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.
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Current Edition:
Update: 2012 Changes to Our Product Portfolio and Benefit Design
We're introducing new plan options and making changes to our standard plan designs—as part of our ongoing effort to provide high-quality, affordable health care solutions. For a detailed overview of these changes, please refer to the brochures included in the October 2011 IAI.
Walgreens Leaving the Express Scripts Inc.® Pharmacy Network
Walgreens has notified Express Scripts that it will no longer participate in the Express Scripts retail pharmacy network as of January 1, 2012.
National Health Care Reform: W-2 Reporting in 2012
Starting in 2012, employers will be responsible for reporting the total cost of group health coverage to employees on their W-2 forms. The forms for 2012 are required to be provided to employees in January 2013.
Time Left to Complete PPACA and MSP Survey
There's still time to complete the Patient Care and Affordable Care Act and Medicare Secondary Payer survey, but the deadline is right around the corner.
Important Reminder: Employee Enrollment Status
Staying up-to-date with enrollment status data is crucial. and allows our team to coordinate with Medicare and other payers to ensure claims are paid properly.
Non-payment Cancellation of Group Accounts
This clarification describes what happens if an account is cancelled for non-payment of premiums.
Reimbursement for Out-of-Network PPO Providers
Effective January 1, 2012 (upon renewal), claim payments will change under our commercial PPO plans for covered services provided by most non-participating covered providers (professional, ancillary, and institutional providers). This change applies to our Blue Care ElectSM and Preferred Blue PPOSM plans.
Blue Options & Hospital Choice Cost Sharing Network Changes for 2012
Starting January 1, 2012, four Massachusetts hospitals will shift to more favorable tiers within the Blue Options plans. This change will also reduce the cost to members at two hospitals in the Hospital Choice Cost Sharing plan feature.
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