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Employer News | March 25, 2014
Employer News | March 25, 2014

New Look to Medicare Advantage Monthly Health Summary Coming in May

Beginning in May, our Medicare Advantage Monthly Health Summary, also known as the Part C Monthly Explanation of Benefits, will have a new format. This change in format was required by the Centers for Medicare and Medicaid Services (CMS).

The updated statement:

  • is easy to read
  • provides more complete information on member medical benefits including:
    - all medical claim information such as Silver&Fit® fitness benefits used
    - specific billing code listing
  • includes tips to help members stay healthy and messages about member benefits

The Health Summary is a tool meant to provide members with information on the use of their benefits. It is not a bill. If the member’s plan includes prescription drug coverage, he or she will receive a Medicare Part D Explanation of Benefits in a separate mailing.

Please remember, the Health Summary represents information as of the prior month. For example, the May 2014 Health Summary will reflect claims processed by Univera Healthcare as of April 30, 2014.




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