Tuesday, January 7, 2020
The list of Walk-In Centers has been updated recently, and new facilities are being added around the state. These facilities can be a good option if you need treatment for an injury or illness and can’t see your primary care doctor, but it’s not an emergency. Walk-In Centers take patients without an appointment and are usually open longer hours, including evenings and weekends.
The doctors and nurses at these facilities can help you with all kinds of things such as...
Friday, September 20, 2019
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, 2019, and end on December 15, 2019, for a coverage effective date of January 1, 2020. This...
Thursday, June 6, 2019
If you currently fill a maintenance medication via mail order, your prescription was transferred to IngenioRx Home Delivery Pharmacy effective July 1, 2019. IngenioRx is the new pharmacy benefits manager (PBM) which Anthem will use to fill prescriptions.
You will now need to order your refills by logging in at www.anthem.com. If you currently utilize the auto refill program, you will still need to log in the first time to order your refills and update your credit card...
Tuesday, June 4, 2019
On Tuesday, April 23, 2019, Wellness Works, hosted the 31st annual wellness conference. There were 84 attendees, representing over 46 of our employer groups. The morning speaker was Elizabeth Ross Holmstrom, Founder and President of BreakTogether. Elizabeth introduced the science and simple practice of mindful pauses to improve work and wellbeing.
In the afternoon Wellness Works facilitated a session, Triumphs and Trials. This session gave time for participants to share their successes and...
Sunday, April 28, 2019
Effective July 1st, Anthem changed the provider they use to manage prescriptions from Express Scripts to IngenioRx. To help prevent any issues with processing your prescriptions, your pharmacist must have your current benefit information.
The next time you visit the pharmacy, you should show your most recent ID card and ask them to update their records. Your ID card should have an issue date on the back of September 2018 or later and the Rx BIN Number of the front of the card should read...
Tuesday, March 12, 2019
The Explanation of Benefits (EOB) you receive from Anthem is an important document. It provides you with details about how a service was covered, what the plan paid, and what may be your cost share responsibility.
Co-pays are usually expected at the time a service is delivered. No EOB is sent if there is only a co-pay, or if no additional patient cost share is required. However, other costs such as your deductible and coinsurance are most often billed after the service. We strongly suggest...
Friday, May 18, 2018
Diabetes can be a difficult disease to manage, and there are very serious consequences for those who do not effectively manage it. Support is available to our members who have diabetes or pre-diabetes, and it comes with a significant financial incentive.
The Telephonic Diabetes Education and Support program (TDES©) features local, individualized education and support from experienced, certified diabetes educators. It is run by our partners at Medical Care Development Public Health....
Friday, May 18, 2018
One of the most common questions asked to our Member Service Representatives is about the difference between Preventive and Diagnostic services.
Preventive care is given to you when you’re symptom free and have no reason to believe you might be sick. Preventive care includes services such as a routine physical, tests such as a screening mammogram, a screening to see if you have diabetes or immunizations such as a flu shot.
Diagnostic care is what you receive when you have...
Thursday, November 30, 2017
Anthem is updating its ACA preventive care coverage to include generic low-to-moderate dose statins due to the US Preventive Services Task Force recommendation regarding Statin Use for the Primary Prevention of Cardiovascular Disease in Adults. This coverage is effective for December 1, 2017.
Anthem will cover generic low-to-moderate dose statins at 100%, no member cost share for members between the ages of 40-75 years old who have one of the following cardiovascular disease (CVD) risk...
Friday, October 13, 2017
You may have received in the mail, or via e-mail, a notice regarding a legal settlement reached with Anthem. We have had phone calls inquiring if this notice was authentic or if it was spam mail. The notice is a legitimate one. Anthem reached a settlement in June to resolve a class action lawsuit relating to the 2015 cyber-attack against the company.
For individuals whose information was impacted by the cyber-attack, which was announced by Anthem in February 2015, the settlement provides for...