Clover Health Debuts New Medicare Advantage Plans for 2022
01 Oktober 2021 - 3:00PM
Today, Clover Health (Nasdaq: CLOV) (“Clover”), a technology
company committed to improving health equity for America’s
underserved seniors, debuted its 2022 Medicare Advantage plans,
which are built to increase access to affordable, high quality
healthcare for Medicare eligibles across the country. Individuals
eligible for Medicare in 209 counties across nine states – Alabama,
Arizona, Georgia, Mississippi, New Jersey, Pennsylvania, South
Carolina, Tennessee, and Texas – can enroll in Clover’s plans. The
enrollment period opens on October 15 and continues through
December 7, 2021, with coverage beginning on January 1, 2022.
Clover offers highly affordable, benefit-rich health plans with
low out-of-pocket costs to eliminate care barriers and encourage
beneficiaries to engage with the healthcare system, and their
primary care physician (“PCP”) in particular. Many of Clover’s
plans feature $0 premiums and $0 copays for primary care visits,
regardless of whether the PCP is in or out of Clover’s provider
network.
Clover’s PPO provider networks are broad and open, enabling its
members to see any clinician participating in Medicare who is
willing to accept them. Several thousand PCPs within Clover’s
coverage areas are using Clover's clinical support technology, the
Clover Assistant, to elevate the care delivered to Clover’s
members. Equipping PCPs with patient information from across the
healthcare system and clinical recommendations at the time of the
visit empowers them to deliver data-driven, personalized care, to
keep patients healthier.
“We strive to offer plans with the most benefits at the lowest
cost on a wide, open network because we believe these three
components working in concert are essential to making high-quality,
affordable care more widely available, especially for those who
have historically lacked access,” said Andrew Toy, President of
Clover Health. “We continue to invest in market-leading plan
design, while continuing to iterate to make the Clover Assistant
the best possible clinical software to manage the care of our
beneficiaries.”
In 2022, benefits such as primary and specialty physician care,
outpatient hospital services, and ambulatory surgical centers will
continue to feature low member out-of-pocket costs. Enhancements to
the company’s Part D and supplemental benefits will increase access
to resources that promote and enable healthier living.
Additional highlights of Clover’s 2022 Medicare Advantage plans
include:
- Over-the-Counter and Grocery Allowances.
Clover members who meet certain criteria, like having an underlying
health condition, such as cancer, chronic kidney disease, or
hypertension, will qualify for an enhanced Over-the-Counter (“OTC”)
benefit that includes groceries. Depending on the plan the
individual is enrolled in, eligible members will receive up to $200
in a quarterly stipend which can be used to purchase OTC and
grocery items at many major retailers, local supermarkets, and
regional chains.
- Dental, Vision, and Hearing. All Clover plans
include routine dental, vision, and hearing coverage plus
allowances for eyeglasses or contacts, and hearing aids. Many plans
include allowances for comprehensive dental coverage.
- Low Insulin Prices. Members with diabetes who
are enrolled in plans participating in the Part D Senior Savings
Model will pay a maximum copay of $35 for a one-month supply of
their insulin prescription. While the maximum copay for each select
insulin prescription is $35 per month, this cost will be $25 when
members fill their prescription at preferred vendors.
- 100-Day Prescriptions and Medication Delivery.
The Clover Assistant prompts doctors, when clinically appropriate,
to extend members’ fill lengths for Tier 1 and 2 prescription drugs
from the standard 30 days to 90 or 100 days. Needing to refill a
drug three or four times a year is much easier, and less expensive,
than 12 times a year, which is the requirement for a standard
30-day fill, and is less likely to result in periods without any
medications on hand. Prescriptions are available for delivery via
Clover’s partnership with CVS Caremark, enabling members to obtain
critical medications without having to leave the home.
- Transportation Assistance. Clover members
whose plans include transportation benefits will be able to
schedule non-emergency medical transportation through Roundtrip's
ride ordering app, which includes rideshare options, medical
sedans, wheelchair vans, and non-emergency ambulances. By
streamlining and simplifying the transportation experience, Clover
aims to provide members with flexibility, autonomy and support in
getting to their appointments.
- Access to Telehealth Visits. In addition to
in-person office visits, Clover offers video-based visits to all
members at no cost to them.
- At-Home Primary Care. Eligible members in New
Jersey can enroll in Clover Home Care, Clover’s in-home primary
care program for medically-complex and homebound individuals. The
program provides direct, 24/7 access to providers, same-day urgent
visits, and collaborative care with in-network primary care
physicians, all within the home.
- Fitness Classes. Clover plans include a
SilverSneakers membership, which gives members access to a large
network of gyms, as well as live and on-demand video classes for
activities like aerobics, yoga, swimming, nutrition counseling, and
senior fitness programs, free of cost.
Federal Contracting Disclaimer: Clover Health is a Preferred
Provider Organization (PPO) and a Health Maintenance Organization
(HMO) with a Medicare contract. Enrollment in Clover Health depends
on contract renewal.
Network Disclaimer: Out-of-network/non-contracted providers are
under no obligation to treat Plan members, except in emergency
situations.
Material ID: Y0129_21IX021_M
About Clover Health: Clover Health (Nasdaq:
CLOV) is a next-generation risk-bearing organization aiming to
achieve health equity for all Americans. While our mission is to
improve every life, we particularly focus on seniors who have
historically lacked access to affordable high quality
healthcare.
We aim to provide great care, in a sustainable way, by having a
business model built around improving medical outcomes while
lowering avoidable costs. We do this while taking a holistic
approach to understanding the health needs and social risk factors
of those under our care. This strategy is underpinned by the
company’s proprietary software platform, the Clover Assistant,
which is designed to aggregate patient data from across the health
ecosystem to support clinical decision-making by presenting
physicians and other providers with real-time, personalized
recommendations at the point of care.
Making care more accessible is at the heart of our business, and
we believe patients should have the freedom to choose their
doctors. We offer two models of care: affordable Medicare Advantage
plans with extensive benefits; and care coordination for Original
Medicare beneficiaries through Direct Contracting. For both
programs, we provide primary care physicians with the Clover
Assistant and also make comprehensive home-based care available via
the Clover Home Care program.
With its corporate headquarters in Nashville, Clover’s workforce
is distributed around the U.S. and also includes a team of
world-class technologists based in Hong Kong. The company manages
care for Medicare beneficiaries in eleven states, including
Arizona, Georgia, Kansas, Mississippi, New Jersey, New York,
Pennsylvania, South Carolina, Tennessee, Texas and Vermont.
Press Contact: Andrew
Still-Baxterpress@cloverhealth.com
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