No. The eligibility and underwriting guidelines will not change as it relates to the transition. All employers must be domiciled in Tennessee.
Yes. Membership with the Tennessee Dental Association is a requirement of the plans underwriting guidelines. To join the TDA, click here.
Will the transition to the new platform have any impact to the Health Plans underwriting guidelines or eligibility?site-admin2020-08-20T19:35:19+00:00
No. Currently, the underwriting and eligibility guidelines will not be changing because of the transition to the new platform.
Effective January 1, 2021, your monthly health care fee invoice will no longer come from Allied. Invoices will initially be mailed and in the future, you will be able to log into a new employer website to access your monthly invoice and manage your employee eligibility online. The monthly ACH payment will continue to be [...]
Phone number and addresses will change. Members will receive a new ID card after their transition that will include a new phone number for the Aetna One Advocate (A1A) Member Services.
No, TDA Insurance is and will remain the Plan’s Managing General Agency. Employers and Brokers will now have access to the Aetna 1 Advocate (A1A) team of experts.
Your day-to-day process should not be impacted. You will continue to utilize your Broker and/or TDA Insurance’s current Client Service Team to assist with your day-to-day changes and questions. Your members will continue to call Allied prior to their transition dates and will then call Aetna after their transition date for claims, customer service, medical [...]
This transition is providing our members with enhanced benefits and services, but even with these enhancements, rates are not being impacted. The expectation is that the TDCBT will benefit by utilizing the comprehensive Aetna network, the dedicated member advocate concierge program, integrated medical & RX clinical programs, as well as other value-based programs. You may [...]
Yes. However, you will only be able to transition beginning October 1, 2020. A group will be required to terminate and enroll as a new group. The group will be required to submit a termination form, receive a new rate quote based on new underwriting and then submit new group paperwork to be enrolled.