AHIP

• Opens June 22nd
• $50 Discount through Redbird Advisors (I have no idea who they are but it's a free discount. You can use this or a $50 discount through a carrier of choice)
• AHIP Test Answers Folder
• AHIP TIPS: They changed AHIP and you have to sit through all the slides and click through. If you try to do Module 4 and 5 separately, it may take you 3 hours just clicking. Agents discovered that you can open up Module 4 in one browser to click through while simultaneously open Module 5 in another browser to click through. This will cut your time in half rather than doing them one at a time. They must be different BROWSERS... not just different TABS. Like TWO Chrome windows or one Safari Window and one Chrome Window.

UHC

• June 8th, 2026
• www.uhcjarvis.com

Aetna

• June 23rd, 2026
• AetnaMedicareProducerCertification.com

Humana

• July 8th, 2026
• Log into Humana Vantage Portal, click on Humana MarketPoint University (HMU), and access 2026 MAPD Cert/Recert coursework

Healthspring

• July 1st
• Get Certified Here

BCBS

• TBD
• Get Certified Here

WellPoint

• June 30th
• Start by going to GetCertified.ElevanceHealth.com on or after July 1, 2025.
  Click on Certify with AHIP to complete the AHIP Medicare training and Fraud, Waste and Abuse training.

  1. Sign in and enter access code External-SelfReg (no spaces and include the hyphen).
  2. Complete all Compliance training.
  3. Sign the TPMO, Compliant Selling, and DSNP FIDE Attestations.
  4. Complete all Product Training.

WellCare

• July 21st
• Log in to Centene Workbench
• Select Training from the left-hand navigation menu
• Select Medicare Certifications from the drop-down list

Devoted

• June 23rd, 2026
• Get Certified
  

Scan

• TBD

Molina

• TBD

UHC

• CSNP and DSNP Only

Aetna

• $50 Administrative Fee
• CSNP and DSNP Only
• You may complete the HRA with the member via Think Agent for a $50 fee. You have the day of the enrollment plus one calendar day to complete the assessment. More to come on other platforms the HRA can be completed on.

Humana

• No HRA Payments

Cigna

• Earn $125 when you enroll your Cigna Healthcare MA customers in an eligible Medicare D-SNP or C-SNP plan and facilitate an HRA.
• Earn $75 for each HRA that you facilitate with your other Cigna Healthcare MA customers.
• Bonus VBE Program for Email and PCP: Earn up to $50 per eligible digital application by doing the following...
  • $30 for providing a valid in-network PCP for your customer on the digital application.
  • $20 for providing a valid customer email address on the digital application.
• You have until December 22, 2024, to submit the HRA for any customer applications taken from October 1 – December 7, 2024.

BCBS

• No HRA Payments

WellPoint

• $125 per new enrollment
• DSNP Only
• Needs to be completed within 7 days post enrollment.

WellCare

• NA for 2027

Devoted

•  $50 HRA Fee (C-SNP and D-SNP only)
• You can complete the HRA within the Sunfire platform immediately following the application, instead of waiting 24-48 hours for the HRA to appear in Agent Portal. As a reminder, if you complete the HRA within 5 calendar days of submitting an enrollment application, you’ll get $50!* Read our helpful one-pager on completing HRAs or watch an informative video!

SSBCI Qualifications

Eligible Chronic Conditions for Most Medicare Advantage Plans (Some CSNPs excluded)

Please see chapter 4 of member’s EOC to confirm conditions list applicable to a member’s plan.

• Chronic alcohol use disorder and other substance use disorders;

• Autoimmune disorders:

• Polyarteritis nodosa,

• Polymyalgia rheumatica,

• Polymyositis,

• Dermatomyositis

• Rheumatoid arthritis,

• Systemic lupus erythematosus,

• Psoriatic arthritis, and

• Scleroderma;

• Cancer;

• Cardiovascular disorders:

• Cardiac arrhythmias,

• Coronary artery disease,

• Peripheral vascular disease, and

• Valvular heart disease;

• Chronic heart failure;

• Dementia;

• Diabetes mellitus;

• Pre-diabetes (Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%)

• Overweight, Obesity, and Metabolic Syndrome;

• Chronic gastrointestinal disease:

• Chronic liver disease,

• Non-alcoholic fatty liver disease (NAFLD),

• Hepatitis B,

• Hepatitis C,

• Pancreatitis,

• Irritable bowel syndrome, and

• Inflammatory bowel disease;

• Chronic kidney disease (CKD):

• CKD requiring dialysis/End-stage renal disease (ESRD), and

• CKD not requiring dialysis;

• Severe hematologic disorders:

• Aplastic anemia,

• Hemophilia,

• Immune thrombocytopenic purpura,

• Myelodysplastic syndrome,• Sickle-cell disease (excluding sickle-cell trait), and

• Chronic venous thromboembolic disorder;

• HIV/AIDS;

• Chronic lung disorders:

• Asthma,

• Chronic bronchitis,

• Cystic Fibrosis,

• Emphysema,

• Pulmonary fibrosis,

• Pulmonary hypertension, and

• Chronic Obstructive Pulmonary Disease (COPD);

• Chronic and disabling mental health conditions:

