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Showing posts from January, 2022

President Biden and Administration Requiring Insurance To Cover Covid-19 Test Costs

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  Biden-Harris Administration Requires Insurance Companies and Group Health Plans to Cover the Cost of At-Home COVID-19 Tests, Increasing Access to Free Tests As part of its ongoing efforts across many channels to expand Americans’ access to free testing, the Biden-Harris Administration is requiring insurance companies and group health plans to cover the cost of over-the-counter, at-home COVID-19 tests, so people with private health coverage can get them for free starting January 15th.   Beginning January 15, 2022, individuals with private health insurance coverage or covered by a group health plan who purchase an over-the-counter COVID-19 diagnostic test authorized, cleared, or approved by the FDA will be able to have those test costs covered by their plan or insurance. Insurance companies and health plans are required to cover 8 free over-the-counter at-home tests per covered individual per month. That means a family of four, all on the same plan, would be able to get up to 32 of the

Earn More $$$ With National General Insurance

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  Earn More With National General's Medicare Supplement! Earn extra cash from January 1, 2022, to February 28, 2022, with National General's Med Supp Blizzard Bonus! No Limits! Sell as many as you can! Bonus cash on MedSupp applications kicks in once you hit 3 sales and applies to every MedSupp sale made that month! Bonus cash for adding DVH dental applies to all DVH applications from the very first.  Sell Underwritten Medicare Supplement Insurance plans - Earn an extra $200 Sell Birthday/Anniversary Medicare Supplement Insurance plans - Earn an extra $150 When you add DVH to Medicare Supplement Insurance plans - Earn an extra $50 Are you contracted to sell National General Insurance? Get contracted through Agility Insurance Services .

Learn How To Find The Right HealthCare Plan

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  Know Your P’s in Selecting the Right Health Plan for You Selecting a health plan is about the security of knowing you’re protecting you or your family’s health during the ongoing COVID-19 pandemic. BCBSTX is offering affordable, quality health plan options in every ZIP code in Texas’ 254 counties. These plans can be accessed through a robust and unrivaled network of providers and facilities. But choosing the right plan is not a one-size-fits-all proposition. In selecting the health plan that’s right for you, think of the five P’s: Premiums : Take the time to explore your options and understand the benefits and costs of each plan so you can find the coverage that works best for you and your family members. In the Dallas and Houston regions, BCBSTX is offering plans where nearly half of the on-exchange population may qualify for a $0 monthly payment after subsidies are applied.  Pocket : Determine if the plan is a good fit for your budget and pay attention to more than just the monthly

National Image Associates Requirements

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  National Imaging Associates - Prior Authorization Requests Online, Phone or Fax for Physical, Occupational and Speech Therapy Services Effective December 1, 2021, Superior HealthPlan delegated utilization review for physical, occupational and speech therapy (PT, OT, ST) services that require prior authorization to National Imaging Associates (NIA) for the Superior’s Medicaid STAR, STAR+PLUS non HCBS Waiver and CHIP Programs.  Effective January 1, 2021, Ambetter from Superior HealthPlan delegated utilization review for these services to NIA for the Health Insurance Marketplace Program.    NIA accepts prior authorization requests for PT, OT and ST services online, telephonically or by fax submission.   NIA’s secure provider portal can be accessed at www.RadMD.com .  The secure RadMD portal offers benefits to providers, including ease of use, real time response, and easy access to the status of the authorization process.   Ease of use - Obtain access within minutes of submitting a new a

CVS Health To Collaborate With Uber Health To Create Health Equity

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  CVS Health and Uber Health collaborate to advance health equity in communities nationwide CVS Health today announced a collaboration with Uber Health to provide critical transportation support at no cost to people who need it most when seeking access to medical care, work or educational programs. The relationship is part of Health Zones, CVS Health's new initiative that provides concentrated local investments designed to reduce health disparities and advance health equity in high-risk communities across the country. Health Zones is an approach to addressing six key aspects of health: housing, education, access to food, labor, transportation, and health care access. The Health Zones initiative is now active in five markets in the United States: Atlanta, GA; Columbus, OH; Fresno, CA; Hartford, CT; and Phoenix, AZ with plans to expand into more cities later this year.  CVS Health and Uber Health will help eliminate a critical barrier to care and overall well-being transportation whi

Molina Healthcare Acquires Cigna's Medicaid Contracts in Texas

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  Molina Healthcare Closes Acquisition of Cigna’s Texas Medicaid Contracts   Molina Healthcare, Inc. announced that its acquisition of Cigna’s Texas Medicaid contracts closed on January 1, 2022. As of November 30, 2021, Cigna’s Texas Medicaid business served approximately 50,000 members. Still not enrolled with Molina Healthcare? Get contracted through  Agility Insurance Services  so you can get your bonus! 

