The Walk-In Clinic listing has recently been updated, with new facilities being added frequently. You may save money and time by utilizing a Walk-In Clinic for non-emergency situations.
As required by the Affordable Care Act (ACA), the Health Trust will be sending out Forms 1095-B to all employees (including retirees and COBRA participants) who were covered under a Health Trust health plan during calendar year 2017. The 1095-B forms provide information on each individual (employee and dependents) who had health coverage through the Trust in 2017, including which months they were covered. The IRS extended the deadline for providing the Forms 1095-B to employees until March 2, 2018; however, thanks to hard work on the part of Health Trust staff, 1095-B forms for Health Trust plan participants went out in the mail in late January.
The 1095-B forms provide information that individuals will need when filling out their tax returns; however, the forms do not need to be filed with the tax returns. Copies of all of the forms will be filed with the IRS by the Health Trust. If any of the information on your Form 1095-B is incorrect, please contact Linda Mack, Health Trust Enrollment and Data Services Manager, at (207) 624-0123. For other questions, you may contact the Health Trust Service Representatives, at 1-800-852-8300.
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.
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.
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
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.
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 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, 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.
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.
In early 2015, AllClear ID Identity Theft Repair & Credit Monitoring services were offered to MMEHT members as a result of a cyber-attack against Anthem. These services were offered for free for 24 months, and they will start to expire beginning in February 2017.
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.
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.
Wellness Works is the Health Education and Promotion Program of the Maine Municipal Employees Health Trust. Call Us at (800) 452-8786.