ASO core offerings. Self-funded groups, sized 51 99
|
|
- Conrad Bishop
- 5 years ago
- Views:
Transcription
1 ASO core offerings Self-funded groups, sized 51 99
2 2
3 Regence ASO core offerings Under an ASO self-funded arrangement, you define the ideal balance between control and risk. With Regence ASO, you can rely on professional eligibility and claims administration, along with high-quality clinical services and a solid provider network that offers savings through deep discounts. The following products and services are available as Regence ASO core offerings. Benefits, simplified We ve made it easier to enroll in and administer your Regence benefits. We offer two solutions for enrollment and eligibility information transfer that make doing business with us faster and easier. You can choose the one that best meets your needs. What you re looking for Digital Basic (electronic eligibility) Digital Enhanced (online eligibility) No additional cost to your organization Reporting HSA integration with HealthEquity Online access for employees Decision support during benefit election Online messaging tailored to employees Suite of educational tools More than one medical plan offered Online customer technical support Digital Basic An offering for groups with electronic eligibility capabilities (including ANSI 834 and simple file format) Digital Enhanced A robust, web-based benefits management tool that allows members to update their own information for reduced HR burden Regence receives an administrative fee for each HealthEquity Integrated HSA. The fee allows for a high level of support and integration between Regence s health plans and HealthEquity health savings accounts. HealthEquity is a separate and independent company that does not provide Blue Cross and Blue Shield products or services, and is solely responsible for its products or services. 3
4 Clinical services Utilization management This is more than simply a program used to drive down costs. Instead, activities are the key to ensuring members receive quality, evidence-based, cost-effective care that aligns with our guiding principle, the Triple Aim: improving the member experience, improving member health and lowering health care costs. Medical policies and pre-authorization: Our pre-authorization list is based on our medical policies, which are among the most comprehensive and respected in the industry. In fact, they are adopted by many Blue Plans, as well as by the federal government, confirming the strong results our program delivers. Clinical review and reimbursement: We ve created an industry-leading proprietary process to manage costs associated with care provided in an acute inpatient facility. High-risk claims are reviewed by our team of registered nurse auditors, coders and pharmacy technicians, who perform up to 14 different clinical and non-clinical prepayment reviews for each claim, resulting in significant savings. Optional utilization management programs: We offer several optional utilization management programs in addition to our standard preauthorization program. Optional programs ensure medical necessity of specific services known for being at high risk for quality problems or inappropriate utilization. These include physical medicine, advanced imaging authorization and sleep medicine programs. Care management Care management delivers a personalized model that focuses on holistic care and collaboration with doctors. This model provides a single care manager for members with the greatest unmet health care needs, with the goal of achieving the best outcomes possible. Medical and behavioral health issues are not separate from each other, so our integrated model connects members with a clinician best trained to support their primary concern, with a team of registered nurses and social work case managers available for further support. Palliative care: Regence is nationally recognized as an industry leader in improving the care and quality of life for members facing serious and endof-life conditions. The program provides members, their families and caregivers, and their doctors with support and solutions. Optional care management programs: These programs provide additional support to members with specific chronic diseases, expectant mothers, members looking to quit tobacco, and any member looking for 24-hour medical advice. Additional medical management, and health and productivity services are available at additional costs. Please see ASO optional program offerings for an overview of programs dedicated to advanced imaging, disease and pain management, and sleep medicine. Utilization management processes comply with turnaround times required by state and federal regulations. We are accredited by the National Committee for Quality Assurance (NCQA) and follow NCQA standards. Our goal: to connect employees with the right care at the right time, and to empower them to return to health as quickly as possible. 4
5 Use our Live Chat feature Monday through Friday between 7 a.m. and 5 p.m. Customer Service Customer Service is available Monday through Friday between 5 a.m. and 8 p.m. and Saturday between 8 a.m. and 4:30 p.m. (Pacific time). Your dedicated Customer Service Department has a toll-free number and calls will be answered by one of our customer service professionals. Our Voice Response Unit is available 24/7; employees can check claim status, request claim forms, order member ID cards and hear benefit information at any time. Benefit coordinators have direct phone and access to dedicated team leads. Our secure member web portal provides benefit information and allows your employees to: Order or print member ID cards View claims status and print explanation of benefits (EOB) documents Review eligibility and check authorization status Submit other health insurance questionnaires Customer Service Access provider cost and quality information, a personal health record, online provider directory, a wellness library, their prescription drug history, and details about pharmacy benefits Claims Dedicated teams process claims in our ServiceHub in Burlington, Washington. Team structure Each claims team is led by a supervisor and includes an operations lead and several claims analysts. The claims analyst team has an average tenure of more than 10 years. Analysts and supervisors have been specifically trained to serve our self-funded accounts. In addition to being on site at the Burlington ServiceHub, team members are able to work from secured environments in their homes. This popular program increases productivity and enables teams to adjust work hours based on claims volume. Home-based workers productivity isn t affected when inclement weather forces our offices to close. Training and auditing Our six-week new-hire training program provides claims trainees with the system and processing knowledge they need to process medical, hospital and vision claims. Trainers review all trainee claims before releasing the trainee to the Claims unit. The unit reviews claims for accuracy for the first two weeks; after that, the new employee goes through the Quality Assurance and Reporting area s monthly audit process. Claims are audited regularly by our Quality Audit Department to ensure processing and financial accuracy. Quality improvement activities are ongoing. 5
