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Informed Newsletter

October Newsletter

Health Alliance Named Top Plan in Illinois and Iowa The National Committee for Quality Assurance (NCQA) Private Health Insurance Plan Rankings 2013-2014 and NCQA’s Medicare Health Insurance Plan Rankings 2013-2014 recognize Health Alliance Medical Plans as among the top in the nation and the highest in Illinois and Iowa for Private and Medicare plans.

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August Newsletter

Medicaid Update Our Seniors and Persons with Disabilities (SPD) plan goes into effect on September 1. You can see SPD patients as of that date. These members will have Health Alliance Connect ID cards.

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June Newsletter

Reminders about Wellness Coverage Chlamydia screening is covered for all members without cost-sharing. Cholesterol and lipid screening (80061, 82465, 83718 and 83721) is covered without cost-sharing for: Men 35 years and older - Once every 5 years Men 20-35 years- Once every 5 years with diagnosis code V17.3–V17.4X, V81.0-V81.2 Women 45 years and older - Once every 5 years Women 20-45 years Once every 5 years with diagnosis code V17.3–V17.4X, V81.0-V81.2 Services performed outside these parameters, as well as other coded services, are covered according to the limits of the member’s medical benefits. The wellness brochure, which lists services and procedure codes covered under the wellness benefit, is posted on the Forms and Resources page of Your Health Alliance. You can also contact your provider relations specialist for a copy.

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April Newsletter

Meet With a Coding Specialist The Medicare Advantage Coding Consultant has been making rounds to high-volume participating provider offices sharing member-specific examples of coding and Medicare quality measure needs. She is willing to meet with you to discuss any coding or quality questions you may have, or to provide member-specific examples from your panel of members. If interested, contact Dawn Peterson, CPC 217-722-0869 or via e-mail Dawn.Peterson@healthalliance.org.

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February Newsletter

Pharmacy Formulary Additions

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