Posted on March 2, 2016
It seems that every day brings news of new medical tests, devices and treatments. You may wonder if a particular treatment or item is a covered benefit with your Health New England Medicare Advantage plan. As new technology is made available, Medicare decides which medical services and products will be covered, subject to Medicare laws […]
Posted on March 2, 2016
In addition to meeting your health care needs if you get sick, Health New England (HNE) Medicare Advantage plans also offer other benefits that can help you maintain or improve your overall health. We want to help you make healthy lifestyle choices. $150 Fitness center/Weight Watchers®/over-the-counter items annual allowance You can use this allowance toward […]
Posted on March 1, 2016
Health New England Medicare Advantage makes mid-year benefit changes only when Medicare changes its coverage rules. As a Medicare health plan, our Medicare Advantage must cover all services covered by Original Medicare. When Medicare changes its coverage rules, Medicare issues a National Coverage Determination (NCD) explaining whether Medicare will pay for an item or service. […]
Posted on March 1, 2016
Health New England appreciates you and all of our members. Because we are committed to your well-being and keeping you healthy, we hold special health-focused events throughout the year at no cost to members. We also periodically partner with Baystate Health’s Senior Class Program on events. Invitations to these events are mailed directly to members. […]
Posted on March 1, 2016
At Health New England, we are committed to making sure that you get the best possible care and service. So how do we do that? There are a lot of different ways – and they all fall under our Quality Management Program. Each year, we develop a Quality Management Work Plan that lists the activities […]
Posted on November 12, 2015
Health New England makes utilization decisions based on appropriateness of care and service and existence of coverage. There are no specific rewards to practitioners or other individuals conducting utilization review for denials of coverage or service care. Health New England does not provide financial incentives for Utilization Management (UM) decision-makers that encourage or result in […]