Bulletins

Effective July 1, 2022, Aetna will change theAdvanced Control-Aetna formularyfor all fully insured and self-insured groups. Changes address refill quantities and non-formulary, preferred brand and specialty drug categories.

Blue KC is updating their prescription drug list, as well as opening a new Spira Care location in Independence, Missouri. 

Blue Cross Blue Shield of Kansas City (Blue KC) members can be reimbursed for over-the-counter (OTC), FDA-approved COVID-19 tests by submitting a Blue KC-provided claim form. The OTC COVID-19 test benefit includes up to eight tests per member per month. Members must provide a copy of the receipt...

Humana has identified two options for members to purchase over-the-counter (OTC), FDA-approved COVID-19 diagnostic kits to comply with the Department of Labor’s (DOL’s) directive released last week. The DOL requirement took effect January 15.

Claim form should be submitted providing test purchase date and cost

UnitedHealthcare (UHC) has released information on how UHC members can obtain over-the-counter (OTC), FDA-approved COVID-19 diagnostic kits to comply with the Department of Labor’s (DOL’s) directive released last week. The DOL requirement took effect January 15.UHC has established a preferred...

Qualified testing remains at $0 cost-share; member responsible for cost of non-qualified testing

Given the National Public Health Emergency has been extended to October 23, 2020, Blue Cross Blue Shield of Kansas City (Blue KC) will maintain current COVID-19 policies through October 23:

Blue Cross Blue Shield of Kansas City (Blue KC) established new assistance programs and COVID-19 relief policy extensions to aid employer groups during the outbreak.

In response to IRS guidance issued in 2019, Aetna will expand coverage for four additional preventive care services covered by a qualified high deductible health plan (QHDHP) before meeting a deductible. The preventive services will also apply to all plans that apply a deductible to the services...