NCMS Plan Website Redesign Launched
The NCMS Plan (http://www.ncmsplan.com/) has had a
web presence for many years, but had not refreshed the look and feel of
the site in quite a while. The redesign was about giving the NCMS Plan a
more current look and highlighting features of the NCMS Plan more visibly.
One of the best new features is right on the front page…the rotating
“billboard” that allows us the flexibility to promote new programming in
an eye-catching way. Visitors will also find more personal elements
spotlighting George Fanelli (Account Service Representative) and Jason
Horay (Health Promotion Coordinator). One of the strengths of the NCMS
Plan is that practices get to know our staff on a personal level and
develop relationships based on trust and mutual respect. The new site also
highlights practices that have earned Practice Wellness grants
and shares their success
There are plans for further enhancements to the
website to reinforce our sales and marketing efforts and to distribute
NCMS Plan related materials in an efficient and secure manner.
Dedicated NCMS Plan Service Representative
The NCMS Plan's dedicated service representative for enrollment and
billing issues at BCBSNC (the health plan administrator) has added a new
member to the team over the summer, Dawn Burwell. Dawn can assist you with
adding employees or dependents, cancellations, address changes, or other
routine maintenance and billing issues.
Dawn has many years of
experience, including familiarity with the NCMS Plan assisting with
renewal processing. Please make a note of Dawn's name and her phone
number, 919-765-7759. The e-mail address and fax number will not change
(firstname.lastname@example.org and 919-765-3564,
Dawn is a contact for practice administrators only,
not individual employees or dependents. Of course, George Fanelli (Account
Service Representative, MMIC Agency) will continue to assist you with any
other concerns you may have.
Mellon HSA Product Enhancement
Over the summer, ACS|BNY Mellon HSA Solution, the NCMS Plan's Health
Savings Account administrator, announced the following new features and
- Direct Pay HSA fund transfers. This enhancement went live on July
1st and provides individual account holders the ability to directly
transfer funds from their HSA account to a personal checking or savings
account online. In addition, new account-to-account transfer
capabilities allow funds to be deposited into HSAs from personal
accounts. Direct Pay continues to be a popular feature for account
- Investment threshold reduced from $1500 to $1000. Beginning October
1, 2012, account holders can start investing into a wide selection of
mutual funds when their HSA checking account balance reaches $1,000.
Reducing the investment balance from $1,500 to $1,000 enables account
holders to begin investing sooner. Click here
to view investment options.
- Mobile access. Account holders can access HSA account balances and
transaction information from their mobile or smart phones. They can
check HSA account balance on- the- go as well as make changes to the
account profiles (for example mailing addresses and phone numbers). Note
that a security code will be needed for first time mobile device logon
(as it is a new and as of yet untrusted device) but the account password
remains the same. Click here
to view the FAQs available on the mobile browser.
These enhancements were shared directly with your employees who are HSA
account holders by e-mail and in account statements.
Question: One of my employees recently received an Explanation of
Benefits (EOB) for medical services and their claim was denied. The
employee believes this was an error. How can they appeal this
Answer: The NCMS Plan is administered by BCBSNC.
This administration includes claims adjudication and management of the
appeals process. When an employee disagrees with the way a claim has been
processed, their first step is to call BCBSNC Member Services,
1-877-248-3334. A BCBSNC representative can review the claim with them,
explain the EOB, and discuss the specific reasons for the denial.
If the employee is not satisfied with the explanation and
continues to believe the claim was processed in error, there is an appeals
procedure (including a First & Second Level Appeal) for resolution by
a BCBSNC review panel. A First Level appeal can be initiated via phone
with BCBS Member Services at the number referenced above, or by mail at
BCBSNC Customer Service P.O. Box 2291 Durham, NC 27702. The first level
appeal must be submitted within 180 days of claim denial. Requests for
review should always include your name & id number, the name of the
patient, the nature of the appeal and any information or clinical data
that may be helpful for the review. BCBSNC's Member Services website
provides more information about the appeals process and a Member Appeal
If the employee is dissatisfied with the outcome of the
First Level Appeal, they have the right to initiate a Second Level Appeal.
The appeal data will again be reviewed and findings mailed to the
employee. Employees can appeal to the North Carolina Department of
Insurance if the First and Second Level Appeals do not result in the
outcome they believe is correct. Instruction for NC DOI appeals are
included in Benefit Booklets available on BCBSNC's Member Services
If you have questions about the appeals process, call me
at (919) 878-7561 or e-mail email@example.com.
