Excellus BCBS Broker News Vol. 19 No. 7

When Everything Works Together, Everybody Benefits

Health care works best when it works together. A coordinated, caring, personalized, and holistic health insurance experience that connects the dots for everyone.

That’s why Excellus BCBS has taken a hard look at their commercial group positioning, and aligned it more closely with their service, care management offerings, and unmatched network, while tying it all back to their mission and the needs of the community.

The approach is built around three ideas that puts people first, makes service simple, all while being backed by their unmatched network. See why so many area employers trust them to care for their teams, and ultimately, their businesses.

    Learn How Excellus Makes Health Care Coverage Simple For Your Groups  

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Warby Parker Added To Vision Network

Together with their partner, Davis Vision, Excellus BCBS is excited to announce the expansion of their vision network to include Warby Parker as of July 1, 2024. This enhancement has no premium rate impact.

Members will enjoy full access to Warby Parker’s elevated shopping experience online and at over 250 brick and mortar stores, with most sites offering onsite standard eye exams.

Given Warby Parker's unique product offering, which includes, frames, lens enhancements, contact lenses, and standard eye exams, there are a variety of ways that members may experience savings while using their Davis Vision benefits.

    Learn  More About Your Warby Parker (PDF)  

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August Wellness Topic: The Importance Of Vaccines

Most of us probably don’t remember when people regularly died from smallpox or polio. There have been no cases of smallpox anywhere in the world since 1980. Polio has been eliminated in the United States because of vaccination, though it is still a threat in some other countries. Vaccines protect us from many other diseases too, such as tetanus, measles, diphtheria, mumps, and rubella, which used to cause a lot of illness, lifelong disability, and death.

Vaccines have saved more human lives than any other medical invention in history. And they are still the best way to protect yourself, your family, and your community from preventable diseases. When you get a vaccine, it sparks your immune response to that disease so your body can fight off the disease if you ever encounter it.

Vaccines have been around for centuries, and they are very safe. In fact, the United States has the safest, most effective vaccine supply in its history. Scientists do rigorous research on vaccines before they are approved for the public. And vaccines are much safer than the diseases they protect people from.

The August Vaccine Resources Toolkit (ZIP) includes materials that can be shared with your groups.

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Rx News - Site Of Care For Infusion Drug Therapy

Excellus BCBS is continuously looking for ways to promote member convenience while lowering overall costs. The Site of Care (SOC) program provides outreach to patients receiving select infusion or injectable drugs at high-cost facilities and transitions these patients to home infusion or alternate sites of service (physician’s office, ambulatory infusion centers).

Excellus is excited to introduce an enhancement to their SOC program called required SOC redirection. With this new program offering, if there is an opportunity for a member to use home infusion or a lower-cost facility, that member will be required to change their site of care. Required site of care redirection will only apply to commercial lines of business (see below).

• Beginning on 10/1/24 on renewal, self-funded groups will automatically be enrolled in the voluntary SOC redirection program with the option of electing the required SOC redirection program.
• Beginning on 1/1/25 on renewal, Minimum Premium, Article 47 groups will automatically be enrolled in the voluntary SOC redirection program with the option of electing the required SOC redirection program.
• Beginning 1/1/25 on renewal, all fully insured groups will be automatically enrolled in required SOC redirection.

    View Site Of Care Brochure (PDF)  

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