Here is the latest edition of Model Consulting's Week in Review Newsletter. We
hope you find the Newsletter informative and helpful. Your feedback is
extremely important to us. Please contact Tracy Duffield at 215.947.7167 or tduffield@modelconsultinginc.com to share your ideas, comments
and/or suggestions. We look forward to hearing from you!
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Aetna:
How members can maximize their Aetna
Pharmacy benefits
One of the key messages
to your employees during these difficult economic times is to ensure they're
getting the most out of the health benefits they currently have. That's
especially true with pharmacy benefits, which, if used wisely, can save members
money.
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Aetna:
Weight Management Discount Program Changes
Beginning February 1, Aetna made a change to the Aetna Weight ManagementSM discount
program. The current Jenny Rewards 1-year program has been replaced by the new
1-Year Premium Success Program, which focuses on rewarding members based on
their personal weight loss success rather than on simply attending their weekly
consultations. Members will still be able to sample Jenny Craig® by enrolling
in a free 30-day membership and can then enroll in a 6-month or 1-year
program.
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COBRA: DOL Issues COBRA Model Notices
The
U.S. Department of Labor (DOL) issued model COBRA continuation coverage notices
that reflect the new nine-month, 65 percent subsidy on COBRA premiums. The
notices are available online at www.dol.gov/ebsa/COBRAmodelnotice.html.
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Horizon
BCBSNJ: Out-of-Network Change
In compliance
with a mandate set forth by the Blue Cross and Blue Shield Association, effective
January 1, 2009, members seeking behavioral health and substance abuse
services outside of Horizon Blue Cross Blue Shield of New Jersey's local
service area have access to the BlueCard® network of participating physicians,
other health care professionals and facilities - the largest health care
network in the nation.
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UnitedHealthcare: Pennsylvania Market
Update
On
behalf of UnitedHealthcare of Pennsylvania, we thank you for working with us to
provide quality health care options for employers throughout the Greater
Philadelphia region. We would also like to advise you that our relationship
with Jefferson Health System will be entering a new phase. We are very pleased that Jefferson Health
System facilities and physicians will continue to participate in our network;
our three-tier Consumer-Driven Health (CDH) product offering, Definity
Connection, however, will be phased out beginning May 2009 and replaced with
simpler and easier to understand plan designs.
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