COVID‑19 provisions and online OTC test kit ordering

From Amerihealth NJ: We recently suspended the prior authorization requirement for transfers from acute in‑network inpatient facilities to post‑acute in‑network facilities for any diagnosis through January 31, 2022. This change will now run through February 28, 2022. Additionally, the public health emergency was recently extended through April 16, 2022. We will continue to provide federally mandated coverage through the end of the public health emergency. OTC COVID‑19 test kit update As previously communicated, we are pleased to work with our clients to ensure coverage of over-the-counter (OTC) COVID‑19 test kits for our members through pharmacy benefits. Members who have pharmacy coverage with us through FutureScripts/Optum can now order OTC tests online via the… Read More

Continue Reading

Medicare Part D: Disclosure Notice to CMS

Continue Reading

2022 Federal Poverty Guidelines Announced

Continue Reading

Open Enrollment may be over, but consumers may still be able to enroll in Marketplace coverage

Continue Reading

Member Cost Sharing for Most Telemedicine and Telehealth Visits Will Resume Effective February 3, 2022

Continue Reading

Aetna: Over-the-counter COVID-19 tests for small group plan sponsors

Continue Reading

Additional Guidance Addresses ACA Preventive Care Mandate

As part of FAQ 51, the Departments of Labor, Health and Human Services, and the Treasury (together, the “Departments”) issued guidance clarifying severalAffordable Care Act (“ACA”) preventive care coverage issues applicable to non-grandfathered group health plans. As background, non-grandfathered group health plans must cover certain in-network preventive care items and services without cost-sharing. Click the link below to download the bulletin. As always contact your health insurance specialists at Total Benefit Solutions, Inc if you have any additional questions or concerns (215)355-2121 http://www.totalbenefits.net

Continue Reading

Independence is covering OTC COVID‑19 test kits through pharmacy benefits

Continue Reading

DOL Penalties Increase for 2022

Continue Reading

If Pennie Customers Missed the Deadline to Enroll Because of COVID-19 Impacts – They Now Have Until January 31st to Enroll!

Continue Reading

HHS Extends Public Health Emergency until April 16, 2022

Continue Reading

United Healthcare Members can now get up to eight COVID-19 at home tests at no cost

Continue Reading

Supreme Court Ends Vaccination Emergency

Continue Reading

The Supreme Court issued two rulings

Continue Reading

Expanding Coverage for COVID-19 Testing

Continue Reading

New PCOR Fee Announced

Continue Reading

What is a missing tooth clause?

Continue Reading

Guidance Issued on Broker Compensation Disclosure

Continue Reading

Additional Medicare Tax for High Earners

Continue Reading

Information on the safe disposal of prescription medication for in-home Health Assessments

Continue Reading

OSHA’s Emergency Temporary Standard: Guidance on Mandatory COVID-19 Vaccination/Testing

Continue Reading

Final 2021 Instructions for Forms 1094-C and 1095-C Issued

Continue Reading

Build Back Better Legislation Includes Benefit Provisions

Continue Reading

Winter Action Plan to Battle COVID-19

Continue Reading

Pennsylvania Individual Open Enrollment Deadline

Continue Reading