2015 Aetna MD Bronze, Silver and Gold OAMC
|
|
- Brooke Skinner
- 7 years ago
- Views:
Transcription
1 Insurance Company Insurance Product Whole Health - SCCIPA Whole Health - Connecticut Preferred Health Network Whole Health - Hartford HealthCare and Value Care Alliance Whole Health - Maine Whole Health - Duke Medicine Whole Health - Coastal Virginia Health Partners Whole Health - VA Preferred - Roanoke DC Bronze, Silver and Gold HMO DC Bronze, Silver and Gold HNOnly 2015 DC Bronze, Silver and Gold OAMC 2015 DE Bronze, Silver and Gold HNOnly 2015 DE Bronze, Silver and Gold HNOption 2015 MD Bronze, Silver and Gold HMO 2015 MD Bronze, Silver and Gold OAMC 2016 DC Bronze, Silver and Gold Open Access Health Network Only 2016 DC Bronze, Silver and Gold Open Access Managed Choice 2016 DE Bronze, Silver and Gold Open Access Health Network Option 2016 MD Bronze and Gold Open Access Health Network Only 2016 MD Bronze and Gold PPO NAP (National Advantage Plan) Choice POS (Open Access) Choice POS II ( HealthFund ) Choice POS II (Open Access) Choice POS II on the Altius Network Health Network Only (Open Access) Health Network Only(SM) (Open Access) on the Altius Network Health Network Option(SM) (Open Access) on the Altius Network Health Network Option Plan (HMO / Open Access HMO) Plan (PPO) Open Access Elect Choice EPO ( HealthFund ) Open Access Managed Choice POS ( HealthFund ) Premier Care - Arizona Care Network Premier Care - Banner Health Network Premier Care - Baylor Scott & White Quality Alliance Premier Care - Colorado Front Range Network Premier Care - Innovation Health Premier Care - Memorial Hermann Accountable Care Network Premier Care - Mercy Health Cincinnati Premier Care - Seton Health Alliance Select Page 1
2 Cigna Cigna Elderplan Elderplan Select(SM) (Open Access) on the Altius Network Value Performance Network Voluntary Plans Elect Choice EPO (Open Access) Elect Choice EPO Elect Choice EPO (Open Access) on the Altius Network HMO (Open Access) HMO Healthy New York HMO Joplin (KS & MO) Preferred Choice POSII Joplin (KS & MO) Preferred Managed Choice (Open Access) Joplin (KS & MO) Preferred Managed Choice POS Joplin (KS & MO) Preferred Open Choice (PPO) Managed Choice (Open Access) Managed Choice POS Managed Choice (Open Access) on the Altius Network Open Choice PPO ( HealthFund ) Open Choice PPO Open Choice PPO on the Altius Network PCP Referral Plan (TX members only) Peak Preference HNOnly (Open Access) on the Altius Network Peak Preference HNOption (Open Access) on the Altius Network QPOS Wichita Preferred Managed Choice (Open Access) Wichita Preferred QPOS Open Access Plus PPO HMO/SNP Classic 2000 Emblem Health CBP EPO Emblem Health CBP PPO Network Access Plan Emblem Health ASO Emblem Health PPO Dual Eligible (PPO)SNP Emblem Health CompreHealth EPO Emblem Health CompreHealth PPO Access I/Prime POS Prime/Prime EPO/Select PPO HMO/Prime PPO/Select PPO Access I/Prime POS Prime/Prime EPO/Select EPO Page 2
3 Emblem- VHMS HMO/Prime PPO/Select PPO Emblem Health Essential (HMO) Emblem Health VIP High Option (HMO) Supplemental (cost plan) Emblem Health HMO Emblem Health Dual assurance FIDA Plan ArchCare Community Advantage FIDA Plan GuildNet Gold Plus FIDA Plan POS Vytra HMO Vytra ASO HMO & POS Advantage PPO 2015 NYSOH Marketplace Plans- NY 2016 NYSOH Marketplace Plans- NY Empire HMO, Bronze (Individual via Exchange)- NY Empire HMO, Bronze- NY Empire HMO, Catastrophic (Individual via Exchange)- NY Empire HMO, Catastrophic- NY Empire HMO, Gold (Individual via Exchange Empire HMO, Gold, a Multi- State Plan (Individual via Exchange)- NY Empire HMO, Gold- NY Empire HMO, Platinum (Individual via Exchange)- NY Empire HMO, Platinum- NY Empire HMO, Silver (Individual via Exchange)- NY Empire HMO, Silver, a Multi- State Plan (Individual via Exchange)- NY Empire HMO, Silver- NY National PPO (BlueCard PPO Basic)- National PPO (BlueCard PPO)- Tradition Plus Comprehensive- NY Tradition Plus Wraparound- NY Access(SM) HMO- NY Direct HMO- NY Empire Bronze Pathway EPO Plus- NY Empire Core Guided Access Plus w/hsa (Pathway/ Small Group)- NY Empire Ded First Prism EPO- NY Empire Ded First Prism PPO- NY Empire Direct POS- NY Empire DirectShare POS- NY Empire EPO Essential- NY Empire EPO Stepped- NY Page 3
