\nMembers have \u201cfirst dollar\u201d coverage for the first $500 of most medical services, excluding services that are not subject to deductible like Rx. After the first $500 of services are paid by Health New England, the $3,000 deductible will begin to apply. Once deductible is met, members pay $0 for routine PCP and specialist office visits and lab services.
\n\u2022 Available in HMO and PPO options
\n\u2022 Available to Large Group only
\n\u2022 Effective 01\/01\/2021
\n\u2022 $3,000\/$6,000 Deductible<\/p>\n
First $500 does not apply to PPO Out-of-Network benefits.<\/p>\n
Thrive 3000<\/strong> Acupuncture<\/strong>* Massage Reimbursement<\/strong>* Cologuard<\/strong>\u00ae \u2013 Prior Authorization Removed (Applies to Commercial & Medicare)<\/strong>* *These changes may not apply to all self-funded groups. Deductibles apply for HDHP plans.<\/em><\/p>\n
\n\u2022 Available in HMO and PPO options
\n\u2022 Available to Large Group only
\n\u2022 Effective 01\/01\/2021
\n\u2022 $3,000\/$6,000 Deductible
\n\u2022 $7,000\/$14,000 MOOP
\n\u2022 No Deductible on PCP<\/p>\n
\n\u2022 $20 Copay (Deductible may apply)
\n\u2022 12 visits per member per calendar year
\n\u2022 Optum Acupuncture Network<\/p>\n
\n\u2022 2 visits per family per calendar year
\n\u2022 New Massage Reimbursement form will be available on healthnewengland.org\/forms beginning 1\/1\/21<\/p>\n
\nBeginning January 1, 2021, a prior authorization (PA) will no longer be required for Cologuard\u00ae, or FIT-DNA test, as this is considered preventive care.<\/p>\nMedicare Advantage Plan Changes for 2021<\/h3>\n
![\"\"](\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2020\/11\/2021-plan-changes.png\")
<\/a><\/p>\n<\/h3>\n
Medicare Supplement Plan Changes for 2021<\/h3>\n