Monthly Archives:August 2016

New Bluechoice Pharmacy network!

31 Aug , 2016,
jtdickerson
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Earlier this week, we learned that the Bluechoice Pharmacy network for all marketplace plans would change to the Advanced Choice Pharmacy Network, effective October 1st 2016.

Bluechoice Pharmacy network

Bluechoice Pharmacy network is changing!

What does this mean for you? The BIGGEST change we expect most members to notice, effective October 1st 2016 is that Rite-Aid and Walgreens pharmacies will NO LONGER be IN NETWORK.

From the press release:

Effective October 1, 2016, all Blue Option individual and family plans under the Affordable Care Act (ACA) will be covered by the Advanced Choice Pharmacy Network. This is an exclusive pharmacy network impacting current members, as well as members with new plans sold with effective dates October 1 and beyond. Exclusive pharmacy networks are a necessary step toward controlling prescription drug cost increases that continue to trend upward.

We want to make sure our members understand their health plans and get the most out of their pharmacy benefits. The new network of pharmacies includes CVS, Costco, Kmart, Long’s Drugs, Target, Walmart — as well as grocer pharmacies such as Bi-Lo, Food Lion, Harris Teeter, Ingles, Kroger, Winn-Dixie and Publix — and many others.

It is important to note, however, that Walgreens and Rite-Aid are not in the Advanced Choice Pharmacy Network. We will not cover prescription drugs purchased out of network.

If a member is currently using a pharmacy that will be out of network effective October 1, our customer service team is ready to help them transition to a network pharmacy. Beginning this week, Caremark will send letters to members who have filled a prescription at one of the non-network pharmacies in the past six months. View a sample letter.

View the list of pharmacies in the Advanced Choice Network.

The list of network pharmacies will be updated on www.BlueOptionSC.com on the day the change goes into effect.

Have questions? Feel free to call, comment, email or tweet us!

 

New Bluecross South Carolina pharmacy network!

Aug , 2016,
jtdickerson
one comments

Earlier this week, we learned that the Bluecross South Carolina Pharmacy network for all marketplace plans would change to the Advanced Choice Pharmacy Network, effective October 1st 2016.

Bluecross South Carolina Pharmacy network

Bluecross Pharmacy network is changing!

What does this mean for you? The BIGGEST change we expect most members to notice, effective October 1st 2016 is that Rite-Aid and Walgreens pharmacies will NO LONGER be IN NETWORK for the Bluecross South Carolina pharmacy network.

From the Bluecross Blueshield South Carolina pharmacy network press release:

Effective Oct. 1, 2016, all BlueEssentialsSM individual and family Affordable Care Act (ACA) plan members must fill prescriptions at a pharmacy in the Advanced ChoicePharmacy Network. This will impact current members, as well as members with new plans sold with effective dates of Oct. 1 and beyond. Exclusive pharmacy networks are a necessary step toward controlling prescription drug costs that continue to trend upward.

We want to make sure our members understand their health plans and get the most out of their pharmacy benefits. The new network of pharmacies includes access to CVS, Walmart, Sam’s Club, Costco, Kroger, Publix, K-Mart, Long’s Drugs, Bi-Lo and Winn-Dixie pharmacies plus various other grocers and independent pharmacies.

It is important to note, however, that Walgreens and Rite-Aid are not in the Advanced Choice Pharmacy Network. We will not cover prescription drugs purchased out of network. If a member is currently using a pharmacy that will be out of network effectiveOct. 1, our customer service team is ready to help them transition to a networkpharmacy. Beginning this week, Caremark will send letters to members who have filled a prescription at one of the non-network pharmacies in the past six months. Caremark is an independent company that provides pharmacy benefits management on behalf ofBlueCross. View a sample letter.

View the list of pharmacies in the Advanced Choice Network.

The list of network pharmacies will be updated on www.SouthCarolinaBlues.com prior to the change going into effect. As always, we encourage members to log in to My Health Toolkit® for the most up-to-date list of in-network pharmacies.

