Making great dental plans simpler, better.
Small Group Dental Portfolio
Our small group product portfolio is being simplified with the goal of creating dental plans that are simpler to administer, use and sell! We’ve consolidating our pooled products into two major categories based on network:
- Open access
- Tiered open access (known as Dental Distinctions)
Stay tuned for more information on these simplifications!
Dental Benefit Enhancements
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Kids 12 and Under – FREE
A lifetime of good oral health starts with our youngest members. That’s why we’re offering something new – and unique to dental plans – this year. We now cover all services included in your clients’ dental plans that are performed by network providers for children 12 and under at 100 percent, with no deductibles and no coinsurances. For small employers this benefit will automatically begin on the employer's next renewal July 1, 2008, or later.
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Dental Implants
In some instances dental implants are the best option for our members, so we’re pleased to announce that in addition to our current coverage of prosthetics for implants, we have expanded the benefit to include the surgical portion of treatment, too. For small employers this benefit will automatically begin on the employer's next renewal July 1, 2008, or later.
We look forward to sharing more details with soon – happy selling!
HEADLINES
Better Outcomes for Members with Heart Disease, Diabetes
We’re more than just an insurance plan, we’re a health plan. We’ve learned that chronic diseases, such as heart disease and diabetes, are among the most prevalent, costly and preventable of all health problems. That’s why we offer a unique approach to Disease Management that improves member health while improving your clients’ bottom line.
We use claims analysis and our award-winning health assessment to identify members with high-risk conditions. By reaching out to these members, we alert them of their risk potential and engage them in health improvement strategies. To ensure that members get the customized care they need, we stratify members from low to high severity. This helps us provide targeted, actionable intervention tailored to fit each member’s needs.
Last year, HealthPartners engaged 13,589 members whom we identified as having coronary artery disease (CAD), diabetes or both CAD and diabetes. Of those, most members chose to enroll in programs:
- CAD: 69 percent
- Diabetes: 74 percent
- CAD and diabetes: 79 percent
Plus, member satisfaction with HealthPartners Disease Management programs ranges from 85-95 percent. With HealthPartners, your clients and their employees get better care and better coverage with HealthPartners.
Learn more about HealthPartners Disease Management programs.
CDHP Check Reimbursement Update
To improve operational efficiency in the Consumer-directed Health Plan (CDHP) Operations Department, we’re changing check reimbursement timing for FSAs and HRAs. Reimbursements will now be processed on Tuesdays and checks will be mailed to members on Wednesdays, which is one day earlier than the current process. Electronic fund transfers (EFTs) will still be sent to the bank on Fridays.
Here’s what your clients may want to know:
- Claims will continue to be processed within one to two business days.
- Reimbursements will be run for all claims processed through Monday of each week.
- Claims received on Mondays will likely be reimbursed the following week.
- Claims received on Thursdays are likely to make the Tuesday mailing.
- Claims received on Friday are likely to make the Tuesday mailing if processing volumes are at a normal level.
- All processing turnaround is dependant on claims volume.
- Some participants may be used to sending in claims over the weekend or even on Mondays and expecting to get reimbursed that same week, this will no longer be the case with the new process.
We are also changing the explanation of benefits (EOB) for flexible spending accounts (FSAs) and health reimbursement accounts (HRAs). We are no longer attaching the reimbursement check directly to the EOB. The check will be sent in an envelope with the EOB, but will not be attached. If a member has elected to have funds automatically deposited they will no longer receive a check that has non-negotiable written across it. Members will now receive and EOB with the words "DRAFT" on it to indicate that the reimbursement is being transferred to their account.
To learn more please contact your HealthPartners Sales Executive.
Medicare Sales Tips
Feeling the effects of March Madness? Don’t worry; our Medicare team is here to support your sales efforts! Here are a few tips to keep your Medicare sales running smoothly:
- Please fax Medicare applications to HealthPartners within 24 hours of signing and dating the bottom of the applications. Our fax number is 952-853-8718.
- If you would like to hold a community meeting or develop marketing materials that promote HealthPartners Medicare products – let us help you! We’ll help with the details and make sure you’re meeting Centers for Medicare & Medicaid Services (CMS) requirements.
To learn more please contact your HealthPartners Sales Executive or call 952-883-5601.
Frequent Fitness Update
HealthPartners welcomes LA Fitness to its Frequent Fitness program. We make it easy for members to get healthy. Our Frequent Fitness program continues to grow. With more than 275 clubs, your clients are one step closer to better health. New clubs as of April 1, 2008, include
- LA Fitness – Apple Valley, Brooklyn Park, Edina, New Brighton, Roseville
Learn more about Frequent Fitness.
Network Updates
As our client base and membership continues to expand, so does our network. In fact, we’ve recently added a large number of providers. We’re committed to providing access to the providers your clients demand – nationwide. No matter where your clients live, work or travel, we’ve got them covered. Recent additions include:
Medical – Minnesota
Gateway Family Health Clinic – Cromwell
Gateway Family Health Clinic – Hinckley
Gateway Family Health Clinic – Moose Lake
Gateway Family Health Clinic – Sandstone
Medical – North Dakota
Elgin Community Clinic – Hebron
Glen Ullin Family Medical Center – Hebron
Hebron Community Clinic – Hebron
Dental – Minnesota
Kopper Family Dentistry, PA – Rochester
Miskovich Dental Clinic – Grand Rapids
Ross G. Olness, DDS, PLLC – Clara City, Wilmar
Washington Avenue Dental – Fergus Falls
Dental – Wisconsin
Carmichael Dental – Hudson
Try out our new search function so see just how easy it is to find a network provider quickly and simply. Provider Search.
Library: Quick Links to Great Resources
Important Contacts
Our Group Medical Plans
Our Group Dental Plans
Our Individual and Medicare Plans
Our Achieve SM Health Improvement Programs
Our CareSpan SM Disease Management Programs
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