In January 2010 we carved out Medicare
eligibles from the Oxford platform and placed them in a Medicare
supplemental program underwritten and administered by UnitedHealthcare. It
is a national program and separate from the Oxford program for active
enrollment. Since we just moved this population one year ago and did not
wish to create disruption in two consecutive years, the Medicare
supplemental program will remain with UnitedHealthcare for 2011. Rates for
the 2011 renewal will increase +6.33% with no change in benefits.
Vision Service Plan (VSP)
VSP has
agreed to extend the current rates for an additional 24 months until
January 1, 2013. This action will now guarantee that rates for the vision
program will remain unchanged for four (4) consecutive years. In addition
to the favorable rate action, the in-network contact lens allowance will
be increased to $120 from the current $105 level. There will also be an
increase in out-of-network reimbursement levels to provide more value for
enrollees.
The National Committee for Quality Assurance
(NCQA) has renewed its Certification for VSP Vision Care’s credentialing
through 2010. NCQA is an independent, not-for-profit organization
dedicated to measuring the quality of healthcare in the United States.
As part of the credentialing process, VSP’s
25,000 private-practice network eye doctors must provide evidence of high
standards in the areas of license certification, malpractice history and
professional ethics.
With more than 55 million members
nationwide, one in six people in the United States relies on
VSP for
eye care coverage. NJBankers membership can remain confident that we have
partnered with the premier vision care vendor for their employees.
Employee Assistance
Program (CIGNA Behavioral Health)
CIGNA has also agreed to extend their
current rates for an additional 24 months until January 1, 2013. Including
this rate pass, CIGNA EAP rates will not have changed for ten years.
Readers of Business Insurance Magazine once again chose CIGNA Behavioral
Health's (CBH) Employee Assistance Program (EAP) as the best EAP in the
industry. Selected from among ten of the largest EAP companies for the
publication's "Readers Choice Awards," CBH was recognized for its
long-term commitment to service, value, quality and innovation.
The CIGNA Behavioral Health EAP includes
services for members and their families, in addition to resources for
business managers. Members can contact CBH by phone 24 hours a day, 7 days
a week and directly access network providers with no referrals. Over 80%
of members calling have concerns related to stress, marital/partner
concerns, life changes, mood or anxiety issues, depression, career/job
concerns, childcare and financial and legal issues.
Personal advocates and wellness coaches help
guide members through their benefits and assist with action plans. CIGNA
EAP has more than 18 million members nationwide.
For additional information about the renewal
or participating in the NJBankers sponsored healthcare program please
contact Richard Siderko at 908-272-8500, ext. 616 or
Janice Besso-Tamecki
at ext. 608.