Each year we like to summarize any big changes we’ve found in the managed care programs we service so our customers can prepare for the new year. Here are a few notes we’ve collected as 2019 comes to a close. We encourage providers to contact their specific plans’ provider services or their plan contract manager with any specific questions. These notes may not be all inclusive of changes, so review any communications from your accepted plans to prevent other surprises. Thank you!
We are unaware of any major changes for 2020 with our accepted Medica plans.
Medica will continue with the Anti-Reflective Coating benefit for members with groups #07xxx & 08xxx.
UCARE will be covering Anti Reflective Coating on 2 plans starting 1/1/2020. Ucare connect plus Medicare and the Minnesota Senior Health Options plan. This is a covered benefit; no prior authorization or diagnostic code is needed. This is at no cost to the member.
Group Numbers and Benefit Packages ELIGIBLE for AR under UCARE:
MINNESOTA SENIOR HEALTH OPTIONS (MSHO) BENEFIT PACKAGE
UCARE CONNECT PLUS MEDICARE
Group Numbers and Benefit Packages NOT ELIGIBLE for AR under UCARE:
MINNESOTA SENIOR CARE PLUS
PREPAID MEDICAL ASSISTANCE PROGRAM
3 Counties have withdrawn from SCHA in 2020:
Members will be able to change to another plan. Members will receive a notice that their plan is changing and will be given an opportunity to select a new one from those available in their county. If they do not choose a new plan, one will be selected for them. If the member doesn’t like the randomly selected plan, they can contact the county and choose a different plan.
The 8 current South Country Health Alliance counties are: