October 15, 2020
YOUR MED-1000 BENEFIT PLANS GOT AN UPDATE IN 2021!
smart-care:
a smart, new benefit design that will help you save your hard-earned money.
Click here to read the notice.
smart-care Sapphire Plan: Effective January 2021
The smart-care Sapphire Plan replaced the Value Plan.
smart-care Emerald Plan: Effective January 2021
The smart-care Emerald Plan replaced the Premium Plan.
YOUR SMART-CARE BENEFIT PLANS
Both the Sapphire Plan and the Emerald Plan include smart new features that will help you regain control over your healthcare spending!
About smart-care
Introducing the Fair Price Solution
The Med-1000 trustees appointed by Kroger and UFCW Local 1000 are committed to improving the benefits that you earn and deserve. We are partnering with experts in the field with decades of experience in negotiating fair prices for paying hospitals, surgery centers, outpatient facilities and dialysis clinics, which greatly reduces medical costs. For inpatient and outpatient services, we will allow you the freedom to choose almost any facility. You will also have access to a broad network of physicians and ancillary providers. Click here to use the physician and ancillary provider search tool.
Read on to learn about how your smart-care benefits will be delivered.
YOUR SMART-CARE PARTNERS
The Med-1000 Trustees have assembled a team of expert partners to deliver your smart-care benefits.
HMC HealthWorks
Utilization Management / Utilization Review
- The smart-care benefit designs will include precertification and prior authorization provided by HMC HealthWorks, a company with 40 years of experience ensuring patients are receiving medically necessary and appropriate care.
HealthSmart
The HealthSmart Network provides access to a national network of high quality, credentialed healthcare providers, which includes primary care doctors, radiologists, pediatricians, cardiologists, oncologists, gynecologists and many other specialties to meet your specific healthcare needs.
- The smart-care benefit design will now include HealthSmart's network of Professional care providers. HealthSmart will replace UnitedHealthcare as the network for physician care. The vast majority of Med-1000 participants will find their doctors are still in-network with HealthSmart. Click here to see if your doctor still is in-network. Select the "HealthSmart Physician/Ancillary Only" network from the dropdown list.
HST
Experts in negotiating fair prices for providers of Facility care, such as hospitals, surgery centers, outpatient centers and dialysis clinics.
- The smart-care benefit designs will include freedom of choice for facility care, while reducing your out of pocket costs. You will no longer need to use UnitedHealthcare providers for hospital and facility care. Med-1000 is partnering with HST, a company with over a decade of experience in negotiating fair prices for paying hospitals, surgery centers, outpatient facilities and dialysis clinics.
NEBA
Administrative Manager
- The smart-care benefit designs will be administered by NEBA, Med-1000's trusted partner since 1996. NEBA will continue to process your claims and serve as the Administrative Manager for the Med-1000 Health & Welfare Plan.
Rightway
Rightway's Navigators guide you to better health.
- Access a personal healthcare concierge through Rightway.
Rightway is your first stop to manage all your healthcare needs! Rightway Navigators are here to guide you, coordinating your care, helping you make the right choices along the way, and ensuring that you get the most out of your health plan. They are dedicated to improving your healthcare experience and will be your primary point of contact for member services. Call or chat with your dedicated Rightway Navigator to find a great doctor, review your symptoms, learn how much you can expect to pay, or dispute a suspicious bill.
Can't find your doctor in the HealthSmart Physician/Ancillary Only Network?
Nominate them to join the network here!
