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Health Plan Options

PrimePay | What to Do If an Employee Has Coronavirus

During the current times of uncertainty, many employers are asking: “What do I do if an employee has coronavirus?” There are ways to address this question while remaining in compliance, and being sensitive to your sick employee and those around them. Here are some things you must do. Read more.

Geisinger Health Plan | Special Weekly Bulletin: September 3rd 

In this edition: telehealth cost sharing waived, back to school and more. Read more

Geisinger Health Plan | Weekly Bulletin: September 8th

In this edition: GHP wins J.D. Power award, HRA reminder, participating hospitals and more. Read more.

Highmark | Notice of Medical Loss Rebate to Group Market, Individual Market, and Student Health Members

The Affordable Care Act (ACA) includes a Medical Loss Ratio (MLR) requirement for health insurers. The MLR provision mandates that insurers rebate all or a portion of the premiums paid if a certain percentage of premiums collected are not spent on claims or quality improvement programs. Read more

UPMC Health Plan | Information and Frequently Asked Questions for Patients With Out-of-Network Products

UPMC is committed to providing patients with the information they need to make informed decisions about their care. While many health insurers provide their members with full, in-network access to UPMC, there are certain types of health insurance plans and other products, including those that use unilateral repricing, that do not. Unilateral repricing plans are out-of-network with UPMC hospitals and facilities. Read more

Highmark | Small Group Update: Introducing Small Group Balanced-Funding Webinar – Register Now!

Highmark is committed to providing you the first opportunity to learn about new products and services.  Please join us for a webinar hosted by Tom Fitzpatrick, Senior Vice President, Commercial Markets and Kareem Corbin, Regional Vice President, Small Group Sales on Friday, September 18th at 11:30 a.m., to learn about our exciting new Small Group Balanced-Funding arrangement, available for New to Highmark clients effective January 1, 2021. Register now.