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SIGN IN | CONNECTICARE Why ConnectiCare. Our story ; ConnectiCare Centers . Farmington ; Manchester ; Waterbury ; Norwalk ; Care management ; Shelton ; Safety guidelines ; Financial helpCONNECTICARE LOGIN
Individuals and families can find the plan that’s right for them at ConnectiCare, the Connecticut health insurance provider that putspeople first.
ACCOUNT INFO, PAYMENT OPTIONS & ONLINE BILL PAY Call 1-800-333-1733 (TTY: 711 ), 24 hours a day, seven days a week, to use our automated payment system. In person: At any People’s United Bank with check or cash. Make sure you bring your bill with you. Or come to a ConnectiCare Center and we’ll help you complete your payment online, by phone or mail. CONNECTICARE DIRECTORY Printed Directory. You can also request a printed copy of the ConnectiCare provider directory by sending an email to: info@connecticare.com. If you are a Medicare customer, you can also call 1-800-224-2273, (TTD: 711 ). Phone services are available 8:00 am to 8:00 pm Monday – Sunday. Effective 1/1/2021: CONNECTICARE CONNECTICARE FLEX POS PLANS ConnectiCare offers a full range of health insurance products such as health savings accounts, individual insurance and college tuition rewards. Our new Claim Summary, previously known as Explanation of Benefits (EOB), clearly shows members how their claims were processed according to their plan benefits.FREEDOM FORMULARY
i This document is the complete ConnectiCare pharmacy drug list, or formulary, that is covered for ConnectiCare SOLO plans. This drug list is effective for plan year 2021. DRUG LIST – 6 TIERS iv You can file a grievance in person at 175 Scott Swamp Road, Farmington, CT, or by mail or fax (860) 674-2232. If you need help filing a grievance, The Committee for Civil Rights is DERS. OVER-THE-COUNTER (OTC) MEDICATIONS AND PRODUCTS 2 Keep this catalog to reference for future orders. Your OTC benefit allows you to purchase medications, health and wellness items, and first . aid supplies with home delivery at no additional cost. CLINICAL REVIEW PREAUTHORIZATION REQUEST FORM CLINICAL REVIEW PREAUTHORIZATION REQUEST FORM - COMMERCIAL Page 1 of 2 08.19.19 . Please use this form for general preauthorization requests and site-of-service reviews. CONNECTICUT-BASED HEALTH INSURANCE COMPANY ConnectiCare offers high-quality, affordable group, individual, and Medicare health insurance plans. Compare plans, find a doctor, getforms, and more.
SIGN IN | CONNECTICARE Why ConnectiCare. Our story ; ConnectiCare Centers . Farmington ; Manchester ; Waterbury ; Norwalk ; Care management ; Shelton ; Safety guidelines ; Financial helpCONNECTICARE LOGIN
Individuals and families can find the plan that’s right for them at ConnectiCare, the Connecticut health insurance provider that putspeople first.
