University of Rochester 2018 Open Enrollment Begins

University of Rochester 2018 Open Enrollment Begins

October 31st, 2017 | Network NewsNews

Open enrollment for University of Rochester employees for the 2018 plan year will begin on November 1st and will run through November 15th. The 2018 UR plans will widen the cost-sharing between tiers one and two, so UR health plan members have even greater incentive to keep their care within the AHP network. For example, under the plan’s high deductible option, the tier two family deductible is $4,000 compared to tier one at $3,000. Once the tier one deductible is satisfied, the plan will pay 90%, while tier two will only pay 75% after the member satisfies the higher deductible.

There are some other changes to the UR plans in addition to those impacting copays and deductibles. Attend the Practice Managers meeting scheduled for Wednesday December 13th for a more comprehensive overview of the UR plan as well as the Highland and Thompson plans for which AHP is the tier one network.

Please help your patients covered by the UR, Highland and Thompson health plans get the most out of their benefits by:
#1: Ensuring your information on ahpnetwork.com is current and correct
The provider directory on ahpnetwork.com is the number one resource for health plan members to find AHP providers. Referring providers will also be using the directory to help their patients see AHP specialists and benefit from the plan’s lower co-pay or coinsurance incentives. Click here to look your practice up on the web directory and email Renée Sutton with any corrections.

#2 Preparing your front-end team for health plan employee/patient questions
Members of these health plans will be calling to confirm that your office is participating with AHP. Make sure that the members of your team that are likely to receive those inquiries know about AHP and its role as the tier one network associated with these health benefit plans.

#3: Ensuring that patients covered by AHP contracted-plans are sent to in-network specialist, lab and imaging providers.
Some AHP providers use “ticklers” in their EMRs, others hang signs at the front desk or in the restrooms. Whatever the process, efforts to keep patient care within system benefits patients by minimizing their out-of-pocket expenses while supporting clinical integration within AHP.