6 Underwriting Services included Stop loss integrated quotation Calculation of COBRA rates Claims projections Cost/benefit analysis of plan design 50% of specific stop loss level reports Audit of stop loss claim above specific level Custom claims invoice options (available by request) ERISA Form 5500 services Schedule A and C filings Billing file format options Online administrative fee billing is available through our secure website. We create invoices in both PDF and Excel. You may elect to receive only the PDF, or both the PDF and Excel versions. You can choose to receive a hard copy in the mail or have that hard copy suppressed. Billing level details We offer you a choice of three statement options with varying levels of detail. Information included Option 1 short statement Option 2 subgroup summary Option 3 class summary Claims activity and fees Included Included Included Claims per billing and subgroup Included Included Claims per employee class Included Claims per benefit plan Included Included Detailed claims per member Weekly claims invoicing Oregon groups: All claims paid from Wednesday through Tuesday are included in the invoice that generates the following Wednesday. The invoice is available for delivery by each Thursday. Washington groups: All claims paid from Saturday through Friday are included in the invoice that generates the following Saturday. The invoice is available for delivery by each Monday. 6
7 Reporting Services included Our online Employer-Based Reporting (EBR) system provides reporting for claims and utilization data. EBR training is available for groups and producers. Employer Center is our online employer access point. It allows you to: Get instant access to eligibility information Access claims and eligibility summary data Additional reporting is available: See your population s participation in medical management programs Custom reporting is available for an additional cost. Please ask your Regence sales executive for more information about what we offer. Pharmacy Services included Fully integrated pharmacy services Real-time pharmacy claims processing integrated with the medical plan; no separate eligibility feed required Pharmacy data incorporated into online reporting system A single member ID card, with one customer service number and a single website for both medical and pharmacy benefits Pharmacy Services has several programs that offer valuable information, cost savings and new ways to manage prescription dollars. Programs include: Blood Glucose Meter Program Specialty Drug Program Half-Tablet Program Information on other patient assistance programs Site of Care Program Network advantage BlueCard Program advantage BlueCard gives your employees seamless access to physicians and hospitals that participate in Blue Plan networks across the country. The program links these providers with all the independent Blue BLUE PLAN NETWORK NATIONWIDE PARTICIPATION: 96% of all hospitals 92% of all doctors Cross and/or Blue Shield Plans through a single electronic network for claims processing and reimbursement. So no matter where they live, work or travel, your employees will be covered at your plan s benefit levels. Blue Cross Blue Shield Global Core is a medical assistance program that connects employees traveling or living outside the United States, Puerto Rico and the U.S. Virgin Islands to a network of more than 9,000 hospitals and 21,000 health care professionals and outpatient care centers around the world. The program also provides claims support, referrals to providers, translation services and medical monitoring 24 hours a day, 365 days a year. It may provide other services, such as medical evacuation coordination, depending on your plan benefits and our payment guarantee. Regence preferred network Regence is local, has a long history of doing business in our communities, and brings a high volume of business to our network. This volume drives deeper discounts, and employers can rest assured that our providers are dedicated to caring for their employees. Our traditional Regence preferred network provides discounted access to care almost anywhere, which is crucial for international companies and those with employees who travel or work in rural locations. 7
8 We re here to help you choose the programs that are right for your employees needs. For more information, please contact your producer or Regence Sales. Regence BlueCross BlueShield of Oregon is an Independent Licensee of the Blue Cross and Blue Shield Association Regence BlueCross BlueShield of Oregon 100 SW Market Street Portland, OR REG /09-OR-rep Regence BlueCross BlueShield of Oregon Regence complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (TTY: 711). 注意 : 如果您使用繁體中文, 您可以免費獲得語言援助服務 請致電 (TTY: 711).
ASO core offerings. Self-funded groups, sized 100+
ASO core offerings Self-funded groups, sized 100+ 2 Regence ASO core offerings Under an ASO self-funded arrangement, you define the ideal balance between control and risk. With Regence ASO, you can rely
More informationASO core offerings. Self-funded groups, sized 100+
ASO core offerings Self-funded groups, sized 100+ Regence BlueCross BlueShield of Oregon is an Independent Licensee of the Blue Cross and Blue Shield Association Regence ASO core offerings Under an ASO
More informationExpand your employees health care literacy by educating them about safe and simple ways to dispose of unused or expired prescription drugs.
