RESOURCE CENTER

Broker Briefs
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Oxford Prescription Drug List Updates for July 1, 2017
The PDLs, which are updated twice annually with January 1 and July 1 effective dates, are a key component to how we help manage total health care costs and provide members with affordable access to prescription medications.
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Online provider search is latest upgrade for Oxford members
Effective immediately, your Oxford clients' employees will see a fresh, new look to the online provider search screens. Similar to the experience of the Health & Wellness section, members will see easily recognizable images & have more simplified...
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New Jersey Transitional Relief Coverage Extended
Federal and New Jersey regulators recently announced that Transitional Relief coverage will be extended. The extension applies to groups with policies that renew on or before Oct. 1, 2018 provided that all such policies end by Dec. 31, 2018.
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NY OHP HMO group must enroll in OHI plan by March 31
As a reminder, New York small groups currently offering only an Oxford Health Plans (NY), Inc. (OHP) HMO plan with a coverage end date of April 1, 2017 need to purchase a new Oxford Health Insurance, Inc.
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Enroll OHP New York HMO Groups in an OHI Plan by Jan. 31, 2017
Oxford HMO plan need to take action to purchase a new Oxford (OHI) policy before their current OHP plan ends. These groups did not receive a renewal package from us and need to apply as a new group.
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Oxford Binder Check Payments and Paper Application Submission Changes
Added 2 new enhancements for client setup: Option 1: enroll clients through our online small group enrollment tool and make an online payment; Option 2: enroll clients through our online small group enrollment tool and send a binder check payment.
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Deadline for New Jersey Transitional Relief Groups Extended to December 16
As mentioned in our earlier communications, Transitional Relief coverage will no longer be available to Oxford New Jersey small groups (2-50) beginning with February 1, 2017 renewal dates.
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Oxford Prescription Drug List Updates for January 1, 2017
The PDLs, which are updated twice annually with January 1 and July 1 effective dates, are a key component to how we help manage total health care costs and provide members with affordable access to prescription medications.
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Deadline Extended for Early Renewal Paperwork for NJ Transitional Relief Groups (2-50)
Transitional Relief coverage will no longer be available to Oxford NJ small groups (2-50) beginning with 2/1/17 renewal dates. Employers have option to move their renewal date to 1/1/17 and continue their Transition Relief coverage through 12/31/17.
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Binder Check Payments and Paper Application Submission Changes
Beginning 11/15/16 for NY (1-100) and NJ/CT (1-50), binder premium payment can be 1) enroll via online enrollment tool they pay online after group # is issued; 2) enroll via paper and client mails check to Oxford bank
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New Benefit Added to Oxford Benefit Management Plans
Automatically include a $25,000 employee basic life insurance benefit to all Oxford Benefit Management (OBM)1 plan designs. This will apply to all new and renewing groups in New York, New Jersey and Connecticut, beginning with 1/1/17 effective.
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Groups May Renew Early to Maintain Current Coverage
Affected New Jersey small groups currently enrolled in Transitional Relief plans do, however, have the option to move their renewal date to January 1, 2017 and continue their Transitional Relief coverage through December 31, 2017.
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Oxford Health Plans (NY) - OHP Withdrawal effective January 1, 2017
Withdrawal of their individual & small group OHP New York HMO products and large group OHP New York POS product. This change will occur on clients' 2017 renewal date, beginning 1/1/17. Does not affect OHI product.
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Transitional Relief Coverage Will No Longer Be Available
Oxford NJ (2-50) clients with 2/2017 and beyond renewal dates will have the option to delay the move to an ACA plan and continue their current coverage. Interested clients will need to change their renewal date to 1/1/17 to continue current coverage.
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Oxford Prescription Drug List Updates for July 1, 2016
The PDLs, which are updated twice annually with January 1 and July 1 effective dates, are a key component to how we help manage total health care costs and provide members with affordable access to prescription medications.
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