We have made several plan enhancements for 2008. The
most important is not a change to the plan design, but
one that impacts the claims administration.
Anthem will utilize the Lumenos claim processing
platform for 2008. This means claims will not have to be
sent from Anthem to an outside entity for payment
processing. Payments will be made in the same manner
that the Anthem PPO and HMO plans work. Therefore,
payments to the provider will be completed in a more
timely fashion. Also, if you have a prescription, it
will process your claim in real time – you will not have
to pay first and then request reimbursement. If,
however, you used up your Health Reimbursement Account (HRA),
you will be responsible for the payment.
For those of you participating in the CMCP for 2007,
remember your HRA year-end balance will roll into the
next year and be added to your 2008 HRA credit balance.
Other CMCP Changes
·
A smoking cessation program has been added which
includes personal coaching and covers certain
over-the-counter products to help a person quit smoking.
·
Outpatient mental health coverage has been expanded from
90 calendar year visits to unlimited.
·
You must utilize an Anthem Blue View Vision provider for
your eye appointment. You can visit the Anthem web site
to find a provider convenient to your home of office.
For more information on Lumenos, go to the Anthem
website at www.Anthem.com.
PPO ($500
deductible plan)
Benefits offered under the $500 Deductible PPO plan and
Dental plan will remain the same for 2008.
HMO
Benefits offered under the HMO plan and Dental plan will
remain the same for 2008.
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