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2025 Large Group Product Updates

With a new year comes exciting new changes to bring groups and members even better coverage. Take a look at what’s in store for 2025. Here’s What’s New for 2025*: Reminder! ThriveWell℠ Introduced in 2024, ThriveWell is a digital home base dedicated to engaging teams...

We Want To Hear From You!

At some point throughout the year, you should receive a satisfaction survey from us. The second quarter survey is being sent to some of our employer groups this month. Your feedback and experience is valuable, and we want to learn from you. If you have not yet received...

July Wellness Topic: The Benefits Of Physical Activity

Exercise gives you energy. That may seem counterintuitive, but exercise boosts energy levels. Even occasional exercise improves your mental wellbeing, thinking and sleep and reduces anxiety and blood pressure. Regular exercise has even more benefits than an occasional...

Rx News - Reduce Risk And Control Costs With Integrated Pharmacy Benefits Available To Your Team

Experience a more comprehensive approach to pharmacy care when your team has integrated medical and pharmacy. We now have Integrated Pharmacy Program Flyers so you can see every value-added and optional pharmacy program we have available for your business. Download the...

Rx News - New! Pharmacy Concierge Program Video Series

Now available! A new series of videos highlighting our Pharmacy Concierge Program. Mona Chitre, Chief Pharmacy Officer, and President Pharmacy Solutions Chapter 1: Why we created Pharmacy Concierge Chapter 2: What sets us apart with Pharmacy Concierge Steve Conrad,...

Individual & Small Group – NYS Prior Approval Of Rate Changes

On May 15, 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 Individual and Small Group products. The following products are included in this 2025...

The Lifetime Healthcare Companies Announce Plans To Affiliate With CDPHP

Today (May 22), we announced that The Lifetime Healthcare Companies (LTHC), the parent company of Excellus BlueCross BlueShield, plans to form an affiliation with CDPHP, one of New York’s leading not-for-profit health insurance companies. This affiliation is aimed at...

Past Due: What To Do If You Missed The RxDC Deadline?

We have received questions from groups about what to do if they did not complete the RxDC online form by the due date of April 12. If a group missed the deadline, they should report the information directly to CMS in HIOS (or have another reporting entity report it for...

Working To Deliver A Real Time Enrollment Experience

Enhancements are coming soon to our online “Enroll & Update” tool that will allow us to process many of your transactions in real time. You’ll begin seeing these changes within the next month. For example: When making “Enroll a New Member” transactions, a...

June Is Employee Wellness Month

Most adults spend more time at work than anywhere else. And work has a significant impact on all aspects of our wellbeing. According to Gallup, people who are thriving in all aspects of wellbeing are healthier and more engaged at work. Yet 6 in 10 adults in the US have a...

A New Way For Self-Funded Groups To Save

Self-funded commercial group members now have access to GoodRx® prescription pricing. GoodRx provides automatic savings on many generic prescription drugs when available. Our Price Assure flyer has additional information. Please contact your account representative with...

Plan Designation Indemnification Is Now A Fillable Form

We’re excited to share the availability of a fillable Plan Designation Indemnification form. This has been a request from brokers and self-insured groups that use the form, and we look forward to this new form saving time for everyone. The fillable versions of these...

Healthy New York Business Applications And Recertifications For Small Group

Updated versions of the Healthy New York (HNY) New Business application and the HNY Recertification form are now available online at Blue On Demand. They are also available on our website under the Broker and Employer portals where small group new business and renewal...

Get To Know Our Unique Approach To Value-Based Care

We all recognize that health care costs are continuously on the rise. It is estimated that $935 billion is wasted annually in the U.S. health care system. To address these issues, Excellus BlueCross BlueShield has created a new way of thinking. One that opens the doors...

Heritage Christian Services, Inc. Saves $105,207 In Prescription Drug Costs With Pharmacy Concierge

With the rising costs of prescription drugs, several of our groups have decided to enroll in Pharmacy Concierge, a program built to reduce pharmacy costs while focusing on safety and high-quality health care. A new case study was just published showing that one of our...

Online Chat Now Available On Davis Vision Website

Davis Vision now has an online chat tool available to assist members in locating their benefits and eligibility information. The chat tool becomes available after a member creates an account and logs into the Davis Vision website. Members can ask questions or gather...

May Is Mental Health Awareness Month

Mental and physical health are equally important components of overall health and wellbeing. Mental health includes our emotional, psychological, and social wellbeing. It affects how we think, feel, and act. Poor mental health increases physical health risks, while poor...