CEENTA Receives the First NCMS Plan Practice Wellness Grant
Charlotte Eye Ear Nose & Throat Associates, P.A. (CEENTA) has been
awarded a $15,000 grant from the North Carolina Medical Society Employee
Benefit Plan (NCMS Plan) for encouraging wellness and good health
practices among its employees.
CEENTA was the first group to
receive a Practice Wellness grant and in its full amount of $15,000 from
the NCMS Plan. To qualify for the grant, CEENTA pledged to create an
environment that supported healthy lifestyles; had 75 percent of its
enrolled employees complete a health assessment; and had 50 percent of its
employees attend a 30-minute educational seminar. On July 4 of this year,
CEENTA made all of its locations tobacco-free environments.
so appreciative of the NCMS Plan for making the Practice Wellness grant
program available to its participating practices,” said Annette Potts, the
director of human resources at CEENTA. “We have had an employee wellness
program for several years. When we were offered the opportunity to enhance
our wellness program even more, we were excited to take the challenge. Of
course, we were also excited to be the first to receive a grant and have
funds to continue our wellness initiatives.”
To learn more about
the Practice Wellness Grant Program and to apply, please contact mailto:Jason.Horay@mmicnc.com?Subject=Practice
Wellness Grant Program or call (919) 878-7530.
NCMS Staff Embraces Wellness
Over the past two years, the NCMS Plan has made dedicated efforts to
improve the health and wellness of its members with resources and
consultation for member practices. The Plan’s Board of Trustees, comprised
of physicians, believes that employers can play a role in helping practice
employees make healthy living decisions and lifestyle changes that make a
difference in their lives and improve their utilization of the healthcare
The North Carolina Medical Society (NCMS), as Plan
Sponsor, is leading by example. NCMS EVP, CEO Robert W. Seligson, embraces
wellness initiatives and has put in place opportunities for employees to
improve their health. Two years ago, a personal fitness trainer leased
space in the NCMS headquarters building. Seligson established an
arrangement for employees to attend fitness classes and personal training
sessions at a significant discount.
The benefits have been
realized in several ways. NCMS employees have lost weight ranging from 5
to 100 pounds. Feedback from employees is that they are more fit, feel
better about themselves, are more productive, and have reduced sick leave.
Even for employees who exercise on their own and do not access the
facility in the NCMS building, there is a prevailing atmosphere of
healthier living and support for their fitness endeavors. From a company
view, Seligson considers the benefits to be a significant return on
Other wellness efforts by the NCMS include eliminating
soda and snack vending machines; establishing a smoke-free property; and
providing health and wellness resources through the NCMS Plan.
Upcoming Practice Wellness Webinars
Don’t miss the last webinar in 2012...
November 13, 2012
Creating Practice Wellness Cultures
great promise for each of us. Unfortunately, unsupportive cultures
frequently undermine positive practices and our efforts to adopt healthier
Join Dr. Judd Allen for a review of the importance of
having a wellness culture. He will also defines culture and explore the
impact of five cultural dimensions: shared values, norms, peer support,
cultural touch points and the overall social climate.
Dr. Allen is President of the Human Resources
Institute, LLC, a research, publishing and consulting firm that focuses on
the creation of supportive cultural environments. He earned his Ph.D. in
Community Psychology from New York University. Dr. Allen serves on the
editorial board of the American Journal of Health Promotion and is a
member of the Board of Directors of the National Wellness Institute. Dr.
Allen has assisted several hundred government, business, and community
settings to bring about lasting and positive culture change. He has
authored more than 50 books, journal articles, training manuals and
software titles. His most recent books are Kitchen Table Talks for
Wellness, Bringing Wellness Home, A Family Guide to
Wellness, Wellness Leadership and Healthy Habits, Helpful
All attendees will receive a complimentary copy of
Dr. Allen's book, Wellness Leadership.
About the North Carolina Medical Society
As the largest physician organization in the state, the North Carolina
Medical Society (NCMS) is devoted to representing the interests of
physicians and protecting the quality of patient care. The NCMS Plan,
sponsored by the NCMS, is the only statewide employee benefits plan
designed specifically for North Carolina physicians.
information about many other benefits of NCMS membership, visit http://www.ncmedsoc.org/.