Educate employees about their benefits with the December Benefits & Me Newsletter.
Optima Vendor Changes
Optima is changing their pharmacy benefit manager (PBM) from OptumRx® to Express Scripts (ESI) as well as their vision services vendor from Eyemed to VSP Vision Care (VSP). These changes are effective January 1, 2023, regardless of a group’s effective date.
Members will experience a seamless transition; all active pre-authorizations will automatically transfer to the new vendors. Prior to January 1, 2023, Optima will issue new member ID cards to reflect the new pharmacy vendor information. Please make sure your employees know that they need to keep these new member ID cards that will be arriving in the coming weeks!
Cigna Pharmacy Changes
Due to failed contract negotiations, Cigna has begun the process of removing Kroger
and their affiliated pharmacies from all Cigna commercial pharmacy networks, effective January 1, 2023.
Cigna will inform impacted customers via a letter or email in the coming weeks so they have ample time to find a new pharmacy. You can learn more here.
Anthem HealthKeepers Expanding Out-of-State Coverage
Effective with your plan’s renewal date in 2023 and for all newly enrolling groups, Anthem HealthKeepers will use their national BlueCard PPO network (including more than 1.7 million doctors and hosp
itals in all 50 states) for care received outside of Virginia. By doing so, the plan:
- Expands healthcare access outside of the Virginia service area through participating BlueCard PPO providers
- Extends in-network benefits to all healthcare services covered by the plan, not just urgent or emergency care
- Adds flexibility to use participating BlueCard PPO laboratory providers outside of the Virginia service area
- No longer requires individuals to register with Guest Membership to use in-network benefits when out of the service area
The information herein should not be construed as legal or tax advice in any way. This content is provided for informational purposes only. You should seek the advice of your attorney or tax consultant for additional or specific information.