Althoughartificial joints can themselves be replaced,the outcome for asecond replacement, called a revision,is generally not as great as with the first. 0000082501 00000 n
0000098103 00000 n
It takes about two weeks to be effective, so don't wait. "The most recent comprehensive reviews comparing (hyaluronic acid)to steroid and corticosteroid injections indicate no clinical benefit for either pain reduction or improved physical functioning," Aaron Miller,a Priority Health spokesman, said in an e-mail. hbbd```b```R,"9EA$d_"fEejA$T "\@78F`Ql0DJr`` R$5 Adults also want to keep an eye out for boosters and vaccines that have become available during their lifetime. For up-to-date news, facts, and information about the company, leadership, and industry, please visit the BlueCross BlueShield News Center or follow us on Twitter. 0000011326 00000 n
We currently don't offer resources in your area, but you can select an option below to see information for that state. This includes: Visits to PCPs, specialists (with an OK ahead of time for out-of-network providers), or other providers hb``Pe``g```cd@ >G*$)Xnz9q?6/Q6
/2pz8 pN&9?;eHI}q~ 3p
Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Vaccines are effective. And severe reactions to vaccines occur so rarely that the risk is usually difficult to calculate. 0000011005 00000 n
Still, Guettler emphasized that even successfulinjections don't make the arthritis go away; they generally buypatients"a few years" before needing a replacement. 0000071497 00000 n
0000072437 00000 n
For the other third of his patients, such as those who are bone-on-bone and not candidates for injections,"sometimes the arthritis is too far gone and they really need to move onto something like knee replacement," Guettler said. More information is available in thespecialty pharmacy program member flier. 0000072604 00000 n
If you are taking, or prescribed, a drug that is newly introduced to the market on or after October 1, 2015, you may need to have your doctor submit a prior authorization request in order to get benefits for such drugs. 0000033935 00000 n
There are 2 brands of rabies vaccine for humans. Most PDF readers are a free download. Use ourProvider Finderto search for doctors and other health care providers near you. -Vaccinations reduce risk of deadly diseases while building immunity-, BlueCross BlueShield Breaks Down the Facts about Vaccines, Centers for Disease Control and Prevention, Site-Neutral Payments Would Save Nearly $500 Billion Over 10 Years, Blue Cross Blue Shield Association Statement on Medicare Advantage Risk Adjustment Validation Rule, Blue Cross Blue Shield Association Policy Solutions Could Lower Health Care Costs by $767 Billion, Blue Cross Blue Shield Companies Form Synergie Medication Collective, a New Venture to Radically Improve Affordability and Access to Costly Medications for Millions of Americans, Congress Passes Meaningful Changes to Expand Mental Health Support, Improve Maternal Health, and Lower Costs for Consumers, Blue Cross and Blue Shield of Louisiana Offers Services to Members Affected by Hurricane Ida, Blue Cross Of Idaho And The Blue Cross Of Idaho Foundation For Health Commit To Expanding Health Equity Across Idaho, Blue Cross Blue Shield of Wyoming Announces New Board Member, James G. Springfield Named President of Blue Cross and Blue Shield of Texas. Under the Affordable Care Act, insurance plans that cover children now allow parents to add or keep adult children on their health insurance policy until they turn 26 years old. A first-line drug is recognized as safe and works well in treating a specific medical condition, as well as being a cost-effective treatment option. Had the Blues goneforward and stopped coverage, patients who optfor the knee joint lubricating shotswould have had to pay the cost of roughly $450to $1,000 out of pocket. Booster shots offer continued immunity by building on the effectiveness of the previous vaccine, so it's important parents don't skip the recommended vaccinations. Effective date of service 1/08/2011. It takes about two weeks to be effective, so don't wait. Medicare Part D or Medicare Advantage Plan Part C that offers Medicare prescription drug coverage may also have coverage for the following: Most state Medicaid agencies cover at least some adult immunizations, but some may not offer any vaccines. It's also one of the easiest ways you can stay healthy. All information these cookies collect is aggregated and therefore anonymous. Blue Cross Blue Shield of Michigan and Blue Care Network members who want to get vaccinated. Coverage under Blue Cross/Blue Shield varies by the employer group and whether they have selected immunizations as a plan benefit. Maintenance medications are those drugs you may take on an ongoing basis to treat conditions such as high cholesterol, high blood pressure or diabetes. Effective date of service 11/01/2006; Please note the age for this vaccine is 60 years of age and older based . Your dashboard may experience future loading problems if not resolved. 0
