Posted on March 26, 2018
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 we do each year. For […]
Posted on March 26, 2018
For Medicare Advantage members, Health New England follows adult preventive care guidelines set by the Centers for Medicare & Medicaid Services (CMS). You can find Medicare-covered preventive services listed in your “Medicare & You” handbook that you received in the mail from Medicare. To view the handbook online, go to medicare.gov/medicare-and-you. You can also search for covered preventive and screening services at https://www.medicare.gov/coverage/preventive-and-screening-services.html. […]
Posted on March 26, 2018
Because medical problems may occur at any time, Health New England asks our primary care providers (PCPs) to be on call 24 hours a day, seven days a week. Talk to your PCP to find out about arrangements for care after normal business hours. At times, you may reach your PCP’s answering service. Also, you may reach […]
Posted on March 26, 2018
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. The list below […]
Posted on March 26, 2018
There is a change in the effective date of the Medicare Diabetes Prevention Program (MDPP) – Chapter 4 of the EOC “Medical Benefits Charts (what is covered and what you pay).” As described in your EOC, the MDPP services will be covered for eligible Medicare beneficiaries under all Medicare health plans. MDPP is a structured health behavior change […]
Posted on March 26, 2018
The Centers for Medicare & Medicaid Services (CMS) is planning a fraud prevention initiative that will remove Social Security numbers from Medicare cards to help combat identity theft, and safeguard taxpayer dollars. The new cards will use a unique, randomly-assigned number called a Medicare Beneficiary Identifier (MBI), to replace the Social Security-based Health Insurance Claim Number (HICN) currently used […]
Posted on March 26, 2018
Health New England is proud to partner with various vendors who provide extended services to our Medicare Advantage members to support your health. Below is a brief introduction to several of our vendors so you can become familiar with them in case you receive a communication from them on our behalf. Matrix Medical Network We work […]
Posted on March 26, 2018
We want to help make important lifestyle choices a little easier for you. As a Health New England Medicare Advantage member, you have a Fitness Center, Weight Watchers®, Acupuncture and Over-The-Counter Items Allowance to help you stay healthy. This is a combined benefit total of up to $150 per calendar year for a fitness center membership, Weight Watchers® […]
Posted on March 26, 2018
Preventive care and annual physical exams are key to staying healthy. That’s why, as a Medicare beneficiary, you are entitled to an annual well-care visit with your primary care provider (PCP) once every 12 months. As a member of Health New England Medicare Advantage, your preventive care benefits over both your annual well-care visit and your annual physical exam at a […]
Posted on March 26, 2018
Health New England Medicare Advantage members now have access to our new secure online Member Portal at my.HealthNewEngland.org. Access your health care benefits information, claims and much more in one convenient location. All you will have to do is go to my.HealthNewEngland.org and register to take advantage of the following helpful features: • Request a new […]