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Posts Tagged ‘HMO’

Pharmacy Program Quarterly Update: Changes Effective July 1, 2019

Wednesday, May 1st, 2019

Applies to: Group Markets

Learn about the revisions to the drug list for members with prescription drug benefits administered by Prime Therapeutics®.

Drug List Changes
Based on the availability of new prescription medications and Prime’s National Pharmacy and Therapeutics Committee’s review of changes in the pharmaceuticals market, some revisions and/or exclusions will be made to the Blue Cross and Blue Shield of Illinois (BCBSIL) drug lists, effective July 1, 2019. Changes by drug list are listed on the chart links below.


Here’s What Medicare Part B Costs and Covers in 2016

Tuesday, January 26th, 2016

According to The Motley Fool:

“Learn how this part of the Medicare program works. 

Retirees rely on Medicare to help them with their healthcare expenses, but getting a better understanding of how the program’s different components can be challenging. Medicare Part B plays a key role in the everyday aspects of healthcare, and below, you’ll learn more of the specifics of how much Part B costs and what it covers.

What Medicare Part B costs
Medicare participants pay a monthly premium to get Part B coverage, but one of the more confusing things about the program in 2016 is that different participants pay different amounts. The standard charge for most new participants this year is $121.80 per month. But because of a law that ties Medicare increases to cost-of-living adjustments for Social Security, the majority of existing participants will pay the $104.90 monthly premium they paid in 2015. (more…)

Health Care Reform Questions Every Employer Needs to Know

Friday, January 18th, 2013

CPE hr reports:

“With over 2000 pages and some 450 provisions, the Patient Protection and Affordable Care Act (otherwise known as Health Care Reform, or “Obamacare”) is one of the most complex pieces of legislation ever signed into law. The ACA touches every sector – from individual citizens, to small businesses, to large corporations, to the Federal government itself.

With numerous unanswered questions, employers are understandably overwhelmed –

  • What laws apply to them?
  • What do they need to do?
  • How will it impact their bottom line?
  • How can they prepare for the impending legislation?

Below we present over a dozen important Health Care Reform questions, with simple, easy-to-understand answers, explaining their impact on small business.


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