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Astria Sunnyside Providers Leaving Health Alliance Northwest Network

On April 20, 2019, all active providers under Sunnyside Community Hospital & Clinics (Astria Sunnyside), including Sunnyside Home Health, will no longer be contracted with Health Alliance Northwest.

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Skilled Nursing Facilities Added to Simplete Tier 1 Coverage in Illinois

We are excited to announce that skilled nursing facilities (SNFs) are now included as Tier 1 providers for Simplete Medicare Advantage and Simplete Riverside Medicare Advantage plans.

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Members Now Have Easier Access to Diabetes Monitor

As of January 1, 2019, Medicare Advantage members no longer need preauthorization to get FreeStyle Libre glucose monitors. Members can also now get these monitors at durable medical equipment (DME) providers or in-network pharmacies that sell this product. The member’s out-of-pocket cost is the DME cost-sharing amount.

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New Preferred Cost-Sharing Pharmacy Added in Illinois

The Medicine Shoppe in Gibson City, IL is now a preferred cost-sharing pharmacy for Health Alliance Medicare members, bringing more savings to community residents.

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Polyethylene Glycol No Longer Covered Under Part D

The prescription form of polyethylene glycol is no longer being manufactured, and only the over-the-counter (OTC) versions are available. The Centers for Medicare & Medicaid Services (CMS) excludes OTC medications from the Part D benefit.

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