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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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AmeriHealth DE:
Medicare Part D Notification Requirements
As you may know, health plans that
offer prescription drug coverage to their Medicare-eligible employees,
retirees, and dependents must notify them by November 15, 2009, as to whether
that coverage is "creditable" or "non-creditable." I am
writing to remind you of that requirement and to provide you with information
on the status of AmeriHealth prescription drug plans.
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AmeriHealth NJ: Important Notice About Medicare Annual
Notification and Evidence of Coverage
Over
the next few weeks, we will be sending the 2010 Annual Notification and
Evidence of Coverage packets to members enrolled in our Medicare Advantage
programs. Each member will receive a cover letter and a summary of any benefits
changes that will go into effect on January 1, 2010. This summary will also
include members' new monthly premiums for 2010.
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Horizon BCBSNJ:
Capital Health System Network Update
Horizon Blue Cross Blue Shield of New Jersey and Capital Health
System have reached a long-term rate agreement that keeps Capital Health System
- Mercer Campus in network, and brings Capital Health System - Helene Fuld
Campus in network for all Horizon BCBSNJ members. Previously, only NJ DIRECT andNJ PLUS members had in-network access to Capital Health System
- Helene Fuld Campus.
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Horizon BCBSNJ:
H1N1 Vaccine Update
Horizon Blue Cross Blue Shield of New Jersey is working to help
ensure that New Jersey's citizens are prepared for a possible resurgence of the
H1N1 (swine flu). While the federal government is paying for the cost to produce
the H1N1 influenza vaccination, Horizon BCBSNJ will pay for the administration
of the vaccine as it has done for seasonal flu.
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Independence Blue Cross:
Electing Overage Dependent Coverage
In June, we told you about a new state law providing
health insurance coverage for adult children. We want to provide you with a
recap of the law and instructions on what to do if a customer elects overage
dependent coverage.
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Independence Blue Cross:
Medicare Part D Notification Requirements
As you may know, health plans that
offer prescription drug coverage to their Medicare-eligible employees,
retirees, and dependents must notify them by November 15, 2009, as to whether
that coverage is "creditable" or "non-creditable." I am
writing to remind you of that requirement and to provide you with information
on the status of Independence Blue Cross prescription drug plans.
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Independence Blue Cross:
Medicare Products in 2010
Independence Blue Cross (IBC) offers
a variety of Individual and Group Medicare products. In recent weeks, several
newspaper articles have released information about how IBC will not be renewing
some of our Medicare Advantage programs. While this is true, this communication
will provide a distinction between our Individual and Group products, which
remain mostly unchanged.
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Independence Blue Cross:
Medicare Secondary Payer Reporting Requirements
To comply with the Centers for
Medicare & Medicaid Services' (CMS) Medicare Secondary Payer requirements,
additional information is required from your customers to determine who should
be the primary payer for claims, IBC or Medicare. To help you understand these
new requirements, we've put together a list of frequently asked questions to use in talking with
your customers.
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