• Bipolar disorders,

• Major depressive disorders,

• Paranoid disorder,

• Schizophrenia,

• Schizoaffective disorder,

• Post-traumatic stress disorder (PTSD),

• Eating Disorders, and

• Anxiety disorders;

• Neurologic disorders:

• Amyotrophic lateral sclerosis (ALS),

• Cerebral Palsy

• Epilepsy,

• Extensive paralysis (that is, hemiplegia, quadriplegia, paraplegia, monoplegia),

• Huntington’s disease,

• Multiple sclerosis,

• Parkinson’s disease,

• Polyneuropathy,

• Fibromyalgia,

• Chronic fatigue syndrome,

• Spinal cord injuries,

• Spinal stenosis,

• Stroke-related neurologic deficit; and

• Traumatic brain injury

• Stroke;

• Post-organ transplantation care;

• Immunodeficiency and Immunosuppressive disorders;

• Conditions that may cause cognitive impairment:

• Alzheimer’s disease,

• Intellectual and developmental disabilities,

• Traumatic brain injuries,• Disabling mental illness associated with cognitive impairment, and

• Mild cognitive impairment;

• Conditions that may cause similar functional challenges and require similar services:

• Spinal cord injuries,

• Paralysis,

• Limb loss,

• Stroke, and

• Arthritis;

• Chronic conditions that impair vision, hearing (deafness), taste, touch, and smell;

• Conditions that require continued therapy services in order for individuals to maintain or

retain functioning.

• Other

• Hypertension

• Osteoporosis

• Chronic back pain

• Appointment Script (PDF)
• Asking for Referrals (PDF)
• Formal Sales Presentation Outline (PDF)
• Medicare 101 (PDF)
• Medicare Plan Assessment Form (PDF)
• Medicare/Tricare 101

• Applying For License
• Medicare Pro Commissions 2026
• Medicare Pro Ready to Sell 2026

Advocate Health Quick Links:

• Advocate University
  
• Blog/Announcements
• Sunfire Login
• Agent Contracting

Advocate Support Team:

• Agent Support Team
  • ‭1 (800) 709-5513‬
• Kim Ayala (Market Director)
  • 210-508-9828
  • [email protected]
• Mysti Mejia (Contracting and Certifications)
  • 1-800-709-5513
  • [email protected] 
• Sunfire Issues (Amanda McCalden)
  • 1-800-709-5513
  • [email protected]
• Compliance Office
  • E-Mail Compliance

• Medicare: Medicare.gov or call 1-800-633-4227
• Social Security: SSA.gov or call 1-800-772-1213
• Medicaid: YourTexasBenefits.com or 2-1-1
• Tricare for Life
  • Customer Service: 1-866-773-0404
  • Express Scripts: 1-877-363-1303

San Antonio Social Security References:

• Downtown
  • 727 E. Cesar Chavez Blvd. #701, 7th Floor, San Antonio, TX 78206
  • Phone: 877-405-0482
  • Fax: 833-950-2396
• Central (Isom Rd.)
  • 402 Isom Rd., San Antonio, TX 78216
  • Phone: 866-571-0718
  • Fax: 833-515-0518
• Northwest
  • 411 Richland Hills Dr., San Antonio, TX 78245
  • Phone: 877-697-4799
  • Fax: 833-950-2417
• South
  • 3438 E. Southcross Blvd., San Antonio, TX 78223
  • Phone: 866-964-7432
  • Fax: 833-950-3023

Quick Links:

• Broker Portal
• Find a Doctor
• Aetna Think Agent (E-App)
• Aetna Marketing Portal
  
• Broker Hub of Resources

Aetna Medicare Broker Services: 1-866-714-9301 or [email protected]

Aetna Member Services: 1-800-282-5366

Dental (Aetna):

• 1-866-409-0937

Hearing (Nations Hearing):

• 1-877-225-0137

Vision (EyeMed):

• 1-844-486-3485

Personal Emergency Response System (LifeStation)

• 1-855-798-9948

Transportation (SafeRide):

• 1-888-617-0438

Over-the counter (OTC)/Extra Benefits card (OTC Health Solutions):

• 1-833-331-1573

Meals (GA Foods):

• 1-800-852-2211

Fitness (Silver Sneakers):

• 1-888-423-4632

Extra Benefits Card (Nations Benefits):

• 1-877-204-1817

San Antonio Team:

David Gaitan (West Texas Sales Director)

• 210-251-5722
• [email protected]

Haven Williams (Aetna Agent Manager)

• 210-440-6900
• [email protected]

Quick Links:

• Blue Cross Medicare
• Blue Cross Producer Page
• Broker Portal
• Doc Find

• Broker Portal
• Find a Doctor

Agent Resource Center (ARC)

• (866)-442-7516
• email [email protected]

• Extended OEP hours:

•  7 a.m. to 7 p.m. CT, Monday – Saturday

•  Spanish queue available

Telescope (SOA) Line

• (866) 398-6055 

Plan Change Line

• (855) 649-5105

 Cigna Supplemental Benefits (Med Supp)

• (877) 454-0923

Transportation (MTM)

• 866-214-5126

Quick Links:

• Broker Portal
• Find a Doctor
• Broker Learning Center

Agent Portal: 

https://agent.devoted.com

*Use this portal to submit enrollment applications online, track your clients’ status, see commissions, order marketing materials and update your contact information. 

