Posted on October 10, 2019
Starting January 1, 2020, Empire pharmacy benefits will be managed by Ingenio Rx. To ensure a smooth transition, Empire will be providing notifications to Small Group policyholders with several mailings to introduce Ingenio Rx and provide information on any changes that will occur. What to expect after the transition: Improvement in care coordination Closed coverage… Read More
Posted on October 9, 2019
Horizon will be offering an upcoming broker webinar to discuss IHC Medical Products for 2019-2020. If you would like to attend this webinar please register below by clicking on the link for the date and time you prefer then click “Register“. On the registration form, enter your information and then hit “Submit“. Thursday, October 24,… Read More
Posted on September 25, 2019
Horizon BCBSNJ Creditable Coverage Notices, Applies to All Markets Date: 9/25/19 Groups that offer prescription drug coverage to Medicare-eligible employees and their dependents are required to notify those employees and dependents whether their coverage is creditable or non-creditable. Notifications must be sent before the 2020 Medicare Annual Election Period, which begins on October 15,… Read More
Posted on September 5, 2019
As a result, effective immediately, all Westchester Medical and Bon Secours hospitals and affiliated physicians will rejoin Empire’s network of participating providers under a new multi-year agreement that is retroactive to June 1, 2019. (As previously communicated, these hospital systems had left the Empire network on June 1, 2019) That means that all Empire members… Read More
Posted on August 6, 2019
Oxford Health Plan and United Healthcare are offering a bonus to agents who sell new fully insured and All Savers Alternate Funding medical groups with 51 to 100 eligible employees, and at least 25 enrolled employees. The effective dates are from October 1, 2019 through January 31, 2020. Agents will receive a bonus of $40… Read More
Posted on July 31, 2019
Horizon Blue Cross Blue Shield of New Jersey has announced that Bergen New Bridge Medical Center (formerly Bergen Regional) in Paramus, New Jersey, is now part of the Horizon Hospital Network. This agreement allows Horizon BCBSNJ members to access care at an in-network level of benefits, getting the most out of their coverage, while keeping… Read More
Posted on July 16, 2019
Email Sent: 7/16/19 In January of 2019 Oxford rolled out updates for their Connecticut business which included a new member and producer website, amongst other enhancements. Beginning with October 1st new business and renewals, those same enhancements will be extended to their Oxford fully insured large group New York (101+) and New Jersey (51+) clients…. Read More
Posted on July 10, 2019
Email Sent: 7/10/19 As previously communicated by Oxford, going forward Oxford will require strict adherence to the deadline for a group under a Risk Management Audit to submit documentation to Oxford confirming eligibility for renewal. Oxford will no longer have any flexibility in the process as per their legal team. Below is an example of… Read More
Posted on June 27, 2019
Email Sent: 6/27/19 Effective July 1, 2019, in addition to Children’s Hospital of Philadelphia, AmeriHealth’s Local Value Network will offer even more value as AmeriHealth welcomes Summit Medical Group for all segments and Penn Medicine for Small and Large group segments only. With this addition, AmeriHealth’s Local Value Network has over 90% overlap when compared… Read More
Posted on June 19, 2019
Email Sent: 6/19/19 Aetna has announced that they are now offering members access to MinuteClinic® services at no cost to them. They are currently offering this benefit to self-funded customers only. The benefit is scheduled to become available to Small Group AFA effective September 1, 2019 and all other segments effective January 1, 2020. Access… Read More