MMO Broker Update: 2.2.21:
| Summa Health Added to Medicare Advantage Network Effective April 1, 2021 |
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| Category: Network |
| Applies to: Medicare Advantage |
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| Effective April 1, 2021, Summa Health and their employed physicians will be part of the Medical Mutual Medicare Advantage network. Summa Health offers a wide range of high-quality primary care providers, specialists, hospitals and other facilities throughout Summit, Medina, Portage, Stark and Wayne counties.
We are in the process of updating our directory for the effective date. In the interim, please direct provider inquiries to your Medical Mutual representative. |
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| Aultman, Aultman Orrville and Alliance Community Hospitals Added to NE Ohio HMO Network Effective Feb. 15, 2021 |
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| Category: Network |
| Applies to: Individual |
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| Effective Feb. 15, 2021, Aultman Hospital, Aultman Orrville Hospital and Alliance Community Hospital will be part of the Medical Mutual NE Ohio HMO network. Aultman offers a wide range of high-quality hospitals and other facilities throughout Stark, Tuscarawas, Carroll, Holmes and Wayne counties.
We are in the process of updating our directory for the effective date. In the interim, please direct provider inquiries to your Medical Mutual representative. |
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| 2021 COSE MEWA Benefit Changes and SuperMed Share® Launch |
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| Category: Network |
| Applies to: MEWA |
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The COSE MEWA product portfolio is updated with new plan additions and plan modifications for 2021. Among these updates, is the expansion of SuperMed Share® to the COSE MEWA market. All 2021 COSE MEWA plan designs are available for quoting in early February, with an effective date of May 1, 2021…
Read More » |
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| Formulary Updates Effective April 1, 2021 for National Preferred Formulary |
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| Category: Pharmacy |
| Applies to: Individual, Small Group (1-50), 51-99, 100+, MEWA |
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| Effective April 1, 2021, minor changes are being made to the exclusion list for our National Preferred/National Preferred Plus formulary. A list of drugs added to the list can be viewed here. In addition, a full updated exclusion list is available here. There are no changes to the Basic/Basic Plus or High Performance Plus formularies at this time.
As a reminder, the National Preferred/National Preferred Plus formulary applies only to specific self-funded groups that elected it, including most MedFlex plans. Any members currently taking affected medications will receive a letter notifying them of these changes at least 60 days before they take effect. These changes will immediately apply to new groups that enroll on or after April 1, 2021 and any members who begin taking these medications after April 1, 2021. |
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