For additional assistance, send an email to: [email protected] or contact:

Agent Support Team

Office Hours: 9am - 8pm ET, Monday - Friday

Phone: 877-764-9446 

Quick Links:

• Agent Portal
• Find a Doctor
• Get Certified
  
  • Note: Once in the Humana Agent Dashboard, click Get Certified
• Member Care Assessment

Humana Agent Support: 

• 1-800-309-3163
• [email protected]
• (Local Support and broker manager info is located at the bottom of this tab)

OTC/Grocery Store Finder:

• HumanaSales.NationsBenefits.com
• Member ID: zzz5222462026
• Password: Health@123

CenterWell Pharmacy

• Phone: 855-310-5799 (TTY: 711)
• Prescriber fax: 800-379-7617
• E-prescribe: NCPDP ID # 0353108
• Hours of operation: Mon - Fri 8 a.m.-11 p.m., Sat 8 a.m.-6:30 p.m.

CenterWell Specialty Pharmacy

•  Phone: 800-486-2668 (TTY: 711)

• Prescriber fax: 877-405-7940

• E-prescribe: NCPDP ID # 3677955

• Hours of operation: Mon - Fri 8 a.m.-11 p.m., Sat 8 a.m.-6:30 p.m.

Humana Clinical Pharmacy Review*

• Phone: 800-555-2546

• * If requesting a prior authorization, step therapy or formulary/tier exception

Ordering OTC products at CenterWell Pharmacy (English and Spanish)

• Phone: 855-211-8370 (TTY: 711)
• Hours of operation: Mon - Fri 8 a.m.-11 p.m., Sat 8 a.m.-6:30 p.m. EST

Ordering diabetic supplies at CenterWell Pharmacy (English and Spanish)

• Phone: 833-554-4509 - NEW Number (TTY: 711)

• Hours of operation: Monday - Friday, 8am to 8pm EST

Agent Concierge Line (English and Spanish)

• Phone: 844-222-2097 (TTY: 711)

• Hours of operation: Monday - Friday, 8am to 8pm EST

Agent Warm Transfer Line (English and Spanish)

• Phone: 844-330-7816 (TTY: 711)

• Hours of operation: Mon - Fri 8 a.m.-11 p.m., Sat 8 a.m.- 8 p.m. EST

Continuous Glucose Monitor:

• NEW - All Humana MAPD 2026 Plans will have a $0 cost-share for preferred CGMs. To help you have access to the products you rely on, CGM supplies (transmitters, receivers/readers and sensors) will be available for purchase through the pharmacy.

• Please Note:

  A prior authorization may be required if a member's use is not consistent with CMS criteria.

  You will need to satisfy Centers for Medicare & Medicaid Services (CMS) criteria to purchase CGM supplies through the pharmacy at the point of sale or a national DME vendor. Whether the CGM is obtained through a DME vendor or through the pharmacy point of sale will be the same. Please refer to your Evidence of Coverage for CGM cost share details.

  • Dexcom G6 Receiver, Sensor, Transmitter
  • Dexcom G7 Receiver, Sensor, Transmitter
  • FreeStyle Libre 2 Plus Sensor
  • FreeStyle Libre 2 Reader, Sensor
  • FreeStyle Libre 3 Plus Sensor
  • FreeStyle Libre 3 Reader, Sensor
  • FreeStyle Libre 14 Day Sensor

Ignite with Humana: 

• www.ignitewithhumana.com 

Humana Transportation: 

• SafeRide with Humana: 877-841-3647

Enrollment Hub direct link:

• Enrollment Hub (humana.com)

Check Enrollment Status -

• Login to Vantage and click Business Center

Find a Doctor: 

• Go to: https://www.humana.com/finder/medical

Humana Physician Finder - Find Care - Networks (HOW TO):

•  Medical
  • HMO - Gold Plus HMO and SNP H446126
  • PPO - MedicarePPO26
• Dental
  • All Dental Plans
  • HumanaDental Medicare
• Vision - EyeMed - For all Texas plans
  • Medicare, Medicare Advantage, Zip code
• Pharmacy
  • Humana National Rx Plan (MAPD) Network 2026

Provider/Pharmacy Directory:

• https://www.humana.com/finder/provider-directories

Dental (HMO and PPO)

• Go to: https://www.humana.com/finder/dental 
• All HMO medical plans are still a PPO network for dental.
• When searching for dentists, select "Humana Dental Medicare. 
• DENTAL CODES

Dental Office Handbook:

• https://www.humana.com/sb

EyeCare providers (HMO/PPO)

• EyeMed

• https://www.humana.com/vision-insurance/find-an-eye-doctor

Medicare Drug List:

• Humana.com/MedicareDrugList

Prescription Coverage (Rx Calculator)

• Go to Humana Pharmacy Calculator

Plan Documents:

• Humana.com/PlanDocuments

Plan/Benefit Information:

• Go to Humana.com/Medicare

Complete Certification:

• Login to Vantage and click on MarketPoint University

Tru Hearing

• 1-844-255-7146
• www.truehearing.com/how-it-works

Silver Sneakers

• www.silversneakers.com 

Mom's Meals (Meal Benefit)

