FLASH: Check Out Our Health Care Reform Resource
August 22, 2013We launched a new resource we hope you’ll share with your patients. HealthAlliance.org/LearnMore helps people understand health care reform and the basics of health insurance.
We launched a new resource we hope you’ll share with your patients. HealthAlliance.org/LearnMore helps people understand health care reform and the basics of health insurance.
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.
On July 1, 2013, state-run operation of the Illinois Pre-Existing Condition Insurance Plan (IPXP) is transitioning to the federally run Pre-Existing Condition Insurance Plan (PCIP). The PCIP coverage then runs through December 2013. Illinois, like many other states, made this decision to ensure that members will still have access to coverage until more options are available on January 1, 2014.
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.