Molina Releases Year-End Earnings

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  Molina Healthcare Announces Fourth Quarter and Year-End 2021 Earnings Release and Conference Call Dates Molina Healthcare, Inc. on January 5, 2022 announced details for the release of its results for the fourth quarter and year ended December 31, 2021. Molina Healthcare will issue its earnings release for the fourth quarter and year-end 2021 after the market closes on Wednesday, February 9, 2022, and will host a conference call and webcast to discuss the earnings release on Thursday, February 10, 2022, at 8:00 a.m. Eastern Time. To access this interactive teleconference, dial (877) 883-0383 and enter the confirmation number, 8807414. A telephonic replay of the conference call will be available through Thursday, February 24, 2022, by dialing (877) 344-7529 and entering the confirmation number, 9770251. A broadcast of Molina Healthcare’s conference call will be available at molinahealthcare.com . A 30-day online replay will be available approximately an hour following the conclusion of

Aetna CVS Health Joins the Affordable Care Act

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  Aetna, CVS Health to enter the Affordable Care Act (ACA) individual insurance exchange marketplace in Florida for January 1, 2022 Aetna and CVS Health will enter the individual insurance exchange marketplace in Florida with their first Aetna CVS Health hybrid-branded insurance product, providing access to health care for more Floridians. Aetna and CVS Health bring together quality along with convenience and expanded services to meet consumer health needs, simply and affordably.  Along with an enhanced direct enrollment experience via Aetna's website, the plans feature: Low-cost or no-cost visits at any in-network walk-in location, including at any of the nearly 40 MinuteClinic locations in Florida and over 1,100 MinuteClinic locations across the country. Access to a care concierge at CVS HealthHUB locations, who is available to assist customers by helping them navigate health care services and products. 90-day refills members can have delivered directly to their door for free. Si

Bright HealthCare Offers Bonus Rewards For Members

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  Member Rewards Bonus For Florida Individual and Family Plans  Starting January 1st, help your Florida members complete the Bright HealthCare Rewards four healthy actions for 2022 and earn a $50 bonus per member.  Members can earn rewards for taking simple healthy actions. Registration into Bright HealthCare Rewards is fast and easy, and members can earn their first $225 in less than 30 minus.  As their broker, you'll earn $50 for every Florida member that has enrolled in Bright HealthCare Rewards and completed all four healthy actions by February 28th. Must have a minimum of 25 Bright HealthCare members in Florida who completed the Bright HealthCare Rewards four healthy actions to qualify. Bonus will be paid in April 2022.  Bright HealthCare Member Rewards Bonus in Florida To enroll in Bright HealthCare Rewards, members must:  Be 18 years of age or older Be effectuated in order to access Bright HealthCare Rewards  Register for Bright HealthCare Rewards every plan year  To complet

2022 Ambetter New Member Bonus Program

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  January Bonus - Earn an Additional $500 for Every 10 New Members! Earn additional money in the 2022 New Member Bonus Program!  Receive an extra $500 on top of your regular bonus for every 10 new members enrolled between January 1, 2022 and January 15, 2022!  No Limit On Your Earning Potential! The January Bonus has no cap on new members or the additional payout amount.  January Bonus Payout Examples - All States  10-19 new members - $500 one-time additional bonus 20-29 new members - $1000 one-time additional bonus  30-39 new members - $1500 one-time additional bonus  2022 New Member Bonus  KY, LA, MI, NJ, NM, NV, OK, PA, WA 10-49 new members - $25 per new member  All States  50-99 new members - $50 per new member 100+ new members - $100 per new member Get contracted with Ambetter through  Agility Insurance Services  Now! 

New Pharmacy Policies for Ambetter As of January 3rd

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  Effective January 3, 2022: Pharmacy and Biopharmacy Policies  Superior HealthPlan has updated certain pharmacy and biopharmacy policies to ensure medical necessity review criteria is current and appropriate for members and the scope of services provided. As a result the following policies are effective on January 3, 2022 at 12:00AM. Changes in these policies reflect pre authorization requirement amendments that are less burdensome to insureds, physicians, or health care providers. Policy Bevacizumab Product - Medicaid  Policy updates include - Updated with Mvasi’s FDA-approved indications of epithelial ovarian, fallopian tube, or primary peritoneal cancers  Isatuximab-irfc  Product - Medicaid Policy updates include - Criteria added for FDA approved indication: combination use with carfilzomib and dexamethasone for relapsed or refractory MM after 1 to 3 prior lines of therapy Lacosamide  Product - Medicaid  Policy updates include - Policy updated to reflect newly FDA-approved pediatri

Study Show Value of Vaccines

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  CVS Health study shows strong protective value of COVID-19 vaccines A CVS Health study shows that COVID-19 two-dose vaccines offer strong protection for vaccinated people. Compared with vaccinated persons, unvaccinated individuals were up to four times more likely to be infected with COVID-19. The study also found that the effectiveness of COVID-19 two-dose vaccines against symptomatic infection gradually waned over time and ranged from 66% to 74% effective six months or longer after the second dose. The study team analyzed 1.2 million individuals with COVID-19 symptoms who were tested between May and August 2021 at more than 4,000 CVS retail locations across the U.S. The CVS Health database is believed to be the largest national COVID-19 test dataset in the U.S. Over the course of the pandemic, CVS Health has administered more than 41 million COVID-19 tests and 50 million COVID-19 vaccines. The company maintains a strong commitment to vaccine and testing equity with targeted initiat