4 Empire EPO- NY Empire Essential Guided Access Plus (Pathway/ Small Group)- NY Empire Essential Guided Access Plus w/dental (Pathway/ Small Group)- NY Empire Essential Guided Access Plus w/hsa (Pathway/ Small Group)- NY Empire Gold Healthy New York Pathway HMO- NY Empire Gold Pathway HMO Plus w/hsa (Pathway/ Small Group)- NY Empire Gold Pathway HMO Plus- NY Empire HMO (Health Maintenance Organization)- NY Empire Hospital/Medical (Trad)- NY Empire Hospital- NY Empire POS (Alternate Network)- NY Empire POS (Point of Service)- NY Empire PPO - NS- LIJ- NY Empire PPO Plus- NY Empire PPO- NY Empire Prism Deductible First EPO - Blue Priority- NY Empire Prism EPO - Blue Priority- NY Empire Prism EPO INN Costshare - Blue Priority- NY Empire PRISM EPO Select- NY Empire Prism EPO- NY Empire Prism PPO- NY Empire Silver Pathway EPO Plus- NY Empire Total Blue EPO HRA - Blue Priority- NY Empire Total Blue EPO HSA - Blue Priority- NY Empire TotalBlue(SM) Choice- NY Empire TotalBlue(SM) EPO- NY Empire TotalBlue(SM) Select- NY Healthy New York (Pathway/ Small Group)- NY National PPO (BlueCard PPO Basic)- National PPO (BlueCard PPO)- PPO/EPO- NY PPO- NY Traditional- Unite Here Health- Plan 100 (POS / Employer Group)- NY Unite Here Health- Plan 100 (PPO / Employer Group)- NY Unite Here Health- Plan 100 (PPO/EPO / Employer Group)- NY Blue Advantage (PPO)- Empire Dual Advantage (HMO SNP)- NY Empire MediBlue (HMO)- NY Empire MediBlue Access (PPO)- NY Empire MediBlue Core (HMO)- NY Empire MediBlue Dual Advantage (HMO SNP)- NY Page 4
5 , Inc Health First (HFIC) Health First (HFIC) MagnaCare MagnaCare Wellcare Wellcare Empire MediBlue Essential (HMO)- NY Empire MediBlue Freedom (PPO)- NY Empire MediBlue Freedom I (PPO)- NY Empire MediBlue Plus (HMO)- NY Empire MediBlue Select (HMO)- NY - HARP BHP CHP Commercial Plans, including QHP Commercial Plans Advantage - Advantage Advantage Plus Commercial Plans, including AHP Advantage WC, No- Fault, PIP, and/or AR Programs / Managed Care Programz Railroad Dual Complete Advantage Dual Advantage Adantage Benefit Plans New York CHIP Benefit Plans Childrens Health Insurance Program New York CHIP Benefits Plan New York Benefit Plans for the Uninsured New York Family Health Plus Benefits Plan Metro Freedom Liberty Advantage Plan Compensation Page 5
Health Plans Accepted by the Hospital (Effective 1/18/2016)
1199SEIU National Benefit Fund Home Care Benefit Fund Greater New York Benefit Fund Health Plans Accepted by the Hospital (Effective 1/18/2016) AARP AARP Medicare Complete Plan 1 United HealthCare AARP
More informationCrystal Run Healthcare Insurance 1199 NBF (MVP) AARP Products AARP Medicare Complete HMO 1 and 2 AARP Medicare Complete Essential HMO Aetna Products
Crystal Run Healthcare Insurance 1199 NBF (MVP) AARP Products AARP Medicare Complete HMO 1 and 2 AARP Medicare Complete Essential HMO Aetna Products Aetna Standard Plans: Aetna Affordable Health Choices
More information$243.41 $34.69 16.62% 29497DE0090001 Aetna Bronze $15 Copay PPO Bronze 26 $ 212.88
Marketplace plans that were available in Coverage years and/or 2015. 29497DE0090001 Aetna Bronze $15 Copay PPO Bronze 0-20 $ 132.01 $153.95 $21.94 16.62% 29497DE0090001 Aetna Bronze $15 Copay PPO Bronze
More information#8 Plans offered in 2016 Colorado Provider reference guide
#8 s offered in 2016 Colorado Provider reference guide Individual plans on the exchange Affordable Care Act (ACA) compliant s Page 1 of 9 Revised: September 27, 2015 Anthem Bronze HMO 0% for HSA HMO VAB
More informationAccepted Health Plan List
Anthem Blue Cross Advantage PPO Blue Cross PPO (Prudent Buyer)-Large Group Blue Cross PPO (Prudent Buyer)-Small Group Bronze 60 D EPO (Pathway-Tiered EPO/ Bronze 60 D Health Savings Account EPO (Pathway
