Embedded and buy-up cancer care solutions help support employees’ care journey and contain costs
A cancer diagnosis can disrupt every aspect of a patient’s life. As the costs of treatment continue to rise, our comprehensive approach to cancer care provides tools to support employees through their care journey and contain your costs.
How we’re supporting Consolidated Appropriations Act, 2021 (CAA) gag clause attestation
We’re attesting to our compliance with the Consolidated Appropriations Act, 2021 gag clause prohibition rule for fully insured and self-funded groups for 2024.
Covered drug list and formulary changes for 2025
Updating our formulary each year ensures we offer the safest, highest-quality and most cost-effective prescription drugs on our pharmacy plans. Learn about the updates happening effective Jan. 1, 2025.
Resources for employer groups to get a fast start on 2025 preventive care
While the year draws to a close, there’s still time for employees to take advantage of valuable 2024 wellness benefits. Plus, it’s not too early to start planning—and for small groups to start thinking about earning premium discounts—for 2025.
How we’re collecting employees’ race, ethnicity and language data for renewing groups using 834 files
Health equity requires a deeper understanding of our members via data. During open enrollment, employees whose groups enroll online can share race, ethnicity and language data. If you enroll using 834 files can share this data any time.
Diabetes and hypertension solutions now available for large (101+) and self-funded groups
Research shows people with diabetes account for about one of every four health care dollars spent the U.S. Solutions available to large (101+) and ASO groups can help make those dollars count more toward improved outcomes.
Benefits updates for 2025 in compliance with the ACA Section 1557 final rule
We’re updating our benefits and nondiscrimination disclosures in accordance with Affordable Care Act (ACA) Section 1557 final rule issued this year.
We’re emailing your 2025 benefit booklets
To reduce paper usage, we’re emailing digital benefit booklets to employer groups beginning with Jan. 1, 2025, renewal effective dates.
Doctor On Demand telehealth solution adds Virtual Primary Care option for large (51+) and ASO groups
Virtual Primary Care from Doctor On Demand makes accessing primary care convenient for employees and affordable for employers.
Dental4Health program will improve employees’ health and lower their cost of care in 2025
Our dental plans deliver an expanded network, comprehensive coverage, affordability and no out-of-pocket costs for preventive care. In 2025, our Dental4Health program will improve employees’ oral and physical health and lower their cost of care.
Health equity: Collecting more member data to improve members’ health
Health equity means achieving fair access to health care for everyone. Learn how members’ sharing more data about themselves enables us to advance equity and support a more personalized health care journey for each individual.
Creditable coverage: How we’re supporting groups for 2025
Employers must notify Medicare-eligible members of their plans’ creditable coverage status by Oct. 15. Read how we’re supporting groups whose plans fail the creditability test so they can offer creditable coverage to affected employees.
Need help? Chatbot now augmenting support for all employees’ customer service inquiries
Since we launched our chatbot in 2022 to support fully insured employees’ Customer Service needs, its functionality has continued to grow. The chatbot is efficient and available 24/7 to handle many of employees’ most frequently asked questions.
How we support RxDC reporting for groups that terminate in 2024
We support 2024 RxDC reporting for groups after they terminate coverage with us during the year. Review the information that we’ll need in order to submit RxDC reporting on your behalf.
Pre-authorization requirement expansion for ABA therapy
To help support our members’ health and help them avoid unnecessary care, we’re expanding the pre-authorization requirement for ABA therapy to members under 18.
HDHP definitions and HSA contribution limits updated for 2025
The IRS has issued updated definitions for high-deductible health plans and set new contribution limits on health savings accounts for 2025.
2025 product updates for midsize and large (51+) groups
We’re pleased to announce highlights of our midsize (51-100) and large (101+) group product and benefits updates, which deliver an enhanced experience and improved employee health in 2025.
Small group plan, product and benefit updates for 2025
Check out our small (1-50; 2-50 in Idaho) group plan, product and benefit updates for 2025. For the coming year, we’re focused on delivering a complete experience with innovative health plan options to fit the needs of each employer.
