Employers

The Telehealth PCP is a new plan that just launched in 2021 for Individual members. The plan offers virtual-first primary care coverage through our partner, Doctor on Demand®. However, by choosing this plan, members are assigned a PCP from Doctor on Demand. Any in-person care needed is referred back to the Priority Health HMO network.

Individuals can choose their own plan during open enrollment either through the marketplace, their agent or Priority Health directly.

Aetna  Medicare member IDs are changing from the alpha numeric mix of MEB or MED**** to 12 digit numbers starting with ‘10’.  See below on the info/details and ID card examples

Member ID numbers are changing

• Member ID numbers are 12 digits and start with ‘10’
• Members will be mailed new ID cards

If a claim for a 2021 date of service is submitted using an older 2020 HMO member ID, claims logic is in place to evaluate the member ID and the DOS and redirect the claim to the appropriate claims platform.

Priority Health has identified a large-scale scam in the market affecting commercial and Medicare members, including Priority Health members. The scam has also impacted other insurance carriers and providers in and outside of Michigan.

What you need to know

Be on alert for any prescriptions or certificates of medical necessity (CMN) received through fax from pharmacies or suppliers, indicating the patient has requested the medication or supplies.

Examples of fraudulent requests:

Cigna's response to COVID-19

Please visit cignaforhcp.com > Cigna’s response to COVID0-19 for the latest information and interim billing guidelines

Cigna Coronavirus (COVID-19) Interim Billing Guidance for Providers for Commercial Customers

As the COVID-19 pandemic continues to spread throughout the United States, we appreciate that providers across the country are on the front line to offer dedicated care to our customers and help protect local communities.

The U.S. Department of Transportation’s Federal Motor Carrier Safety Administration’s Clearinghouse rules are effective January 6, 2020. The FMCSA Clearinghouse is an electronic database that will contain information about commercial motor vehicle drivers’ drug and alcohol program violations. 49 CFR Part 382, Subpart G

CMV Medical Examiner NEW requirements.

If you perform CMV driver examinations, you must create a login.gov email by April 26th or your account will be suspended.  

Please read below for details. 

Lakeland Care Network Employer Services is offering you a chance to hear more about how to navigate the new law while maintaining a safe work environment at our upcoming breakfast forum. Hurry, registration ends Friday, February 15, 2019.

Will Marijuana Legalization Change Workplace Drug Policies?
Does the New Law Require Employers to Allow Use at Work?
What Does it Mean for Testing?

Preparing for an Aging Workforce

Are you prepared for an aging workforce? Does your organization have resources available to employees with aging or ill family members? Many people do not know where to turn for help when faced with challenges related to aging, retirement, illness, palliative care or end-of-life related situations. Learning about the aging workforce is an opportunity to better prepare your organization and your employees for this change of life.

by Richard Stolz, Employee Benefit News

April 23, 2015

In a sign of increasing employer urgency for results, the percentage of wellness program sponsors offering incentives for various forms of employee engagement with those efforts rose to 87% last year, up from 77% two years ago.

Why should you think twice before opting for a lunchtime cheeseburger?

What you eat can significantly affect your work performance, but we rarely give our digestive decisions any thought, consultant Ron Friedman writes in the Harvard Business Review.

Many of us intuitively know that high-carb meals can lead to a "sugar high" (and then crash), and that high-fat diets can cause us to become tired quickly after eating. But Friedman notes that we do not always make smart decisions when it comes to how we refuel our bodies at lunch.