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New York News

UHC Oxford 2015

UHC Oxford is currently working to continue our contractual relationship with CityMD. Unfortunately, they have not yet reached an agreement, and the deadline for the contract is rapidly approaching. Member and broker letters will be sent to impacted clients by the end of the week notifying them of this update.wanted to reach out to advise that we are currently working to continue our contractual relationship with CityMD.  Unless a new agreement is reached, CityMD will be an out-of-network provider as of Jan. 1, 2019. Please click below for the full update

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Empire Anthem

Empire is currently in negotiations with New York Presbyterian Health System (NY Presbyterian) for a new multiyear agreement. They are actively working to reach a reasonable agreement, but if this does not occur, NY Presbyterian will be considered an out-of-network hospital for dates of service beginning January 1, 2019.  With that being said, please join Empire for a webinar hosted by President & CEO, Alan Murray to disucss these changes.  Click below for more information and to register.

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OSCAR

With Thanksgiving last week, Oscar is extending their New York Small Group December 1st deadline to Wednesday, December 5th.

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emblemhealth2014

Hi Brokers!  Please see Emblem's revised Small Group Prime and Select Care Network brochure that will help your clients pick a plan that's right for them.

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Empire Anthem

Empire launched a new email campaign that focuses on helping members feel confident in choosing their health care plans.  Read about Empire's helpful enrollment tips in the article below.

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emblemhealth2014

Please submit all new large group proposals to LargeGroupProposals@EmblemHealth.com. A sales representative will reach out to you to discuss next steps.

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Empire Anthem

Brokers, please be aware of an error that occurred with Empire's commissions payments this past week. A series of internal tests inadvertently resulted in a number of brokers receiving erroneous payments directly to their bank accounts.  The accidental payments range from a few dollars to many thousands.  Please click the link below for the full update.

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Empire Anthem

What are the advantages of connecting medical with ancillary benefits from Empire? Find out in Empire's Integrated Health Care Report, Edition 3.  

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emblemhealth2014

As the 2019 selling season gets underway, EmblemHealth wants to be sure you're fully equipped to present our EmblemHealth plans to your clients.  They’ve added significant new benefit plans for 2019.  Click below for their 2019 small group plans to help your clients find a plan that best fits their needs.

 

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Empire Anthem

Empire's Small Group Eligibility Guide has been updated for 2019 and should be referenced for additional details on our credentialing and eligibility policies.  Please note that this applies to commercial business only, and not to Healthy NY applications.  Click below for the full update.

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Empire Anthem

Empire has NEW bonuses for brining in Large Group business.  Their 2019 Large Group Broker program has enhanced incentives for top selling brokers in NY.  All this and more in their latest newsletter!

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Empire Anthem

It has never been easier to sell more small group dental, vision, life and disability coverage with Empire BCBS!  Their team of experts and 100% focus on serving brokers.  Also, don't forget that dental portfolio begins 10/1/18 for 1/1/19 effective dates.  Read more about Empire's Ancillary Update in the link below!

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OSCAR

With fourth quarter being the busiest time of year, Oscar has decided to extend their New York Small Gorup November 1st Deadline to Monday, November 5th. 

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UHC Oxford 2015

Brokers, please see the attached updated Hospital listing for New York for 2018 and 2019 from UHC Oxford.

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healthpass

To help ease some of the end of year administrative burden, HealthPass will be extending the deadline for 11/1, 12/1, & 1/1 new business. The HealthPass Online Portal (HOP) for will be kept open to enter new business for following deadlines and effective dates.

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emblemhealth2014 

 Check out Emblem's fourth quarter small group plan rates for 2018, their 2019 small group enrollment plans, and much more!  

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UHC Oxford 2015

The renewal packages for some of Oxford's New York Small Groups renewing January 1, 2019 contained incorrect rates.  Click below for a list of plans affected and the corrected single rates.

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emblemhealth2014

 

Attached are Small Group Summary of Benefits and Coverage from Emblem for all metals, including HNY:

 

emblemhealth2014

Emblem's 2019 Small Group enrollment is now available!  Please visit their broker portal to submit quotes for new groups, see products and get rates.

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Empire Anthem

Empire has updated the pharmacy information on their ID cards to give members a better experience at the drugstore. Your clients will receive a new ID card at renewal, starting in October 2018 and continuing through April 1, 2019. Groups scheduled to renew between May 2019 and October 1, 2019 will get a new ID card off renewal in the months of February and March 2019.

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Cigna logo

 On October 24, 2018, the SUPPORT for Patients and Communities Act (SUPPORT Act) was signed into law. This comprehensive legislation addresses the U.S. opioid crisis and takes steps to augment and enhance the nationwide system for preventing and treating opioid addiction.  For more information on this newly signed legislation, click below.

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healthpass

As of 1/1/2019 Oscar will offer their current network (Circle) and a new larger network called the Circle Plus with HealthPass.  For no additional cost, HealthPass Oscar members with an 11/1 or 12/1 new or renewing group effective date will automatically be given the benefit of early access to the Circle Plus network starting as of their 2018 effective date and ending as of 12/31/2018.

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emblemhealth2014

Submit all new large group proposals to LargeGroupProposals@EmblemHealth.com. A sales representative will reach out to you to discuss next steps!

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healthpass

HealthPass new Quick Admin Enrollment Tool allows General Agents and brokers to enroll all employees into their plans, including waivers, without the need to step through the impersonation process. This tool provides a simplified way to quickly enroll employee populations all on one page, making the entire application process faster and more efficient.  In order to make the necessary system updates, the HOP will be shut down for maintenance on Friday, October 19 from 4-6 PM.  

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