Midyear preventive care checkup
Midyear is a good time to remind employees to use the zero-cost in-network preventive care included in their health plan. Plus, read about the importance of primary care and why behavioral health is being integrated into it.
Multifactor authentication required for accessing private and secure emails
To secure employees’ private information, we’ve added multifactor authentication to our secure mail exchange. When sending or receiving secure emails, users will need to verify their identity via a code sent to their cell (SMS) or email.
Help employees access in-network care while traveling
Whether your employees are traveling for vacation or business, encourage them to plan ahead and know how to access in-network care for peace of mind wherever they go.
Text messaging campaign targets employees’ diabetes screening needs
To increase important screenings for people with diabetes and hypertension, we’re launching a text messaging campaign in Q2. The campaign includes personalized messages to eligible employees who’ve not maintained their screening regimen.
New EAP offers employees mental health and emotional support
We've partnered with a new EAP provider, ComPsych®. A global EAP leader, they offer an improved member intake experience with expert advice from master’s-level clinicians and a wider network of participating providers.
Submit your 2023 RxDC reporting information to us by April 30, 2024
For us to submit required 2023 RxDC reporting to CMS on behalf of all employers, we need to collect information from you that we don’t hold in our systems. Learn how to complete your RxDC reporting form by April 30.
Research reinforces the efficacy of telehealth for employees’ mental health care needs
Telehealth use for mental health and substance abuse care increased sharply during the pandemic and remains high today. A new study gives high grades to our telehealth partners MDLIVE and Doctor On Demand.
Tools for encouraging employees to seek mental health care
We’ve updated our tools for Mental Health Awareness Month to encourage use of your plan’s care options and guide employees to providers. Share these resources so your employees know how and where to access care when they need it.
How we’re supporting your 2023 RxDC reporting
We’ve launched a data collection form on Employer Center to collect the data we need from employers to submit 2023 RxDC reporting to CMS. Make sure you have an Employer Center account and submit your data to us by April, 30, 2024.
New resource to inform employees about dental benefits
Good oral health is critical to good overall health, but people frequently skip routine covered dental visits. Our new employee dental flyer can help explain why your dental coverage is so important.
End of Q1- Time for a preventive care checkup
The beginning of spring marks a good time to remind employees to take advantage of zero-cost in-network preventive care. These services help detect problems earlier, when they’re easier and less costly to treat.
Pelago tobacco cessation program available to self-funded groups in 2025
Tobacco use increases employers’ health care costs and causes lost productivity. To help self-funded groups avoid unnecessary cost and provide employees an effective way to quit tobacco, we’re offering Pelago as a buy-up option for 2025.
Expanding our member demographic capabilities for 2024
Accurate data is essential to our work of addressing health disparities and improving outcomes. For 2024, we’ve begun offering more members the option to self-report their race, ethnicity, language (REL) and nonbinary gender.
Text-messaging campaign targets employees’ breast, cervical & colon cancer screening needs
To help increase adoption of potentially life-saving breast, cervical and colorectal cancer screenings in Q1, 2024, we’re launching a text-messaging campaign with personalized messages to eligible employees. Learn more.
How we’re supporting employer groups’ RxDC reporting for 2023
The Consolidated Appropriations Act, 2021 (CAA) requires us to report health care costs each year to CMS. Learn how we’ll be supporting employer groups with collecting data necessary to submit reporting for calendar year 2023.
Help familiarize employees with all their benefits for 2024
Now’s the best time of year to help your employees learn about their 2024 benefits and care options. Encourage them to create an account on our website or download the app so they can unlock the features included with their plan.
American Heart Month: Resources and info to share with employees; plus, new heart-health solutions for ASO groups
American Heart Month is a time for families and communities to focus on preventing heart disease and stroke, the number-one killer of Americans. Share heart-health resources with your employees; plus, discover new solutions for ASO groups.
Update on our new enhanced dental experience for 2024
A better standard of care, larger local and national dental provider networks, more plan options and better value. It all adds up to an enhanced dental experience for your employees and you.