• 877-402-1030

San Antonio Team:

Jose Perez (Broker Relationship Manager)

• 210-875-0824
• [email protected] 

Michael Renteria (Broker Relationship Manager)

• 346-499-2145
• [email protected]

Heather Robinson (Broker Relationship Executive)

• 502-313-7944
• [email protected]

Bobby Lange (Broker Relationship Manager)

• 502-313-7913
• [email protected]

DFW Team:

Allie Bailey

• 210-790-0959
• [email protected] 

Quick Links:

• Agent Portal
• Find a Doctor
• Main Website
• Molina Agent Center
• Molina Agent Resources
• Evolve Login

Quick Links:

• Broker Platform
• E-App Login
• Marketing and Sales Materials
• Learning Management System

Agent Help Desk:

• 402-633-5777

Andrew Saul (Broker Manager):

• 205-522-7152
• [email protected]

Quick Links:

• SCAN Producer Portal

Sales Support Team (SST) 
Contact the SCAN SST for telephonic assistance with:

• Medicare and SCAN benefits verification

• Doctor and formulary search

• Application and agent of record status

• Training and contracting inquiries

• Benefits clarification and much more

Call 888-445-2038 from 8:00 AM – 6:00 PM PT

(Monday through Friday)

Non-urgent Issues: 

[email protected]

SCANproducerportal.com features: 

• Sales training site (Certification)

• Order materials on the Marketing Storefront

• Electronic enrollments on SCANCubed

• View commissions (Direct pay agents)

• Broker Account Executive contact details

Plus, access valuable resources such as: Training schedule and materials, agent guides, sales presentation and more.

Provider IDs for NEW 2025 Provider Groups: 

https://agentportal.scanhealthplan.com/provider-ids

HRA Incentive and Enrollment Details: 

https://agentportal.scanhealthplan.com/enrollment

Supply Orders and Sales Event Details: 

https://agentportal.scanhealthplan.com/marketing

Commissions and Successor Agent Details: 

https://agentportal.scanhealthplan.com/commissions

Agent Portal Assistance (password resets): 

[email protected]

Certification Training

• [email protected]

Sales Event Submission

•  [email protected]

Marketing Materials Review

• [email protected]

Commission Assistance

• [email protected]

Search Tools

 scanhealthplan.com/helpful-tools

• Doctor

• Formulary

• Pharmacy

• Supplemental Providers and more

MEMBER SUPPORT

• Member Services – 8:00 AM – 8:00 PM PT 
  • April 1 – Sept. 30: Monday through Friday
  • Oct. 1 – March 31: Seven days a week
• Arizona – 855-650-7226
• California – 800-559-3500
• Nevada – 855-827-7226
• New Mexico – 855-826-7226
• Texas – 855-844-7226

DentalCareUSA (Dental): 

• deltadentalins.com/SCAN

EyeMed (Vision): 

• member.eyemedvisioncare.com/scan/en

TruHearing (Hearing Aids): 

• truhearing.com/SCAN

One Pass (Fitness):

• youronepass.com

Over-the-Counter: 

• otc.scanhealthplan.com

Express Scripts (Mail-Order): 

Personal Enrollment Specialist – 877-842-9792

Customer Service: 866-553-4125

SCAN Transportation (SafeRide): 

• 844-714-2218

Medication Assistance: 

• needymeds.org 

Plan Materials: 

• scanhealthplan.com/scan-resources/plan-materials

SALES SUPPORT

Erika Gomez

Broker Account Executive, TX

210-897-6882
[email protected]

JJ Ortiz

Sales Director, TX & NM

214-707-6260
[email protected]

Quick Links:

• Agent Portal
• Find a Doctor
  
• Get Certified
  • Note: In Jarvis, click Knowledge Center and then Training & Certifications

UHC Producer Help Desk: 1-888-381-8581

UHC Customer Service: 1-800-950-9355

Chronic Verification Hotline: 1-866-868-0615

24/7 Nurse Line: 1-866-263-9168

Safe Ride Transportation: 1-866-244-3123

UHC Dental: 1-877-702-5110 (Non-Dual Members) or 1-800-690-1606 (Dual Members)

Optum Rx Mail Order: 1-877-889-5802

Behavioral Health Benefits: 1-800-496-5841

SLMB Award Letter Submission:

• Fax: 1-888-950-1169
• Email: [email protected]
• Subject Line Should Read "Providing Proof of Medicaid"

San Antonio Team:

Jeremiah Nasiatka (Director)

• [email protected]
• 210-505-7990

Richard Propes (Broker Support)

• [email protected]
• 210-378-8177

Quick Links:

• Agent Portal (Single-Sign On)
• Broker Quick Links
• Broker Resources
• Find a Doctor
• Ascend Enrollment Platform
• PY2025 Agent Guidance Updates

WellCare Broker Support: 866-822-1339
Monday - Friday, 8 a.m. to 8 p.m.

