Deets
Standard date span used for ASO renewal reporting
What is a rolling 24/12?
ABA services will align with this in-office benefit
What is PCP?
This rider used to be available at the plan level but now is only available at the group level
What is MSK COE?
Start an LG quote, make common revisions and email to Legal for review.
How to complete an ASO SBC?
Indiv $1700; Family $3400 but not less than $3400 per person
What are the 2026 HDHP minimum deductible amounts?
Sustainable weight loss, sustainable weight loss with responsible prescribing and diabetes reversal*
What are the programs available from Virta?
Seamless experience that makes it easier for groups and agencies to collaborate and obtain access to online tools through the Employer Center portal
What is the new agency level attestation agreement?
$10,600/$21,200 for non-HSA plans
What are the 2026 maximum out of pocket limits?
Three new point solutions introduced for 2025
What are PriorityGPS, Sword, Carrot, PriorityIntegra, HealthBar and/or MSK COE? (Any three)
Used for rate and enrollment audit to be completed by Sales after the ASO renewal is complete
What is a specimen bill?
A $250 cap will apply to these medications obtained through the pharmacy per 30-day supply
What are anticancer medications?
The 3 Rx carve out PBMs that we will integrate with AND cover under our stop loss (9/1 and beyond)
Who are CVS/Caremark, DisclosedRx and SmithRx?
Term letter, Runout Period, Inquiry, Termination Checklist and Termed Fee Disclosure
What is needed to term an ASO group?
Coverage for this is moving from the certain surgeries benefit to the plan's standard surgery benefit
What is sleep apnea?
ASO plan positioned to combat NOMI threats with what two enhancements (name of plan and enhancements)
What is ASO WMP? What are copay-only plan design and built-in concierge support?