Information for Researchers

Broker Portals

Aetna Producer World
Aetna Quote & Enroll
Aetna Senior Supplemental Insurance Login Page
Agent Pipeline | 2022 MAPD Agent Resource Center
Allstate, from National General
Allwell/Wellcare Agent Connect
Ambetter Portal Login
Ameritas Login
Anthem login
Ascend Login
Cigna Login
Core HealthContractRequest
Direct Health Login
DP Brokers Program by DentalPlans.com – Index
GS National
Healthcare.gov
Highmark PRODUCER HOME
Humana Vantage
MedicareApp – Log in and get started
MedicareCENTER
New Era – Policy holder Log in
Pennie
Premier Insurance Contracting Recruiting Page
Premier Marketing
Sircon Platform
Sunfirematrix
SunFire BlazeConnect (Non-Walmart)
SunFire BlazeConnect (Walmart)
Think Agent
UChicago | UnitedHealthcare Sophia Login
UnitedHealthcare Broker Portal signin
UPMC Cavulus
Wellcare Agent Applications

Charts and Guidelines

An SEP if your income doesn’t exceed 150% of the federal poverty level – healthinsurance.org
CHIP Income Guidelines Chart 2021.pdf
Dental CPT Codes | DentalCPTCodes.com
FPL Chart 2021
FPL Chart 2022
FPL Chart 2023
FPL Guidelines 2023 Non-48 states
Life Expectancy Tables – Life Expectancy Calculator: Determine Your Expected Life Span
Medicare SEP-Chart
Medicare Special Election Period Chart
Pennie Special Enrollment Period Quick Reference Guide
FEMA Declared Disaster search tool

For Foreigners

Changes to “Public Charge” Inadmissibility Rule: Implications for Health and Health Coverage | KFF
Form I-94 Explained (Arrival/Departure Record) | CitizenPath
I94 – Official Website
I94 – Official Website
I am a green card holder and will be applying for U.S. citizenship next year. If I get health insurance through Obamacare, will that prevent my citizenship application from being approved because of the new public charge rule? – Murthy Law Firm | U.S Immigration Law
Find out what immigration statuses qualify for coverage in the Health Insurance Marketplace®. | HealthCare.gov
Foreign language flyers | marketplace.cms.gov
Language Services Resource Guide for Health Care Providers – National Health Law Program

Medicaid

Ohio Medicaid Hotline Change Your Plan – Member Portal
PA Medicaid Plan Change Website
PA MedicaidChoicesSW_en.pdf
PA-Medicaid-Member-Handbook.pdf
Pennsylvania Medicaid Categories
VA Change Your Health Plan | DMAS – Department of Medical Assistance Services
Virginia Medicaid Income Limits

Medicare

Applying for Medicare Part B only
Eligibility for premium-free Part A if you are over 65 and Medicare-eligible – Medicare Interactive
Fact Sheet 01-12: Medicare and CHAMPVA
Medicare Advantage vs. Medigap: Key Differences
New Benefit Offered For Diabetic Medicare Enrollees
New Medicare Program to Cap Monthly Copays for Insulin

Obamacare

Agents and Brokers in the Marketplace
Individual coverage Health Reimbursement Arrangements (HRAs) | HealthCare.gov
Individual Coverage Health Reimbursement Arrangements: Policy and Application Overview
IRS Obamacare Rules
ObamaCare Tax Credits and the IRS from www.UncoverObamaCare.org
Pennie Qualifying Life Events Guide
Pennsylvania’s New Health Insurance Landscape
PPACA Sec. 1401 – Health Reform Navigator
Review of Federally-Facilitated Marketplace Special Enrollment Periods and Plan Category Limitations
What’s included as income | HealthCare.gov

Plan Information

2023 UPMC for Life Plans | Broker Training – UPMC Health Plan
5-Star-MA-Plans-by-Carrier-and-State.xlsx
AARP Medicare Plans from UnitedHealthcare
Aetna Plan Documents
Aetna WPA Plan Guide
Highmark Individual & Family Plans
Highmark Complete Blue PPO Summary of Benefits
Highmark Western Pennsylvania region, ACA Individual and Family Plan Coverage
Humana Plan Documents
Medicare Help | Compare Medicare Advantage and Part-D Plans
Q1Medicare.com Your Source for Medicare Part D Plan Information
UHC Group Health Plan Comparison Table
UPMC Dental Benefits
UPMCForLife2023-mc-wpa-premier-roll-fold.pdf
WellCare – Welcome to WellCare

Formularies and Prescription Help

Find a Pharmaceutical Assistance Program for the drugs you take
Formulary Search
Highmark formularies
Lost and Found Pharmacy
Pace Formulary 2020
PartDQuestions-2021.pdf
Pennsylvania PACE
UHC 2022 Drug List

Provider Lookups

Aetna – Find a Doctor, Dentist or Hospital
Aetna Medicare PPO/EPO Dental Provider Search
Allwell from PA Health and Wellness – Find a Doctor or Pharmacy
Cigna Provider Lookup
Delta Dental Provider Lookup
Highmark Provider Lookup
Highmark Wholecare – Find a doctor
Humana – Find a Medicare Doctor in Your Network
St. Clair Hospital – Participating Insurance Plans
UnitedHealthcare – Find a doctor
UPMC Health Plan – Provider Directory

Tools and Forms

CSG Quoting Tool from Premier Marketing
DeltaDentalQuoteTool
Self-Attestation-Form-1-4.pdf (No longer accepted)
Self-Attestation-Form-Fillable1.3-2.pdf
Online Application for  Medicare Part B only
Paper Application for Medicare Part B only
CMS-L564: Request for Employment Information (for SEP when applying for penalty-free Medicare after 65)
Microsoft Word – 2022 COVID-19 SEP Attestation_Form [FINAL][77].docx
PennieSelf-Attestation-Form-1-4.pdf
UHC Medicare & Medicaid Eligibility Lookup
Annual Income Letter of Explanation (Healthcare.gov)
Other Information

APPRISE Program – Health Insurance Counseling Program