It’s Time To Report Your 2023 Prescription Data

The 2021 Consolidated Appropriations Act (CAA) requires group and individual health plans to report annual data about prescription drugs and health care spending to the Center for Medicare & Medicaid Services (CMS). The last day to submit this data to CMS for the 2023...

Target Optical And Pearle Vision Being Added To Vision Network

Together with our partner, Davis Vision, we are excited to announce the expansion of our network in 2024 with the addition of Target Optical and Pearle Vision. With this addition, members will be able to access more than 150,000 in-network points of eye care. This...

Why Your Primary Care Provider Matters

Taking care of your health is one of the most important things you can do to help you feel your best every day. Your Primary Care Provider is your partner in managing your health. Seeing them for regular preventive care ensures you are up to date on recommended screenings...

Learn How ACQAs Help Increase Quality Care For Members

An Accountable Cost & Quality Agreement (ACQA) is our localized approach to value-based payment agreements. ACQAs promote a better, more holistic patient experience for members while working to reduce unnecessary medical costs for all. Watch Our 3-Minute Video To...

Reminder Regarding WellNow Urgent Care Provider Status

Recently, some Excellus BlueCross BlueShield members may have received communication from WellNow Urgent Care that could cause confusion regarding coverage and benefits. To clarify and remind our members, WellNow made the decision to leave our provider network on Jan. 1,...

Encourage Your Team To Get Started With ThriveWell℠

A toolkit for our new digital, wellbeing program ThriveWell, administered by Virgin Pulse, can now be found on ExcellusforBusiness.com. With a ready-to-send email, member guide, quick start flyer, overview flyer, and reward flyers you can now encourage your team to put a...

Help Your Team Manage Their Overall Wellbeing With Headspace

Stress takes a big toll on a person’s mental, physical, and emotional health. That’s why we’re offering* Headspace, administered by Virgin Pulse, to help employees better manage stress and overall wellbeing. This science-based app offers your team access to hundreds of...

Navigating The GLP-1 Trend

Diabetes is one of the top trend drivers of pharmacy costs due to the growing diabetic population and newer, more expensive therapies recommended earlier in the treatment plan. Since 2006, medications like Ozempic® and Trulicity® have been used to treat Type 2 Diabetes....

Have You Listened To Our Community Check-In Podcast?

Each week, with our Community Check-In podcasts, we have conversations with local experts about all things health, sharing the latest info and tips to support you in managing your health and wellness. Our latest episode: The Loneliness Epidemic: Unveiling The Health...

The Importance Of Sleep

Sleeping is a basic human need, like eating, drinking, and breathing. Did you know adults need between seven and nine hours of sleep per night, and children and teens need even more? Surveys show the average adult sleeps fewer than seven hours a night. According to the...

Tax Form 1095-B

Health insurers—including Excellus BCBS—are no longer mailing tax form 1095-B to members. Because taxpayers are not required to include the form when filing their taxes, the IRS no longer requires us to mail the form. Members can still download the form or request it by...

Gag Clause Confirmation Of Attestations Completed

On December 31, 2023, Excellus BlueCross BlueShield completed the gag clause attestations on behalf of our fully insured and minimum premium groups who have our Rx. A gag clause Certificate of Attestation is available to groups, upon request. Reach out to your account...

NEW For 2024: Virtual Physical Therapy Through Vori Health

Every business wants to help their employees live their best. That’s why we are providing another option for physical therapy, so employees can have more accessibility when it comes to the care they need. Excellus BlueCross BlueShield is now partnering with Vori Health...

Watch: Making The Most Of Your Health Plan

The Making the Most of Your Health Plan videos for 2024 are ready! These member-level videos provide a navigation of our member online account and mobile app, while highlighting important benefits, tools, and resources available to members. There are three videos based...

Blue On Demand Website Enhancements For Small Groups

To help create a better user experience for our Small Groups, we’ve updated Blue on Demand with the following enhancements: Medical Updates You can now compare the previous Q4 year rating period selected (Ex: 2022 to 2023) Added a new banner to link to dental and...

February Is American Heart Month

According to the Centers for Disease Control and Preventive (CDC), heart disease is the leading cause of death for men, women, people aged 45 and over, and most races and Hispanic-origin groups, accounting for 1 in every 5 deaths in the US. The term “heart disease”...

Season’s Greetings. Holiday Cheer. From Our Team To Yours.

