Upcoming Workshops – ACA Reporting

It’s Time to Talk 1095-Cs!!!

The Health Trust, in conjunction with the Maine Municipal Association, will be holding two workshops in January and February, to provide employers with a “refresher course” on the Affordable Care Act’s reporting requirements.

There were a number of efforts made in 2017 to repeal and/or replace the Affordable Care Act – and in fact, some parts of it have been eliminated, with the passage of the recent tax reform bill. But everybody’s favorite requirement – the 1095-C reporting – is still intact. Though the deadline to provide the forms to employees has been extended to March 2 for this year, why not get the forms done early?

In this workshop, we’ll walk you through the Form 1095-C and 1094-C reporting requirements for large employers. We’ll also spend a few minutes talking about how the IRS is reaching out to those employers that may be subject to a penalty, based on their 2015 filing.

Just a reminder: The Form 1095-C and 1094-C reporting requirements, and the employer shared responsibility provisions, only apply to Applicable Large Employers – those with 50 or more full-time / full-time equivalent employees. As a result, these workshops are probably best suited to large employers.
Each workshop will include time for questions and answers. Space is limited, so sign up soon!

Tuesday, January 30, 2018
9 am – noon
Augusta – MMA
Large Conference Room
60 Community Drive, Augusta

Tuesday, February 6, 2018
9 am – noon
Orono Town Office
Council Chambers
59 Main Street, Orono

To register for one of the ACA Reporting workshops, please e-mail Anne Wright, Director, Health Trust Services, at awright@memun.org. Please note which workshop you would like to attend. You will receive a confirmation via e-mail.

New Medical Plan ID Cards

All members enrolled in the MMEHT health plans recently received new Anthem identification (ID) cards reflecting the January 1, 2018 benefit changes. You should have received a new ID card for each person covered under your medical plan. Please review the cards carefully to ensure we have the correct Primary Care Physician listed and that names are spelled correctly. Once you receive your new ID cards, please throw out your old cards and begin using the new ones immediately.  There is no need to call the Trust to set up or activate your 2018 coverage.

In addition, the look of the ID cards has been re-designed with color and larger fonts to make it easier to read and to find key information on the card.

Sample ID Card:

Note that the information on the card will differ, based on the medical plan you are enrolled in.

Medical Plan Benefit Changes:

Information about the benefits plan changes, which become effective January 1, 2018, was distributed to members in the fall of 2017.

Medical Plan Benefit Changes Information.


Dental Plan ID Cards

Dental cards are not being reissued for 2018.  Please utilize your current Northeast Delta Dental card.  If you need an additional dental card, you may print one on the Northeast Delta Dental website at https://www.nedelta.com.  As a reminder, ID cards are not issued for each individual enrolled in your dental plan.  All members may utilize the card under the subscriber’s name to access dental benefits.

If you have any questions, please feel free to call the Health Trust at 1-800-852-8300.  Thank you.

ACA News: Preventive coverage will now include statins

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 factors: diabetes, hypertension, dyslipidemia and/or smoking. Risk factors will be identified proactively by pharmacy and medical data.

If a member is not proactively identified, the provider can call or fax Anthem’s Prior Authorization Center if they feel that the member meets the age and risk factor criteria and should receive their generic low-to-moderate dose statin at 100% coverage, no member cost share.

Below is a list of generic low-to-moderate dose statins:

  • Atorvastatin 10 – 20mg
  • Fluvastatin IR and XL 20 – 80mg
  • Lovastatin 10 – 40mg
  • Pravastatin 10 – 80mg
  • Simvastatin 5 – 40mg
  • Rosuvastatin 5 – 10mg

Anthem Data Breach Legal Notice

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 an additional two years of credit monitoring and identity protection services. Alternatively, members who already have credit monitoring services may submit a claim to receive alternative compensation for up to $36 instead of credit services.

For more information, visit www.DataBreach-Settlement.com, or call 1-855-636-6136.

Congratulations to the 2017 Wellness Awards winners!

On Tuesday, April 25, 2017 the Maine Municipal Employees Health Trust’s Wellness Department hosted the 29th annual wellness conference. There were 74 attendees, representing 40 of our member groups. Two groups and one individual were recognized for implementing comprehensive wellness programs at their worksites.

Knox County
Knox County received the Biggest Leap award for offering a wellness program that made the most leaps and bounds. The Knox County wellness committee pushed themselves this past year to consider the health needs of employees and offered programs that have a positive and lasting impact on their health.

 

City of South Portland
The City of South Portland received the Highest Peak award for taking their wellness program to the next level. The City of South Portland’s wellness committee challenged themselves to involve more employees in the wellness program. They did so by offering incentives and a wide variety of programs to meet the heath interests of individual employees.

 

Denise Mungen
Denise Mungen, EcoMaine, was honored with the Wellness Champion award for inspiring others to be their healthiest self. She was successful by using her passion, empathy and ability to recognize and overcome barriers to meeting the health needs of employees who work shift work.

 

A grant from Wellness Works, the health education and promotion program of Maine Municipal Employees Health Trust, provides the necessary funding to help offset the cost of worksite wellness initiatives.  If you would like more information on how to get a wellness program started at your worksite, please contact Anne Charles.

TDES program offers support and savings

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. Participants typically have one in-person visit and monthly follow up phone calls with a diabetes educator to help them stay on track.

While participating in the 12-month program, copays will be waived (paid by the plan) for covered prescribed diabetes medications and diabetes supplies, including testing supplies.  For graduates of the program, a TDES2! plan is available for an additional 12 months.

All adult members with MMEHT medical coverage are eligible to participate, and the program is open to members with diabetes or pre-diabetes.  Effective January 1, 2017 the program is also being offered to retirees on the Medicare Group Companion Plan.

Follow this link for more information or to enroll, or call our Member Service Representatives at 1-800-852-8300.

Home Delivery for convenience and savings

To receive the greatest savings, use mail order for maintenance prescriptions.  Members who fill 90-day prescriptions through the Express Scripts mail order program will continue to save on their copays by paying two co-pays instead of three.  You may still utilize your local pharmacy to fill maintenance prescriptions after January 1, but you will pay three co-pays for a 90-day supply at the pharmacy.

Getting Started with Home Delivery

Check out our new Wellness Works offerings for 2017!

The Health Trust offers a variety of different Health Education classes.  These courses may be arranged for employees during day time or early evening hours.  Please contact your Wellness Coordinator if you are interested in having Wellness Works educators present any of the programs at your worksite. Your Coordinator will then contact us to schedule. Most classes require a minimum of 10 participants.

Health Education Classes 

Wellness Works is the Health Education and Promotion Program of the Maine Municipal Employees Health Trust. Call Us at (800) 452-8786.

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