Covered drug list and formulary changes for 2024
Updating our formulary each year ensures we offer the safest, highest-quality and most cost-effective prescription drugs on our pharmacy plans. Learn about the updates happening effective Jan. 1, 2024.
New EAP partner to provide improved employee experience and enhanced capabilities effective Jan. 1, 2024
Our EAP offers mental health support and life-balance tools to help employees address minor health concerns before they cause major problems. Learn how changing EAP providers will help us improve that support in 2024.
Make sure employees 45+ get screened for colon cancer: Resources in English and Spanish
Colorectal cancer is highly detectable and treatable when caught early. Yet screening rates are low, particularly among the Latinx population. Share our resources in English and Spanish with employees age 45+ and encourage them to get screened.
Hinge Health may help reduce opioid misuse, improve care outcomes and cost savings
Digital MSK Clinic enables employees to receive effective, guided exercise therapy at home, helping relieve chronic pain and reducing the need for costly surgeries and opioid prescriptions.
We’re making advanced imaging safer and more cost effective
To help ensure employees receive safe, appropriate care in the right setting, we’ve added a pre-authorization (PA) requirement for nuclear imaging services to our Advanced Imaging Authorization program.
Explore our comprehensive approach to cancer care
Cancer costs continue to rise and failing to meet employees’ care needs leads to poorer health outcomes and, often, avoidable expenses. See how our comprehensive approach to cancer care provides tools to help contain costs and improve outcomes.
Coverage for GLP-1 drugs effective Oct. 1, 2023
To help groups manage financial exposure, effective Oct. 1, 2023, we’ll require pre-authorization to ensure GLP-1 drugs are used for diabetes only. Also, we’ve added two Humira biosimilars to our formulary to broaden choice for members.
2024 product updates for midsize and large (51+) groups
We’re pleased to announce highlights of our midsize (51-100) and large (101+) group product and benefits updates to deliver an enhanced experience and improved employee health in 2024.
DispatchHealth: delivering the right care at the right time—in the right setting
In-network provider DispatchHealth can bring on-call care to most employees’ homes throughout the Boise, Portland, Seattle/Tacoma and Spokane metro areas, saving unnecessary trips to the ER.
How our COVID-19 coverage for commercial members will change as the public health emergency ends
During the COVID-19 pandemic, we temporarily expanded benefits to ease access to care. With the public health emergency set to end at 11:59 p.m. on May 11, 2023, we’re making changes to COVID-19 coverage.
New tools for guiding employees to care for Mental Health Awareness Month (May)
For Mental Health Awareness Month, we’ve prepared new tools to encourage use of your plan’s mental health care resources, and to guide employees to the best care for their needs. Check out the resources and share them with your workforce.
How Medicaid redetermination may impact you and your employees
With states redetermining Medicaid beneficiaries’ eligibility, many employees are expected to enroll in employer-sponsored health plans. Read how this may impact your business and how to help these employees maintain access to health care.
Immunizations are good preventive medicine for infants, and nearly everybody else
National Infant Immunization Week offers a good reminder about why it’s important for young children, and everyone else, to keep up to date on immunizations. Learn more.
Employer advocacy is critical for driving use of behavioral health solutions
Employers play a critical role in supporting the use of behavioral health solutions by connecting employees to available care and services.
Help your employees get a healthy start to the new year
Help employees get the most from their health plan. Encourage them to create an account to better understand their benefits, search for providers, unlock savings, find well-being tools and more in 2023.
Mandatory Site-of-Care program effective Apr. 1, 2023
Effective Apr. 1, 2023, ASO groups can add or renew the Mandatory Site-of-Care program to their benefits. The program delivers savings by requiring employees to obtain specialty drug infusions at approved sites rather than hospital settings.
Help your employees get a healthy start to the new year
Help employees get the most from their health plan. Encourage them to create an account to better understand their benefits, search for providers, unlock savings, find well-being tools and more in 2023.
Change to group delinquency notifications
To avoid USPS delays and make it easier for us to reach customers working remotely, we’re changing the way we notify groups about late payments. Starting Nov. 1, we’re sending second and third past-due notices to groups only via email.
