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Title Issued Date

An Update On St. Joseph’s Health

Broker News | December 2024 | Vol. 19 No. 12 - Special Issue

Excellus BlueCross BlueShield and St. Joseph’s Health have entered into an agreement to extend our in-network contract for both the hospital and physician practices through February 28, 2025, while we continue to meet regularly to work towards a mutually agreed upon...

Season’s Greetings From All Of Us At Excellus BlueCross BlueShield

Broker News | December 2024 | Vol. 19 No. 12

As the year comes to a close, we extend our warmest appreciation and gratitude for your partnership and loyalty. We wish you and yours a joyous holiday season and look forward to working together in the New Year! Have a safe and happy holiday season!      

Automatic Payment Error Impact

Broker News | December 2024 | Vol. 19 No. 12

Some members may have received an email from us via our vendor, Instamed, saying that their automatic payment agreement has been terminated. If members received a letter in regard to their automatic payments, please refer to the banner on our Member Bill Pay Options page...

2025 Broker Guide Is Here

Broker News | December 2024 | Vol. 19 No. 12

The 2025 Broker Guide is now available to help you better service our clients and grow your brokerage business. The guide is available on the broker tools page. If you have any questions about the 2025 Broker Guide, contact your account consultant or:...

Upcoming Member Webinar For Small Groups

Broker News | December 2024 | Vol. 19 No. 12

Many members are not aware of the programs, resources, and tools available to them through their Excellus BlueCross BlueShield membership. We want to help close that gap. That’s why we are hosting a live “Making the Most of Your Health Plan,” webinar for our Small Group,...

2025 Workplace Wellbeing Resources

Broker News | December 2024 | Vol. 19 No. 12

The new year brings new resources to help employers support the wellbeing of their employees. They can engage, educate and empower their workforce with these helpful resources: Employee Wellbeing Webinars: Looking to have your employees learn about health topics such as...

January Wellbeing Tip: New Year, Well You

Broker News | December 2024 | Vol. 19 No. 12

The new year is a great time to reflect and set intentions for the upcoming year. Many resolutions center on health and wellness, highlighting the importance of physical and mental wellbeing. Despite resolutions having several benefits, sticking to them can be difficult. ...

Updates: 2025 Qualified Health Plans And The Essential Plan

Broker News | December 2024 | Vol. 19 No. 12

Changes to Special Enrollment Period Coverage Effective Dates: Beginning January 1, 2025, NY State of Health must make the coverage effective date for special enrollment periods with no other specific effective date the first of the month following plan selection, with an...

FamilyCare Medical Group Remains In Network

Broker News | November 2024 | Vol. 19 No. 11 - Special Issue

Excellus BlueCross BlueShield and FamilyCare Medical Group (FCMG) have announced a new contract agreement effective Jan. 1, 2025, that will keep FCMG in the Excellus BCBS provider network. Read More   Member Resources During contract discussions with doctors and...

Incorrect ID Card Mailing Impact

Broker News | November 2024 | Vol. 19 No. 11

Excellus BCBS has identified that incorrect ID cards were recently mailed out to some small groups. Since ID cards are mailed in batches, not all small group members would have received an incorrect ID card.    We are working promptly to reissue ID cards for...

REMINDER: Gag Clause Prohibition Attestation Under the Consolidated Appropriation Act

Broker News | November 2024 | Vol. 19 No. 11

As a reminder, Excellus BlueCross BlueShield (Excellus BCBS) will be completing the attestation on behalf of our fully insured and minimum premium groups for the time they had Excellus BCBS coverage in 2024. If any additional information is required to submit the...

Healthy New York - New Group Application and Recertification Form

Broker News | November 2024 | Vol. 19 No. 11

The new Healthy New York – New Group Application and Recertification Form is now available for brokers and small groups.   The New Group Application should only be used when a small group is applying for a standalone Healthy New York plan, or when applying for...

Health Status Questionnaire

Broker News | November 2024 | Vol. 19 No. 11

We encourage all plan members to complete a health status questionnaire upon enrollment and annually thereafter. We use this information to identify our members who may need care right away and are eligible for health care services that may be beneficial to them. Our case...

