Important Resources

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 Benefits Login (Company ID: CORE)
Core HealthContractRequest
Direct Health Login
DP Brokers Program by DentalPlans.com – Index
GS National
Healthcare.gov
Highmark PRODUCER HOME
Horizon Blue
Humana Vantage
MedicareApp – Log in and get started
MedicareCENTER
Molina (and UPMC) via Evolve
New Era – Policy holder Log in
Oscar Login
Pennie
Premier Insurance Contracting Recruiting Page
Premier Marketing
Sircon Platform
Sunfirematrix
SunFire BlazeConnect (Non-Walmart)
SunFire BlazeConnect (Walmart)
Think Agent
Think Agent (Same site, more direct route)
UChicago | UnitedHealthcare Sophia Login
UnitedHealthcare Broker Portal signin (Jarvis)
UHone
UPMC Cavulus
UPMC Commercial Broker Portal
Virginia’s Insurance Marketplace Broker Portal
Virginia’s Insurance Marketplace Learning Management System
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
Medicare Supplement Plan Chart
Pennie Special Enrollment Period Quick Reference Guide
FEMA Declared Disaster search tool
CMS Memo on increase in resource limit for LIS (Extra Help) for 2024

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
Medical Assistance Eligibility Handbook (html version)
Medical Assistance Eligibility Handbook (pdf version)
Pennsylvania Medicaid Categories (From the Medical Assistance Transportation Program eligibility guide)
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 Special Enrollment Periods
Medicare Advantage vs. Medigap: Key Differences
New Benefit Offered For Diabetic Medicare Enrollees
New Medicare Program to Cap Monthly Copays for Insulin
How to calculate the Part D Late Enrollment Penalty (LDP)
2024 Formulary & Low-income Subsidy (LIS) Reference Guide
Medical Assistance for Workers with Disabilities (MAWD) Brochure
Medical Assistance for Workers with Disabilities (MAWD) Guide to Eligibility
Medicare Premiums 2024: IRMAA for Parts B and D
Part D Low Income Subsidy/Extra Help Eligibility and Coverage Chart

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
How do I adjust the amount of advance premium tax credits in Pennie?
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
An SEP if your income doesn’t exceed 150% of the federal poverty level

Social Security

Social Security Website
Can I receive a lump sum when I apply for Social Security?
Social Security/Medicare application checklist

Taxes

Tax Forms, Instructions, and Publications
Can I receive a lump sum when I apply for Social Security?
When do I need to include my 1099-B with my return? TAX
Instructions for Form 8962 (2023) | Internal Revenue Service (irs.gov)
APTC repayment information for 2023 and 2024

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 Medicare Plan Documents
Aetna Individual Plan Documents (For Evidence of Coverage, find the URL on Page 1 of the Summary of Benefits)
Aetna WPA Plan Guide
Aetna 2024 Over-the-counter (OTC) product catalog
Aetna 2024 Healthy food catalog
Cigna + Oscar Plan Documents
Highmark Individual & Family Plans
Highmark Complete Blue PPO Summary of Benefits
Highmark Western Pennsylvania region, ACA Individual and Family Plan Coverage
2024 Highmark Medicare Advantage, Highmark Wholecare, and ACA Individual Market Agent Field Guide
Humana Plan Documents
Humana’s Sales Enablement Library
Medicare Help | Compare Medicare Advantage and Part-D Plans
Oscar Plan Documents
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
UPMC Network and Plan information
WellCare – Welcome to WellCare

Formularies and Prescription Help

Aetna formulary
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
Oscar Provider Lookup
St. Clair Hospital – Participating Insurance Plans
UnitedHealthcare – Find a doctor
UPMC Health Plan – Provider Directory
UPMC network providers Medicare/Obamacare downloadable directories

Quotes

Ameritas
Healthcare.org
IMG Travel Insurance
Pennie

Tools and Forms

NationsBenefits (Website for Aetna MA members to access their extra benefits)
Aetna Medicare Broker Change
CSG Quoting Tool from Premier Marketing
DeltaDentalQuoteTool
Pennie Self-Attestation-Form-1-4.pdf For Income(No longer accepted)
Pennie Self-Attestation-Form-Fillable1.3-2.pdf For income
Pennie Attestation of Non-ESI Minimum Essential Coverage
Online Application for  Medicare Part B only
Paper Application for Medicare Part B only
Online Application for the Low-Income Subsidy (Extra Help)
Paper Application for the Low-Income Subsidy (Extra Help)
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)
Path to Pennie REV-1882 form (This is a possible way for people to get an SEP even if they otherwise would not.)
Cigna Medicare Supplement application

Other Information

Active and Fit gym membership discount program
APPRISE Program – Health Insurance Counseling Program