More informationCovered Services: All plans offered on the Marketplace cover 10 Essential Health Benefits:
Introduction The NY State of Health 2015 Plan Compare provides information about health plans offered on the Individual Marketplace. Here's some general information to get you started. Metal Levels: Plans
More informationACCEPTED INSURANCE PLANS
ACCEPTED INSURANCE PLANS The University of Chicago Medicine currently participates in the health insurance products listed below. Patients are advised to contact their insurance company to confirm the
More informationDelaware Rates for Aetna Life Insurance Company Marketplace QHPs - Individual Marketplace Plan Year 2016
Delaware s for Aetna Life Insurance Company Marketplace QHPs - Individual Marketplace Plan Year 2016 that were available in Coverage years and/or. Tobacco Change ($) 29497DE0090001 Aetna Bronze $20 Copay
More informationUnderstanding Private Health Insurance Plan Choices and Provider Networks
Understanding Private Health Insurance Plan Choices and Provider Networks Definitions Deductible Out-of-Pocket-Maximum Embedded Deductible Aggregate Deductible Networks PPO EPO HMO POS - HDHP HSA Catastrophic
More informationempireblue.com Empire Dual Advantage (HMO SNP) Dental-Yes Identification Number: Group: Issuer (80840): Rx Group: RX Bin: RxPCN:
Empire Dual Advantage (HMO SNP) H3370-028-000 X19690192400001 Freedom I (PPO) $20/$50 $40/$75 H3342-019-000 X19716256700001 Medicare limiting charges apply. Customer Service: 1-866-395-5175 Provider Service:
More information2015 HEALTH INSURANCE OPTIONS
INSURANCE PLUS Rose Gagliardi 15 West Main Street President Oyster Bay, NY 11771 516-922-1200 / 212-268-4473 516-922-2801 fax rose@insuranceplusny.com www.insuranceplusny.com September 16, 2015 2015 HEALTH
More informationAccepted Insurance Providers*
AARP Accepted Insurance Providers* AARP Medicare Advantage PPO AARP Personal Health Insurance Plan Aetna Aetna Choice POS (Aetna HealthFund) Aetna Choice POS II (Aetna HealthFund) Aetna Choice POS Aetna
More informationPlan Names, ID Card and Provider Directory Reference Guide
Anthem Blue Cross of California Provider Directory: https://www.anthem.com/health-insurance/providerdirectory/searchcriteria?qs=%2aj7vxisnfeux2dsg3u70q4g==&brand=abc Plan name on CoveredCA.com Plan name
More informationVirginia Mason Insurance Grid (2014-2015)
Aetna HMO Plans: Aetna Select Aexcel Plus Elect Choice EPO Open Access Managed Choice * *Insurance approved specialty care referral is not required if patient has PCP. POS Plans: QPOS Managed Choice POS
More informationBroward Insurance Companies from HealthCare.gov
State County Issuer Name FL BROWARD Aetna FL BROWARD Aetna FL BROWARD Aetna FL BROWARD Aetna FL BROWARD Aetna FL BROWARD Aetna FL BROWARD Aetna Page 1 of 32 02/10/2016 Plan Marketing Name Aetna Basic 1-855-586-6960
More informationAn issuer must submit at least one QIS to a Marketplace for the 2017 coverage year if the following participation criteria are met:
Qualified Health Plan (QHP) Issuers Expected to Submit a Quality Improvement Strategy (QIS) During the 2017 QHP Application Submission and Review Period Background An issuer participating in a Marketplace
More informationSmall Group Plan Options HMO
HMO Platinum Plans These plans will cover about 90% of your service and you are responsible for the other 10% Benefits Platinum Platinum Platinum 25 / 50 / 500 HMO 20 / 40 / 1000 HMO 20 / 40 HMO Deductible
More informationMVP HEALTH PLAN, INC. PROVIDER RESOURCE MANUAL
SECTI ON 3: MVPPLAN TYPEI NFORMATI ON MVPHEALTH CAREPROVI DERRESOURCEMANUAL These products will be administered according to their respective MVP Certificates/Contracts of Coverage, including the MVP medical
More informationNebraska Insurance Department. QHP Proposed Rates in Nebraska Individual Medical Plans. Area 1-680-681
The Nebraska Department of Insurance is posting the following sample premium rates of all health plans that were submitted for use for plans under the federal Affordable Care Act in Nebraska during 2014.
