Health New England provides health insurance to members of the Massachusetts Group Insurance Commission (GIC), the state agency that provides benefits to state and certain municipal employees, retirees, and their dependents. Health New England and the GIC would like to inform you about an important update regarding the GIC and its ability to pay its medical claims.<\/p>\n
The GIC currently has a significant funding shortfall for the fiscal year that ends June 30, 2025. This is due to higher than projected medical and pharmacy claim expenditures. As a contingency plan and at the request of the GIC, Health New England will be pending payment of GIC member claims on a temporary basis from May 12, 2025 until it receives the additional funds or until July 1, 2025.<\/strong> The GIC is projected to run out of funds to pay claims by May 12, 2025 unless it receives additional funding. Note that the GIC\u2019s claims payment delay does NOT affect any other government programs (e.g. MassHealth or Medicare). The Governor has filed a supplemental budget requesting the necessary funds from the Legislature, and the GIC expects that the measure will pass. However, the GIC does not know how soon the legislature will pass the bill and when the GIC will receive the requested funds, which is why the GIC\u2019s health plans are being asked to pend payment of members\u2019 claims.<\/p>\n Any pended claims will be processed once the GIC receives funds (July 1, 2025 at the latest, when their new fiscal year starts). At that time, the claims pend will be lifted, and payments will be distributed promptly.<\/p>\n There are no changes to the claims submission process for our providers and no other Health New England products are impacted. Please continue to submit claims to Health New England as you typically do. You will continue to receive payments for other Health New England claims. We are committed to managing any potential disruptions and will keep you updated on any further actions related to this issue. Thank you for your understanding and cooperation in continuing to provide care to our Health New England GIC members.<\/p>\n If you have any questions about the information in this notice, please contact Health New England Provider Experience at (800) 842-4464, extension 5000. A representative is available Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m. You may also wish to contact your local state legislator and encourage quick passage of the supplemental budget measure (H. 4003).<\/p>\n","protected":false},"excerpt":{"rendered":" Health New England provides health insurance to members of the Massachusetts Group Insurance Commission (GIC), the state agency that provides benefits to state and certain municipal employees, retirees, and their dependents. Health New England and the GIC would like to inform you about an important update regarding the GIC and its ability to pay its […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[92],"tags":[],"class_list":["post-8685","post","type-post","status-publish","format-standard","hentry","category-provider-newsletter"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6ZZHB-2g5","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8685","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/comments?post=8685"}],"version-history":[{"count":1,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8685\/revisions"}],"predecessor-version":[{"id":8686,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8685\/revisions\/8686"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=8685"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=8685"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=8685"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}