1 GRAB-AND-GO EMPLOYEE EDUCATION CAMPAIGN HOW-TO GUIDE National Prescription Drug Take-Back Day Expand your employees health care literacy by educating them about safe and simple ways to dispose of unused
More informationRegence makes it easy
Regence makes it easy Regence BlueShield is changing the way people experience health care by removing friction from the system and making it easier to navigate. When you have Regence as your health plan,
More informationTake Charge of YOUR COPD
Take Charge of YOUR COPD You are the Key Did you know that Chronic Obstructive Pulmonary Disease (COPD) Flare-Ups cause your COPD to progress faster and shorten your life? The key is managing your COPD
More informationYour Feelings Matter WITH TYPE 2 DIABETES
Your Feelings Matter WITH TYPE 2 DIABETES A new diagnosis of type 2 diabetes may trigger a range of emotions from minor stress to major depression. Recognizing and addressing emotional reactions can play
More informationSay hello to Go365 by Humana for Medicare members
Say hello to by Humana for Medicare members is the wellness program personalized just for you, and rewards you for making healthier choices. You are already enrolled! Follow these easy steps to get started:
More informationLife After a Heart Attack WHAT ARE MY CHANCES OF HAVING ANOTHER HEART ATTACK?
Life After a Heart Attack WHAT ARE MY CHANCES OF HAVING ANOTHER HEART ATTACK? A previous heart attack increases your risk of having a second one. However, you can make changes to prevent a second heart
More informationGetting to the BOTTOM OF BACK PAIN
Getting to the BOTTOM OF BACK PAIN What You Should Know About Low Back Pain Do I Need an X-ray? According to the American College of Physicians, most people with low back pain feel better after a month
More informationThe benefit of knowing
The benefit of knowing Genetic testing for familial hypercholesterolemia (FH) A patient support guide 2 Does high cholesterol run in your family? In some families, high cholesterol is caused by familial
More informationSore Throat or Strep? ALWAYS GET A STREP TEST BEFORE TAKING AN ANTIBIOTIC
Sore Throat or Strep? ALWAYS GET A STREP TEST BEFORE TAKING AN ANTIBIOTIC What is Strep? Strep or strep throat is also known as Streptococcal Pharyngitis. Pharyngitis is a type of sore throat and is a
More informationPreventive Care Guide
Preventive Care Guide Kern Family Health Care wants you to get good health care. These preventive care guidelines help you stay healthy by preventing diseases or by finding them early on. Preventive care
More informationDelta Dental benefit summary
Delta Dental benefit summary To find a, visit deltadentalin.com/finda and use the search tool in the blue box for Medicare Advantage PPO and Medicare Advantage Premier Providers. You may also call customer
More informationLiving with DIABETES
Living with DIABETES Mark Your Calendar Regular tests and screenings can ensure you re on the right track with your Diabetes. You should complete the following screenings at least once or twice a year:
More informationSUMMARY OF BENEFITS HEALTHTEAM ADVANTAGE PLAN I (PPO) HEALTHTEAM ADVANTAGE PLAN II (PPO)
2017 SUMMARY OF BENEFITS HEALTHTEAM ADVANTAGE PLAN I (PPO) HEALTHTEAM ADVANTAGE PLAN II (PPO) HealthTeam Advantage, a product of Care N Care Insurance Company of North Carolina, Inc., is a Medicare Advantage
More informationENJOY DR. TARA M. BRYANT THE ALL ABOUT YOU ISSUE! A Message from NEED HELP WITH HEARING AID COSTS? How to have your prescriptions
ENJOY THE ALL ABOUT YOU ISSUE! NEED HELP WITH HEARING AID COSTS? PAGE 7 How to have your prescriptions DELIVERED TO YOUR HOME! e f Li A Message from DR. TARA M. BRYANT PAGE 2 PAGE 6 The benefit information
More informationStay well with this list of screenings, vaccinations and medications that are 100% covered
preventive care services Stay well with this list of screenings, vaccinations and medications that are 100% covered Table of contents 3 Your preventive care benefits 4 For men 6 For women 9 For pregnant
More informationStay well with this list of screenings, vaccinations and medications that are 100% covered
preventive care services Stay well with this list of screenings, vaccinations and medications that are 100% covered Table of contents 2 3 Your preventive care benefits 4 For men 6 For women 9 For pregnant
More informationConnection IN THIS ISSUE: MANAGE YOUR HEALTH WITH V-CARE. CUSTOMER SERVICE AT Viva Health. Fall/Winter 2017
Connection CUSTOMER SERVICE AT Viva Health An important part of Viva Health s commitment to customer service is that we continually evaluate our own performance and strive to exceed members expectations.
