Friday, December 9, 2022
We are pleased to offer the Lark Diabetes Prevention Program as of January 1, 2023. This smartphone-based program is recognized by the Centers for Disease Control (CDC) and is based on their well-known Prevent T2 curriculum.
Lark is a personalized digital health coaching that provides education, resources, and support to members at risk for diabetes, accessed through the Anthem Sydney Health app. Eligible members receive a free wireless smart scale upon enrollment.
You can engage in the...
Friday, December 9, 2022
In June Anthem, Inc., the parent company of Anthem Blue Cross Blue Shield Maine, changed their name to
Elevance Health and created Carelon, a new healthcare services brand. Anthem Maine will continue to use
their current name.
Effective January 1, 2023, Anthem Maine’s pharmacy benefit manager IngenioRx will join the Carelon
company and change its name to CarelonRx. As a result of this change, IngenioRx Home Delivery Pharmacy
will become CarelonRx Mail and IngenioRx Specialty Pharmacy will...
Wednesday, October 12, 2022
The Health Trust’s Open Enrollment period will begin on November 15, 2022, and end on December 15, 2022, for a coverage effective date of January 1, 2023. Enrollment/Change Forms must be received by the Health Trust by December 15. If no changes are being made to coverage, no forms are required.
Information regarding premiums for 2023 will be mailed to employer group representatives and participants by mid-November.
New ID cards will be distributed only to members who make...
Wednesday, October 12, 2022
Under the terms of the Affordable Care Act, employers must provide employees with a Summary of Benefits and Coverage (SBC) which follows a standard format prescribed by the federal government. This document should be distributed to all benefits-eligible employees prior to the beginning of the plan’s open enrollment period each year.
The Health Trust’s open enrollment period will begin on November 15, 2022, and end on December 15, 2022, for a coverage effective date of...
Thursday, August 18, 2022
MaineHealth and Anthem Blue Cross and Blue Shield in Maine announced on August 17, 2022 that they have reached an agreement to their contract dispute which will keep Maine Medical Center in Anthem’s care provider network for the next two years. This means all Anthem members can continue to receive in-network services at Maine Medical Center (MMC). All other MaineHealth facilities and providers also remain in Anthem’s network.
The Maine Municipal Employees Health Trust utilizes Anthem as the...
Friday, July 29, 2022
As we previously communicated, Maine Medical Center (MMC) has announced its intention to leave the Anthem network on January 1, 2023.
The dispute between the Anthem and MMC is about how the hospital is paid, and if MMC is charging appropriately for services as per their existing contractual agreement. Anthem and MaineHealth also have disagreements regarding other financial and policy-related terms of their current contract.
Update July 2022: At the request of the Governor, a new mediator...
Thursday, July 28, 2022
The Health Trust will hold its Annual Reporting Meetings early this fall. These meetings provide the Health Trust staff with an opportunity to report on program operations, finances and activities, and allow members an opportunity to raise questions or concerns.
Members may participate in the Annual Meetings on one of the following dates:
Wednesday, September 28 from 9:00 – 10:00 a.m. via Zoom
Thursday, September 29 from 2:00 – 3:00 p.m. via Zoom
Thursday, October 6...
Tuesday, May 31, 2022
As we previously communicated, Maine Medical Center (MMC) has announced its intention to leave the Anthem network on January 1, 2023.
The dispute between the Anthem and MMC is about how the hospital is paid, and if MMC is charging appropriately for services as per their existing contractual agreement. Anthem and MaineHealth have been working with a mediator for several months to address disagreements regarding terms of their current contract. We have spoken with leadership of both parties,...
Saturday, May 21, 2022
As you may have heard in the news, two large Southern Maine practices have recently notified patients that they have decided to withdraw from Anthem’s network, effective in late summer. Anthem has been negotiating with these organizations, but they have been unable to settle on a new contract.
The Health Trust is dismayed and concerned about the lack of access to these established providers, Coastal Women’s Healthcare and Fore River Urology. However, we do also understand that there is a...
Thursday, April 7, 2022
As you probably have heard, Maine Medical Center (MMC) has announced its intention to leave the Anthem network on January 1, 2023. We note that MMC and Anthem have been negotiating their contract for a few months and both parties are continuing to mediate their contract concerns. Since the effective date of this change is nine months away, we remain hopeful that both parties can work out their differences and that MMC will remain in the network. We are monitoring the situation on behalf of...