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Posted by Medavie Blue Cross on September 27, 2024

Corrections to Rates for Individual Business (Effective November 1, 2024)

1. In the Agent Update on September 12, 2024, the words “on average” should have appeared to describe the rate adjustments for Options/Options Plus plans. The correct full statement is:

  • Complete Health rates will increase on average by 9.3%
  • Assured Access rates will increase by 2.5%
  • Options and Options Plus rates will increase on average by 23.5%

The adjusted rates will apply to new sales as well as to plan renewals effective on their renewal month.

2. In the rate guides provided in the same Agent Update, there was an error in the Options Drug module and Stand Alone Product rates. This error has been corrected in the Options/Options Plus and Complete Health rate guides linked below. Please disregard the previous versions and ensure that the updated versions are used effective immediately.

Your Tools for Success

When discussing plan options with members, we offer ways to save on premiums by reducing or removing modules or changing plans. However, it's not always the best route. The key is to understand each member's unique needs and provide the appropriate coverage that truly protects them.

Once you receive your Rate Increase Report by mail, we encourage you to connect with your representative for personalized guidance and support. They are available to assist with any questions or to provide recommendations that will help you maximize opportunities and ensure successful outcomes for your clients.

Reducing Modules

Complete Health, Options Plus, and Retiree offer flexibility to reduce benefits, such as:

  • Downgrading Complete Health's modules from Enhanced to Essential or Essential to Entry
  • Downgrading Options Plus to an Options plan
  • The Options plan offers a Drug module with a deductible
  • The Retiree plan can move down a tier once every 24 months

Removal of Modules

  • Complete Health, Options Plus, and Options also allow for the removal of Dental and Drug modules at any time, with the option to re-add them. The Drug module requires medical underwriting and waiting periods would apply for the Dental Module.
  • Complete Health and Options Plus members over 65 can remove their travel module, but re-adding it later would require medical underwriting.

Boost your retention success: Check out the Retention Strategies- FAQ guide for full details.

Please note:  Our Complete Health and Assured Access rate calculators will be updated with the new rates on October 1, 2024. Rates for the Guaranteed Acceptance and Retiree Health Plan will increase effective January 1, 2025, and we will provide the updated rates in November.

For any questions or concerns, please contact our Agent Inquiry team.

New Provider - Beyond ADHD

We have a new provider that falls under our psychology benefit, Beyond ADHD.

Getting an ADHD diagnosis and treatment does not need to be difficult or expensive. Beyond ADHD provides accessible, affordable, and compassionate services to children and adults. To date, it has helped over 8,000 patients understand and manage their symptoms, improve their quality of life, and achieve their goals.

Why choose Beyond ADHD?

  • Discount of $80 on initial assessment for Medavie Blue Cross members, plus access to priority appointment scheduling and an integrated plan experience
  • Specialized Nurse Practitioners (NPs) with psychiatric training and ADHD-specific certification
    who are qualified to assess, diagnose, and treat ADHD
  • Evidence-based multimodal approach, including medication if clinically appropriate

Retiree Plan – New Resource Available

We're happy to share that we've added Retiree Plan Quote Sheet to the Individual Agent Microsite.

The Retiree Plan is an excellent option for clients transitioning from a Group plan. This plan offers coverages beyond employment that are not typically available with other personal health plans, without the need for a medical exam or exclusions for pre-existing conditions, setting it apart from most individual insurance policies they might purchase on their own.

*Age qualifications apply

** must apply within 60 days after loss of group plan

You can also find our new Retiree Plan video to support you with the Salesforce application process.

Happy Thanksgiving!

We wish you and your loved ones a wonderful Thanksgiving! We are truly grateful for our partnership and your continued support.