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Season’s Greetings 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!  

An Update On St. Joseph’s Health

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...

Automatic Payment Error Impact

Some of your employees may have received an email from us via our vendor, Instamed, saying that their automatic payment agreement has been terminated. If any of your employees received a letter in regard to their automatic payments, please refer them to the banner on our...

Reminder: We Want To Hear from You!

At some point throughout the year, you should have received a satisfaction survey from us. Your feedback and experience are valuable, and we want to learn from you. If your group has received an email and survey link, please respond by December 31st. If you have any...

Upcoming Member Webinar For Small Groups

Making the Most of Your Health Plan! Thursday, January 9 1:00 P.M. - 1:45 P.M. ET Online event for all small group members Looking to educate your employees on the benefits, tools and resources available to them through Excellus BlueCross BlueShield? Encourage your...

2025 Workplace Wellbeing Resources

The new year brings new resources to help you support your employees wellbeing. Engage, educate and empower your workforce with these helpful resources: Employee Wellbeing Webinars: Looking to have your employees learn about health topics such as heart health, diabetes,...

January Wellbeing Tip: New Year, Well You

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. ...

FamilyCare Medical Group Remains In Network

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

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 those...

REMINDER: Gag Clause Prohibition Attestation Under the Consolidated Appropriation Act

As a reminder, Excellus BlueCross BlueShield (Excellus BCBS) has determined that we 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...

Healthy New York - New Group Application and Recertification Form

The new Healthy New York – New Group Application is now available for 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 Healthy New York along with another...

Health Status Questionnaire

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...

We Want to Hear from You!

At some point throughout the year, you should receive a satisfaction survey from us. The fourth quarter survey is being sent to the remainder of our employer groups this month. Your feedback and experience are valuable, and we want to learn from you. If your group has...

December Wellbeing Tip: Self Care & Seasonal Blues

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!

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 - Excellus BlueCross BlueShield Humira and Biosimilar Formulary Updates for 2025

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...

Contract Reached with WellNow Urgent Care

We are pleased to announce that Excellus BlueCross BlueShield and WellNow Urgent Care have executed a new provider contract agreement. Starting on November 15, WellNow Urgent Care will be in-network. We want members to find the care they need if they are sick or injured....

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...

2025 Individual Market Plans 

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

Medicare Recognizes Excellus BlueCross BlueShield For Quality 

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: Affordability Pages 

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

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

For Groups that are submitting their annual renewal requests through the Annual Group Information Form (AGIF) Webtool, please ensure that you or your broker are selecting the correct Renewal Year for your submissions.  The Webtool will auto populate with the 2025...

Member Mailing Notification

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,...

Chamber Series Part 6 | How You Can Support Your Team with the Rise of Health Care Costs: Resources and Tools to Help Improve Quality of Care While Combating Costs.

Chamber Series | Part 6 of 6 We’re back with Part 6 the final part in of our high-quality care and cost savings series. | View Part 1 to learn more about pharmacy saving programs. | View Part 2 to learn more about medical cost savings programs. | View...

Chamber Series Part 5 | How You Can Support Your Team with the Rise of Health Care Costs: The Importance of Preventive Care Programs

Chamber Series | Part 5 of 6 We’re back with Part 5 of our high-quality care and cost savings series. | View Part 1 to learn more about pharmacy saving programs. | View Part 2 to learn more about medical cost savings programs. | View Part 3 to learn...

Chamber Series Part 4 | How You Can Support Your Team with the Rise of Health Care Costs: Care Management Support For Members With Complex Conditions

Chamber Series | Part 4 of 6 We’re back with Part 4 of our high-quality care and cost savings series. | View Part 1 to learn more about pharmacy saving programs. | View Part 2 to learn more about medical cost savings programs. | View Part 3 to learn...

Provider Contract Updates

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*

Looking to educate your employees on the benefits, tools and resources they have available through their Small Group plan? Thursday, September 26 12:00 P.M. - 12:30 P.M. ET Online event for all small group members Encourage employees to register and attend this upcoming...

October Is Breast Cancer Awareness Month

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

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. Employer Group...

Rx News - Lowering Costs And Protecting Employees With Diabetes

Our model is built to bring all your benefits together, providing an integrated and holistic approach to health care by leveraging medical and pharmacy data. When medical and pharmacy teams are working collaboratively, it’s proven to be the best care, while driving costs...

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

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,...

Chamber Series Part 3 | How You Can Support Your Team with the Rise of Health Care Costs: What You Need To Know About Premium Rates

Chamber Series | Part 3 of 6 We’re back with Part 3 in our series. | View Part 1 to learn more about pharmacy saving programs. | View Part 2 to learn more about medical cost savings programs.   With Open Enrollment coming up this fall, we wanted...

Chamber Series Part 2 | How You Can Support Your Team with the Rise of Health Care Costs: Medical Cost Savings Programs

Chamber Series | Part 2 of 6 We’re back with Part 2 in our cost saving series. | View Part 1 to learn more about pharmacy saving programs.  As a recap, we know the upward trend of health care costs is expected to continue, impacting employers and individuals alike....

Chamber Series Part 1 | How You Can Support Your Team With The Rise Of Health Care Costs: Pharmacy Programs

Chamber Series | Part 1 of 6 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...

Small Group Rates And Plans for 2025 Are Now Available!

2025 Plan Highlights*: Our 2025 plan updates are aimed at making care more accessible and affordable, helping members see the true value in their plan. And we understand things might look different year over year to achieve this experience for our members. Let’s take a...

Large Group HMO & Medicare Supplement – NYS Prior Approval Of Rate Changes

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

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...

Enterprise File Transfer Service Updates

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 impact SOME groups. Impacted...

Request For Missing Social Security Numbers

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

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

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 - Preparing For The Biosimilar Landscape

As new biosimilars enter the market, increased competition brings down the price of the biosimilar and reference product. As biosimilars continue to grow in use, it is important to understand what they are and their impact in the market. In our ongoing efforts to ensure...

2024 Pharmacy Updates From Mona Chitre

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...

Take Good Care Of Your People, And They’ll Help You Take Good Care Of Your Business

It’s a simple concept – and it’s why you want to provide great health coverage for your employees. Coverage that helps them live healthier lives. Coverage that helps make the entire experience easier for everyone. Coverage that takes affordability into account. That’s...

Warby Parker Added To Vision Network

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

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 - Site Of Care For Infusion Drug Therapy

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...

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...

Showing 1– 50 of 308 Results
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