Nurse Advice Line
 1-800-581-9952 (TTY 711)
24 hours a day, 7 days a week

Wellcare Medicare Plans
 

• Current Members: 1-833-444-9088  (TTY 711)
• Prospective Members: 1-866-527-0056  (TTY 711)

Wellcare Medicare Duals Special Needs Plans

• Current Members: 1-833-444-9089  (TTY 711)
• Prospective Members: 1-866-527-0056  (TTY 711)

San Antonio Team:

Carmen Pena

• [email protected]
• 210-612-4546

Amanda Hernandez

• [email protected]
• 210-868-1863

Quick Links:

• Broker Login
• Producer Toolbox
• mProducer
• Find a Doctor
• Get Certified
  
  • Note: Registration Code is "External-SelfReg"

Agent Support:

• (855) 277-6065
• [email protected]

Regional Sales Team:

• Viviana Cordero, Regional Sales Manager

  Medicare Sales, El Paso, San Antonio, & Austin

•  M: (915) 218-8342

•  viviana[email protected]

AZ&Me Main Link

AZ&Me Brochure

AZ&Me Eligibility Check 

AZ&Me Medication List (Or See Below) 

AZ&Me Application

Primary Products:

• Airsupra (albuterol/budesonide) Inhalation Aerosol
• Bevespi (Aerosphere) (glycopyrrolate/formoterol fumarate)
• Breztri Aerosphere (budesonide, glycopyrolate, and formoterol fumarate) Inhalation Aerosol
• Brilinta (ticagrelor tablets)
• Farxiga (dapagliflozin)
• Lokelma (sodium zirconium cyclosilicate) for oral suspension
• Xigduo XR (dapagliflozin, metformin HCL extended-release)
 

Speciality Products:

• Calquence (acalabrutinib)
• FasenraPen (benralizumab) (Subcutaneous Injection 30mg)
• Fasenra (benralizumab) (Subcutaneous Injection)
• Imjudo (tremelimumab-actl) Injection for Intravenous Use)
• Lynaparza (olaparib)
• Saphnelo (anifrolumab-fnia)
• Tagreisso (osimertinib)
• Truqap (capivasertib)

Rare Disease Products:

• Wainua (eplontersen) (45mg injection for subcutaneous use)

Boehringer Ingelheim Cares Foundation (Patient Assistance Program Application Form)

• Main Website
• Eligibility
• Patient Assistance Program Application Form

• Phone: 1-800-556-8317

• Fax: 1-866-851-2827

• Hours: M-F, 8:30 am – 6:00 pm ET

Covered Medications:

• Aptivus® (tipranavir) Capsules
• Atrovent® HFA (ipratropium bromide HFA)
• Combivent® Respimat® (ipratropium bromide and albuterol)
• Cyltezo® (adalimumab)
• Gilotrif® (afatinib)
• Glyxambi® (empagliflozin/linagliptin)
• Jardiance® (empagliflozin)
• Jentadueto® (linagliptin/metformin HCl)
• Ofev® (nintedanib)
• Spevigo® (spesolimab-sbzo)
• Spiriva® Respimat® (tiotropium bromide)
• Stiolto® Respimat® (tiotropium bromide and olodaterol)
• Striverdi® Respimat® (olodaterol)
• Synjardy® (empagliflozin/metformin HCl)
• Synjardy® XR (empagliflozin/metformin HCl extended-release)
• Tradjenta® (linagliptin)
• Jentadueto® XR (linagliptin/metformin HCl extended-release)
• Trijardy® XR (empagliflozin/linagliptin/metformin HCl extended-release)

Novo Nordisk

Main Website

Patient Assistance Program Application

Novo Nordisk Covered Meds (Or See Below)

Note: Meds in this program are NOT delivered directly to the patient. They are delivered to the DOCTOR'S OFFICE.

Covered Medications:

• Tresiba® (insulin degludec) injection U-100

• Insulin Degludec Injection U-100 (UB)

• Tresiba® (insulin degludec) injection U-200 

• Insulin Degludec Injection U-200 (UB) 

• Fiasp® (insulin aspart) injection 100 U/mL 

• NovoLog® (insulin aspart) injection 100 U/mL Insulin Aspart Injection 100 U/mL (UB) 

• Novolin® R (insulin human) injection 100 U/mL 

• Novolin® N (insulin isophane human) injectable suspension 100 U/mL 

• NovoPen Echo®

• NovoLog® Mix 70/30 (insulin aspart protamine and insulin aspart) injectable suspension 100 U/mL 

• Insulin Aspart Protamine and Insulin Aspart Injectable Suspension Mix 70/30 100 U/mL (UB)

• Novolin® 70/30 (insulin isophane human and insulin human) injectionable suspension 100 U/mL (UB)

• Zegalogue® (dasiglucagon) injection 0.6 mg/0.6 mL

• NovoFine® 32G 6mm (100 needles/box)

GLP-1 Receptor Agonists:

• Ozempic® (semaglutide) injection 3 mL Pen that delivers doses of 0.25 mg or 0.5 mg (includes 6 needles)

• Ozempic® (semaglutide) injection 3 mL Pen that delivers doses of 1 mg (includes 4 needles)

• Ozempic® (semaglutide) injection 3 mL Pen that delivers doses of 2 mg (includes 4 needles)

• Rybelsus® (semaglutide) tablets

• Victoza® (liraglutide) injection 0.6 mg or 1.2 mg (2 Pen pack)

• Victoza® (liraglutide) injection 1.8 mg (3 Pen pack)

• Xultophy® 100/3.6 (insulin degludec & liraglutide) injection 100 U/mL & 3.6 mg/mL

Main Website Link

Agent Instructions:

• Step 1: Go to Medication Programs and Applications and find the Medication you need.
• Step 2: Click on the medication and in the drop-down click and download the form.