As the year comes to a close, we extend our warmest appreciation and gratitude for trusting us with the health care of your employees. May the year ahead be filled with peace and prosperity for you and your employees. Have a safe and happy holiday season!  

Our Next Step Toward Health Equity

We want everyone to have the chance to be as healthy as possible. Health equity is about removing any barriers that get in the way of health. We notified you earlier this fall that we would begin contacting your employees and asking them to share more about themselves so...

Excellus BCBS Earns 85 Percent In Human Rights Campaign Foundation’s 2023-24 Corporate Equality Index

Excellus BlueCross BlueShield has received a score of 85 percent out of 100 on the Human Rights Campaign Foundation’s 2023-2024 Corporate Equality Index, the nation’s foremost benchmarking survey and report measuring corporate policies and practices related to LGBTQ+...

January Wellbeing Tip: The Importance Of Preventive Care

“An ounce of prevention is worth a pound of cure.” This is as true now as it was when Benjamin Franklin said it in 1735. While healthy behaviors such as exercise, sleep and good nutrition can significantly impact wellbeing, getting routine preventive care is an important...

The Real Deal On Weight Loss Drugs

In this episode of The Community Check-In podcast, Nicole Dawley, Senior Director of Pharmacy Strategy and Policy at Excellus BlueCross BlueShield, explores the complex world of weight management drugs. Nicole provides valuable insights into the background of the obesity...

Gag Clause Prohibition Attestation Under The Consolidated Appropriation Act

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...

Sunsetting Wellbeing Programs & How Members Can Claim Their Rewards

With the much-anticipated transition to our new digital, wellbeing engagement program, ThriveWellSM, we will be sunsetting several of our wellbeing programs. The following programs* will be discontinued the last day of a groups’ benefit year (*program participation varies...

Tell Us What You Think!

In the coming weeks, you will receive an email inviting you to take an Excellus BCBS satisfaction survey. This survey is an opportunity to provide feedback on your interactions and experiences with the health plan. Your feedback is confidential, and your participation is...

Fully Insured Large Groups To Move To Preferred Value Formulary

Please be advised that all Commercial Fully Insured Large Groups will move from the current 3 Tier Open Formulary to our Preferred Value Formulary (PVF) based on their plan year. This change excludes Minimum Premium groups, who will continue to have the option to choose...

Updated Annual Group Information Form And Web Tool Available

An updated version of the Annual Group Information Form (AGIF) is available for Large and Small Groups. The only change in this version is that a question has been added to the AGIF and online AGIF Web Tool which requires employers who offer a dental plan through the...

Check Out Our Community Check-In Podcast! The Common But Preventable Disease: Pre-diabetes, With Dr. Fitzpatrick

Have you checked out our Community Check-In podcasts? Each week, we have conversations with local experts about all things health, sharing the latest info and tips to support you and your employees in managing your health and wellness. Our latest episode: The Common But...

Updated Brochures Now Available

We’ve updated the brochures below with our new Everybody Benefits logo. Questions? Contact your account manager. Out-of-Pocket Protection Program Brochure (PDF) Rx Home Delivery Brochure (PDF)  

December Wellbeing Tip: Where To Go For Care

Understanding where to go for medical care before you need it can help you and your employees minimize frustration, time, and cost. Your primary care provider should be your first choice for routine medical care or minor illnesses or injuries that are not an emergency. A...

Kicking Off A New Social Media Campaign

We launched a new campaign on our social media channels that will feature some of the positive feedback we receive from our health plan members. Topics will vary monthly so be sure to bookmark our various social media sites and check back often. This month we’re...

The Right Meds At The Best Value

An Excellus BlueCross BlueShield program is focusing on medication safety while saving millions of dollars in prescription drug costs. The program, Pharmacy Concierge, is available to most midsize and large employers through the health plan. “Improving care is the...

Medicare Recognizes Excellus BlueCross BlueShield For Quality

The Centers for Medicare and Medicaid Services (CMS) announced its 2024 quality ratings, and again this year recognized Excellus BCBS for its Medicare Advantage plans. This is the eleventh consecutive year the health plan has ranked above average or higher for its...

2024 Individual Market Plans

If you have an employee who is not eligible for an Employer Group Plan, Medicare, or COBRA, we’re here to help connect them with NY State sponsored Safety Net coverage, Qualified Health Plans (metal level plans) and stand-alone dental plans. If you would like to review...

Showing 1– 50 of 281 Results
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