More informationPrimeCare of Citrus Valley
PrimeCare of Citrus Valley Network Directory Serving Eastvale, Corona, Norco, Riverside PRIMARY CARE FOR EVERY MEMBER OF YOUR FAMILY Family Medicine Internal Medicine Geriatrics General Practice Pediatrics
More informationStay well with this list of screenings, vaccinations and medications that are 100% covered
preventive care services Stay well with this list of screenings, vaccinations and medications that are 100% covered Table of contents 2 3 Your preventive care benefits 4 For men 6 For women 9 For pregnant
More informationYour Guide to Healthy Smiles: Supplemental Dental Benefits
If you currently have supplemental dental coverage, you will need to enroll in a new plan during the It s Your Choice enrollment period to have coverage in 2019. See page 7 for more information. Your Guide
More informationJULY: Chair Aerobics Call café for time! 11th - All cafés. Ask the Expert: Financial Wellness and Estate Planning Call café for time!
2018 CALENDAR JANUARY: Welcome to Viva! New Member Meeting 10 am - 12 pm 8th - Grand River 9th - Hoover 10th - Montgomery 11th - Mobile 12th - Florence FEBRUARY: High Blood Pressure & Stroke Prevention
More informationMember frequently asked questions
Magellan Complete Care of Virginia, a Medallion 4.0 program Member frequently asked questions ABOUT MEDALLION 4.0 What is Medallion 4.0? Medallion 4.0 replaces the Medicaid health plan known before as
More informationa newsletter for Viva Medicare members
a newsletter for Viva Medicare members Thank you for being a Viva Medicare member! Look inside for great information about how you can enjoy life to the fullest! This information is not a complete description
More informationPREVENTIVE HEALTH PAYMENT GUIDELINES Effective January 1, 2017
PREVENTIVE HEALTH PAYMENT GUIDELINES Effective January 1, 2017 Including Services Required by Affordable Care Act Women's Health (ACAWH) The following recommended services will be covered under the preventive
More informationLuana i ke ola maika i
OCTOBER 2018 Luana i ke ola maika i Enjoying good health Tips for a lifetime of good health and well-being are here. IN THIS ISSUE: Open Enrollment: Stick With HMSA We re More than What You d Expect We
More informationValley Physicians Network (VPN)
Valley Physicians Network (VPN) Network Directory Serving Murrieta, Wildomar, Temecula, Lake Elsinore, Menifee PRIMARY CARE FOR EVERY MEMBER OF YOUR FAMILY Family Medicine Internal Medicine Geriatrics
More informationCommercial HMO/POS Effectiveness of Care Measure
Commercial HMO/POS Effectiveness of Care Measure HEDIS 2017 NCQA Quality Compass National Average Adult BMI Assessment 91.85% 76.17% Weight Assessment and Counseling for Nutrition and Physical Activity
More informationENJOY Life! 2018 BENEFITS! LOOK INSIDE FOR GREAT NEWS ABOUT YOUR
ENJOY Life! LOOK INSIDE FOR GREAT NEWS ABOUT YOUR 2018 BENEFITS! The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations,
More informationPreventive Care Coverage
Preventive Care Coverage 1 Table of contents 3 Know what s covered 4 For men 6 For women 9 For pregnant women 11 For children Preventive Care Coverage Know what s covered Preventive care and early detection
More informationPreventive care coverage
Preventive care coverage 1 Table of contents 3 Know what s covered 4 For men 6 For women 9 For pregnant women 10 For children Preventive care coverage Know what s covered Preventive care and early detection
More informationDISCOVER Go365. Go365.com
DISCOVER Go365 Go365.com GETTING STARTED READY. SET. Go365 It s simple to get started with Go365 TM. Here s how to get rewarded for your healthy behaviors. 1. Register now Download the Go365 App or visit
More informationTHE POWER OF. Savings through the largest dentist network. Hometown expertise. Measurably superior service
THE POWER OF Savings through the largest dentist network Delta Dental Premier is the largest network of dentists across the state and country. Delta Dental PPO SM is one of the largest PPO networks across
More informationPreventive care coverage. Benefits designed to protect your health. bridgespanhealth.com
Preventive care coverage Benefits designed to protect your health bridgespanhealth.com To find out if you re eligible for preventive coverage, call the Customer Service number on the back of your member
More informationHealth TALK. Mammograms save lives. Plan to quit.
Health TALK FALL 2018 Plan to quit. Every November, the Great American Smokeout asks everyone to quit smoking. You can quit for just that one day. Or it could be the fi rst day of a permanent, healthy
More informationSCHEDULE YOUR PREVENTIVE CARE VISIT Preventive care visits, or routine checkups, are important to your health.