ACCOUNT INFO, PAYMENT OPTIONS & ONLINE BILL PAY Call 1-800-333-1733 (TTY: 711 ), 24 hours a day, seven days a week, to use our automated payment system. In person: At any People’s United Bank with check or cash. Make sure you bring your bill with you. Or come to a ConnectiCare Center and we’ll help you complete your payment online, by phone or mail. CONNECTICARE DIRECTORY Printed Directory. You can also request a printed copy of the ConnectiCare provider directory by sending an email to: info@connecticare.com. If you are a Medicare customer, you can also call 1-800-224-2273, (TTD: 711 ). Phone services are available 8:00 am to 8:00 pm Monday – Sunday. Effective 1/1/2021: CONNECTICARE CONNECTICARE FLEX POS PLANS ConnectiCare offers a full range of health insurance products such as health savings accounts, individual insurance and college tuition rewards. Our new Claim Summary, previously known as Explanation of Benefits (EOB), clearly shows members how their claims were processed according to their plan benefits.FREEDOM FORMULARY
i This document is the complete ConnectiCare pharmacy drug list, or formulary, that is covered for ConnectiCare SOLO plans. This drug list is effective for plan year 2021. DRUG LIST – 6 TIERS iv You can file a grievance in person at 175 Scott Swamp Road, Farmington, CT, or by mail or fax (860) 674-2232. If you need help filing a grievance, The Committee for Civil Rights is DERS. OVER-THE-COUNTER (OTC) MEDICATIONS AND PRODUCTS 2 Keep this catalog to reference for future orders. Your OTC benefit allows you to purchase medications, health and wellness items, and first . aid supplies with home delivery at no additional cost. CLINICAL REVIEW PREAUTHORIZATION REQUEST FORM CLINICAL REVIEW PREAUTHORIZATION REQUEST FORM - COMMERCIAL Page 1 of 2 08.19.19 . Please use this form for general preauthorization requests and site-of-service reviews.ACCESS PLANS
Access the most popular resources and find forms for reimbursement, coverage determination, and more. ELIGIBILITY AND BENEFITS ConnectiCare VIP Medicare Plans include a number of Medicare Advantage Plans. These plans, sometimes called "Part C," provide all of a member's Part A (hospital coverage) and Part B (medical coverage) and may offer extra benefits too. These extra benefits include, but are not limited to, preventive services including routine annual physicals, routine vision exams and routine hearing exams. PREAUTHORIZATION LISTS Dual special needs plan member information available through provider website. New 2020 codes. Reminders about caring for our Medicare Advantage members. Medical policies updated for 2020. Changes to claims payment for Medicare Advantage inpatient stays. Update on Medicare Beneficiary Identifiers (MBIs) 2020 updates to MedicareAdvantage plans
DENTAL PLANS
We offer fully-insured medical plans with preventive dental coverage for adults in addition to pediatric dental coverage. Features include: X-rays, including full-mouth or panoramic x-rays, one every 36 months; bitewing x-rays, one every six months. Employers can also add a ConnectiCare dental plan with both preventive and comprehensiveservices.
MEET CONNECTICARE'S LEADERSHIP TEAM ConnectiCare leadership. As senior vice president and chief operating officer, Robert Kosior ensures ConnectiCare products and services are the best in the market and competitively priced. He and his team understand the evolving health care market trends and collaborate with hospitals and providers to manage the cost of care for our membersFORMS AND DOCUMENTS
Pharmacy preauthorization. Fax the completed form to Pharmacy Services 1-860-674-2851 or mail to ConnectiCare, Attn: Pharmacy Services, 175 Scott Swamp Road, PO Box 4050, Farmington, CT 06034-4050. If you have any questions, call Provider Services at 1-800-828-3407, Monday through Friday 8:00 a.m. - 5:00 p.m. Eastern Time. MEDICATIONS COVERED & DRUG FORMULARY View the ConnectiCare drug list (or formulary) to see which medications and prescription drugs are covered by your ConnectiCareplan.
FREEDOM FORMULARY
i This document is the complete ConnectiCare pharmacy drug list, or formulary, that is covered for ConnectiCare SOLO plans. This drug list is effective for plan year 2021.2021 CONNECTICARE
Contact your ConnectiCare representative for help.3| 1 Tackling today's challenges, together Bumping elbows may have (temporarily) replaced linking arms, but we stand as strong as ever with the CLINICAL REVIEW PREAUTHORIZATION REQUEST FORM CLINICAL REVIEW PREAUTHORIZATION REQUEST FORM - COMMERCIAL Page 1 of 2 08.19.19 . Please use this form for general preauthorization requests and site-of-service reviews. CONNECTICUT-BASED HEALTH INSURANCE COMPANY ConnectiCare offers high-quality, affordable group, individual, and Medicare health insurance plans. Compare plans, find a doctor, getforms, and more.
SIGN IN | CONNECTICARE Why ConnectiCare. Our story ; ConnectiCare Centers . Farmington ; Manchester ; Waterbury ; Norwalk ; Care management ; Shelton ; Safety guidelines ; Financial help CONNECTICARE PROVIDERS Sign in for full access. With secure, convenient access to the ConnectiCare provider portal, you can: View status of pending bills and claims. Keep your profile up toCONNECTICARE LOGIN
Individuals and families can find the plan that’s right for them at ConnectiCare, the Connecticut health insurance provider that putspeople first.