More informationCONTINUUM HEALTH PARTNERS Physician Profile Fact Sheet
CONTINUUM HEALTH PARTNERS Physician Profile Fact Sheet All physicians affiliated with any one of the Continuum Health Partners hospitals are invited complete this Profile Fact Sheet. The information on
More informationwww.shopcabrokers.com 1-866-98-COVER [26837]
Sharp Health Plan is proud to be selected as a Covered California health insurance plan. Our successful track record in San Diego County for providing innovative and affordable health coverage aligns with
More informationHealth Plan Comparison Report (4L) Rockland County, NY 10956 Prepared On : 11/1/2015 Report Id : 29501922
Gold OAEPO 1000 90% ID: 14030058 Silver OAEPO 2000 60% ID: 14030060 Silver OAEPO 2000 80% ID: 14030061 Silver OAEPO 3000 70% ID: 14030062 20/40/60/TCS/100 ded T2-T4 20/40/60/TCS/100 ded T2-T4 20/40/60/TCS/100
More information1 of 7 07/02/2009 7:02 AM
http://www.medicare.gov/mppf/include/datasection/compares/bene... 1 of 7 07/02/2009 7:02 AM Return To Previous Page Find & Compare s Step 4: Choose s to Compare Search Results in ZIP Code 78232 There are
More informationHealth Insurance. State County Issuer Name
State County Issuer Name FL ORANGE Aetna FL ORANGE Aetna FL ORANGE Aetna FL ORANGE Aetna FL ORANGE Aetna FL ORANGE Aetna FL ORANGE Aetna FL ORANGE Cigna Healthcare FL ORANGE Cigna Healthcare FL ORANGE
More information2015 Business health insurance plans
2015 Business health insurance plans Live well. We ll insure you do. page 1 About us Healthy businesses depend on healthy employees. MercyCare s business health plans are backed by a company that s been
More informationLet us help you choose the health insurance plan that fits you best
Let us help you choose the health insurance plan that fits you best Call 855-381-1212, visit bcbstx.com or contact an independent Blue Cross and Blue Shield of Texas agent to get a quote today. Life is
More informationList of Insurance Terms and Definitions for Uniform Translation
Term actuarial value Affordable Care Act allowed charge Definition The percentage of total average costs for covered benefits that a plan will cover. For example, if a plan has an actuarial value of 70%,
More informationHow To Get A Dental Plan On The Marketplace
2014 Delaware Qualified Health Plans Individual Market Overview October 8, 2013 www.pcghealth.com Topics Overview of QHPs in the Individual Market QHP Issuers Plan Summary Premium Rates and Cost-Sharing
More informationAmerican Health Benefit Exchanges Fact Sheet A Provision of the Patient Protection and Affordable Care Act (PPACA)
American Health Benefit Exchanges Fact Sheet A Provision of the Patient Protection and Affordable Care Act (PPACA) This Fact Sheet reflects the Final Ruling published by the Department of Health and Human
More informationOhio Health Insurance Exchanges. Information contained within the this presentation is subject to change.
Ohio Health Insurance Exchanges Information contained within the this presentation is subject to change. Affordable Care Act (ACA) Comprehensive health care reform law enacted in March 2010 in two parts:
More informationHealth Insurance Exchanges and the Medicaid Expansion After the Supreme Court Decision: State Actions and Key Implementation Issues
Health Insurance Exchanges and the Medicaid Expansion After the Supreme Court Decision: State Actions and Key Implementation Issues Sara R. Collins, Ph.D. Vice President, Affordable Health Insurance The
More informationHealth Insurance Shopper s Guide 3 steps to choosing the right health plan for you and your family.
Health Insurance Shopper s Guide 3 steps to choosing the right health plan for you and your family. Ready to get started? We re here for you online, on the phone or in person. Visit for a quick and free
More informationLet us help you choose the health insurance plan that fits you best
Let us help you choose the health insurance plan that fits you best Call 855-381-1212, visit bcbstx.com or contact an independent Blue Cross and Blue Shield of Texas agent to get a quote today. Life Is
More information2016 Business health insurance plans
2016 Business health insurance plans Live well. We ll insure you do. MercyCare Health Plans is a Qualified Health Plan issuer in the Health Insurance Marketplace. About us Healthy businesses depend on
More informationHealth Insurance Price Index Report for Open Enrollment and Q1 2014. May 2014
Health Insurance Price Index Report for Open Enrollment and May 2014 ehealth 5.2014 Table of Contents Introduction... 3 Executive Summary and Highlights... 4 Nationwide Health Insurance Costs National
More informationLet us help you choose the health insurance plan that fits your needs
Let us help you choose the health insurance plan that fits your needs Call 866-445-1396, visit bcbsnm.com or contact an independent Blue Cross and Blue Shield of New Mexico broker to get a quote today.