We re in this together: uality Health Care Member FOCUS HAWAII 2018 ISSUE 1 SCHEDULE YOUR PREVENTIVE CARE VISIT Preventive care visits, or routine checkups, are important to your health. Why are preventive
More informationPREVENTIVE HEALTH PAYMENT GUIDELINES Effective June 29, 2017
PREVENTIVE HEALTH PAYMENT GUIDELINES Effective June 29, 2017 Including Services Required by Affordable Care Act Women's Health (ACAWH) The following recommended services will be covered under the preventive
More informationSCHEDULE YOUR PREVENTIVE CARE VISIT Preventive care visits, or routine checkups, are important to your health.
We re in this together: Quality Health Care Member FOCUS EASY CHOICE 2018 ISSUE 1 SCHEDULE YOUR PREVENTIVE CARE VISIT Preventive care visits, or routine checkups, are important to your health. Why are
More informationYour Passport to Health Guide
Medicare Advantage preventive care benefits Your Passport to Health Guide Regence BlueShield of Idaho is an Independent Licensee of the Blue Cross and Blue Shield Association Y0062_P2H2018 Accepted Preventive
More informationCommunity Health Plan of Washington and You Medical Care Services
Community Health Plan of Washington and You Medical Care Services with Community Health Plan of Washington Including: About Community Health Plan of Washington Your Enrollment New TTY number Eligibility
More informationDental Options 2018 BALTIMORE CITY PUBLIC SCHOOLS
Dental Options 2018 BALTIMORE CITY PUBLIC SCHOOLS Contents Important Information for 2018... 1 Dental HMO (DHMO) Dental Plan... 2 Preferred Dental PPO (DPPO) Dental Plan... 3 Summary of Dental PPO Benefits...
More informationOctober is Breast Cancer Awareness Month
P.O. Box 1800 Rancho Cucamonga, CA 91729-1800 Questions? Call IEHP Member Services 1-800-440-IEHP (4347) 1-800-718-IEHP (4347) for TTY users 8am 5pm Monday-Friday www.iehp.org IEHP complies with applicable
More informationPrimeCare of Sun City
PrimeCare of Sun City Network Directory Serving Sun City, Menifee, Lake Elsinore, Wildomar, Temecula, Murrieta PRIMARY CARE FOR EVERY MEMBER OF YOUR FAMILY Family Medicine Internal Medicine Geriatrics
More informationEmployees. Coverage. Choices. you deserve. you demand. Viva Access 2018
2018 For Employees Coverage you deserve. Choices you demand. Access to all participating Viva Health Providers No referrals required to see specialists Viva Access 2018 Dear UAB Employee, e the opportunity
More informationMake It a Year of Wellness
Make It a Year of Wellness Dedicated Wellness Team Sossity Fair, Wellness Strategist Conducts Agency assessments and provides guidance on strategy and wellness program design Becky Gillespie & Ejiro Erogbogbo,
More informationEUTF and HSTA VB Retirees Group Number 2601 Dental Plan Benefits
EUTF and HSTA VB Retirees Group Number 2601 Dental Plan Benefits A lifetime of healthy smiles for Hawai i families This brochure includes a brief description of your HDS dental benefits. All benefits are
More informationPrimary Care For more information, visit or call GBMC (4262).
Primary Care Each GBMC Heath Partners primary care practice works as a well-coordinated team managing your health across a system of care. With locations throughout the Baltimore area, extended weekday
More informationVIGILANT GROUP BENEFITS PROGRAM. BENEFIT PLANS AT A GLANCE This summary provides a brief overview of the Vigilant Group
VIGILANT GROUP BENEFITS PROGRAM VIGILANT GROUP BENEFITS PROGRAM BENEFIT PLANS AT A GLANCE This summary provides a brief BENEFIT PLANS AT A GLANCE overview of the Vigilant Group Benefits Trust plans This
More informationWelcome to Delta Dental.
a NEW reason to smile. Welcome to Delta Dental. y o u r g u i d e t o a healthy mouth for life. W e l c o m e t o D e lta D e n ta l, t h e # 1 d e n ta l p l a n i n t h e country. We are excited to partner
More informationPrimeCare of Riverside
PrimeCare of Riverside Physician & Facilities Directory Serving Riverside and Corona PRIMARY CARE FOR EVERY MEMBER OF YOUR FAMILY Internal Medicine Geriatrics General Practice Pediatrics Having a doctor
More informationReady. Set. CAPTURE LIFE REWARDS. Earn plenty of Points. GET ACTIVE ENJOY LIVE HEALTHY REWARDS GCHJMJXEN 0916
Ready. Set. CAPTURE LIFE REWARDS Earn plenty of. GET ACTIVE GCHJMJXEN 0916 LIVE HEALTHY ENJOY REWARDS How to Register as a new user! Go to www.go365.com and click on Register now NOTE: You will need to
More informationPROOF. Group Dental Plan For the State of Florida Employees and Their Families, 2018 People First Plan Codes 4021, 4022 and 4023
Group Dental Plan For the State of Florida Employees and Their Families, 2018 People First Plan Codes 4021, 4022 and 4023 Dental benefits are our specialty, and we work hard to make a plan that works for
More information2014 Rates. About Delta Dental networks BENEFITS OVERVIEW. Employee Only: $ Employee & Spouse: $ Employee & Child(ren): $83.