CONNECTICARE DIRECTORY Printed Directory. You can also request a printed copy of the ConnectiCare provider directory by sending an email to: info@connecticare.com. If you are a Medicare customer, you can also call 1-800-224-2273, (TTD: 711 ). Phone services are available 8:00 am to 8:00 pm Monday – Sunday. Effective 1/1/2021: ACCOUNT INFO, PAYMENT OPTIONS & ONLINE BILL PAY Call 1-800-333-1733 (TTY: 711 ), 24 hours a day, seven days a week, to use our automated payment system. In person: At any People’s United Bank with check or cash. Make sure you bring your bill with you. Or come to a ConnectiCare Center and we’ll help you complete your payment online, by phone or mail. PREAUTHORIZATION LISTS Dual special needs plan member information available through provider website. New 2020 codes. Reminders about caring for our Medicare Advantage members. Medical policies updated for 2020. Changes to claims payment for Medicare Advantage inpatient stays. Update on Medicare Beneficiary Identifiers (MBIs) 2020 updates to MedicareAdvantage plans
CONNECTICARE PROVIDER SELF SERVICE Eligibility/Benefits Allows providers to confirm member eligibility and plan-specific benefits. Claim Status Offers providers the ability to check on the status of TELEMEDICINE BRINGS A DOCTOR TO YOUR DOOR Teladoc ® is a telemedicine provider that serves more than 4 million Medicare members nationwide. It’s available 24 hours a day, seven days a week. Most ConnectiCare Medicare Advantage plans cover Teladoc visits for just $45 in 2020.* COMMERCIAL PROVIDER APPEAL REQUEST FORM Title: Commercial Provider Appeal Request Form Author: ConnectiCare Subject: Commercial Provider Appeal Request Form Keywords: Use this form if you would like to request reconsideration of a claim that was denied for administrative purposes (e.g., filing limit, coding edits). CONNECTICUT-BASED HEALTH INSURANCE COMPANY ConnectiCare offers high-quality, affordable group, individual, and Medicare health insurance plans. Compare plans, find a doctor, getforms, and more.
SIGN IN | CONNECTICARE Why ConnectiCare. Our story ; ConnectiCare Centers . Farmington ; Manchester ; Waterbury ; Norwalk ; Care management ; Shelton ; Safety guidelines ; Financial help CONNECTICARE PROVIDERS Sign in for full access. With secure, convenient access to the ConnectiCare provider portal, you can: View status of pending bills and claims. Keep your profile up toCONNECTICARE LOGIN
Individuals and families can find the plan that’s right for them at ConnectiCare, the Connecticut health insurance provider that putspeople first.
CONNECTICARE DIRECTORY Printed Directory. You can also request a printed copy of the ConnectiCare provider directory by sending an email to: info@connecticare.com. If you are a Medicare customer, you can also call 1-800-224-2273, (TTD: 711 ). Phone services are available 8:00 am to 8:00 pm Monday – Sunday. Effective 1/1/2021: ACCOUNT INFO, PAYMENT OPTIONS & ONLINE BILL PAY Call 1-800-333-1733 (TTY: 711 ), 24 hours a day, seven days a week, to use our automated payment system. In person: At any People’s United Bank with check or cash. Make sure you bring your bill with you. Or come to a ConnectiCare Center and we’ll help you complete your payment online, by phone or mail. PREAUTHORIZATION LISTS Dual special needs plan member information available through provider website. New 2020 codes. Reminders about caring for our Medicare Advantage members. Medical policies updated for 2020. Changes to claims payment for Medicare Advantage inpatient stays. Update on Medicare Beneficiary Identifiers (MBIs) 2020 updates to MedicareAdvantage plans
CONNECTICARE PROVIDER SELF SERVICE Eligibility/Benefits Allows providers to confirm member eligibility and plan-specific benefits. Claim Status Offers providers the ability to check on the status of TELEMEDICINE BRINGS A DOCTOR TO YOUR DOOR Teladoc ® is a telemedicine provider that serves more than 4 million Medicare members nationwide. It’s available 24 hours a day, seven days a week. Most ConnectiCare Medicare Advantage plans cover Teladoc visits for just $45 in 2020.* COMMERCIAL PROVIDER APPEAL REQUEST FORM Title: Commercial Provider Appeal Request Form Author: ConnectiCare Subject: Commercial Provider Appeal Request Form Keywords: Use this form if you would like to request reconsideration of a claim that was denied for administrative purposes (e.g., filing limit, coding edits). CONNECTICARE PROVIDER HOME Provider Connections. Coronavirus information and resources: Visit our web page for ongoing information and updates regarding the coronavirus. EmblemHealth, based in New York is the parent company of ConnectiCare. Through Emblem Health’s website, you will have access to EmblemHealth’s: Register (or sign in) for the EmblemHealthwebsite.
