As many of you know, D-SNP plans are available to eligible enrollees, but Excellus BCBS continues to face challenges with the enrollment pathway (seamlessly aligning both Medicare and Medicaid applications with CMS & NYSDOH.) They are actively working with NYSDOH to streamline the complicated enrollment process. The goal is to have one seamless D-SNP enrollment and to have NYS align the Medicaid enrollment on the back end.
Excellus BCBS will update you when there is a viable broker pathway. They remain hopeful for a full product launch in 2026.
In the meantime, they know you have clients that could benefit from being in their D-SNP plans. Excellus BCBS has identified members who are currently on an Excellus BlueCross Blue Shield Medicare Advantage plan that are D-SNP eligible. They are planning to reach out over the summer to educate them about the unique benefits the D-SNP plans offer.
Many of the members they'll be reaching out to are aligned to a broker. Because of this, you should know the following:
These plans fully integrate care for dually eligible beneficiaries under a single managed care organization, meaning members have Excellus BCBS for both Medicare and Medicaid for a streamlined member experience. Most plans in this market are coordination-only (CO). Additionally, each member has a designated care manager to help these vulnerable members get all the care they need.
If you have questions about our member mailing or our D-SNP plans, please reach out to Broker Account Services.
It’s once again time to start preparing for AEP. Below you’ll find the Core Training Certifications that Excellus BCBS will accept for AEP 2026. Many of these trainings are now open.
As a reminder, all agents must complete the retail training requirement prior to filing an event. If you are interested in registering for a sales or educational event, please contact your Broker Account Executive.
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