For example, you may need to pay if you dont have your Blue Cross or BCN member ID card on you when you get your flu shot. The American Academy of Orthopedic Surgeons, following a review of multiple patient studies,stopped recommending hyaluronic acid injections for knees in 2013 "based on a lack of efficacy, not on potential harm.". These medications are listed along with the first use approved by the U.S. Food and DrugAdministration, butmay be prescribed for conditions other than those noted and would still be part of the step therapy program. 0000081606 00000 n
As flu season approaches, Dr. Thomas Schenk breaks down the facts about vaccines in BlueCross BlueShield of Western New Yorks latest free Point of Health audiocast. HW]o6}CEZh#Yr)9,;vb01EsyE?}On_=7x[-^.kSluk\brn1],Fz:3Qf8uSv~Zseg.Yy""Wd#?.H/JRSit,# What's the difference between HMO and PPO plans? Insurer Anthem Will No Longer Cover Many Scans Done By Hospital-Owned Clinics : Shots - Health News MRI and CT scans done at hospitals for outpatients are often too expensive, says the firm, which . Many routine vaccinations are considered preventive care under the Affordable Care Act and must be covered with no charge to you for visits to an in-network provider. Immunizations and Vaccinations IMMU-3 . Human Papilloma Virus (types 16 and 18); Cervarix. To access your member services, please visit your BCBS company. You might also want to know the symptoms of the flu versus COVID-19. Your health care provider can give you more details. Vaccines work by exposing your immune system to components of a bacteria or virus that might make you ill and allows your body to build immunity. If you have Blue Cross prescription coverage, call your pharmacy to see if they take your health plan. Doctors agreed that all three women needed a series of shots to protect them from the deadliest virus known to medicine -- rabies. endstream
endobj
startxref
JulieKS 26 May 2016. 0000065651 00000 n
Protect Your Health with Vaccinations - Blue Cross and Blue Shield's Federal Employee Program Back to BlueNews Protect Your Health with Vaccinations Vaccines can prevent or reduce your risk of developing deadly diseases. But the injectionsworked, he said,allowinghim to forgoknee replacements for now. Please note that not all drug categories are included in all benefit plans. Coverage benefits and requirements may vary based on your plan benefits. We take your privacy seriously. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Preventive Care Plans & Guidelines. A new preventive vaccine may not specifically appear in the formulary, but the plan may still cover the vaccine. Rabies Travel immunizations . "This change was made to help offset the continuous rise in prescription drug costs and provide our customers the best medications for the best price," said Blue Cross Blue Shield spokeswoman Koko Mackin. These include CT, MRI, MRA, PET and SPECT. If you received a Pfizer or Moderna vaccine, you are eligible for a booster shot five months or more after the initial shots. As a community-based, not-for-profit health plan, BlueCross BlueShield contributes significantly to organizations that strengthen and enrich the health of our community. Updated April 15, 2022. Acourse of treatment generally includes three to five hyaluronic acidinjections spread over three to five weeks. 0000004829 00000 n
The same is true for people who are 65 and older. You will get a partial fill of your prescription and only pay for what was filled (a prorated cost of your benefits). About BlueCross BlueShield of WNY The list of covered vaccines protected by the mandate include: While the above vaccines are required of most Marketplace health insurance plans, check your BCBC benefits summary or call the phone number on your plan ID card for confirmation of coverage. All Blue Cross Blue Shield Medicare Advantage plans must provide all of the same coverage as Medicare Part A and Part B, which together are often called Original Medicare. Most Medicare Advantage plans also offer extra benefits like dental, vision, prescription drug coverage and more, all of which are not covered by Original Medicare. Adult vaccines are important too. 0000056377 00000 n
Medicare Part B will pay for the following: Medicare Part D plans identify covered vaccines through formularies. The resources for our providers may differ between states. There are also additional guidelines if youre
Crucially, hyaluronic acidinjections do notdamageremainingjoint cartilage, a danger with repeated cortisone injections. Cookies used to make website functionality more relevant to you. Below is a breakdown of what vaccines are covered by which BCBS plans. Highmark Blue Cross Blue Shield of Western New York is closely monitoring the COVID-19 (Coronavirus) situation. ", "The primary concern of the doctors is that this leaves them with few therapeutic options to offer their patients with osteoarthritis," Johnson said. Make sure to get all the screenings and vaccines recommended for your age and gender. BlueCross BlueShield of Western New York is a division of HealthNow New York Inc., an independent licensee of the BlueCross BlueShield Association. Part D plan formularies must include all commercially available vaccines (except those covered by Part B). Blue