More informationHealth Insurance for PLTS Students. KAREN MARRINER, MBA Licensed Insurance Agent KM Consulting
Health Insurance for PLTS Students KAREN MARRINER, MBA Licensed Insurance Agent KM Consulting True or False? Individuals can be charged more for their health insurance for having medical conditions. All
More informationTitle Here Title Here Title Here Title Here Title
What You Need to Know about Health Insurance What You Need to Know about Health Insurance Title Here Title Here Title Here Title Here Title Here Choosing Title the Here Health Title Here Plan Title that
More informationEmployer Health Insurance
Employer Health Insurance Product Guide 2015 plans for employers with 1-50 employees 1 and 51-99 employees 2 1 These plans are offered to employers considered small for purposes of the Affordable Care
More informationHMO. 2015 Individual HMO Plans Comparison of Benefits. Page 1
2015 Individual HMO Plans Comparison of Benefits HMO (including 15 Routine Specialist Visit (including Behavioral HF Platinum HMO Select 100 1300 100% $800 / $1,600 $1,000 / $2,000 $0 $15 $35 $35 0% HF
More informationUC Health Contracted Insurance Plans
CONTRACT NAME INSURANCE CARD TYPICAL NAME PRODUCT TYPE UCMC TDC WCH UCPC PSYC IN 3-Hab 3-hab Ohio Worker's Comp ID Card Worker's Comp YES YES YES YES AARP Medicare Advantage AARP Medicare Complete (underwritten
More informationPresented by: Tony Haberman
Presented by: Tony Haberman AGENDA What are your options for 2014? NYS SHOP / Individual Health Exchange Health Care Reform Compliance Forms Small Group (1 50) options Access coverage Off of the Exchange
More informationHealth Insurance Buyers Guide. What You Need to Know to Get Started
Health Insurance Buyers Guide What You Need to Know to Get Started Time to Enroll The Affordable Care Act has changed the way that many people get health insurance. You may have more options and more ways
More informationNew Rochelle Radiology TIN: 13-2673297 Precertification Requirements
New Rochelle Radiology TIN: 13-2673297 Precertification Requirements 175 Memorial Highway NPI: 1376539080 150 Lockwood Avenue NPI: 1003803784 PET/ Aetna through CareCore Aetna Golden icare through CareCore
More informationNew York Health Benefit Exchange & Small Business Health Options Program (SHOP) Frequently Asked Questions for Agents and Brokers
New York Health Benefit Exchange & Small Business Health Options Program (SHOP) Frequently Asked Questions for Agents and Brokers May 9, 2013 Carrier Participation in the Exchange 1. Q: What carriers have
More informationRocky Mountain Range 2016 INDIVIDUAL & FAMILY PLANS. MK777-A-R08/10/15þ
Rocky Mountain Range 2016 INDIVIDUAL & FAMILY PLANS MK777-A-R08/10/15þ Rocky Mountain Range Rocky Mountain Health Plans is Colorado-based and Colorado-focused. We were founded in Grand Junction more than
More informationCompass Dermpath Arizona ACPN - PPO Aetna AHCCCS Ameriplan Discount Card Ameriben APIPA AZFMC Beech Street AP Plan Beech Street Auto Beech Street PPO
Compass Dermpath Arizona ACPN - PPO Aetna AHCCCS Ameriplan Discount Card Ameriben APIPA AZFMC Beech Street AP Plan Beech Street Auto Beech Street PPO Beech Street Worker's Comp Blue Cross Blue Shield of
More informationHealth Insurance Marketplace in Illinois Plan Comparison Charts
2015 Independent Authorized Agent for An Independent Licensee of the Blue Cross Blue Shield Association Health Insurance Marketplace in Illinois Plan Comparison Charts preventive services and maternity
More information2014 New York Small Group (1-50) Health Plan Portfolio (Oxford Product Offerings) Robust Benefits, Broad Network, Innovative Online Tools
2014 New York Small Group (1-50) Health Plan Portfolio ( Product Offerings) Robust Benefits, Broad Network, Innovative Online Tools Offering a variety of plan designs, ranging from open access to primary
More informationHEALTH INSURANCE PRICE INDEX REPORT FOR THE 2015
