Nov 21

MESSA Update 11-19-13 (Personalized Help)

A Message from

MESSA’s Health Care Resources Department

November 19, 2013 

MESSA’s Medical Case Management Program 

When Severe Illness Strikes, Personalized Help is Just a Phone Call Away 

Medical research reveals that people who are severely ill or injured (about 20 percent of the population) incur about 80 percent of the medical expenditures in any one year. Nurses in MESSA’s Medical Case Management (MCM) program work hard to identify members who have been diagnosed with a serious illness or condition so that they can work with members and their families to identify the most appropriate services and providers.

MESSA’s MCM nurses provide personalized support and work directly with members and their families to ensure they access the right care at the right time and to help the members return to their highest quality of life. Our nurses also work to coordinate care with other insurers and to make sure the appropriate insurer pays for needed medical services.

If you are aware of a MESSA member who has recently sustained a catastrophic injury* or who is experiencing difficulty coping with a serious illness**, please let them know about the support MESSA’s MCM provides members. 

MESSA members can enroll in MCM by calling 800-441-4626. Nurse Coordinators are available 8 a.m. to 5 p.m., Monday through Friday, to answer questions related to MCM and enrollment.

*Examples of catastrophic injuries include (but are not limited to) head injuries, spinal cord injuries, amputations, severe burns, multiple fractures, etc.

**Examples of illnesses that often benefit from MCM include (but are not limited to) Cancer, ALS, MS, Huntington’s Disease, Muscular Dystrophy, Ventilator-dependence, Stroke, etc.

This electronic message and all information contained in this communication from MESSA is highly confidential and is intended solely for the use of the individual(s) to whom this communication is directed. If you are not the intended recipient, you are hereby notified that any viewing, copying, disclosure or distribution of this information is prohibited. Please notify the sender, by electronic mail or telephone, of any unintended receipt and delete the original message without making any copies.

Nov 20

MESSA Update 11-12-13 (Adult Children)

MESSA Group Services Newsletter

November 12, 2013

Adult Children Age 26

With certain restrictions, MESSA health plans provide medical coverage for members’ adult children up to age 26. In some cases, coverage for dependent adult children is extended beyond the age of 26 provided they meet eligibility requirements and have no lapse in coverage. For complete details please refer to the attached MESSA fact sheet entitled “Eligibility Guidelines for Adult Children Age 19 and Older.”

This week we will be mailing letters to our members who currently cover an adult child age 26 notifying them that coverage will end effective Dec. 31, 2013.

In certain circumstances, some of these children may be eligible for continued medical-only coverage (primarily if they have become dependent on their parents again, are unmarried and are currently a full-time college student carrying either 12 undergraduate or 6 graduate credits).Please notify your members of the school district’s cancellation policies if they differ from MESSA’s.

MESSA does not change coverage for dependents or adult children without a signed application from the member. It is the member’s responsibility to notify MESSA of any changes to their child’s eligibility for coverage. Adult Children that are no longer eligible for MESSA coverage should be notified of their COBRA rights.

We will mail to each school business office a report listing the employees to whom we’ve mailed letters. If an employee did not receive a letter or requests another one, please contact our office at 888.888.4167. Please remember that you can check on a dependent’s status on the Dependent Listing Report available in the Business Office area of www.messa.org.  This report is generated each month after the invoices are created.

MESSA Group Services

As always, please notify us of any e-mail address additions or changes!

Messagroupservices@messa.org

1475 Kendale Blvd., East Lansing, MI 48823

888.888.4167

 

Eligibility Guidelines for Adult Children Age 19 & Older

With certain restrictions, MESSA health plans provide medical coverage for members’ adult children upto age 26. In some cases, coverage for dependent adult children is extended beyond the age of 26provided they meet the eligibility requirements listed below and have no lapse in coverage.

In all cases, an enrollment application for continued coverage is required. Proof of eligibility may berequested before an application is approved. Members must notify their employer and MESSA of anychange in a dependent’s eligibility for coverage. Detailed information on eligibility can be found at www.messa.org.

Age 19 to 25 Dependent Coverage

Dependent adult children (including stepchildren, adopted children, and children for whom themember is legal guardian, however foster children are not eligible for coverage) are eligible formedical, dental and vision coverage until the end of the calendar year in which they turn 25.

Age 19 to 26 Adult Child (Not a Dependent) Coverage

Under the Affordable Care Act (ACA), adult children age 19 to 26 who are not dependent upon themember are eligible for medical-only coverage until the end of the calendar year in which they turn 26(or the end of the month in which they turn 26, at the discretion of the employer). Coverage for theseadult children is provided without regard to majority of support, dependent status, marital status or residency. (If a non-dependent adult child covered under this ACA provision becomes dependent on hisparents again, this medical-only coverage may be continued past age 26 as long as the adult child meets the Age 25 and Older dependent provisions below.)

Age 25 and Older Dependent Coverage

Dependent adult children are eligible for continued medical, dental and vision coverage beyond theend of the calendar year in which they turn 25 and continuously thereafter, provided they meet one ofthe following criteria. Annual verification of eligibility is required.

1.   They are a full-time student (carrying 12 undergraduate or 6 graduate credit hours),unmarried, and dependent on the member for the majority of their support.

2.   They have a mental or physical impairment, are dependent upon the member for the majorityof their support, and are not capable of self-sustaining employment by reason of their disability.Mental illness is not considered a cause of incapacity and is not a basis for continued coverage.

Questions?

Ask your local MESSA Field Representative or call

MESSA’s Member Service Center at 800.336.0013.

This electronic message and all information contained in this communication from MESSA is highly confidential and is intended solely for the use of the individual(s) to whom this communication is directed. If you are not the intended recipient, you are hereby notified that any viewing, copying, disclosure or distribution of this information is prohibited. Please notify the sender, by electronic mail or telephone, of any unintended receipt and delete the original message without making any copies.

Nov 11

Electronic W-2

Below is a message from our business office regarding W-2′s.  Please carefully read the message below and then Click Here.  To complete this task, you will need to log into the Employee Access Portal located on the RESA website.  The link to the website is: https://hrweb.resa.net/eemployee/  

 

Your username and password is the same that you use to view your electronic pay stub.

 

MESSAGE:

District employees now have the choice to receive their W-2 electronically.  Employees must make their election, in eEmployee (website where you can print your check stub), to receive your W2 electronically.  You can rescind your election within the election period which is now until December 31, 2013.  If you choose to receive your W-2 electronically, the district will NOT print out a W2 for you. You will be notified in January once the W2s are available on-line.  This process does meet all IRS requirements.  Attached are the instructions for your assistance.

 Please contact Lisa Kauppi if you have any questions.