National Diabetes Month: A reminder to keep up on preventive care
November is National Diabetes Month—an ideal time to make sure employees are staying on top of vaccinations, routine care and annual exams, which can help prevent costly health concerns like diabetes before they become problematic.
We’re continuing to expand our behavioral health network and resources
We’re adding AbleTo—an evidence-based behavioral health provider—to our network. Available to all members ages 18 and older, AbleTo’s unique eight-week therapy program can reduce depression, anxiety and stress.
Pre-authorization being added for specific cardiac services on fully insured plans beginning Jan. 1, 2023
Beginning Jan. 1, 2023, we’re requiring pre-authorization (PA) for coverage of some cardiac procedures for employees on fully insured plans. Adding PA helps ensure providers follow the standard of care and avoid unnecessary invasive procedures.
Pharmacy updates for 2023: Formulary, drug tier changes and cost savings with biosimilars
Updating our formulary each year ensures we offer the safest, highest quality and most cost-effective prescription drugs on our pharmacy plans. Plus, learn about our drug tier changes and how biosimilars can save money for groups and employees.
New chatbot answers common customer service questions for fully insured group members
When employees have questions, they want quick answers. Our new chatbot for fully insured members speeds answers to common questions 24/7. And during normal customer service hours, employees can transfer from chat to a live agent.
2023 product updates: midsize and large (51+) groups
For 2023, we’ve made enhancements to our midsize and large group (51+) plans to maximize the value of the benefits you offer. New solutions focus on virtual care, increased wellness incentives and more ways for employees to get affordable care.
Improved provider search tool makes it easier for employees to find care
Our online provider search tool is getting an upgrade. The new, intuitive design will make it easier than ever for employees to quickly find the provider who’s the best fit for them and get cost estimates for receiving care.
2022 health plan benchmarking reports
We analyze thousands of our group plans to gain insights on the biggest trends in plan design. Want to know how your plan benefits measure up? With our new reports, you can compare your plan with similar businesses by state, size and industry.
Exploring the efficacy of virtual care for behavioral health
Virtual care, also known as telehealth, is a convenient and cost-effective way for employees to get care quickly wherever they are. Did you know that it can also be just as effective as an in-person visit for mental health treatment?
Improve employee health and cost savings with Asuris EAP
Counseling through the Employee Assistance Program (EAP) can help your employees address minor mental health concerns before they become bigger issues. The EAP helps workforce productivity and saves you money. Share this with your employees.
Action needed for groups using AutoPay or making online payments
If you use AutoPay or make one-time premium payments online and have an ACH block for fraud protection on your bank account, you’ll need to update your account to allow JP Morgan Chase to make withdrawals.
New national lifeline for suicide prevention launches
A new three-digit code launched in July connects people across the U.S. to counselors as part of the National Suicide Prevention Lifeline network. Read how our corporate foundation supports community-based organizations who help people in crisis.
Help your employees save money on health care: Here’s how
To help your employees fight inflation, offering affordable and comprehensive health care benefits is just the beginning. Be sure to check out the top-five money-saving strategies, and share them with your employees.
New toolkits help employees get more from their health plan
Getting employees to use benefits helps everyone get the most out of their plan. Our toolkits help you get your employees engaged, starting with asuris.com and app. Plus, MDLIVE conducted its quarterly member engagement campaign.
Benefits update: Changes to pre-authorization for chiropractic, acupuncture and massage (CAM) care
To help ease access to care, we eliminated pre-authorization for most chiropractic, acupuncture and massage care on fully insured plans. PA is still required for physical, occupational and speech therapies.
Updates to preventive care effective May 1, 2022
The U.S. Preventive Services Task Force updated its recommendations for prediabetes, type 2 diabetes, and healthy weight during pregnancy. We’ve updated our benefits and preventive care brochures to meet these new recommendations.
During Mental Health Awareness Month, discover and share resources for accessing care
Each May is National Mental Health Awareness Month—an important time to remind employees to take care of their mental health like they do their physical health. Make sure you're sharing with employees all the tools and resources available.