HEALTH INSURANCE PRICE INDEX REPORT FOR THE 2015 OPEN ENROLLMENT PERIOD March 2015 ehealth 3.2015 Table of Contents Introduction... 3 Executive Summary and Highlights... 4 Nationwide Health Insurance Costs
More informationHealth Insurance/Managed Care
To meet the healthcare needs in our region, Hospital, and (Cadence Health-employed physician group) is contracted with the following health insurance and managed care plans (unless otherwise noted). This
More informationWhat You Need to Know About Health Care Reform
What You Need to Know About Health Care Reform A Toolkit for Small Employer Group Administrators What s inside Health care reform offers new choices for small businesses... 1 Why New Jersey businesses
More informationHealth Insurance Literacy: Helping Consumers Understand Their Coverage Options
Health Insurance Literacy: Helping Consumers Understand Their Coverage Options 2013 Enroll America and Get Covered America EnrollAmerica.org GetCoveredAmerica.org Health Insurance Literacy: Hard to Enroll
More information2015 New York Small Group (1-50) Health Plan Portfolio (Oxford Product Offerings) Robust Benefits, Broad Network, Innovative Online Tools
2015 New York Small Group (1-50) Health Plan Portfolio (Oxford Product Offerings) Robust Benefits, Broad Network, Innovative Online Tools Offering a variety of plan designs, ranging from open access to
More informationAnalysis of 2015 Premium Changes in the Affordable Care Act s Health Insurance Marketplaces
Analysis of 2015 Premium Changes in the Affordable Care Act s Health Insurance Marketplaces Cynthia Cox, Larry Levitt, Gary Claxton, Rosa Ma, Robin Duddy-Tenbrunsel In the first year of full implementation,
More informationAn Update for Agents and Brokers September 9, 2013
An Update for Agents and Brokers September 9, 2013 Kelly Smith Director Small Business Marketplace 1 Agenda New Marketplace Staff Qualified Health Plans Training, Certification and Registration Small Business
More informationHow To Rate A City For A Single At 250 Percent Of Poverty
September 2013 An Early Look at Premiums and Insurer Participation in Health Insurance Marketplaces, 2014 Cynthia Cox, Gary Claxton, Larry Levitt, Hana Khosla Under the Affordable Care Act (ACA), individuals
More informationYour guide to finding the best health insurance plan.
LIFE HAS OPPORTUNITIES Your guide to finding the best health insurance plan. Start saving today with the help of Excellus BlueCross BlueShield. National strength. Local focus. Individual care. SM Contents
More informationNew York s Commercial Health Insurance Exchange HealthPass New York
New York s Commercial Health Insurance Exchange HealthPass New York What is an Exchange? Health insurance marketplace using principles of managed competition (Alain Enthoven) Transparent and standardized
More informationISSUE BRIEF. Health Insurance Marketplace Premiums for 2014
ASPE ISSUE BRIEF Health Insurance Marketplace Premiums for 2014 On October 1, 2013, a Health Insurance Marketplace will open in each state, providing a new, simplified way to compare individual market
More informationCentral Susquehanna Intermediate Unit Professional Leadership Day
Central Susquehanna Intermediate Unit Professional Leadership Day 1 Healthcare Benefit Trends & Practices Jon Sapochak, Consulting Actuary, F.S.A., M.A.A.A. Society of Actuaries Motto 2 The work of science
More informationAdministrators & Consultants Advantica (Vision Only) Advantical Eye Care (WellCare Medicare Advantage) Commercial
Eye Care Exam Insurance Plans & Benefits at Baltimore Washington Eye Center Baltimore Washington Eye Center and our ophthalmologists and optometrists accept many eye care exam insurance plans and benefits.
More informationGeriatric Mental Health Alliance of New York State
spgpolicy Geriatric Mental Health Alliance of New York State October 30, 2014 Topics 1. New York State Medicaid Redesign Team 2. Managed Care for Special Populations Behavioral Health Long-Term Care 3.
