Home
Active and Pre-65 Retirees
Medicare Primary Retirees
News & Announcements
![Mount Sinai Contract Update]([{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_1/v1777379299/ouhealthorg/jmjprhdljmobhnjxcuqn/mountsinaicopy2.png","width":256},{"url":"https://resources.finalsite.net/images/f_auto,q_auto/v1777379299/ouhealthorg/jmjprhdljmobhnjxcuqn/mountsinaicopy2.png","width":497}])
We’re pleased to share that Anthem Blue Cross and Blue Shield in New York has reached a new three-year agreement with Mount Sinai, restoring access to one of the region’s leading health systems while supporting lower cost of care trends and long-term stability for our clients and members.
![OU Health Newsletter]([{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_1/v1773770996/ouhealthorg/q5w1jv42asbayqblrd7p/ouhealthnewsletter.jpg","width":256},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_2/v1773770996/ouhealthorg/q5w1jv42asbayqblrd7p/ouhealthnewsletter.jpg","width":512},{"url":"https://resources.finalsite.net/images/f_auto,q_auto/v1773770996/ouhealthorg/q5w1jv42asbayqblrd7p/ouhealthnewsletter.jpg","width":671}])
The plan is aware some claims were denied by Luminare from 2025 as well as some Medicare claims from Jan-Feb 2026 after Luminare’s contract expired on 12/31/25.
Sage anticipates, based on the volume of claims received, that the reprocessing of the claims referenced above will be completed in 30-60 days.
![Sage logo]([{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_1/v1766087365/ouhealthorg/mfho4s026svmrocffplf/image.png","width":256},{"url":"https://resources.finalsite.net/images/f_auto,q_auto/v1766087365/ouhealthorg/mfho4s026svmrocffplf/image.png","width":391}])
The plan is aware that Luminare has denied some claims from 2025 after their contract with OU Health ended on 12/31/25.
Sage recently received a file containing all of the claims that were submitted to, and denied by, Luminare and will be reprocessing those claims for payment.
![Sage logo]([{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_1/v1768486766/ouhealthorg/fuc25qihbf5m679cxurb/Sage_logo_larger.jpg","width":256},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_2/v1768486766/ouhealthorg/fuc25qihbf5m679cxurb/Sage_logo_larger.jpg","width":512},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_3/v1768486766/ouhealthorg/fuc25qihbf5m679cxurb/Sage_logo_larger.jpg","width":800},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_4/v1768486766/ouhealthorg/fuc25qihbf5m679cxurb/Sage_logo_larger.jpg","width":1200},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_5/v1768486766/ouhealthorg/fuc25qihbf5m679cxurb/Sage_logo_larger.jpg","width":1600},{"url":"https://resources.finalsite.net/images/f_auto,q_auto/v1768486766/ouhealthorg/fuc25qihbf5m679cxurb/Sage_logo_larger.jpg","width":1800}]){kind=logo}
Effective January 1, 2026, the Orange Ulster Health Plan will transition to a new Third-Party Administrator (TPA) from Luminare Health to Sage TPA.
![Woman hiker enjoys the view at sunset on the Shawangunk Ridge.]([{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_1/v1756928021/ouhealthorg/ueokzvcpuzpagml5wzjw/GettyImages-OutdoorHealthweb.jpg","width":256},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_2/v1756928021/ouhealthorg/ueokzvcpuzpagml5wzjw/GettyImages-OutdoorHealthweb.jpg","width":512},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_3/v1756928021/ouhealthorg/ueokzvcpuzpagml5wzjw/GettyImages-OutdoorHealthweb.jpg","width":800},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_4/v1756928021/ouhealthorg/ueokzvcpuzpagml5wzjw/GettyImages-OutdoorHealthweb.jpg","width":1200},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_5/v1756928021/ouhealthorg/ueokzvcpuzpagml5wzjw/GettyImages-OutdoorHealthweb.jpg","width":1600},{"url":"https://resources.finalsite.net/images/f_auto,q_auto/v1756928021/ouhealthorg/ueokzvcpuzpagml5wzjw/GettyImages-OutdoorHealthweb.jpg","width":2000}])
Spending time outdoors is more than just a way to enjoy fresh air - it can be a powerful tool for supporting your emotional and mental well-being. Research shows that nature helps reduce stress, improve mood, and restore energy. Whether you take a short walk in a park, sit outside during lunch, or plan a weekend hike, being outdoors can give your mind and body the reset it needs.