December Wellbeing Tip: Self Care & Seasonal Blues

Broker News | November 2024 | Vol. 19 No. 11

While the holiday season can be a time of joy, it may bring added stress, anxiety, and depression for some people. According to the American Psychological Association, nearly 9 in 10 (89%) of U.S. adults say that concerns such as financial pressure, family conflict, and...

Rx News - Smart RxAssist is Now HelpScript!

Broker News | November 2024 | Vol. 19 No. 11

In July, we announced our partnership with Smart RxAssist to help maximize savings available from drug manufacturer assistance programs. This program provides financial relief to self-funded employer groups and decreases out-of-pocket costs for medical specialty drugs....

Rx News - Improving the Affordability of Pharmacy Care Webinar Now Available

Broker News | November 2024 | Vol. 19 No. 11

We know the upward trend of health care costs is expected to continue, impacting both employers and individuals. High prescription drug prices, increases in outpatient procedures, and more members needing high-cost hospital care are challenging health plans, employers,...

Rx News - Excellus BlueCross BlueShield Humira and Biosimilar Formulary Updates for 2025

Broker News | November 2024 | Vol. 19 No. 11

Biosimilars represent one of the biggest opportunities to improve access and affordability for our community. Excellus BlueCross BlueShield (Excellus BCBS) has advocated for the use of biosimilars since 2018 when we were the first standalone health plan to prefer a...

Gag Clause Prohibition Attestation Under the Consolidated Appropriation Act 

Broker News • Vol. 19 No. 11 • Special Issue

The gag clause prohibition under the Consolidate Appropriations Act (CAA) prohibits health plans from entering into contracts that restrict specific data and information that a plan can make available to another party. Plans must annually submit an attestation that they...

Medicare Recognizes Excellus BlueCross BlueShield For Quality 

Broker News • Vol. 19 No. 10 • October 2024

The Centers for Medicare and Medicaid Services (CMS) announced its 2025 quality ratings, and again this year recognized Excellus BlueCross BlueShield for its Medicare Advantage plans. This is the 12th consecutive year the health plan has ranked above average or higher for...

New Resources For Open Enrollment In Sales Hub

Broker News • Vol. 19 No. 10 • October 2024

New resources have been added to the Sales Hub to support brokers during the upcoming open enrollment season.    Available resources include:  2024-2025 Community Rated Broker OE Presentation - video 2025 Small Group Product Updates – brochure 2025...

New: Affordability Pages 

Broker News • Vol. 19 No. 10 • October 2024

Increasing costs and growing demands for medical care are leading to premium rate increases and higher out-of-pocket expenses for members and employers nationwide. It’s important for us to find solutions that prioritize the wellbeing of our groups while also addressing...

November is Diabetes Awareness Month

Broker News • Vol. 19 No. 10 • October 2024

Diabetes is a chronic disease that affects how your body turns food into blood sugar to use for energy. There are three types of diabetes: type 1, type 2, and gestational diabetes. Type 2 diabetes is the most common form, accounting for 90-95% of cases. According to the...

Annual Renewal Request Submissions

Broker News • Vol. 19 No. 10 • October 2024

For brokers that are submitting their annual renewal requests through the Annual Group Information Form (AGIF) Webtool, please ensure you are selecting the correct renewal year for your group’s submissions. The Webtool will auto populate with the 2025 renewal...

Support for Rising Healthcare Costs: Medical Cost Saving Programs

Broker News • Vol. 19 No. 10 • October 2024

We know the upward trend of health care costs is expected to continue, impacting employers and individuals alike. High prescription drug prices, increases in outpatient procedures, and more members needing high-cost hospital care are challenging the entire health care...

Member Mailing Notification

Broker News • Vol. 19 No. 10 • October 2024

Due to new requirements of Section 1557 of the Affordable Care Act, we are required to send an annual Notice of Nondiscrimination and Notice of Availability of Language Assistance Services to all members no later than 11/2/2024. This mailing is currently underway,...

Individual Metal Plans And Rates For 2025 Now Available!