Covered Medications:

• ALLODERM™ Regenerative Tissue Matrix 

•  Alphagan® P (brimonidine tartrate) ophthalmic solution 

•  Armour Thyroid® (thyroid tablets, USP) tablets 

•  Avycaz® (avibactam, ceftazidime) powder 

•  BOTOX® (onabotulinumtoxinA) 

•  CREON® (pancrelipase) Delayed- Release Capsules 

•  Crinone® (progesterone) gel 

•  Dalvance® (dalbavancin) lyophilisate 

•  Depakote® (divalproex sodium) 

•  DUOPA (carbidopa and levodopa) enteral suspension 

•  Durysta® (bimatoprost) ocular implant 

•  Fetzima® (levomilnacipran) Extended Release Capsules and Titration Pack 

•  GENGRAF®Capsules (cyclosporine capsules, USP [MODIFIED]) 

•  HUMIRA® (adalimumab) 

•  IMBRUVICA® (ibrutinib) 

•  KALETRA® (lopinavir/ritonavir) Tablets 

•  KELLER FUNNEL® 2 

•  Linzess® (linaclotide) capsules 

•  Lumigan® (bimatoprost 0.01%) opthalmic solution 

•  LUPRON DEPOT® (leuprolide acetate for depot suspension) 

•  LUPRON DEPOT-PED® (leuprolide acetate for depot suspension) 

•  MAVYRET® (glecaprevir/pibrentasvir) 

•  Namzaric® (memantine HCl extended-release and donepezil HCl) capsule 

•  NATRELLE® 

•  NORVIR® (ritonavir) tablets and oral solution 

•  Oriahnn™ (elagolix/estradiol/norethindrone acetate) 

•  ORILISSA™ (elagolix) tablets 

•  Ozurdex® (dexamethasone) ocular implant 

•  QULIPTA™ (atogepant) tablets 

•  Rectiv® (nitroglycerin) ointment 

•  Restasis® (cyclosporine) ophthalmic emulsion 

•  REVOLVE™ System Advanced Adipose System 

•  RINVOQ™ (upadacitinib)

•  Saphris® (asenapine maleate) sublingual tablet 

•  Savella® (milnacipran HCl) tablets 

•  SKYRIZI™ (risankizumab-rzaa) 

•  STRATTICE™ and STRATTICE™ BPS Reconstructive Tissue Matrix 

•  Synthroid® (levothyroxine sodium) tablets 

•  Teflaro® (ceftaroline fosamil) powder for injection 

•  Ubrelvy® (ubrogepant) tablets 

•  VENCLEXTA™ (venetoclax tablets) 

•  Viberzi® (eluxadoline) tablets 

•  Viibryd® (vilazodone HCl) tablets 

•  Vraylar® (cariprazine) capsules 

•  Vyalev™ (foscarbidopa/foslevodopa)

•  Xen® Gel Stent

Main Website Link

Eligibility Requirements

Covered Medications:

• ABRAXANE®

  (paclitaxel protein-bound particles for injectable suspension) (albumin-bound) 

• AUGTYRO™ (repotrectinib)  

• CAMZYOS® (mavacamten)^†

• COBENFY™ (xanomeline and trospium chloride)  

• ELIQUIS® (apixaban)  

• EMPLICITI® (elotuzumab)  

• IDHIFA® (enasidenib)  

• INREBIC® (fedratinib)  

• ISTODAX® (romidepsin)  

• KRAZATI® (adagrasib)  

• NULOJIX® (belatacept)  

• ONUREG® (azactidine) tablets 

• OPDIVO® (nivolumab)  

• OPDIVO QVANTIG™ (nivolumab and hyaluronidase-nvhy) subcutaneous injection 

• OPDUALAG™ (nivolumab and relatlimab - rmbw)  

• ORENCIA® (abatacept)  

• POMALYST® (pomalidomide)*

• REBLOZYL® (luspatercept-aamt)  

• REVLIMID® (lenalidomide) ^*

• SOTYKTU™ (deucravacitinib)

• SPRYCEL® (dasatinib)  

• THALOMID® (thalidomide) ^*

• VIDAZA® (azacitidine) for injection 

• YERVOY® (ipilimumab)  

• ZEPOSIA® (ozanimod)

Main Website Link

GSK Patient Assistance Program

Vaccine Eligibility

Below are Prescriptions AND Vaccines:

Prescriptions Medications:

