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 2, 2016
Have you recently transitioned to a Health New England Medicare Advantage plan, or are you thinking about joining one of our plans? If so, we would like to call your attention to an important benefit related to OB/GYN office visits that may differ from coverage you had with a previous plan. Many employer plans cover […]
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 February 17, 2016
Health New England Medicare Advantage members will soon or have already received a notice from the Centers for Medicare & Medicaid Services (CMS) along with an IRS Form 1095-B, Health Coverage. Form 1095-B identifies what health care coverage you had in 2015.* As the CMS notice explains, the information on Form 1095-B is to be […]
Posted on November 13, 2015
Staying healthy in cold weather is as easy as one, two, three Ahhhh, winter. The days are shorter, the temperature is colder and sometimes that makes us stay inside. Our pets still need to venture out into the chill, however. What is the best action plan to make sure our furry pals’ needs are met? […]
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 […]
Posted on October 6, 2015
As required by Medicare, Health New England (HNE) sends Part C Explanation of Benefits (EOB) to Medicare Advantage members on a monthly basis. The purpose of the monthly Part C EOB is to keep you informed about the medical and hospital claims submitted to HNE on your behalf. This monthly statement shows how much HNE […]
Posted on September 18, 2015
Every year we send you an Annual Notice of Change (ANOC) that describes how your plan will be changing for the following year. Also, we send you an Explanation of Coverage (EOC) that details all the benefits of your plans for the next year. Look for your yellow covered book in the mail. Medicare requires […]