BENEFITS OVERVIEW Benefit Summary for: Denny s, Inc. Effective Date: January 1, 2014 Plan Option: HIGH PLAN Delta Dental PPO Dentacare M Delta Dental PPO & Premier Non- Participating Providers Part-Time
More informationInsurance Guide For Dental Healthcare Professionals
Insurance Guide For Dental Healthcare Professionals Dental Benefits Basics What is dental insurance? Unlike traditional insurance, dental benefits are not meant to cover all oral healthcare needs. The
More informationENJOY Life! for a Colonoscopy WELL NOURISHED FREE AND FUN EDUCATIONAL EVENTS. Join us for our HOW TO PREPARE. Keeping Your Mind & Body
ENJOY Life! Join us for our FREE AND FUN EDUCATIONAL EVENTS PAGE 2 HOW TO PREPARE for a Colonoscopy PAGE 4-5 Keeping Your Mind & Body WELL NOURISHED PAGE 6 The benefit information provided is a brief summary,
More information2018 Preventive Schedule
2018 Preventive Schedule Medicare-Covered Services PLAN YOUR CARE: KNOW WHAT YOU NEED AND WHEN TO GET IT Preventive or routine care helps us stay well or finds problems early, when they are easier to treat.
More informationBlueCare Dental HMO. Enrollment Guide. Blue Cross and Blue Shield of Illinois
BlueCare Dental HMO Enrollment Guide Blue Cross and Blue Shield of Illinois 1 Learn about us 2 Benefits, an overview 4 Questions frequently asked Learn ABOUT US The Leader in Health Care Benefits Blue
More informationVIGILANT GROUP BENEFITS
VIGILANT GROUP BENEFITS BENEFIT PLANS AT A GLANCE This summary provides a brief overview of the Vigilant Group Benefits plans beginning January 1, 2011. PROGRAM MANAGER: Vigilant Services, Inc. 6825 SW
More informationA newsletter to aid in bereavement. Coping With Holiday Grief. By Joyce Nevola, LMSW Bereavement Counselor
PATHWAYS TONov/Dec HEALING 2018 A newsletter to aid in bereavement Created by: Hospice of Central New York & Hospice of the Finger Lakes Coping With Holiday Grief By Joyce Nevola, LMSW Bereavement Counselor
More informationNew Patient Evaluation
ECPC Pain Specialists 2430 Emerald Place, Suite 103 Greenville, NC 27834 252-561-8218 ECPC Pain Specialists complies with applicable federal civil rights laws and does not discriminate on the basis of
More informationAnthem Extras Packages
Anthem Extras Packages Dental, Vision and more Ohio benefits that complement your Medicare Supplement plan Dental coverage You might pay more when you visit an out-of-network dentist Packaged benefits
More informationThe Standard (Ameritas) Dental Insurance
The Standard (Ameritas) Dental Insurance Dental Dental insurance is a coverage that helps defray the costs of dental care. It insures against the expense of treatment and routine care, dental disease and
More informationPHARMACY BENEFITS MANAGER SELECTION FAQ FOR PRODUCERS
PHARMACY BENEFITS MANAGER SELECTION FAQ FOR PRODUCERS For Producer Audience Only - Please Do Not Distribute Regence has selected Prime Therapeutics as the Pharmacy benefits manager for its health plans.