Act now to start saving on medical premiums
Small groups on metallic plans: When your enrolled employees submit their Health Assessment and complete a biometric screening in the first few months of their plan year, you can save on medical premiums for every enrolled employee submission.
Up-to-date vaccine status and attention to behavioral health can help lessen impact of COVID-19
Helping members keep up to date on vaccines will protect them from becoming seriously ill from COVID-19. Staying on top of other mental and physical health needs is another important strategy to manage many of the pandemic’s long-term effects.
Help your employees get a healthy start to the new year
Are your employees getting the most out of their health plan? When your enrolled employees create an account with us online or through the app, they can access our enhanced digital experience and tools to help with all their health needs.
Pharmacy updates: Important changes coming to specialty and home delivery
To improve member experience, operational excellence and overall affordability, we're making changes to our specialty and home delivery pharmacy network and instituting several formulary updates.
Effective programs help ASOs provide the right solutions for employees
All of our self-funded employer groups rely on our professional eligibility and claims administration, along with high-quality clinical services and solid provider networks that offer savings through deep discounts.
Virtual care solutions ensure your employees get care when they need it
Our plans offer a range of options that allow members to conveniently access effective care virtually, without having to visit a provider’s office.
Meet Journi: Your place for all things health, 24/7
We’re excited to introduce you to Journi®, a digital platform that takes a new approach to health care. Journi is designed to meet the complex demands of employers and their employees.
FAQ: Premium credit
To support our communities during the economic hardship from the pandemic, we are issuing a credit to our customers (about 15% of one month of premium).
Asuris TrendWise helps large groups learn all about their claims trend
Our TrendWise employer-based reporting system offers powerful tools for both high-level reporting and for digging in and understanding all the details.
Telehealth drives real savings - Small and medium groups
Telehealth is a great option for busy employees who have a hard time making it to the doctor's office. For small and medium groups.
Telehealth drives real savings - ASO and large group
Telehealth is a great option for busy employees who have a hard time making it to the doctor's office. For ASO and large group.
You can help employees make informed medication decisions and save money
As more prescription medications hit the market, costs and confusion are on the rise. To help your employees make sense of it all, we've partnered with MedSavvy®.
Get the most out of your benefits.
Understanding benefits and how to make the most of them is important.
Well-being solution drives employee engagement
Improving one’s health should be a year-round pursuit, but we all know that it’s top of mind at the beginning of each year. That’s why now is a good time to make sure your employees know about our well-being solution that’s included in their health plan.
Preventive care: Help employees stay healthy—for themselves and their loved ones
We all have people in our lives who care about and rely on us—spouses, children, extended family, coworkers and friends. One of the best ways we can care for them is by caring for ourselves.
Telehealth drives real savings for employees
Read more about how telehealth is a great option for busy employees who have a hard time making it to the doctor's office.
Flu season is here: Help keep employees well
Learn more about hosting an onsite flu shot clinic to protect your employees' health and prepare them for flu season.
New law impacts reproductive health coverage
This year, lawmakers passed bills that make it more convenient and cost-effective for you and your employees to manage reproductive health issues.
Help employees understand EOBs–and the benefits of going paperless
We redesigned our explanation of benefits statements (EOBs) so they're easier than ever to read and understand. Learn more.
Formulary updates help members find high-quality, high-value medications
We believe our members deserve access to high-quality, cost-effective prescription medications. Read more.
Membership helps you get the most out of your health benefits
Read about the best way for your employees to receive valuable pointers and resources.
Real telehealth savings for employees
Read more about how telehealth is a great option for busy employees who have a hard time making it to the doctor's office.
Help employees stay fit through affordable access to a gym or fitness center
The Active&Fit Direct program partners directly with health plans to provide their members with access to thousands of fitness centers for a low monthly fee (plus an enrollment fee and taxes).
Putting the customer first in customer service
Our Customer Service team is made up of passionate individuals who are dedicated to our cause and who reside right here in the states we serve.
Opioid abuse: An epidemic that affects us all
Learn more to help keep your employees informed about the opioid epidemic and what we can do to end abuse.