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Oct 20, 2021
To continue meeting members and brokers where and how they need us, we can now allow some third-party payors to submit premium payment on behalf of individual enrollees and members.
We will only accept payments from the following third-party payors:
We cannot combine billing and payments for Individual plans for all employees. Payments must be submitted for each enrollee/member. The billing invoice will be sent to the employee’s billing address, or the administrator can set up automatic recurring payments.
If you would like to set up a third-party payment process for a client, contact broker services and provide either the last four digits or the name of the funding account.
Ohio law requires insurers offering health care plans through a health insurance exchange to make the following information available to existing and potential members upon request: A list of the top 20% of services based on use An insured's expected contribution for each service The top 20...
Due to ongoing, national supply issues, starting May 15, 2024, and until the medications become readily available, members will not be able to fill the following GLP-1 drugs via CarelonRx Pharmacy home delivery: Mounjaro Trulicity Wegovy Saxenda We will notify you and your clients when th...