More information2019 PHARMACY DIRECTORY
2019 PHARMACY DIRECTORY This is a brief explanation and overview of the pharmacies members can use to get their prescription drugs. In a continued effort to offer our members value, pharmacies may be added
More informationHEART STRONG: Living Better With Heart Failure
LIVING BETTERREGIONAL WITH HEART FAILURE CENTER NEW HANOVER MEDICAL HEART STRONG: Living Better With Heart Failure 5 Simple Steps to Help you Live Better With Heart Failure Weigh yourself daily Monitor
More informationFlorida Blue s Member Website
Florida Blue s Member Website SITE STRATEGY The member website is a self-service vehicle for members to access their Florida Blue account for: Utilizing tools to guide members to save money on their medical
More informationStep by Step: How to maximize your benefits
Step by Step: How to maximize your benefits Learn how to access your ID card, search for a dentist near you, download the Delta Dental mobile app and more! Click on a topic below to learn more: Subscriber
More informationMother Nature Knows Best TABLE OF CONTENTS: Cut the Clutter: Go Paperless. CEO Message: SCAN Is Here for You. Ask Member Services
A NEWSLETTER FOR SCAN MEMBERS M A R C H / A P R I L 2 017 Mother Nature Knows Best It doesn t really matter whether you are seven or 70, eating a healthy diet is a smart thing to do. So what is a healthy,
More informationDENTAL PORTFOLIO. Dental plans for businesses in Oregon and Washington with 101 or more eligible employees. k p.org /dent al/nw OREGON AND WASHINGTON
DENTAL PORTFOLIO OREGON AND WASHINGTON 2017 Dental plans for businesses in Oregon and Washington with 101 or more eligible employees kp.org/dental/nw Information in this brochure was accurate at the time
More informationYour Passport. Health. 2 Guide. How to use your Medicare Advantage. Preventive care benefits GUIDE. Y0062_P2H2017 Accepted
Your Passport 2 Guide Health How to use your Medicare Advantage preventive care benefits GUIDE Preventive care benefits Y0062_P2H2017 Accepted Preventive services checklist Talk to your doctor to determine
More informationBiometric Wellness Screening Modality Comparison Venipuncture vs. Fingerstick vs. Qcard Dried Blood Spot Method collection options
Biometric Wellness Screening Modality Comparison vs. vs. options The following is a review of 3 methods of blood : venipuncture, fingerstick, and Qcard Dried. This information is provided to help employers
More informationBlue Cross and Blue Shield of New Mexico and Lovelace Health Plan Transactions Frequently Asked Questions
Blue Cross and Blue Shield of New Mexico and Lovelace Health Plan Transactions Frequently Asked Questions Blue Cross and Blue Shield of New Mexico (BCBSNM), has received regulatory approval to acquire
More informationHear better, Live fully.
EPIC Hearing Healthcare 3191 W. Temple Ave Suite 200 Pomona, CA 91768 Corporate Toll Free: 877.606.3742 Email: sales@epichearing.com www.epichearing.com Hear better, Live fully. ASO-2013 ASO Savings Plan
More informationApril 23, Questions regarding this document? Contact us at: Provider Network Education - July 2014
QUESTION April 23, 2014 1 Caller: Will precert authorization be required for emergency ambulance or just hospital admissions? 2 Caller: Can we go over who will be considered the HOST Plan and who would
More informationVaccine Starter Kit Program FAQs
Vaccine Starter Kit Program FAQs Program How does this program help Health Mart pharmacies provide vaccines for their customers? McKesson has designed a comprehensive program specifically for Health Mart
More informationDanJack Enterprises, Inc., d/b/a Business Resource Services (BRS) FUSION Highlight Sheet
Plan 1 Effective Date: 1/1/2019 FUSION: THE ULTIMATE CHOICE SM combines dental and eye care benefits in one easy-to-administer plan. This plan combines the annual maximum between the dental and eye care
More informationYOur Values Your PReferences. Should You Have Deep Brain Stimulation?
YOur Values Your PReferences Your Choice Should You Have Deep Brain Stimulation? Understanding Deep Brain Stimulation Your Brain and Central Nervous System Nerve cells (neurons) communicate with your body
More informationOregon Association of Realtors Dental Highlight Sheet
Plan 1: Dental Plan Summary Effective Date: 1/1/2019 Plan Benefit Type 1 100% Type 2 80% Type 3 50% Deductible $50/Calendar Year Type 2 & 3 Waived Type 1 $150/family Maximum (per person) $1,000 per calendar
More informationDeductible 3 Individual $50 $50. Annual Maximum Benefit: Per Individual $2,000 $2,000
Dental Plan Design for: Ector County Independent School District Original Plan Effective Date: January 1, 2018 Network: PDP Plus The Preferred Dentist Program was designed to help you get the dental care
More informationAnthem Extras Packages for Seniors
Anthem Extras Packages for Seniors Talking Points and Frequently Asked Questions FOR VIRGINIA Background Anthem is proud to announce the availability of Anthem Extras Packages for Seniors, providing coverage
More informationLuana i ke ola maika i
SEPTEMBER 2017 / VOLUME 14 / ISSUE 2 Luana i ke ola maika i Enjoying good health IN THIS ISSUE Mahalo, HMSA Members! Plus 3 Steps to a Better You Tell us What You Think Fun Family Fall Recipes HMSA QUEST
More informationA New Year's Grief. By Joyce Nevola, LMSW Bereavement Counselor
PATHWAYS A New Year's Grief TO HEALING Jan/Feb 2019 A newsletter to aid in bereavement Created by: Hospice of Central New York & Hospice of the Finger Lakes By Joyce Nevola, LMSW Bereavement Counselor
More informationA Dental Benefits Program For Individuals and Families Group #2525. HDS. A plan that puts a smile on your face.
