley Regional Medical Center, Wildomar • Sharp Memorial Hospital, San Diego • JFK Memorial Hospital, Indio • Sharp Chula Vista Medical Center • Loma Linda University Medical Center • Sharp Mary Birch Hospital, San Diego • Loma Linda University Medical Center, Murrieta • Sharp Grossmont Hospital, La Mesa • Loma Linda University Children’s Hospital • Sharp Coronado Hospital • Menifee Valley Medical Center • Tri-City Medical Center, Oceanside • Montclair Hospital Medical Center • Parkview Community Hospital, Riverside • Pacific Grove Hospital (Behavioral Health) • Pomona Valley Hospital and Medical Center • Rancho Springs Medical Center, Southwest Healthcare, Murrieta • Riverside University Health Systems Medical Center, Corona • San Antonio Regional Hospital, Upland • San Gorgonio Memorial Hospital, Banning • Southwest Healthcare Systems, Wildomar • Temecula Valley Hospital • Victor Valley Global Community Hospital 8 8 Molina Broker Portal Easy Access to Broker Support Tools You can create or reset your password by using this link, your username is your Molina agent number (AAXXXX) 9 Premium Payment Methods MolinaPayment.com • One time payment option via Pay Now 10 10 New Website and Member Materials • Brand New MolinaMarketplace.com site for brokers, members and providers • Redesigned user- friendly EOCs and SBCs • First ever Member Handbook coming soon! 11 11 Broker Support Unit (BSU) Phone: 855-885-3179 Broker Services - # 1 [email protected] • General inquiries, account access issues, member EOC and SBC questions Broker Care Team- # 2 [email protected] • Access to Care • Member access to care issues, billing discrepancies, terminations in error • Billing Issue • Claims Commission Team- # 3 [email protected] • Enrollment • Broker Book of Business reconciliation for unpaid policies • Member Services • Prior Authorization Contracting Inquiries - # 4 Status Review [email protected] • Appointment requests, E&O/license/contact information updates 12 Monday through Friday – 7:00 AM to 6:00 PM (MT) 12 Upcoming Molina CA Marketplace Trainings OEP 2021 Training • Wednesday 9/16, 9/23, 9/30, and 10/7, 9:30am-10:30am PST Agent Portal Training • Thursday 9/17 and 9/24, 10am-10:30am PST • Registration details will be shared via email as soon as they’re ready, look out for an email from Molina’s Broker Support unit and myself! • One-on-one trainings are also available for you and your team, just send me an email to get it scheduled at [email protected] 13 13.