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ER vs. Urgent Care | Virginia Benefits Group

All too often, illness or injury appears out of the blue: You wake up in the middle of the night with intense abdominal pain. You stumble while carrying groceries up a flight of stairs and can no longer put weight on your swollen ankle. Or your baby spikes a high fever on the weekend. These … Continued

Transparency Rules Require Plan Sponsors to Act Now Before July 1 Deadline | VA Benefits Advisors

The Departments of Health and Human Services, Labor, and Treasury (the Departments) released Transparency in Coverage (TiC) rules in late 2020 that will require fully insured and self-funded plan sponsors of non-grandfathered group health plans to make important disclosures about in-network and out-of-network rates beginning July 1, 2022. To be ready to meet that deadline, … Continued

Understanding Your EOB | Virginia Benefits Team

Let’s say that you visited the doctor and you are wondering how much that visit is going to cost.  A short while later, you receive something in the mail that looks like a bill – and even says “amount you owe” at the bottom.  However, it doesn’t have a return envelope or tear-off portion for … Continued

The Affordability Test for 2022 Health Plans | VA Employee Benefits Consultants

The Affordable Care Act’s employer shared responsibility provision — often called the employer mandate or “play or pay” — requires large employers to offer health coverage to their full-time employees or face a potential penalty. (Employers with fewer than 50 full-time and full-time-equivalent employees are exempt.) Large employers can avoid the risk of any play … Continued

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