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.

Summer Workout Tips

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Summer Workout Tips

Whether you’re running, playing basketball or going for a power walk, exercising in hot weather puts extra stress on your body. Follow these summer workout tips to help reduce your risk of serious, heat-related illness while staying in shape.

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.

Freeze on Cancellation/Non-renewals in Disaster Areas

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Freeze on Cancellation/Non-renewals in Disaster Areas

Over the last several weeks, many in our state have suffered great losses due to severe storms and floods. Governor Asa Hutchinson has asked to declare the following counties disaster areas:

Health Coverage and Your Taxes

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Health Coverage and Your Taxes

The Affordable Care Act (ACA) requires everyone to have health insurance. You must report it on your 2016 federal tax return.

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Heart Health & QCARE

February is American Heart Month, the national awareness campaign aimed at preventing cardiovascular disease. If your plan includes QCARE, your employees have access to our Heart Health program, with nationally accepted practices and personal support for hypertension (high blood pressure).

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November is American Diabetes Month

Diabetes is one of the leading causes of disability and death in the United States. One American in 11 has diabetes --- that's more than 29 million people.