Posted on July 30, 2026
Attention Providers and Practice Managers: We are looking for your help to reinforce the importance of Diabetic Eye Exams for your diabetic patients who have Health New England Medicare Advantage coverage. Please encourage them to schedule their annual diabetic eye exam in 2026. Diabetic eye exams are covered under the Medical portion of their Health […]
Posted on July 30, 2026
Health New England is committed to reviewing our internal procedures and defining coverage and billing guidelines with applicable laws and industry standards to ensure our policies are appropriate. To access payment policies, please visit healthnewengland.org/Providers/Resources. If you have any questions about the information in this notice, please contact Health New England Provider Experience at (800) 842-4464, […]
Posted on July 8, 2026
For Commercial Health New England plan members, this Semi-Annual Notice Amendment document addresses Prescription Drug Coverage changes to Step Therapy Drugs, Tiers, Quantity Limits, Prior Authorizations and Covered Formulary Alternatives, effective July 1, 2026.
Posted on June 29, 2026
Health New England is committed to reviewing our internal procedures and defining coverage and billing guidelines with applicable laws and industry standards to ensure our policies are appropriate. To access payment policies, please visit healthnewengland.org/Providers/Resources. If you have any questions about the information in this notice, please contact Health New England Provider Experience at (800) 842-4464, […]
Posted on June 29, 2026
Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice. To find policies noted below, please visit healthnewengland.org/Providers/Resources. If you have any questions about the information in this notice, please contact Health New England Provider Experience at (800) 842-4464, extension […]
Posted on June 29, 2026
Attention Providers and Practice Managers: We are looking for your help to reinforce the importance of Diabetic Eye Exams for your diabetic patients who have Health New England Medicare Advantage coverage. Please encourage them to schedule their annual diabetic eye exam in 2026. Diabetic eye exams are covered under the Medical portion of their Health […]
Posted on June 9, 2026
At Health New England, we believe everyone must have the opportunity to attain their full health potential with no disadvantage due to social or socially assigned circumstances. To learn more, go to Provider Policies & Resources | Health New England and click “Health Equity.” What is Health Equity? “Health Equity is the opportunity for everyone […]
Posted on May 29, 2026
Health New England is offering members in all lines of business a new at-home program to treat muscle and joint pain through Protera Health. It’s a no-cost virtual care option for members, which is proven to help reduce pain and improve function. Protera Health’s physician-led care team of specialists, physical therapists, and health coaches can […]
Posted on May 29, 2026
Attention: Health New England is providing advance notice to Providers The Centers for Medicare & Medicaid Services (CMS) recently announced its Risk Adjustment Data Validation (RADV) audits. These audits are conducted by CMS to validate diagnoses submitted by providers to Medicare Advantage plans, and ultimately to CMS for payment. Their purpose is to ensure that […]
Posted on May 29, 2026
Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice. To find policies noted below, please visit healthnewengland.org/Providers/Resources. If you have any questions about the information in this notice, please contact Health New England Provider Experience at (800) 842-4464, extension […]