BROKER NEWSLETTER SEPTEMBER 2023
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| Welcome to Harvard Pilgrim
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We are excited to bring you the Harvard Pilgrim product portfolio in 2024, with increased benefits, a new nationwide network, and the continued support of the local Rhode Island team you already know and trust. Highlights of the Harvard Pilgrim portfolio include:
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NEW PPO Plans with nationwide coverage and access to more than 1.5 million providers and 6,700 hospitals provided by UnitedHealthcare.
- Our market-leading insourced behavioral health model with the addition of a NEW member navigation support program.
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A comprehensive portfolio of plans for small groups and the ability to customize plans for large groups.
- Expanded HMO footprint in Rhode Island, Massachusetts, New Hampshire, Maine and parts of Vermont.
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NEW robust virtual telehealth solution with Doctor on Demand for urgent care and behavioral health.
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Important information and updates to help you manage your clients’ needs.
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We are pleased to introduce you to the Harvard Pilgrim website. Our dedicated broker webpage offers updated plan and product information to support you during the busy open enrollment period and beyond, including access to your secure broker account.
Visit harvardpilgrim.org/broker and look for the following:
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- Plan Comparison Tool: Compare plans quickly and easily and create an easy-to-read chart to share with your clients.
- Plan descriptions: Learn about offerings by state, group and plan type.
- Schedule of benefits & SBCs: Locate documents by state, group and plan type.
- Resource Center: One-stop shopping for plan information, marketing materials, administrative forms and broker tools.
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Online Quoting and Renewals |
Rhode Island small group brokers are now able to manage their 2024 quoting and renewals through the new broker portal. We hope you are taking advantage of the pre-renewals functionality that launched earlier this month. Brokers can simply log in to the new broker portal to manage their 2024 small group business in one location. This webinar will guide you through the new online quoting and renewal process.
Upon small group rate approval, online quoting and renewals for 2024 will be available later this fall with all the features and functions you have come to expect:
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Easy-to-follow guided workflow
- Plan comparison feature
- User-friendly census upload function
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Please note: Any remaining 2023 Rhode Island small group activity will continue to be managed in the heritage portal, THP Broker Link which is accessed through the Quick Links section in the new portal.
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Important Renewal Information for Rhode Island Employers and Members |
As a reminder, employers and members will be notified that Tufts Health Plan medical plans will no longer be offered in Rhode Island upon their 2024 renewal. Employer groups will automatically be enrolled in a Harvard Pilgrim Health Care plan that closely aligns with their existing health plan. If they wish to choose a different plan, they may enroll in one of our other plans or any other coverage offered in Rhode Island. Employer groups can visit harvardpilgrim.org to review the Summary of Benefits and Coverage and other plan documents.
You can view a sample of the employer and member communications in the Broker Portal.
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Enhancing value for members and clients.
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NEW: Noom Weight Loss Program |
Commercial fully- and self-insured accounts now have access to the Noom weight loss program. Noom is an award-winning app-based weight loss program designed by psychologists and scientifically proven to create real, sustainable results through behavior change. Noom uses a personalized, mind-first approach that combines technology and human coaching to create healthier daily habits that lead to more sustainable weight loss. Employer groups must purchase a Noom license to access the program for their employees. Contact your account manager for more information.
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NEW: Wellness Reimbursement Program |
We are proud to announce our new Wellness Reimbursement program, which begins January 1, 2024. The Wellness Reimbursement expands upon the existing fitness reimbursement program to offer rebates on a broad range of wellness activities and expenses, including existing fitness subscriptions and fees. Harvard Pilgrim commercial plans sold to fully-insured large employer groups, and ASO plans that elect this option, will have access to the Wellness Reimbursement program. Small group plans will continue to only have access to the fitness reimbursement.
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We offer new members access to specialized tools to simplify plan selection. Decision Doc, a personalized decision-support platform from HYKE (formerly MyHealthMath), helps take the guesswork out of your benefits plan selection and maximize savings for employees and their families.
Join our partner, HYKE, for a 30-minute webinar on September 28, at 9:00 a.m.
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| We’re pleased to share that our commercial health plans continue to rank highly in 2023, according to the National Committee for Quality Assurance.1
These national ratings demonstrate a health plan’s ability to ensure high-quality care, provide members with top-notch service, and contribute to rigorous NCQA accreditation standards.
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1. The National Committee for Quality Assurance (NCQA) is a private, nonprofit organization dedicated to improving health care quality. NCQA Accredits and Certifies a wide range of health care organizations and recognizes clinicians in key clinical areas. NCQA’s HEDIS® is the most widely used performance measurement tool in health care. NCQA’s website contains information to help consumers, employers and others make informed health care choices.
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Rhode Island Fall 2023 Webinar
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This event includes 2024 plan highlights, network updates, product transition overview, plus small group online quoting and renewal training.
Couldn't make it? Click here to watch this morning's recording.
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