Aetna/Coventry to stop selling Obamacare plans in South Carolina

17 Aug , 2016,
jtdickerson
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Per a recent press release, Aetna will discontinue offering health insurance plans on the Federal marketplace (healthcare.gov) in South Carolina for 2017. As reported by the Charleston Post and Courier, this is expected to impact approximately 8,000 South Carolina residents.

Currently, Aetna offers coverage in 14 counties – including the Charleston Tri-county area, a handful of counties in the midlands, Greenville county in the upstate, as well as York and Lancaster counties on the SC/NC border. For the current 2016 plan year, Aetna/Coventry discontinued offering plans in Lexington and Spartanburg counties.

If you are currently enrolled in a marketplace plan with Aetna/Coventry, DON’T WORRY, WE CAN HELP! Current enrollees will be covered until December 31, 2016, and will have the opportunity to select a new plan during open enrollment, beginning November 1st 2016. We can help you select a new plan – please call 843-882-7062 to setup an appointment. You can also view all marketplace plan 24/7 on our website by CLICKING HERE. Be sure to make your new plan selection by December 15th to ensure new coverage effective January 1, 2017. However, we do anticipate an Special Enrollment Period for current Aetna enrollees to make a plan selection up until December 31, 2016 for a January 1st 2017 effective date. Contact us to learn more!

Stay tuned to www.SChealthconnector.org for more late breaking health plan information!

 

 

Breaking News: South Carolina 2017 Health Insurance Rate Increases

10 Aug , 2016,
jtdickerson
No Comments

Breaking News!

Based on information posted at https://ratereview.healthcare.gov we now have information available on requested rate increases for South Carolina marketplace health insurance plans. Please note, that at this time, rate requests are NOT approved and final rate change requests have NOT yet been approved. Therefore, it is important to point out that these numbers are subject to change pending review by the SCDOI (South Carolina Department of Insurance), the HHS (Department of Health and Human Services) and/or CMS(Centers for Medicare & Medicaid Services).

Stay tuned for our in depth analysis of these requested rate increases!

www.SChealthconnector.org is your #1 source for South Carolina health insurance news & FREE open enrollment assistance!

Current submitted individual rate requests:

 

Company NameSorted ascending, select to sort descending Issuer IDNot Sorted. Select to sort ascending Product NameNot Sorted. Select to sort ascending Date SubmittedNot Sorted. Select to sort ascending Requested Rate IncreaseNot Sorted. Select to sort ascending Effective DateNot Sorted. Select to sort ascending Final Rate IncreaseNot Sorted. Select to sort ascending StatusNot Sorted. Select to sort ascending
Aetna Health Inc. (a PA corp.) 38408 HMO On-Exchange – CB – Individual – 38408SC001 05/06/2016 27.17% 01/01/2017 Not Available Submission Filed
Blue Cross and Blue Shield of South Carolina 26065 Blue Cross Blue Shield, a Multi-State Plan – Individual – 26065SC040 05/11/2016 13.98% 01/01/2017 Not Available Submission Filed
Blue Cross and Blue Shield of South Carolina 26065 BlueEssentials – Individual – 26065SC038 05/11/2016 14.74% 01/01/2017 Not Available Submission Filed
Blue Cross and Blue Shield of South Carolina 26065 BlueEssentials Catastrophic – Individual – 26065SC039 05/11/2016 3.09% 01/01/2017 Not Available Submission Filed
BlueChoice HealthPlan of South Carolina, Inc. 49532 MyChoice Advantage – Individual – 49532SC038 05/11/2016 14.36% 01/01/2017 Not Available Submission Filed
Cigna Health and Life Insurance Company 54362 SC_IND_Open Access Plus – Individual – 54362SC001 05/27/2016 14.68% 01/01/2017 Not Available Submission Filed
Freedom Life Insurance 80431 SC EHB FLIC – Individual – 80431SC020 06/06/2016 17.37% 01/01/2017 Not Available Submission Filed
Freedom Life Insurance 80431 SC EHBC FLIC – Individual – 80431SC021 06/06/2016 17.37% 01/01/2017 Not Available Submission Filed
National Foundation Life Insurance 94608 SC EHB NFL – Individual – 94608SC030 06/06/2016 17.37% 01/01/2017 Not Available Submission Filed