Broker News | October 2024 | Vol. 19 No. 10 - Special Issue

Individual plans, rates, placemats, tip sheets and product brochures for 2025* are now available on Blue on Demand. Now available: Individual & Family Qualified Health Plans Blue Select Stand-Alone Dental Plans *Subject to DFS approval 2025 Plan Highlights:...

Provider Contract Updates

Broker News | September 2024 | Vol. 19 No. 9 - Special Issue

As you may have noticed, there has been an increase in discussions surrounding contract negotiations, both locally and nationally. Providers and hospitals are more frequently going public about these discussions, which may create uncertainty. It’s essential that we...

Upcoming Member Webinar For Small Group Plans*

Broker News | September 2024 | Vol. 19 No. 9

Many Small Group members are not aware of the programs, resources, and tools available to them through their benefit plan. We want to help close that gap. That’s why we are hosting a live “Making the Most of Your Health Plan,” webinar. Thursday, September 26 12:00 P.M. -...

October Is Breast Cancer Awareness Month

Broker News | September 2024 | Vol. 19 No. 9

Breast cancer is the second most common cancer in the United States among people who were born female, after skin cancers. About one in eight women will have breast cancer at some point in their lifetime. While white women are more likely to develop breast cancer, Black...

REMINDER: Medicare Part D Creditable Coverage

Broker News | September 2024 | Vol. 19 No. 9

As part of the Medicare Modernization Act (MMA), employers and union groups offering prescription drug coverage must disclose to Medicare eligible individuals with prescription drug coverage under their plan, whether the coverage is creditable. Employers must provide...

REMINDER: Virtual Training For 2025 Open Enrollment

Broker News | September 2024 | Vol. 19 No. 9

2025 open enrollment (OE) training is virtual again this year and available at ExcellusForBusiness.com/SalesHub. Everything has been designed to meet all your training needs for 2025 open enrollment and beyond. Materials include: Large Group: Product updates, large...

Rx News - New Integrated Medical & Pharmacy Diabetes Programs Brochure

Broker News | September 2024 | Vol. 19 No. 9

We have a new brochure available to learn more about our integrated medical and pharmacy solutions for diabetes management. This piece offers information on each program, as well as group savings opportunities. This piece is now available to download on...

Rx News - Support For Rising Health Care Costs: Pharmacy Programs

Broker News | September 2024 | Vol. 19 No. 9

We know the upward trend of health care costs is expected to continue, impacting employers and individuals alike. High prescription drug prices, increases in outpatient procedures, and more members needing high-cost hospital care are challenging health plans, employers,...

Small Group Rates And Plans For 2025 Are Now Available!

Broker News | September 2024 | Vol. 19 No. 9 - Special Issue

Explore Blue on Demand for the latest Small Group rates, plan updates, and all your open enrollment tools, including At-A-Glance brochures and product guides. Summary Benefits and Coverage (SBCs) are coming soon and will be available by October 1. Learn more and order...

Reminder: Large Group Open Enrollment Materials

Broker News | September 2024 | Vol. 19 No. 9 - Special Issue

If you need printed copies of the 2025 Large Group Open Enrollment materials, you can order them at ExcellusForBusiness.com/blueppo-broker-orders. At-a-Glance Brochure Product Guide Submit the quantity for each piece along with your shipping information and we’ll...

NYS Prior Approval Of Rate Changes For Large Group HMO And Medicare Supplement

Broker News | August 2024 | Vol. 19 No. 8

On July 2, 2024, an application was submitted requesting 2025 premium rate changes in accordance with New York state prior approval law. This rate application applies to Community Rated Large Group HMO. An application was submitted requesting 2025 premium rate changes for...

Medicare Part D Creditable Coverage

Broker News | August 2024 | Vol. 19 No. 8

Medicare beneficiaries can receive subsidized prescription drug coverage through the Medicare Part D program. Beneficiaries who have other sources of drug coverage—through a current or former employer or union, for example—may choose not to enroll in Medicare Part D, if...

