Medical Benefits 

o   All deductibles and out-of-pocket maximums met will be credited automatically for all enrolled members and any prior authorizations will be transitioned to Aetna.

o   All October groups will be termed from the QualCare/Cigna platform as of September 30, 2019.

o   On October 1, 2019, all groups will be transitioned to the Aetna platform and will no longer have coverage through QualCare/Cigna.

o   All October groups will be receiving new Medical ID cards by the end of September even if they have not completed their renewal. This is being done to ensure as little disruption to our membership as possible.   Please note, if your client did not send in their renewal paperwork their employees will receive ID cards for the plan(s) they are currently enrolled in. Upon receipt of renewal paperwork groups will be renewed. If your client elects different plans, their employees will receive another new ID card with their new plan election. If your client makes no changes their employees will not need new ID cards. 

Pharmacy Benefits 

o  Pharmacy benefits will be termed with Express Scripts on September 30, 2019 and will not be reinstated until your client completes their renewal.

o  Failure to submit renewals prior to 9/23/19 will cause a disruption in the member's prescription benefit. 

 

Cosmo Insurance Agency is an independent insurance agency serving surrounding communities in New Jersey. Cosmo keeps its promise to assure an efficient and creative approach to the services we offer. Each of our clients experience a personalized and long-term relationship with us. Our New Jersey based team of health brokers guides our clients in helping them choose the most cost-effective options. By incorporating the latest in technology-based tools and laws on healthcare, employee benefits, life insurance and finance, we keep our clients up-to-date with the plans that encompass all of their needs, whether it is individual or group insurance. 

CONTACT COSMO

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LEARN MORE ABOUT HEALTH INSURANCE

Source: Members Health Plan NJ

Posted 3:00 PM

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