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 Treatment Estimates Help Members Plan for Upcoming Costs
Members can now get estimates for upcoming treatments or medical procedures and better plan for the care they need.
New health care reform website ready to answer your questions
Our national health care reform website is live. Its new features and easier navigation will help you quickly understand how reform will impact you.
2014 Product Portfolio and Benefit Design Updates
Beginning January 1, 2014 we will be making several benefit changes to our medical and dental plan designs resulting from national health care reform and state requirements.
What's New with Summary of Benefits and Coverage (SBC) for 2014
January 1, 2014 will bring changes to the Summary of Benefits and Coverage (SBC). In accordance with the federal Affordable Care Act (ACA), the SBC will indicate if the plan meets minimum essential coverage (MEC) and the minimum value standard (MVS) the employer is providing for covered services. If benefits are delegated to another third-party insurer or administrator, we will not be able to assess if the plan meets MVS.
Read the entire update on the SBC at www.bluecrossma.com/straight-answers.
Limiting the Spread of the Flu Virus
We make it easy for members and their families to get vaccinated. This flu season, we're offering a range of workplace, pharmacy, and other retail-based vaccine opportunities. Coverage depends on the plan type and the nature of the care received.
The Affordable Care Act and the Multi-State Plan Program
The Affordable Care Act includes a Multi-State Plan provision that requires the federal government to select national health insurance companies to offer health benefit plans on each state's exchange.
Pharmacy Formulary Program Updates
Changes to our pharmacy formulary program are coming in 2014. They range from medication tier status to prior authorization to expansion of our list of specialty medications not covered when administered in certain settings.
Do You Qualify for a Wellness Tax Credit?
You may be eligible for a state tax credit for up to 25% of the costs of your program. Find out how.
Blue Options v.4 Tiering Updates
Effective January 1, 2014, Blue Options v.4 members will have lower out-of-pocket costs at Holyoke Medical Center and Athol Memorial Hospital.
Healthy Actions Now Available to Accounts with 51-99 Employees
Great news! Our innovative Healthy Actions wellness program is now available to qualifying employers with 51-99 employees for new sales and plan renewals with an effective date beginning January 1, 2014.
Updates to Our Notice of Privacy Practices and Business Associate Agreements
Earlier this year, the U.S. Department of Health and Human Services further strengthened existing Health Insurance Portability and Accountability Act (HIPAA) provisions with the Omnibus Rule. This rule established new requirements that impact our Notice of Privacy Practices and Business Associate Agreements.
A Guide to HMO Blue® Coverage Outside the Area
Learn what's covered when your employees are living or traveling outside their service area.