More informationPAYER TYPE LIST PAYER TYPE CODE PAYER TYPE DEFINITION
PAYER TYPE LIST PAYER TYPE CODE PAYER TYPE DEINITION PAYER TYPE ABBREVIATION 1 Self Pay SP 2 Worker's Compensation WC 3 Medicare MCR Medicare Managed Care 4 Medicaid 4 B Medicaid Managed Care 5 Other Government
More informationUMHS participation in health insurance plans on the Michigan Individual Marketplace and Small Business SHOP
UMHS participation in health insurance plans on the Michigan Individual Marketplace and Small Business SHOP Detailed view Definitions for acronyms are at the end of the document As of 1/13/14 Alliance
More informationDATA DICTIONARY NEW YORK STATE DEPARTMENT OF HEALTH Office of Health Insurance Programs
DATA DICTIONARY NEW YORK STATE DEPARTMENT OF HEALTH Office of Health Insurance Programs Provider Network Data System (PNDS) Version 7.0 (September 2015) V7.0, page 1 DATA DICTIONARY CONTENTS Provider Network
More informationLet us help you choose the health insurance plan that fits you best
Let us help you choose the health insurance plan that fits you best Call 855-369-1212, visit bcbsmt.com or contact an independent Blue Cross and Blue Shield of Montana agent to get a quote today. Life
More informationHealthy Business Chat 07/10/2014
Healthy Business Chat 07/10/2014 1 What Is An Insurance Exchange? An Insurance Exchange is an organized marketplace for insurance plans to compete and offer services efficiently in the small group and
More informationHEALTH INSURANCE MARKETPLACES FACT SHEET
HEALTH INSURANCE MARKETPLACES FACT SHEET INFORMED ON REFORM Overview A Health Insurance Marketplace, also known as a Health Insurance Exchange, is available in every state as a public option for individuals
More information2015 New Jersey Small Group (1-50) Health Plan Portfolio (Oxford Product Offerings) Robust Benefits, Broad Network, Innovative Online Tools
2015 New Jersey Small Group (1-50) Health Plan Portfolio (Oxford Product Offerings) Robust Benefits, Broad Network, Innovative Online Tools Offering a variety of plan designs, ranging from open access
More informationBEST PRACTICES Health Insurance Marketplace Guidance
BEST PRACTICES Health Insurance Marketplace Guidance TABLE OF CONTENTS: Health Insurance Marketplace 3 Small Business Options 8 Notification of Exchanges 10 Common Pitfalls 13 Staffing Plus Solutions 14
More informationNew Jersey plan guide
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions New Jersey plan guide Creating the right health benefits package starts with you and your employees Plans effective
More informationGuide to Choosing a Medicare Prescription Drug Plan in Connecticut
Medicare Prescription Drug - Choosing the Plan that s Right for You! Guide to Choosing a Medicare Prescription Drug Plan in Connecticut Medicare Prescription Drug, also called Part D or Medicare Rx, is
More informationCovered Services: All plans offered on the Marketplace cover 10 Essential Health Benefits:
Introduction The NY State of Health 2015 Plan Compare provides information about health plans offered on the Individual Marketplace. Here's some general information to get you started. Metal Levels: Plans
More informationLet us help you choose the health insurance plan that fits you best
Let us help you choose the health insurance plan that fits you best Call 855-372-1212, visit bcbsok.com or contact an independent Blue Cross and Blue Shield of Oklahoma agent to get a quote today. Life
More informationIssuers Owing Rebates for 2012
AK Premera Blue Cross $709,464 Time Insurance Company $227,600 Trustmark Life Insurance Company $645,743 UnitedHealthcare Insurance Company $62,894 AL The MEGA Life and Health Insurance Company $62,541
More informationPPACA AND THE PEDIATRIC DENTAL ESSENTIAL HEALTH BENEFIT FACT SHEET FOR HEALTH CARE PROFESSIONALS
PPACA AND THE PEDIATRIC DENTAL ESSENTIAL HEALTH BENEFIT FACT SHEET FOR HEALTH CARE PROFESSIONALS April 2014 New provisions of the Patient Protection and Affordable Care Act (PPACA) became effective January
More informationIssuers Owing Rebates for 2012 Data as of August 1, 2013 Rebates in the Individual Market
AK Premera Blue Cross $709,464 Time Insurance Company $227,600 Trustmark Life Insurance Company $645,743 UnitedHealthcare Insurance Company $62,894 AL The MEGA Life and Health Insurance Company $62,541
More informationThe Evolving Affordable Care Act Marketplaces
THE HEALTH OF AMERICA R E P O R T THE HEALTH OF AMERICA THE HEALTH OF AMERICA REPORT BLUE CROSS BLUE SHIELD THE HEALTH OF AMERICA REPORT The Evolving Affordable Care Act Marketplaces The 2015 to 2016 Transition
More information1-800-783-1008 www.theptgroup.com
Scheduling and Billing NPI#1780614453 1-800-783-1008 www.theptgroup.com PHYSICAL THERAPY MANAGED CARE BENEFITS/PRIOR AUTHORIZATION Outpatient Physical Therapy Centers Apollo, Blairsville, Derry, Greensburg-Pellis
More informationIndividual and Family Plans
Effective: January 1, 2015 Individual and Family Plans find a plan that fits you live by your own plan a plan for your life Everyone s needs are unique, and it s important to find a plan that best fits
More informationDeadline: March 31, 2014
Deadline: March 31, 2014 The New Health Care Law and You The Affordable Care Act (ACA) is the new law that requires everyone to get health insurance, and there are some new health insurance choices starting