• ANORO ELLIPTA  (umeclidinium and vilanterol inhalation powder)
• ARNUITY ELLIPTA  (fluticasone furoate inhalation powder)
• BENLYSTA  (belimumab) Injection
• BREO ELLIPTA  (fluticasone furoate and vilanterol inhalation powder)
• INCRUSE ELLIPTA  (umeclidinium inhalation powder)
• JEMPERLI  (dostarlimab)
• LAMICTAL  (lamotrigine) Chewable Dispersible Tablets or Orally Disintegrating Tablets or Starter Kits
• LAMICTAL ODT  (lamotrigine) Patient Titration Kits
• LAMICTAL XR  (lamotrigine) extended-release tablets, for oral use or Patient Titration Kits
• MALARONE  (atovaquone and proguanil hydrochloride) Tablets
• MEPRON  (atovaquone) Suspension
• NUCALA  (mepolizumab) for injection, for subcutaneous use
• OJJAARA (momelotinib) for oral use
• RELENZA  (zanamivir) inhalation powder for oral inhalation
• SEREVENT DISKUS  (salmeterol xinafoate inhalation powder)
• TRELEGY ELLIPTA  (fluticasone furoate, umeclidinium, and vilanterol inhalation powder), for oral inhalation
• ZEJULA  (niraparib) for oral use

Covered Vaccines:

• BOOSTRIX  (Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis Vaccine, Adsorbed)
• ENGERIX-B  [Hepatitis B Vaccine (Recombinant)]
• SHINGRIX  (Zoster Vaccine Recombinant, Adjuvanted)

Main Website Link

Prescriptions Medications:

• APRETUDE  (cabotegravir)
• CABENUVA  (cabotegravir; rilpivirine)
• DOVATO  (dolutegravir and lamivudine)
• EPIVIR  (lamivudine)
• JULUCA  (dolutegravir and rilpivirine)
• RETROVIR  (zidovudine)
• RUKOBIA  (fostemsavir)
• SELZENTRY  (maraviroc)
• TIVICAY  (dolutegravir)
• TIVICAY PD  (dolutegravir)
• TRIUMEQ  (abacavir, dolutegravir, and lamivudine)
• TRIUMEQ PD  (abacavir, dolutegravir, and lamivudine)

Main Website Link

Eligibility Check

Prescriptions Medications:

• Alimta^® (pemetrexed for injection)
• Basaglar^® (insulin glargine injection)
• Cialis^® (tadalafil) tablets
• Cyramza^® (ramucirumab) injection
• Ebglyss^™ (lebrikizumab-lbkz) injection
• Emgality^® (galcanezumab-gnlm) injection
• Erbitux^® (cetuximab) injection
• Forteo^® (teriparatide injection)
• Humalog^® U-100 (insulin lispro injection)
• Humalog^® U-200 (insulin lispro injection)
• Humalog^® Mix50/50^™ (insulin lispro protamine and insulin lispro injectable suspension)
• Humalog^® Mix75/25^™ (insulin lispro protamine and insulin lispro injectable suspension)
• Humatrope^® (somatropin) for injection
• Humulin^® 70/30 (human insulin isophane suspension and human insulin injection)
• Humulin^® N (isophane insulin human suspension)
• Humulin^® R (insulin human injection)
• Jaypirca^® (pirtobrutinib) tablets
• Kisunla^™ (donanemab-azbt) injection
• Lyumjev^® (insulin lispro-aabc) injection
• Olumiant^® (baricitinib) tablets
• Omvoh^® (mirikizumab-mrkz) infusion
• Omvoh^® (mirikizumab-mrkz) injection
• Retevmo^® (selpercatinib) tablets
• Reyvow^® (lasmiditan) tablets C-V
• Taltz^® (ixekizumab) injection
• Trulicity^® (dulaglutide) injection
• Verzenio^® (abemaciclib) tablets

 Alamo Service Connection

• Main Number: 210-477-3275
• Other Number: 866-889-7433 
• Veteran number: 888-724-8387

• Is govt funded but has suffered from some cuts like other govt entities
• these rides can go up to $2-8 per ride depending on how far away the appointment is from the San Antonio area.
• can help with dialysis appts and frequent cancer appts
• after calling in, select the option for "new client" to get through to the right option, otherwise it sounds like it's just for veterans at times
• need to do an intake with them on the phone and then it can take 1-2 weeks for approval for rides.
• For VETERANS they take 1-2 days to approve but they need proof of Veteran ID or VA and regular TX ID the veteran number is 888-724-8387.  All rides are free for Veterans no matter the distance. 

NESA (Northeast Senior Assistance)

•  Main Number: 210-967-6372
• They do only cover a certain region of SA unfortunately within Bexar county and certain zip codes. 
• Free of charge
• Need minimum of 10 days advance notice but the more notice they can give, the better, because these are volunteers that drive them. 
• Can take them to medical, dental, grocery, and even social security office appointments. 
• They take them and STAY with them so they can drive them back. The client has to sign a waiver if they don't want the driver to stay with them because they have another ride back home. 
• They do not take patients to Dialysis appointments but they can do the other types of appointments for medical.
• Patient must call the phone number to set up a ride.

Here are some other good websites to know about for resources in general 

• Has resources by zip code for food, mental health, housing services, disability support and more. 