![A crossing guard holds a stop sign as students cross in front of a bus.]([{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_1/v1755616229/ouhealthorg/f8cagxvhlglxla6ap35y/GettyImages_SchoolSafety.jpg","width":256},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_2/v1755616229/ouhealthorg/f8cagxvhlglxla6ap35y/GettyImages_SchoolSafety.jpg","width":512},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_3/v1755616229/ouhealthorg/f8cagxvhlglxla6ap35y/GettyImages_SchoolSafety.jpg","width":800},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_4/v1755616229/ouhealthorg/f8cagxvhlglxla6ap35y/GettyImages_SchoolSafety.jpg","width":1200},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_5/v1755616229/ouhealthorg/f8cagxvhlglxla6ap35y/GettyImages_SchoolSafety.jpg","width":1600},{"url":"https://resources.finalsite.net/images/f_auto,q_auto/v1755616229/ouhealthorg/f8cagxvhlglxla6ap35y/GettyImages_SchoolSafety.jpg","width":2121}])
As the school year kicks off and routines ramp up, it’s a great time to review and reinforce safety habits with your kids. Whether they’re walking, biking, or riding the bus, these tips can help keep them safe and confident all year long.
![High temperature on a thermometer with sunflowers in the background.]([{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_1/v1755613573/ouhealthorg/utwsefvun5tkk90dohxm/GettyImages-Hot_weather.jpg","width":256},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_2/v1755613573/ouhealthorg/utwsefvun5tkk90dohxm/GettyImages-Hot_weather.jpg","width":512},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_3/v1755613573/ouhealthorg/utwsefvun5tkk90dohxm/GettyImages-Hot_weather.jpg","width":800},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_4/v1755613573/ouhealthorg/utwsefvun5tkk90dohxm/GettyImages-Hot_weather.jpg","width":1200},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_5/v1755613573/ouhealthorg/utwsefvun5tkk90dohxm/GettyImages-Hot_weather.jpg","width":1600},{"url":"https://resources.finalsite.net/images/f_auto,q_auto/v1755613573/ouhealthorg/utwsefvun5tkk90dohxm/GettyImages-Hot_weather.jpg","width":2121}])
Heat-related illness can strike quickly—especially during summer. Whether working outdoors or in hot indoor environments, knowing how to identify and respond to early symptoms can prevent serious health consequences, including heat stroke and even death.
![Hispanic male at a doctors appointment with a black female doctor checking blood pressure]([{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_1/v1749565892/ouhealthorg/skqh0zyrhrbhuhzyif3a/MensHealth-2205295797.jpg","width":256},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_2/v1749565892/ouhealthorg/skqh0zyrhrbhuhzyif3a/MensHealth-2205295797.jpg","width":512},{"url":"https://resources.finalsite.net/images/f_auto,q_auto/v1749565892/ouhealthorg/skqh0zyrhrbhuhzyif3a/MensHealth-2205295797.jpg","width":724}])
Men’s Health Month is here—a dedicated time to spotlight the health risks men face and how many of them can be prevented. The goal? Raise awareness, encourage early detection, and promote healthier lifestyles for men and boys everywhere.
Did you know that, on average, men live nearly five years less than women? According to the CDC, men die at higher rates from 9 of the top 10 causes of death and make up over 92%of workplace fatalities. These aren’t just statistics—they’re a call to action.