Protect Your Data from Ransomware
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Protect Your Data from Ransomware

Ransomware attacks on the healthcare industry are rising. Do you know how to protect your clients’ or employees’–or your own–medical and other health-related data?

QualChoice is Helping PCPs Improve Healthcare
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QualChoice is Helping PCPs Improve Healthcare

A Primary Care Physician (PCP) can act as your personal healthcare adviser. And QualChoice is working to help PCPs improve healthcare in Arkansas.

Individual Premium Invoices–Now Easier to Read
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Individual Premium Invoices–Now Easier to Read

We’re making it easier to read your invoice! We’ve redesigned our individual invoices to be cleaner and more streamlined. You’ll start receiving the new format with your March statement.

Reporting Health Coverage on Your Taxes
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Reporting Health Coverage on Your Taxes

The Affordable Care Act (ACA) requires everyone to have health insurance. You must report it on your 2017 federal tax return. Here are some tips on which forms you’ll need.

Managing Your Drug Coverage with OptumRx
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Managing Your Drug Coverage with OptumRx

To manage your OptumRx drug coverage, sign in to My Account at QualChoice.com to access the Optum member website. Because the Optum site has been updated, previous users will need to re-register.

High-deductible Health Plans – Lower Premiums
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High-deductible Health Plans – Lower Premiums

Employers are finding High-deductible Health Plans (HDHPs) an attractive way to reduce their employees’ health insurance premiums.

Coverage for Routine and Complex Procedures
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Coverage for Routine and Complex Procedures

In the past, you may have had to go to a hospital for certain healthcare services. Today, many of those same things are done in your doctor’s office. How much you pay for those services depends on if they are routine or complex.

How We Make Coverage Decisions
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How We Make Coverage Decisions

We work to make sure our members get the right healthcare in every care setting. We support proper care decisions based on medical necessity and the member’s specific health plan. When a service needs pre-authorization, our Medical Director and clinical staff follow QualChoice Medical Coverage Policies. They also follow the peer-reviewed and nationally noted guidelines of MCG Health, LLC.

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Transition Policy Extended for Non-ACA Compliant Plans

The Centers for Medicare and Medicaid Services (CMS) recently extended an existing transition policy for non-ACA compliant plans through the end of 2018.

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Amended Medical Coverage Policy

Preventive health benefit BI062 has been updated to allow virtual colonoscopy with pre-authorization. Added that Cologuard and Epi proColon tests will not be covered.

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