November 2024 Premera CNX Bulletin

 

November 2024 Newsletter
See below for November’s featured highlights

 

1) Delta Dental Now Available for Quoting ¹
2) New Benefit for Outpatient Facilities Means HMO Members Save More ²
3) 2025 Small Group Benefit Highlights Now Available ³
4) Producer Forms Page Improvements
5) New Payment Integrity Program: Social Security Disability Insurance

We send this monthly e-newsletter to keep you to you current with Premera as well as news and other updates from your go-to general agency, Connexion.

 

Click Here for All Premera News Highlights

For questions about benefit plans and what is covered, contact your Eastern Washington Connexion Sales Executive, Emelie Hoffman, Emelie.Hoffman@Premera.com or your Western Washington Connexion Sales Executive, Amy Easley, Amy.Easley@Premera.com

 

Reminder: If you are looking to include ancillary benefits to any new or existing small group plans or would like a quote for a standalone ancillary product, please get in touch with your Sales Executive. Give us a try! You’ll earn the same commission working through Connexion as working with the carrier directly, but with added support and navigation know-how working through Connexion!

 

Delta Dental Now Available for Quoting ¹

We are thrilled to officially announce the addition of Delta Dental to our portfolio offerings for our employer groups and producers. Delta Dental insurance plans provide a broad spectrum of coverage options, ensuring top of the line comprehensive dental care for all members at an affordable rate. Standard services offered by Delta Dental commonly included in their plans are:

• Preventative Care
• Basic Services
• Major Services
• Orthodontics
• Vision Coverage

 

New Benefit for Outpatient Facilities Means Members Save More ²

Members who use an ambulatory surgical center (ASC) for elective procedures will have a lower cost share (coinsurance) in 2025. Most of our small group plans include a 10% lower coinsurance amount for procedures performed at an ASC. Read below to find out what is included in these plans.
Read More Here

 

2025 Small Group Benefit Highlights Now Available ³

The 2025 benefit highlights for small groups are now available. Benefit highlights are a great way for producers and their clients to get a snapshot of what’s available in their plan and the cost shares for covered services.
Check out the 2025 benefit highlights today

Read More Here

 

Producer Forms Page Improvements
Based on your feedback, we’ve made some updates so that you can more easily find the forms you need to support your clients and manage their business.
Our most frequently used forms are now in one location, grouped by category, with funding type, group size, and language identified.

Form categories:
• Group sales
• Premera Blue Cross HMO
• Membership and billing
• Miscellaneous
• Personal funding accounts
• Pharmacy

You can view the new forms page in the Producer Resources section of Premera.com.

Read More Here

 

New Payment Integrity Program: Social Security Disability Insurance

The Payment Integrity department is partnering with a vendor, Cognizant, to implement a pilot program related to Social Security Disability Insurance. The goal is to help qualifying Premera members transition their primary coverage from Premera to Medicare through targeted outreach.

Read More Here

 

Forms and Resources

2025 Health Plan Guide
Multiple Choice Guidelines – (Previously known as the Matrix)
2025 Benefit Highlights
2025 Enrollment Checklist
HMO Plan Benefit Guide
HMO Flyer

 

Quick Contacts

• Connexion Support: 888-742-1775 or PBCWASmallGroup@ConnexionInsurance.com
• Premera Membership & Billing: PremeraMembership@Premera.com or 855-756-0796
• Premera Customer Service: 800-722-1471
• Premera Help Desk: 800-722-9780
• Ancillary RFP Inbox: ancillaryrfp@connexioninsurance.com

 

Your CNX Small Group Sales Exec (Western WA)
Amy Easley: 425.657.5686 or Amy.Easley@Premera.com

 

Your CNX Small Group Sales Exec (Eastern WA)
Emelie Hoffman: 509.910.1822 or Emelie.Hoffman@Premera.com

 

 

Connexion appreciates all of the hard work you do and is here to support you!