More informationREGULATORY UPDATE Vol. 1 No. 18
REGULATORY UPDATE Vol. 1 No. 18 FAQs on Exchanges August 7, 2013 IN THIS ISSUE FAQs on Exchanges Employer Mandate Delay Transitional Guidance Issued Individual Mandate Final Rules Issued Possible Exchange
More information2016 Practice Information Disclosure Sheet For Patients and Prospective Patients
2016 Practice Information Disclosure Sheet For Patients and Prospective Patients New York State requires medical practices to disclose to current and prospective patients information regarding health plan
More informationInsurance Payment Terms
increases from Bronze to Platinum, so does the amount that the plan covers (coinsurance). A Bronze plan usually has a lower premium (what you pay each month) and a higher out-of-pocket cost (what you pay
More informationExchanges go live: Early trends in exchange dynamics
Exchanges go live: Early trends in exchange dynamics After three and a half years of forecasting, data is now emerging from the individual exchanges that can inform the likely impact of the Affordable
More informationHEALTH INSURANCE EXCHANGES UNDER THE AFFORDABLE CARE ACT: THE BUMPY ROAD TO IMPLEMENTATION
HEALTH INSURANCE EXCHANGES UNDER THE AFFORDABLE CARE ACT: THE BUMPY ROAD TO IMPLEMENTATION Russell S. Buhite Shareholder MARSHALL DENNEHEY WARNER COLEMAN & GOGGIN Tampa, Florida Theodore J. Tucci Partner
More informationMarketplaces (Exchanges): Information for Employers and Individuals Lisa Klinger, J.D. www.leavitt.com/healthcarereform.com
10-21- 2013 As of January 1, 2014, the Patient Protection and Affordable Care Act (PPACA) requires most U.S. citizens and lawful residents to either have minimum essential coverage or to pay a federal
More informationUnderstanding Medicare Part D. Cynthia Tudor, Ph.D. Acting Director, Medicare Drug Benefit Group
Understanding Medicare Part D Cynthia Tudor, Ph.D. Acting Director, Medicare Drug Benefit Group Medicare Modernization Act Prescription Drug Coverage The Medicare Modernization Act (MMA) of 2003 provides
More informationLEARN. Your guide to health insurance
LEARN Your guide to health insurance Table of Contents Why health insurance is important...1 How the Affordable Care Act affects you...2 See if you may qualify for a subsidy...4 Types of health plans...6
More informationAmbulatory patient services (outpatient care you get without being admitted to a hospital)
What is the Affordable Health Care Act (ObamaCare)? Whether you need health coverage or have it already, the health care law offers new rights and protections that make coverage fairer and easier to understand.
More informationHow To Compare Ehealth To A Health Insurance Plan
The Cost And Benefits Of Individual Health Insurance Plans: 2007 Contents Introduction and overview 3 Methodology summary 4 Report summary 5 Major Medical Plan Premiums Profile of ehealthinsurance policy
More informationNebraska Health Insurance Exchange Update
Nebraska Health Insurance Exchange Update Overview of the Affordable Care Act and the Federally Facilitated marketplace. September 2014 AFFORDABLE CARE ACT» The Affordable Care Act: Establishes a Health
More informationQuick Guide to Blue Cross and Blue Shield Member ID Cards
Quick Guide to Blue Cross and Blue Shield Member May 2015 Blue Cross Blue Shield Association is an association of independent Blue Cross and Blue Shield companies. Quick Guide to Blue Cross and Blue Shield
More informationUnderstanding the ObamaCare Health Insurance Plans in North Carolina Understanding Insurance and Affordable Care Act Terminology: ACA- Marketplace
Understanding the ObamaCare Health Insurance Plans in North Carolina As a result of the Affordable Care Act (a.k.a. ObamaCare) the following provisions are now in place for health insurance policies with
More information2016: OVERVIEW OF THE HEALTH INSURANCE MARKET IN KANSAS
2016: OVERVIEW OF THE HEALTH INSURANCE MARKET IN KANSAS 2016 Open Enrollment for Individuals and Families The open enrollment period for individual health insurance coverage in Kansas will begin on November
More informationNew York Small Group Application OHI I. GENERAL INFORMATION
New York Small Group Application OHI Oxford Health Insurance Inc. www.oxfordhealth.com Mailing Address: Group Enrollment Department, 14 Central Park Drive, Hooksett, NH 03106 I. GENERAL INFORMATION Freedom
More informationMember ID card update for 2015 ACA-compliant health plans
Member ID card update for 2015 ACA-compliant health plans Members purchasing or continuing an ACA-compliant individual or small group health plan for the 2015 plan year will receive new Blue Cross and
More informationIssuers Owing Refunds for 2013
Issuers Owing Refunds for 2013 Based on MLR reports filed through June 30, 2014 State AK Premera Blue Cross $2,626,786 $0 $0 The MEGA Life and Health Insurance Company $39,115 $0 $0 Time Insurance Company
More informationEpocrates - Medicare Part D 2008 1
AK 00008014 S5660 034 MEDCO CONTAINMENT LIFE INSURANCE COMPANY Medco Medicare Prescription Plan - Choice Medco Medicare Choice PDP AK 00008014 S5660 204 MEDCO CONTAINMENT LIFE INSURANCE COMPANY Medco Medicare
More information