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New York News

OSCAR

Oscar has some insider hacks on how you can save cash on health services. Click the link below to read a quick overview on how to get the most bang for your (health insurance) buck, and Oscar's Perks!

PDF icon2SM Click here to download the full PDF document.

EMB Logo National 4C

Emblem has corrected benefits on the below three options on their 2020 1st quarter rate sheet. Click the link below to have the most updated rate sheet. 

  • Bronze H.H.A  -  generic Rx subject to deductible &
  • Gold Value - ER Copay subject to deductible
  • Gold Value M -  ER Copay subject to deductible

PDF icon2SM Small Group 2020 1st Quarter Rate Sheet

Empire Anthem

Empire is offering a full range of voluntary plans that give employers and employees more options such as Dental, Accident, Vision, and more. Employees pay the premiums for these plans so that employers can offer more benefits without added costs. Click the link below to find out more information.

PDF icon2SM Click here to download the full PDF document.

NatGen

Bundle Billing is here! This feature will apply to all new Nat Gen Accident& Health business submitted October 11, 2019, and later. Bundle Billing will apply o both month and single pay options. Click the link below to read more on this, and find out what your clients get.

PDF icon2SM Click here to download the full PDF document.

Empire Anthem

Empire has improved its "Medicare Turning 65 Report!" Their latest enhancement is now available in the Producer Toolbox. You are now able to see which Empire members are approaching Medicare eligibility. Click the link below to read more on this enhancement and the instructions.

PDF icon2SM Click here to download the full PDF document.

healthpass

HealthPass 2020 first-quarter rates are now available! Click the link below to check them out.

PDF icon2SM Click here to download the full PDF document.

OSCAR

Oscar is here to help you prepare for Open Enrollment, a period when individuals and families can sign up for health insurance. Mark your calendars for November 1st, 2019. If you're in California, you can start signing up on October 15th, 2019. Keep an eye out for tips on how to save money for the right plan from Oscar. Click the link below to see how to make sure you know the types of health insurance that are available.

PDF icon2SM Click here to download the full PDF document.

PrimePay Logo CMYK 72dpi2016

Join PrimePay on October 9 at 1:30 p.m. for their webinar regarding Transitioning an Employer from a PEO. Click the link below to register!

PDF icon2SM Click here to download the full PDF document.

Empire Anthem

Empire has some updates for you. In this week's news, get the scoop on the latest enhancements to help drive your business, find out which small group's plans are discontinued for 2020, help protect your client's financial health with voluntary Critical Illness plans, and Employer Access expands to employers that offer Group Medicare Advantage. To find out more information on these updates, click the link below.

PDF icon2SM Click here to download the full PDF document.

Empire Anthem

In this week's employer news, Empire wants you to learn more about emergency room costs and usage, managing Lyme disease and its long-term symptoms, how to ensure your benefits package grows with your business and more. Click the link below to read more on these topics.

PDF icon2SM Click here to download the full PDF document. 

UHC Oxford

See below for Oxford's New York Small Group 2020 Product Grid

 

Empire Anthem

In 2020, Empire will be replacing selected small group products with alternative mapped plans. Policy Holders will receive a notification about this discontinuation of plans. Small groups that will be affected by this change will be informed in an upcoming mailing that they do not have to take any action to be enrolled in the recommended replacement policy automatically. In the links below please find the current and mapped 2020 recommended/mapped plan, and cop[y of the letter that went out to the affected policy holders.

emblemhealth2014

Why should you choose EmblemHealth for 2020? Does your plan have AdvantageCare Physicians (ACPNY), Benefits not subject to deductible for urgent care, generic drugs Lab services, and much more. Click the link below to find out more information on EmblemHealth 2020.

PDF icon2SM Click here to download the full PDF document.  

Empire Anthem

In this weeks producer news read about how clients can receive their ID cards quicker, how members will no longer need pre-approval for rehabilitative servicess during a delay, joining  Empire's webinar regarding the power of CII Discover, and more. Click the link below to read more on these topics.

PDF icon2SM Click here to download the full PDF document. 

Empire Anthem

Empire wants to thank all of you who attended their broker symposiums last week.  As a quick follow-up, they have provided us with the following marketing materials that we wanted to share with our broker community.  This includes 2020 Q1 rate sheets, information regarding their Enhanced Embedded dental and vision plans, their New Network Trifecta, Blue Access Network, Connection Network, and participating hospitals.

emblemhealth2014

Emblem will be sending out an email to register for EFT for your EmblemHealth HMO commission payments. The email will originate from PayeeManagerAdmin@WesternUnion.com, and the subject line will read “EmblemHealth Payee Manager – Campaign Enrollment.” Click the link below to find out more details.

PDF icon2SM Click here to download the full PDF document. 

Empire Anthem

In this weeks news with Empire, find out more information on how the ACA requires health plans to meet a minimum medical loss ratio, the point of sale rebates coming January 1, 2002, and the updates open enrollment booklet. Click the link below to read more on these topics.

PDF icon2SM Click here to download the full PDF document.

UHC Oxford 2015

Oxford has made some changes to their 2020 Product Portfolio that we would like to share with our broker community. Changes include plan modifications and discontinuances, some new products, and information on value-added programs. Please download their broker webinar presentation for details about these 2020 changes, plus information on small group pricing, Oxford Enhancements, and an update on their specialty programs.

We have also included their 2020 small group product grids for existing and new plans, rate sheets, and a 2019-2020 small group plan changes document.

healthpass

HealthPass's 2019 October renewal window will close on 9/20/19. Any applications submitted after this date will require a manual process to have the window re-opened. By doing so, the group may be subject to delays of up to 2-3 business days from receipt. Click the link below to find out more information.

PDF icon2SM Click here to download the full PDF document. 

healthpass

HealthPass is offering their Administrative Fee Programs now through 12/1. There is still time to qualify for both quarterly new business plans and new business plans for 2019. Click the link below to find out more details

PDF icon2SM Click here to download the full PDF document

Empire Anthem

Integration between medical and pharmacy is critical, especially in light of rising costs and the heavy utilization of pharmacy benefits. In this webinar, you'll learn how IngenioRx, Anthem's innovative new PBM, can help customers improve health outcomes, reduce total health care costs, and offer a simplified experience for consumers. They'll also talk about the background behind Anthem's decision to create IngenioRx, and of course, we'll be taking your questions.

Click here to register for the webinar

emblemhealth2014

For 2020, Emblem is offering plans at all metal levels in each of the networks, with both gated and non-gated products. Three different networks will be offered for 2020:

  • Current Prime Tri-State Network- Our broadest network with “Non-Gated” products, no referrals are required.
  •  Current Select Care Network- A large network with mid-price point and “Non-Gated” products, no referrals are required
  • Millennium Network (New for 2020)- A tailored network consisting of 8 counties in NYS, offering “Gated” products, referrals are required

Additional information will be released at the upcoming Broker events. Click the link below to find the 2020 1st quarter rate sheet

PDF icon2SM Emblem 2020 1st Quarter Rate Sheet

Empire Anthem

Empire is speeding up the ID Card process for its members.  All you have to do is give them you clients email addresses at enrollment. Read about this and get more group updates in the Empire Producer Online Newsletter.

PDF icon2SM Click here to download the full pdf document

healthpass

You are invited to join HealthPass for their fall conferences to preview their 2020 portfolio and celebrate their 20th Anniversary! There will be two dates, one in New York City on Wednesday, October 2, and one in Long Island on Thursday, October 3. Click the link below RSVP for one of the two!

PDF icon2SM Click here to download the full PDF document.