Lost Your Job? Here’s Your Complete Guide to Health Insurance Options (COBRA vs ACA vs Medicaid Compared)

Losing your job hits hard enough without worrying about losing your health insurance too. The good news? You’ve got options, and we’re going to walk through every single one so you can make the smartest choice for your situation. Here’s the reality: You have 60 days from your last day of coverage to make a decision. That might seem like plenty of time, but trust me: these 60 days fly by when you’re dealing with job searches, unemployment paperwork, and everything else that comes with a career transition. The three main paths forward are COBRA (continuing your old employer’s plan), ACA Marketplace plans (buying individual coverage), and Medicaid (government assistance… Read More

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Highmark Updated Billing Addresses in Pennsylvania

What do I need to know?  Effective immediately, we’re consolidating billing addresses across all Pennsylvania markets. This change will streamline many steps in the billing process and allow for clearer communication to the market. It applies to clients in the following Highmark companies in small and large group:  Clients in Northeastern and Southeastern Pennsylvania aren’t impacted by this change – they’re already using the newer addresses.  For clients who pay premium by mail: All Pennsylvania premium payments that are mailed should go the new address: PO Box 382146, Pittsburgh, PA 15251-8146. This address has been updated on invoices and throughout other materials. Premium payments sent to the old address will be… Read More

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Medicare Part D Notification Requirements (From IBC)

Below is an important notice from Independence Blue Cross regarding Medicare Part D notification requirement for 2025-2026 Dear Valued Benefits Administrator: As you may know, employers that offer prescription drug coverage to their Medicare-eligible employees, retirees, and dependents (collectively referred to as “members”) must notify them by October 15, 2025 of whether that coverage is “creditable” or “non-creditable.” We are writing to remind you that requirement and to provide you with information on the statues of Independence Blue Cross (Independence) prescription drug plans. This Requirement is Part of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), which added a new prescription drug program to Medicare known as… Read More

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Upcoming Important Dates

Mark Your Calendars! Here Are The Important Upcoming Dates You’ll Want To Keep In Mind. As always if you have any questions or concerns, please don’t hesitate to contact the experts at Total Benefit Solutions, Inc (215)-355-2121

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