A Guide to Indiana Group Health Insurance Renewals for Employers
Navigating the Indiana Group Health Insurance renewal process can feel overwhelming, especially with the rising costs and maintaining quality coverage for your employees. Tips on Navigating Group Health Insurance 1. Start Early: Renewal Timeline The renewal process typically starts 60 to 90 days before plans renew. This window gives you enough time to review your […]
IU Health Plans to be Acquired by Anthem
IU Health Plans is a local insurance company owned by Indiana University Health, a non-profit healthcare system. IU Health Plans launched in 2013, offering health insurance plans to individuals, families, and employers. IU Health had a short run with Individual health insurance plans through the ACA. They offered competitive plans with rich coverage. However, IU […]
Indiana Hospitals Rank #8 as Most Expensive in the Country
A recent study by the Rand Corporation (https://www.rand.org/pubs/research_reports/RRA1144-2.html) Hoosiers Pay More Than Three Times the Medicare Reimbursement Rate for Health Care The Rand study, conducted from 2020 to 2022, is a comprehensive analysis of medical claims data from a diverse population of privately insured individuals and hospitals across the United States. This study’s findings, which […]
GLP-1s will no longer be available through Caremark Mail Service
CVS Caremark is a pharmacy benefit manager (PBM) and a third-party administrator of prescription drug programs. PBMs are primarily responsible for processing and paying prescription drug claims, negotiating discounts and rebates with drug manufacturers, and managing pharmacy networks for health insurance plans, employers, and government programs. CVS Caremark has over 100 million members who utilize […]
Navigating The Death of an Employee
Managing grief in any setting is a profoundly personal experience that doesn’t follow a set timeline or pattern. As an owner/HR/manager, supporting your team through a loss can be challenging but crucial for maintaining a healthy and compassionate work environment. Here’s a comprehensive guide on what to expect and how to navigate the grieving process […]
New Digital Insurance Cards
As we enter 2024, the health insurance and employee benefits industries are transitioning to digital ID cards. Traditional ID cards will be a thing of the past. The Insurance companies are adopting digital ID cards for several reasons, including: Cost Reduction: Producing physical ID cards involves printing, packaging, and mailing expenses. Convenience for Customers: Digital […]
Primary Care Physician Shortages
Primary care physician shortage is a significant concern in Indiana and the entire country. The average wait for an onsite appointment with a physician is 26 days, and that is in metropolitan areas. If you live in a rural community, it could be months. Several factors contribute to this shortage of Primary Care Doctors. Aging […]
Filing Medical Insurance Claims
The medical claims submission processed has changed over the years with technology but the steps to ensure your claim is processed accurately and promptly have not. Here’s a guide on how to fill medical insurance claims: Understand Your Policy: Familiarize yourself with your health insurance policy to understand what is covered, exclusions, and any copayments, […]
Nefouse & Associates Scope of Services
As a benefit consultant we advise businesses on designing, implementing, and managing employee benefits packages. These benefits can include health, dental, vision, life, disability insurance, and other perks that contribute to employees’ overall compensation and well-being. 1.) Needs Analysis: Assessment: Understanding the unique needs and demographics of the client’s workforce. 2.) Plan Design: Customization: Designing […]
Open Enrollment for Employees
Open enrollment typically refers to the period when individuals can enroll and change their employee benefits. As an employee, determining when your open enrollment period starts and ends is the first and most important thing. The 2nd is what platform will be used for completing the open enrollment for employees. Most companies will use a […]
