All Commercial Plans
Pharmacy Coverage Update: Walmart Prescriptions
Effective August 1, 2025, certain medications will no longer be covered at Walmart pharmacies for Commercial plan members. These drugs are classified as specialty medications by Walmart but do not meet Select Health/Scripius criteria.
To support members during this change:
- A one-time exception allows prescriptions to be filled at Walmart through August 30, 2025.
- Members should speak with their doctor and transfer prescriptions to an in-network preferred pharmacy.
- Those who choose not to switch will need to pay out-of-pocket at Walmart.
Impacted members will receive a letter with details.
Thank you for helping ensure our members continue to receive high-quality care.
Small Employer
SE Level Funded Product - Commission Details
Select Health's Level Funded products offer employers the benefits of self-funding while maintaining the funding security of a fully insured plan. Here are some details for commissions:
Default Commission in Link: Link defaults commission to $40 PEPM, but agents can adjust this amount in $5 increments, ranging from $30 to $50 PEPM.
2025 Bonus Opportunity: Earn a $75 PEPM one-time bonus for any new Level Funded business written in 2025.
Accumulator Reminder: Level Funded groups can choose between calendar year or plan year accumulators. Be sure to select the correct option in Link at the time of quoting.
Member Discounts
We know that embracing a healthy lifestyle is easier when it costs less. Your clients may have access to discounts on products and services such as acupucture, health clubs, hearing aids, LASIK vision surgery, and massage therapy. These member discounts and wellness resources are available in addition to their health plan benefits. Browse our discounts, seasonal offers, and coupons at Discounts | Select Health.
Empower Your Select Health Clients with Mitratech’s Mineral – An Included Resource
Are you looking for a powerful way to add value for your Select Health clients? Introduce them to Mineral, a comprehensive HR and compliance solution available to them at no additional cost through Select Health.
Why Mineral is a Game-Changer for Your Clients:
One satisfied Select Health client, a Controller at a small business construction and engineering company, shared: "Mineral is offered to us at no additional cost from Select Health. This resource has helped us ensure compliance and answers HR questions without needing to pay for legal or alternative advice. Without Mineral, we'd have to pay again for outside HR assistance and redo all of our manuals and documentation."
Help Your Clients Realize Significant Savings:
- Time Savings:
- 37% of surveyed clients report saving 4 or more hours a week.
- 62% save 1-3 hours weekly on HR or compliance administration.
- Cost Savings:
- 37% of surveyed Mineral users estimate saving $5,000 or more by using Mineral instead of hiring additional HR staff or investing in a separate HR solution.
- 48% of clients estimate saving up to $1,000, while 20% save between $5,000 and $10,000.
These impressive figures are based on independent surveys, confirming Mineral's tangible benefits.
Encourage Your Clients to Leverage This Valuable Resource:
By sharing information about Mineral, you can help your Select Health clients streamline their HR, ensure compliance, and achieve significant cost and time savings. This is an excellent opportunity to reinforce your value as a trusted advisor.
Don't let your clients miss out on this incredible resource!
Individual
Preventing Loss of Advanced Premium Tax Credit Due to Data Matching Issues
We have observed a significant increase in members losing their Advanced Premium Tax Credit (APTC), likely due to unresolved Data Matching Issues (DMI). To prevent clients from having to pay the full premium when they should qualify for APTC, we urge you to assist them in resolving any DMIs as soon as possible.
Please note that our billing team will not be issuing refunds for full premiums pulled through auto payments.
Thank you for your prompt attention to this matter.
Member Payment Summary – A Comprehensive Resource
Did you know that the Member Payment Summary provides a more comprehensive list of how benefits are covered on a plan? The Summary of Benefits and Coverage is a federal template and may not show all the details of plan coverage. The Member Payment Summary can be found on selecthealth.org or through Select Health Link under specific members.
- On selecthealth.org go to Member Resources then click on Plan Documents. From there enter your search criteria and click search. Open the Member Payment Summary.
- From Link, hover over the Individual dropdown menu and click on Member Search/Maintenance. Search for your client and open the page by clicking on their name. Then scroll down to the Medical Plan section and and click on plan details highlighted in purple.
Questions? Please reach out to your Account Manager.
Large Employer
HealthEquity HSA Security Updates
HealthEquity is rolling out a major security update requiring all members to transition to passkey login starting in August, with full adoption expected by the end of September. Passkeys, which use built-in device security like Face ID or fingerprint, will replace traditional passwords to enhance account protection and streamline access to benefits through the HealthEquity Mobile and EZ Receipts apps.
What’s changing?
Members must download the appropriate app based on their benefit type and ensure their contact information is current to avoid login issues.
*Please note: A new version of the EZ Receipts app will be released, and users will need to reinstall it to enable passkey functionality.
Support your clients.
Please encourage your clients to help members prepare by promoting app downloads, updating contact details, and engaging with educational materials. Starting June 1, 2025, members are also reminded to regularly review HSA transactions and report any unauthorized activity within 60 days to ensure potential recovery.
Please note: This update applies to members across all commercial plans who utilize HealthEquity.
Questions? Contact Lyndee Astill (Lyndee.Astill@selecthealth.org), Select Health Product Development Manager.
Vision Plan Reminder
Select Health added a new plan option (Plan G) in 2025 that includes an eye exam through an EyeMed provider. This plan will continue to be offered in 2026.
Plan G offers a:
- $0 copay for an eye exam through an EyeMed provider
- $250 allowance towards frames, lenses, and contacts
IMPORTANT INFORMATION FOR GROUPS
If a group wants employees to receive both an eye exam and vision hardware from the same provider through EyeMed, they should consider selecting Plan G. With our other plans, employees must get their eye exam from a Select Health provider and obtain vision hardware separately through an EyeMed provider.
ADDITIONAL INFORMATION
Click the following links for additional information regarding our vision plans:
Questions? Contact Lyndee Astill (Lyndee.Astill@selecthealth.org), Select Health Product Development Manager.