ACCESS PLANS
Access the most popular resources and find forms for reimbursement, coverage determination, and more. PREAUTHORIZATION LISTS Dual special needs plan member information available through provider website. New 2020 codes. Reminders about caring for our Medicare Advantage members. Medical policies updated for 2020. Changes to claims payment for Medicare Advantage inpatient stays. Update on Medicare Beneficiary Identifiers (MBIs) 2020 updates to MedicareAdvantage plans
MEDICATIONS COVERED & DRUG FORMULARY View the ConnectiCare drug list (or formulary) to see which medications and prescription drugs are covered by your ConnectiCareplan.
FORMS AND DOCUMENTS
Pharmacy preauthorization. Fax the completed form to Pharmacy Services 1-860-674-2851 or mail to ConnectiCare, Attn: Pharmacy Services, 175 Scott Swamp Road, PO Box 4050, Farmington, CT 06034-4050. If you have any questions, call Provider Services at 1-800-828-3407, Monday through Friday 8:00 a.m. - 5:00 p.m. Eastern Time. REIMBURSEMENT POLICIES Bill CPT codes 95812, 95813, 95816, 95819, 95822, and 95827 with a diagnosis code that supports the use of extended EEG testing. Not allowed for separate reimbursement when performed in the office setting. Services will be reimbursed according to the policy. ConnectiCare recognizes CMS facility location only services. CONNECTICARE CONNECTICARE FLEX POS PLANS ConnectiCare offers a full range of health insurance products such as health savings accounts, individual insurance and college tuition rewards. Our new Claim Summary, previously known as Explanation of Benefits (EOB), clearly shows members how their claims were processed according to their plan benefits. TELEMEDICINE BRINGS A DOCTOR TO YOUR DOOR Teladoc ® is a telemedicine provider that serves more than 4 million Medicare members nationwide. It’s available 24 hours a day, seven days a week. Most ConnectiCare Medicare Advantage plans cover Teladoc visits for just $45 in 2020.* CONNECTICARE CHOICE PLAN 3 (HMO) OFFERED BY CONNECTICARE Additional Resources This document is available for free in Spanish. Please contact our Member Services number at 1-800-224-2273 for additional information. (TTY users should call 711.) Hours are 8 am to 8 pm, 7 days a week. We can also provide information in a way that works for you (information in large print or other alternate formats). Please call Member Services at the number listed above DERS. OVER-THE-COUNTER (OTC) MEDICATIONS AND PRODUCTS 2 Keep this catalog to reference for future orders. Your OTC benefit allows you to purchase medications, health and wellness items, and first . aid supplies with home delivery at no additional cost. Skip to Main Content* Media Center
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When it comes to your health, there’s nothing like a little one-on-one help. We can help you understand your benefits and get the most out of your plan. ConnectiCare centers are temporarily closed, but our staff is available by phone. Find a ConnectiCare center.×
BEFORE YOU CONTINUE: IF YOU BOUGHT YOUR PLAN THROUGH ACCESS HEALTH CT, the Connecticut health insurance marketplace, you will get IRS Form 1095-A in the mail. More information is on the Access Health CT website. MEMBERS OF PLANS ADMINISTERED BY CONNECTICARE FOR SELF-INSURED EMPLOYERS will receive copies of IRS Form 1095-C directly from theirplan sponsors.
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Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage.Details
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