Improvements, Updates, and Next Steps on Future Releases

Now you can link to Find a Doctor right from the portal, making it easier to help your clients select Primary Care Providers (PCPs) for members. Just click the Provider Directory link within enrollment and select a PCP from the directory.

When using Find a Doctor, you’ll notice we made it easier to search for EmblemHealth Prime network providers. Simply select the EmblemHealth Prime Provider Directory link under plan type or network. Also featured is a helpful pop-up map that shows the 28 counties included in the network.

Please note that online enrollment for small groups should continue to be processed on the CBIA agent site or Access Health CT SHOP broker portal, respectively.

A New Dental Carrier

We’re pleased to announce Healthplex as our dental administrator for 2022. This will affect all plans with pediatric and adult dental, as well as small and large group commercial plans with embedded or stand-alone dental.

With a more robust network and a commitment to best-in-class customer service, Healthplex will help position ConnectiCare as a top choice for dental access throughout the state and beyond. New ID cards indicating Healthplex as the carrier will be sent out to all dental plan members.

Download our new dental flyer and Large Group dental product brochure for more information.

The No Surprises Act

Starting Jan. 1, 2022, consumers will have new protections against surprise medical bills known as “surprise billing” or “balance billing.” These charges can happen when a patient receives emergency care from an out-of-network provider at an in-network hospital or ambulatory surgical center.

The No Surprises Act (NSA) disclosure notice will be posted on the ConnectiCare website just after midnight on Jan. 1. Explanations of Benefits for fully insured and ASO commercial members for claims with a date of service for 1/1/22 and later will have the NSA notice attached.

Learn more about the No Surprises Act here.

New ID Cards

ConnectiCare members will be issued updated ID cards in 2022 due to new state and federal mandates. All fully insured small group members will receive a new card on or before Jan. 1. All Fixed Funding Solutions members and large group members will receive a new ID card upon renewal in 2022.

The new ID cards will feature:

Don’t Delay – Deadline Extended for Jan. 1 Coverage

New Individual Enrollment Dates

The deadline to enroll in a 2022 plan for coverage effective on Jan. 1, 2022 has been extended. If enrollment is completed by midnight Dec. 31, 2021, members can choose effective dates of either Jan. 1 or Feb. 1, 2022.

Those who enroll between Jan. 1 and Jan. 15, 2022 will have coverage effective Feb. 1, 2022. The only way to enroll in a plan after Jan. 15, 2022 is with a qualifying life event.

As a reminder, commissions are paid throughout the year for individual enrollments.

2022 Plan Activation: Individual Premium Payments are Due Jan. 1

Please note that to receive an ID card and begin using benefits, members must effectuate their 2022 coverage by making a payment prior to the effective date. Share this link to our website for information on all the different ways you can pay the premium.

2021 Term Letters: What You Need To Know

Term Letters

Members who completed their enrollment through the Access Health CT exchange may receive a term letter about their 2021 plan. Term letters are being sent out after members renew or enroll in a new plan for 2022.

Please note that these letters reflect the termination of 2021 plans only and do not pertain to 2022 coverage.

Medicare Advantage Open Enrollment Options

During the Medicare Advantage Open Enrollment Period from Jan. 1 through March 31, Medicare members may make one election and will have the option to enroll in a different Medicare Advantage plan or to choose Original Medicare only. Here are some things to know:

The effective date of a Medicare Advantage Open Enrollment Period election is the first of the month following receipt of the enrollment request.

Note: The Medicare Advantage Open Enrollment Period does not provide an opportunity for an individual enrolled in Original Medicare to join a Medicare Advantage plan. It also does not allow for Part D changes for individuals enrolled in Original Medicare, including those enrolled in stand-alone Part D plans. The Medicare Advantage Open Enrollment Period is not available for those enrolled in Medicare Savings Accounts or other Medicare health plan types (such as cost plans or PACE).

For more information about the Medicare Advantage Open Enrollment Period, please visit medicare.gov.

Dental Options for Medicare Advantage Members

Medicare Advantage members in 2022 continue to have dental rider options with yearly calendar benefits up to $3,500. These riders can be added or dropped at any time of the year, and the change takes effect the following month. Please note that Medicare members can only upgrade their selected dental rider until March 31, 2022. Call your broker manager for more information.

WellSpark in the News

Follow WellSpark on LinkedIn to stay up to date on all the latest developments. Here are some recent highlights:

On Dec. 7, WellSpark’s Chief Medical Officer, Dr. Rawlins, was a panelist for the National Alliance of Healthcare Purchaser Coalitions event Employer COVID-19 Response: Post Mandate.

Dr. Rawlins was also interviewed by Bloomberg about COVID-19 testing considerations for employers. Listen here.

Bert Wachtelhausen, President, was a speaker at OneDigital’s LAUNCH event which showcased local disruptors and innovators in health care. Bert challenged the audience of local employers to rethink their investments in employee health.

Andi Campbell, Chief Growth Officer, delivered an informative presentation entitled Mitigating the Pandemic’s Impact on the Workforce’s Emotional Health to the Greater Philadelphia Business Coalition on Health.

Andi was also featured on Women In Trucking on SiriusXM’s Road Dog Trucking channel. She discussed the importance of driver health and wellness. “At WellSpark, we’re passionate about helping drivers improve their health,” said Campbell.

WellSpark Health, an affiliate company of ConnectiCare, is a leading wellbeing, disease prevention and management company, delivering a full suite of customized programs designed to support the modern workforce in achieving their personal well. Working with WellSpark, employers create a culture of health motivating employees to engagement and enduring change. This ultimately leads to mitigating future healthcare costs, improving productivity and engagement, and reducing absenteeism. To learn more, contact your sales executive or account manager.