June 15, 2023

Free virtual mental health visits through Doc on Demand

Effective July 1, 2023, all UIChoice and UISelect health plan participants and their covered dependents can receive free virtual mental health visits through Doc on Demand. Choose from various licensed therapists or psychiatrists (for more complex issues) that can be available day or night. Get the help you need in days, not months. 

Virtual visits can be used for:

• Depression
• Workplace stress
• LGBTQ+
• Relationship issues
• Trauma and loss
• Social or general anxiety
• Addictions 

To get started, visit the Wellmark Doc on Demand flyer (pdf) to scan the QR code or the website DoctoronDemand.com/Wellmark.

June 30, 2022

Transparency in Coverage Rule

To improve health plan transparency in the cost of health services, the Transparency in Coverage Rule (TCR) requires self-funded health plans and insurers to disclose rates and other price information for all covered billable services. Wellmark has provided two machine-readable files publicly available beginning July 1, 2022, including:

• In-network allowed amount
• Out-of-network allowed amount, if applicable, based on threshold requirement

Review the public files effective July 1, 2022. 

Downloading files

The files are a specific file type, JavaScript Object Notation (.json.gz file format) as prescribed by the law. Wellmark cannot make the files available in other formats.

Please note, as machine-readable files, they are not readily interpretable by consumers. As such, members are encouraged to use the more member-friendly Find Costs tool available through myWellmark.com. The tool can help you find providers and even determine how much a visit will cost you before you receive services. The machine-readable files do not provide information on a member’s out-of-pocket charges.

June 8, 2022

Wellmark's Legal Notice for all Health Plan Members

This notice explains member rights as it applies to surprise medical billing when you see a provider or visit a healthcare facility that is not in our health plan network as it relates to Emergency Services or certain services at an In-Network Hospital or Ambulatory Surgical Center. 

To read the complete notice from Wellmark, please select the pdf link listed below:

• Your Rights and Protections Against Surprise Medical Bills (pdf)

Dec. 16, 2021

Wellmark 2022 Updates

(Plan members with UIChoice, UISelect, UI GRADCare, and SHIP)

The Transparency in Coverage Rule (TCR) and Consolidated Appropriations Act (CAA), signed into law in 2020, ensure consumers can make informed health care decisions and protect patients from surprise medical bills, transparency in costs, and more. Wellmark is prioritizing what must be done and is making a good-faith effort to comply with the new laws. As a result, effective Jan. 1, 2022, Wellmark will be implementing the following:

• Transparency in ID Cards: ID cards will include both in-network and out-of-network deductibles, OPMs, and how to find a network provider.
• Provider Directory: The online directory will be updated every 90 days.
• Continuity in Care: The opportunity to continue care for certain patients if their provider is no longer considered an in-network provider.
• No Surprise Billings: Establish new claim payment requirements for patient liability and balance billing if ER services are obtained from an out-of-network provider.

For further details and questions regarding Wellmark’s efforts with the TCR and ACC laws, please reach out to the customer service number 1-800-643-9724.

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