AmeriHealth Market Edge Article
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December 2021
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Market Edge
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News for All Segments | All brands
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A note regarding updates to ID cards
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In response to the transparency mandates under the Consolidated Appropriations Act (CAA) and the Transparency in Coverage Rule (TCR), please find a summary of updates to member ID cards below.
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Health plans must include the following in clear writing on any physical or electronic identification cards that are issued to members or enrollees in a health plan or coverage:
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- Any in‑network and out-of-network deductibles applicable to the health plan
- Any maximum out-of-pocket limits applicable to the health plan
- A telephone number and internet website address where an individual can seek assistance
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Below, we outline the updates to ID cards that will begin on January 1, 2022 for members of both AmeriHealth Administrators and AmeriHealth New Jersey.
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AmeriHealth New Jersey
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- Members in individual and family plans will receive new ID cards starting in January.
- Members in group plans will receive their new ID card once their group renews or upon request by the member prior to their renewal date (ex: member loses their ID card and requests a new one).
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ID card updates:
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- Single deductible and family deductible amounts will each be listed on their own line.
- Single and family out-of-pocket amounts will be listed on their own line. If a group has total max out-of-pocket limits, those amounts will be displayed rather than the single and family out-of-pocket amounts.
- The out-of-network deductible and out-of-network, out-of-pocket maximum amounts will be listed for plans with true out-of-network benefits.
- Rx deductible and out-of-pocket maximum amounts will be added to ID cards for plans where the Rx deductible is not combined with medical.
- Hospital benefit (inpatient hospitalization) information will be removed from HMO cards due to space limitations.
- Preventive $0 will be removed to allow room for Rx individual/family deductibles and Rx individual/family out-of-pocket amounts (if applicable).
- If the preventive amount is greater than $0, it will remain on the ID card.
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AmeriHealth Administrators
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- ID cards will be reissued for those groups that request them.
- All members will have access to their new cards electronically on the member portal.
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ID card updates:
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- In‑network and out-of-network deductibles for family and individuals will appear on the bottom‑right corner of the ID card.
- Out-of-pocket maximums for family and individuals will appear on the bottom‑right corner of the ID card.
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If you have any questions, please contact your account representative.
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