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AmeriHealth NJ Broker Briefs

May 2009

AmeriHealth launches new IHC agent portal

Now you can enroll Individual Health Coverage (IHC) clients online by using our new agent portal.

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AmeriHealth takes to the sky

As summer approaches and you head to the beach, look for our AmeriHealth ads along the Shore. Tow planes carrying AmeriHealth banners will fly from Cape May to Belmar beaches every weekend for the entire summer.

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Are you in compliance with Medicare marketing guidelines?

Agents and brokers for AmeriHealth are responsible for performing marketing activities that comply with Medicare marketing guidelines. The Centers for Medicare and Medicaid Services (CMS) releases regulations that Medicare Advantage organizations and Medicare prescription drug plan sponsors must follow in order to remain CMS-complaint.

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Reminder: New $7/50% pharmacy benefit now available for HMO plans

HMO options are available for our new small-group $7/50% Rx benefit.

The benefit design provides members with access to lower-cost generic drugs subject to a $7 copay for a 30-day supply. Access is also available to formulary and
non-formulary drugs subject to 50% coinsurance. This 50% coinsurance is capped at $125 per prescription fill.

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Reminder: National Access is available

Did you know AmeriHealth offers access to physicians, facilities, and ancillary services throughout the continental United States?

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AmeriHealth Casualty: FMLA administration program

Federal regulations under The Family and Medical Leave Act (FMLA) contain the employer’s responsibilities and procedures with respect to the handling of specific leave situations. An employer is required to provide written notification of an employee’s rights and obligations in connection with the FMLA, as well as provide the appropriate medical certification form.

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Network update

AmeriHealth New Jersey signed a new, multi-year agreement with Somerset Medical Center, and increased its physician network statewide.

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