We are excited to welcome our new partner Clever RX

Clever RX is a free RX Savings Program that helps clients save money, promotes your agency and rewards you with a highly competitive commission program. We have scheduled a Clever RX Broker Learning Webinar on Tuesday November 3, 2020 from 1 PM to 2 PM. Click here to register for the Clever RX Broker Learning… Read More

You’re Invited to the 2020 Horizon Broker Sales Webinar

Horizon Blue Cross Blue Shield of New Jersey and Professional Group Plans cordially invite you to attend: The 2020 Broker Sales Conference via Webinar Thursday, October 29 at 1:30 PM   Click Here to register. About the Broker Sales Conference Horizon Blue Cross Blue Shield of New Jersey welcomes you to join us for an informative… Read More

Oxford New York Small Group Medicare Estimation Policy Reminder

Medicare Estimation is a process for determining the secondary payment when Medicare Part B is the primary payer. Medicare Estimation reduces the payment by the amount the primary Medicare Part B would have paid, by assuming the eligible member was enrolled in Medicare Part B. As previously communicated, July 1, 2020 Oxford began strictly enforcing… Read More

Horizon Flu Season Reminder

See below Flu Season Reminder Brief Notes from Horizon BCBSNJ Applies to: Fully insured and self-insured health plans (excluding Medicare Advantage) Staying Healthy During Flu Season Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) reminds members that getting a flu shot is the most effective way to prevent the flu. We encourage all… Read More

Smylen Dental Broker Learning Webinar

Smylen Dental Broker Learning Webinar Date/Time: Thursday 10/22 at 2PM Click here to register. Join us at this upcoming webinar to learn everything you need to know about our new partnership with Smylen including an overview of the plan, platform, network, concierge-style service model, pricing, and Q&A. Smylen is a smart dental benefit that offers… Read More

Horizon BCBSNJ Small Group MLR Refund

Horizon BCBSNJ has advised that there will be a refund for certain Small Groups as part of the state mandated minimum loss ratio provision as follows:  All non HMO business enrolled with Horizon for the 2019 calendar year will receive the refund. The overall amount of the refund is 27.7M and on average amounts to… Read More

Small Group Federal Open Enrollment Reminder

11/15/20 through 12/15/20 all carriers (NO EXCEPTIONS) The Affordable Care Act (ACA) requires health insurers to offer a one-month Special Open Enrollment Period, where eligible small groups can enroll in coverage without having to meet standard employer-contribution and/or employee-participation ratios. The Special Open Enrollment Period allows eligible small groups to enroll for coverage for a… Read More

Oxford New Jersey Garden State Network Changes

See below from Oxford regarding changes coming to Oxford Garden State Network We want to inform you of two upcoming changes to the Oxford Garden State Network. These changes are being made in an effort to simplify the health care experience and provide more affordable health care services to your clients and their plan participants…. Read More

Medicare Part D Creditable Coverage Notice Reminder – Due by October 14, 2020

A Medicare Part D plan provides prescription drug coverage under Medicare. The Medicare Part D notice, required by the Medicare Modernization Act (MMA) at least once a year, provides information to individuals enrolled in Medicare about whether employer-provided prescription drug coverage is creditable and the consequences of failing to enroll in a Medicare Part D… Read More

UnitedHealthcare/Oxford will discontinue the upfront waiver of cost share for Virtual Visits through Teladoc®, Doctor On Demand™ and AmWell® as of October 1, 2020.

UPDATE UnitedHealtcare/Oxford has advised of the following New York ONLY update to our initial communication below regarding Virtual Visits cost share waiver: As per New York State regulation, New York fully-insured groups will still have the cost-share waiver in place through November 9, 2020. This includes telehealth, virtual visits and Oxford 1.0 Amwell.  Note: New… Read More