2012 Medicare Special Needs Plan Training:
Required Reading for Medicare Providers
The Centers for Medicare & Medicaid Services mandates that all network Medicare practitioners and providers must annually review our Medicare Special Needs Plan (SNP) Training. This PowerPoint presentation gives an overview of the SNP Model of Care and identifies at a high level the SNPs that are available to EmblemHealth members in 2012.
Emblem Behavioral Health Services Program
Our Emblem Behavioral Health Services Program went into effect January 1, 2012. ValueOptions® has begun administering behavioral health services for members in our GHI HMO and HIP plans. Additional information may be found in our Quick Guides for Clinicians and Facilities. more
Select EmblemHealth EPO, InBalance EPO and PPO Plan Options to Be Revised
Beginning in April 2012, EmblemHealth will be revising its product portfolio to include plans with more contemporary designs and cost-sharing arrangements for small groups and sole proprietors; as a result several plans will be replaced over time.
As these new plans take effect, your affected members will be transitioned to a new plan. Please refer to this chart to view the key plan differences and replacement options that will be offered.
As always please make sure to check member eligibility at each visit. If you have any questions, please sign in to our secure Web site and contact us via the Message Center at any time.