Here is the latest edition of Model Consulting's Week in Review Newsletter. We
hope you find the Newsletter informative and helpful.
Model Consulting - Memorial Day Holiday
Schedule
Please be advised that Model Consulting will be closing at 2PM
on Friday, May 22, 2009. A few members of the Model team will be available from
2PM to 4PM in the event you need to speak with someone immediately.
Furthermore, the office will be closed on Monday, May 25, 2009 for Memorial Day.
We will re-open on Tuesday, May 26, 2009 at our normal business hours.
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EXTENDED HEALTH CARE FOR YOUNG ADULTS PASSES IN PENNSYLVANIA
May 13, 2009 - The state House
yesterday overwhelmingly approved, 192-2, a bill that would extend health
insurance coverage to dependent children up to the age of 30. The legislation,
which passed the Senate unanimously in March, would allow adult children to be
covered under their parents' insurance plan.
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Aetna: Lehigh Valley Network Updates
Aetna issued the following expansion updates to their network:
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AmeriHealth NJ: Updates
AmeriHealth
recently released information regarding their new pharmacy benefit, ID card
enhancements as well as several other important updates.
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Highmark: Important
Information about Act 108
Act 108 of
2008, a Pennsylvania
mandate, became effective February 6, 2009. It allowsHighmark to
contract directly with additional provider types. It also makes it possible formembers to
visit these provider types directly throughout Pennsylvania regardless of the provider
network associated with their Highmark product.
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Independence Blue Cross: PA
Mandate for Autism Spectrum Disorders
Information was recently release by Independence
Blue Cross regarding how they are covering the Pennsylvania Mandate for Autism
Spectrum Disorders. In July 2008, the Commonwealth of Pennsylvania
passed a law requiring health insurers to cover the diagnosis and treatment of
autism spectrum disorders (ASD). Key
points are provided about the mandate and information on how IBC is
implementing coverage.
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United HealthCare:
Prescription Drug, COBRA Billing, HSA, and UHCCF Updates
Specialty Pharmacy Network
Changes Under the Medical Benefit
We are terminating several contracts with national
specialty pharmacies and home infusion providers under the medical benefit over
the next several months. This change will help contain the escalating costs of
specialty medications, while maintaining the quality of the services that our
members and their health care professionals expect. Following are key points of
this change:
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