Quick Links:

• Conviva Website
  
• Find a Conviva Doctor
• Conviva Agent Portal
  
• Conviva Agent Resources
• Conviva Agent of Record
• Conviva Agent Tools

Conviva Agent Care Coordination Program:

• To earn a Care Coordination Payment, you MUST complete the required Compliance Training! Please email Celine Benzaquen and request the link!!!
• Schedule Online Appointment
• San Antonio Warm Transfer Phone: 210-934-0459
• A Few Tips:  
  • Bookmark the Schedule Your Client URL for easy access 
  • Ensure you are completing the scheduling process (a new window will automatically pop up after the website form is submitted) 
  • Pick an appointment date that is after the plan effective date
    

San Antonio Team:

James Lejarzar

• 210-896-4853
• [email protected] 

 Celine Benzaquen

• 210-288-8297
• [email protected]
  

David Bocanegra

• (210) 726-6855
• [email protected]

Community Engagement Team:

Rosemary Costilla

• (210) 868-1229 
• [email protected]

Athena Leon

• (210) 865-9254
• [email protected]

Marisela Cardona

• (210) 564-4224
• [email protected]

 Daniel Alcala

• (210) 268-6565
• [email protected] 

Jennifer Baca

• (210) 935-1482
• [email protected]

Quick Links:

• Gonzaba Website
• Find a Gonzaba Doctor
• Gonzaba Agent Portal

Case Managers

Specialist Care

• Endocrinology 
• Rheumatology
• Podiatry
• Hematology/Oncology
• Would Care
• Infectious Diseases
• Dermatology
• Colon and Rectal Surgeries

Wellness Management

• Wellness
• Screenings
• Foot Clinic
• Diabetes Education & Management
• Pain Management/Joint Injection
• Flu/Seasonal Clinic

Enhanced Urgent Care

• No Copay!
• Location 1: Main Medical Center
  • 711 Pleasanton Rd, SATX 78214
  • 8AM - 8PM
• Location 2: NW Medical Center
  • 7219 Culebra, SATX 78251
  • 8AM - 8PM
• Location 3: Hillcrest Medical Center
  • 1499 Hillcrest Dr, SATX 78228 
  • 8AM - 8PM (Closed Weekends)

Contact Center (Senior Care Hotline)

• Nurses available 8AM-5PM to take calls from patients who are feeling sick or need to be seen right away.
• 210-921-6688

Holistic Care

• Pain Management
• Acupuncture
• Dry Needling
• Massage/Myofascial Release

Advanced Radiology

• MRI
• CT Scans
• Vascular Studies and Sonograms
• Bone Density
• Echocardiograms

Hospitalists

• Gonzaba physicians work in hospitals to coordinate with patient's PCPs.

Physical Therapy

• Routine Care/Physicals
• Work Condition Programs
• Back Safety and Lifting Education
• Ergonomics Education
• Functional Capacity Evaluations

Palliative Care

• Provides hospice and supporting living services

Hospital High Risk Home Visits

• In-home nursing services

Insurance Plans

• UHC
• Humana
• Cigna
• Devoted
• WellPoint
• Scan

Iliana Escrigas

Quick Links:

• Health Texas Website
• Health Texas Agent Site
• Health Texas Agent of Record
  

Contact:

Lorena Cuello
Marketing Growth Manager
210.240.9309
2961 Mosscrock
San Antonio, Texas, 78230

Quick Links:

• Village MD Website

Note: To add yourself as Agent of Record, just email Natalie details of your enrollment (Ex. Name, DOB and plan of patient). She will enter you in her system as AOR.

Village MD San Antonio:

Natalie Navarro, Director, Broker Relations & Business Development

Email: [email protected]

Phone:

210-551-9828

Quick Links:

• WellMed Website
• WellMed Broker Portal
• Find a WellMed Doctor

WellMed Economic Security Assistance: 1-800-295-3315

WellMed Patient Advocate Group: 210-615-9355

WellMed Broker Support: [email protected]

WellMed Broker Help Line: 833-511-4761

Quick Links:

• Broker Portal
• Term Life Quick Quote

Websites:

1. Mutual of Omaha Homepage

   • URL: https://www.mutualofomaha.com/

2. Mutual of Omaha Agent Portal

   • URL: https://www.mutualofomaha.com/agent

3. Life Insurance Quotes & Application

   • URL: https://www.mutualofomaha.com/life-insurance

Phone Numbers:

1. Sales Support / Agent Services

   • Phone: 1-800-775-1000

2. Life Insurance Customer Service

   • Phone: 1-800-775-6000

3. New Business & Underwriting

   • Phone: 1-800-775-7896

4. Licensing & Contracting

   • Phone: 1-800-867-6873

Quick Links:

• Broker Portal
• Quotes & Applications
• Get Contracted
  • Note: Make sure to notate that you are under Medicare Pro - Randall Garcia when contracting
• Agent Manuel
• Phone: 1-800-736-7311
• Fax: 254-297-2110
• Email: [email protected]

Quick Links:

• Broker Portal
• New Agents Page
• Get Contracted
  • Note: Make sure to notate that you are under Medicare Pro - Randall Garcia when contracting

Contact Sales Support: (800)770-4561, option 1, option 5, or by email at
[email protected]

Quick Links:

• Broker Portal

Quick Links:

• Broker Portal
• Get Contracted
  • Note: Make sure to notate that you are under Medicare Pro - Randall Garcia when contracting

Quick Links:

• Broker Portal

Prosperity:

• Phone: 866-380-6413
• [email protected]
• [email protected]