Employer Newsletter - IAI
Important Administrative Information (IAI) is a quarterly mailing that delivers the latest news about Blue Cross Blue Shield of Massachusetts products and services to employers and consultants. Sign up today to get the IAI sent directly to your email mailbox.
New mothers can order a breast pump at no cost
We are pleased to announce that members living in Massachusetts can now order select breast pumps, at no cost to them, through our newly contracted suppliers, Ameda Direct and Medela, two of the nation's leading breast pump manufacturers. Learn more
PPO members can avoid high costs by using in-network providers
Out-of-network doctors and hospitals can charge significantly more than what Blue Cross pays in-network providers. When a member uses an out-of-network doctor, hospital, or other health care provider, the member is responsible for the difference between what the provider charges and the amount Blue Cross pays those providers. This significantly increases the member's out-of-pocket medical costs.
Pharmacy update: Nasacort AQ no longer covered
Due to the over-the-counter availability of the anti-inflammatory allergy medication Nasacort AQ, we will no longer cover it in our pharmacy benefit. This change goes into effect August 1, 2014.
Important Change to Prescription Drug Coverage
Currently, members can fill a 90-day supply of certain prescription medications at a retail pharmacy, but only pay the cost for a 30-day supply. Beginning August 1, 2014, when members fill a 90-day prescription at a retail pharmacy, they must pay three times the cost of a 30-day supply. Affected employees will be notified by mail of this change.
Upcoming Changes to Preventive Services
As mandated by the Affordable Care Act, we're making changes to our preventive services coverage based on new recommendations from the United States Preventive Services Task Force. Effective September 24, 2014, and January 1, 2015, fully insured and self-insured non-grandfathered health plans must cover select services without copayments, co-insurance, or deductibles.
Blue Options v.4 and Hospital Choice Cost Sharing Tiering Update
In response to North Adams Regional Hospital's closure on March 28, 2014, we are updating both Blue Options v.4 and Hospital Choice Cost Sharing benefit plans.
Get Your Healthy Actions Promotional Materials on Blue IQSM
Healthy Actions rewards participating employees for engaging in their health through financial incentives. And the more successful they are, the higher the reward for employers too. So raise awareness and promote employee participation in Healthy Actions with a new series of email templates you can send to your employees throughout the year to keep them on track.
Final Regulations for Mental Health Parity and Addiction Equity Act
Final regulations regarding the Mental Health Parity and Addiction Equity Act (MHPAEA) are effective July 1, 2014 upon renewal and apply to all commercial plans, administrative service contracts, and fully insured plans—including grandfathered and non-grandfathered plans.
Introducing the Wellness Corner
This new section of the IAI will feature updates from our Prevention and Wellness Division, such as ahealthyme® secure site upgrades, employer success stories, technology improvements, and wellness tips. In this edition, we discuss our new collaboration with Fitbit®'.