Virtual Training For 2025 Open Enrollment

Broker News | August 2024 | Vol. 19 No. 8

2025 open enrollment (OE) training is virtual again this year and available at ExcellusForBusiness.com/SalesHub. Everything has been designed to meet all your training needs for 2025 open enrollment and beyond. Materials include: Large Group: Product updates, large...

Enterprise File Transfer Service Updates

Broker News | August 2024 | Vol. 19 No. 8

As part of our ongoing commitment to ensuring the highest standards of digital security, we are updating our encryption protocols in line with industry standards and best practices. These changes to our enterprise file transfer service MAY affect you or SOME of your...

Request For Missing Social Security Numbers

Broker News | August 2024 | Vol. 19 No. 8

Under the Affordable Care Act, the Internal Revenue Service requires health insurers to request missing subscriber and dependent Social Security numbers from their members. In September, we will send Social Security number request letters to individuals who had health...

The Gateway To Member Benefits

Broker News | August 2024 | Vol. 19 No. 8

Many people are getting ready for fall, a new school year, and open enrollment, making it the perfect time to check out their online account and make sure they’re using their plan to the fullest. An online account is the gateway to customized member information based on...

September Wellbeing Tip: Substance Use Disorders

Broker News | August 2024 | Vol. 19 No. 8

According to the National Survey on Drug Use and Health, about 17% of people aged 12 or older had a substance use disorder (being addicted to, overusing or misusing drugs or alcohol) in the past year. That’s one in six people! A substance use disorder is a disease (not a...

Rx News - Specialty Drug Webinar Recording Now Available

Broker News | August 2024 | Vol. 19 No. 8

As we learned in our recent pharmacy webinar, the specialty landscape continues to evolve as advancements in care provide additional treatment options for members. While these innovative treatment options can be great for members, they can also present financial...

2024 Pharmacy Updates From Mona Chitre

Broker News | August 2024 | Vol. 19 No. 8 - Special Issue

A Message from Mona Chitre As we look to the rest of the 2024 plan year, I wanted to take a moment to share all that has been happening in the pharmacy space and reiterate our mission to provide greater access to high-quality health care. As supporters of your business...

Important Update: Family Care Medical Group In CNY

Broker News | August 2024 | Vol. 19 No. 8 - Special Issue

As a valued and loyal partner in our mission to provide access to high quality, affordable health care, we want to make you aware of provider contracting discussions that have been made public in Central New York. While this doesn’t impact all our brokers and groups, it...

When Everything Works Together, Everybody Benefits.

Broker News | July 2024 | Vol. 19 No. 7

Health care works best when it works together. A coordinated, caring, personalized, and holistic health insurance experience that connects the dots for everyone. That’s why we’ve taken a hard look at the Excellus BCBS commercial group positioning, and aligned it more...

Warby Parker Added To Vision Network

Broker News | July 2024 | Vol. 19 No. 7

Together with our partner, Davis Vision, we are excited to announce the expansion of our vision network to include Warby Parker as of July 1, 2024. This enhancement has no premium rate impact. Members will enjoy full access to Warby Parker’s elevated shopping experience...

August Wellness Topic: The Importance Of Vaccines

Broker News | July 2024 | Vol. 19 No. 7

Most of us probably don’t remember when people regularly died from smallpox or polio. There have been no cases of smallpox anywhere in the world since 1980. Polio has been eliminated in the United States because of vaccination, though it is still a threat in some other...

Rx News - Join Us For Our July Specialty Drug Webinar

Broker News | July 2024 | Vol. 19 No. 7

Topic: Beyond the Buzz: Specialty Drug Trends & Solutions July 25th, 2:00 - 2:45 p.m. ET What are the top trend drivers for specialty pharmacy? What does the future look like for these trends? How can businesses save money on these high-cost drugs? These are...

Rx News - Site Of Care For Infusion Drug Therapy

Broker News | July 2024 | Vol. 19 No. 7

We are continuously looking for ways to promote member convenience while lowering overall costs. The Site of Care (SOC) program provides outreach to patients receiving select infusion or injectable drugs at high-cost facilities and transitions these patients to home...

Showing 1– 50 of 242 Results
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