news&views Winter 2024 | Page 8

HEALTH BENEFITS

Changes to the ARTA Benefit Plans

Effective November 1 , 2024

Gary Sawatzky | Chief Operating Officer , ARTA

It ’ s that time of year again when ARTA announces the benefit plan design changes that are incorporated each November 1 .

In September , you received a personal renewal statement outlining the plan changes , which also included your updated monthly premium rates . I want to take this opportunity to remind you of the changes that were implemented so that you have a better understanding of them and how they affect your coverage .
The following changes became effective November 1 , 2024 , for all members covered by an ARTA Extended Health Care plan :
1 . Weight-Loss Medications Weight-loss medications were previously eligible for coverage under the lifestyle category of select ARTA Extended Health Care plans and the plans which utilize the ARTARx pharmacy . However , obesity is now recognized as a complex , multifactorial , progressive , and relapsing chronic disease , characterized by abnormal or excess body fat that impairs health , increases the risk of long-term medical complications , and reduces lifespan . ARTA has reclassified weight-loss medications as eligible for coverage under the general prescription drug coverage category . With more effective weightloss medications such as Wegovy entering the marketplace , there was an opportunity to help our members reach their overall health goals . Please note these medications continue to fall under the prior authorization program , which requires pre-approval from ARTA before claim reimbursement .
2 . Compression Stockings The annual maximum for compression garments is being increased from $ 250 to $ 500 . This includes coverage for support stockings , sleeves , and any other prescribed compression garments .
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