A Dental Benefits Program For Individuals and Families Group #2525 HDS. A plan that puts a smile on your face. Your Dental Benefits The health of your teeth and gums directly affects your overall health.
More informationSummer Inside. Keep Your Kids Safe with Immunizations Cover Story: 7 Tips for a Healthy Summer Don t Weight: Get to Know Your BMI
Summer 2017 Inside Keep Your Kids Safe with Immunizations Cover Story: 7 Tips for a Healthy Summer Don t Weight: Get to Know Your BMI < SPECIAL INFO > myprevention Keep Your Kids Safe with Immunizations
More informationHEALTHY. All Together. This Screening May Save Your Life. Why It s Important to Get a Mammogram. When Should You Be Screened?
All Together HEALTHY This Screening May Save Your Life Fall 2018 Why It s Important to Get a Mammogram Breast cancer is the most common cancer affecting women in the U.S. after skin cancer. One in eight
More informationBaltimore City Public Schools 2013 Dental Options
Baltimore City Public Schools 2013 Dental Options Baltimore City Public Schools Important Phone Numbers for 2013 DHMO Customer Service (410) 847-9060 or (888) 833-8464 DHMO Mailing Address The Dental Network
More information(HMO) (HMO SNP) 2019 Dental Benefit
Imperial Insurance Company of Texas (HMO) (HMO SNP) 2019 Dental Benefit Dental care provided by H2793_154 TX Dental Benefit Dir 2019_M ENG Approved 09/12/18 IMPERIAL INSURANCE COMPANY OF TEXAS- DUAL (HMO
More informationQuestions? Call IEHP Member Services IEHP (4347) IEHP (4347) for TTY users 8am 5pm Monday-Friday
P.O. Box 1800 Rancho Cucamonga, CA 91729-1800 Questions? Call IEHP Member Services 1-800-440-IEHP (4347) 1-800-718-IEHP (4347) for TTY users 8am 5pm Monday-Friday www.iehp.org IEHP complies with applicable
More informationAnthem Extras Packages
Anthem Extras Packages Dental, Vision and more California Benefits that complement your Medicare Supplement plan Packaged benefits better together Healthy teeth and eyes help contribute to your overall
More informationAnthem Extras Packages for Seniors
Anthem Extras Packages for Seniors Talking Points and Frequently Asked Questions FOR OHIO Background Anthem is proud to announce the availability Anthem Extras Packages for Seniors, providing coverage
More informationStepping Up to Prevent Falls TABLE OF CONTENTS: Are You Due for a Mammogram?
A NEWSLETTER FOR SCAN MEMBERS S E P T E M B E R / O C T O B E R 016 Stepping Up to Prevent Falls It wasn t unusual when Leah Buckley s dog, Gatsby, tried to chase a squirrel during one of their regular
More informationPrimeCare of San Bernardino
PrimeCare of San Bernardino Network Directory Serving San Bernardino, Fontana, Rialto, Colton, Loma Linda, Etiwanda PRIMARY CARE FOR EVERY MEMBER OF YOUR FAMILY Family Medicine Internal Medicine Geriatrics
More informationSmile SM Value 50/1500/No Ortho/MAC
Blue Shield of California Dental PPO Plan Smile SM Value 50/1500/No Ortho/MAC Benefit summary Effective January 1, 2018 THIS MATRIX IS INTENDED TO BE USED TO HELP YOU COMPARE COVERAGE BENEFITS AND IS A
More informationAccess Network Directory Idaho
Access Network Directory Idaho Introduction 1 Introduction The following is a list of health care providers in this area who are in the Cigna network. Some providers may have been added or removed from
More informationDental & Vision. For World Travelers of America Members. Marketed by:
Dental & Vision For World Travelers of America Members Marketed by: MAX Choice Plans Two affordable plans with benefits that increase over time What are MAX Choice Plans? Our MAX Choice plans offer individuals
More informationHealth TALK. Mammograms save lives. Plan to quit.
Health TALK FALL 2018 VOLTEE PARA ESPAÑOL! Plan to quit. Every November, the Great American Smokeout asks everyone to quit smoking. You can quit for just that one day. Or it could be the fi rst day of
More informationThe Standard (Ameritas) Dental Insurance
The Standard (Ameritas) Dental Insurance Dental Dental insurance is a coverage that helps defray the costs of dental care. It insures against the expense of treatment and routine care, dental disease and
More informationSummer Health Checklist:
Summer 2018 VOLUME 40 Destination Health Summer Health Checklist: Annual Checkup and Immunizations The start of summer is the start of fun at parks, pools and backyard barbeques. One item on your summer
More information