Shield of California HMO Benefit Guidelines Original Date: 01/01/1999 Revision Date: 01/01/2019 Effective Date: 01/01/2019. Not Registered? In either case, there is no risk of a person or animal contracting rabies from the vaccine. BlueShield offers a full range of insured, self-insured, and government programs and services covering businesses, families, and individuals, as well as life and disability coverage, dental and vision plans and stop-loss coverage. Visit AetnaBCBS-MedicareAdvantage.com to compare Medicare Advantage plans, side by side. Vaccinating your child is key. Check with your insurance provider for details on whether there is any cost to you for this vaccine. Most PDF readers are a free download. External link You are leaving this website/app (site). TP. Blue Cross told medical providers last week that it will continue paying for hyaluronic acid injections, also known as viscosupplementation therapy, as it reviews additional information about the injections' effectiveness. %%EOF
The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Does Blue Cross Blue Shield Cover Cataract Surgery? Getting vaccinated early is important, because the flu is highly contagious and spreads rapidly. 0
Did you know preventive health measures and screenings can prevent 85% of illness and disease, and are covered at no cost for many plans? Make sure to get all the screenings and vaccines recommended for your age and gender. 0000007217 00000 n
If you have BCBSTX prescription drug benefit coverage, you have access to our team of clinical pharmacists and other resource tools to help answer questions you may have about your prescriptions. Blue Cross Blue Shield of Michigan has reversed itsdecision to stopcovering ananti-arthritis injectionfor knees that some doctorsinsist helpspatients butothers contend islittle better than a placebo. There is certainly a small percentage of people who are really glad they got these injections," Hallstrom said. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. ", He continued, "Making a procedure availablesimply to have an 'option'to offer is not justified if the option offered does not really impact the patients clinical outcome in a positive way.". Yes, the drug had been pre-approved, but only if Brough bought it herself through the online pharmacy Express Scripts, and only if she gave herself the shots. The most convenient way to get care is by requesting a visit on . Does it cover this drug? BCBSTX covers all medically necessary care that Medicaid covers. As a result, people with private insurance often find they have zero copays for routine vaccinations at retail pharmacies. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org, flu vaccine prevented 7.5 million influenza illnesses, anyone over the age of six months should get a flu shot. Any adult 65 or older, should be administered the shingles and phenomena vaccines once. Additional categories may beaddedand the medications listed are only examples.
Please update your browser if the service fails to run our website. "Now I can get out of a chair with no problem. This is true even for patients who have not met a yearly deductible. BCBSTX covers all medically necessary care that Medicaid covers. Saving Lives, Protecting People, Contact your plan to find out about coverage, vaccines are covered according to the CDC recommended schedule, National Center for Immunization and Respiratory Diseases, U.S. Department of Health & Human Services. endstream
endobj
550 0 obj
<>/Metadata 14 0 R/Pages 13 0 R/StructTreeRoot 16 0 R/Type/Catalog/ViewerPreferences<>>>
endobj
551 0 obj
<. Returning Shopper? Mail your prescription, completed order form and payment toExpress Scripts Pharmacy. 0000065999 00000 n
PDF File is in portable document format (PDF). Log in to yourBlue Access for MembersSMaccount to find a preferred specialty pharmacy near you. 0000081975 00000 n
That initial decision, announced in January,followed areview by Blue Cross of medical studies that questionedthe injections'effectiveness. On the other hand, Medicare Part Dor a Medicare Advantage plan that includes Part D coveragetypically does cover the vaccine. CDC now recommends that adolescents and young adults 16 through 23 years old may get a serogroup B meningococcal vaccine. In addition, some sites may require you to agree to their terms of use and privacy policy. A prescription may be required to cover 0000098142 00000 n
The health and well-being of our members is our top priority, and we remain committed to ensuring our members and customers have access to the care and information they need. Click here for information on the clinics. To find a vaccine pharmacy, visit bcbsil.com. "If it's the right patient, they usually benefit from it," he said. Follow him on Twitter@JCReindl. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Examples include hepatitis C, hemophilia, cancer and multiple sclerosis. To send a prescription order through the mail, log in to Blue Access for MembersSM. The vaccines are free, safe and effective and widely available for anyone age 5 and up. The pharmacist can also share ways to help you lower your out-of-pocket costs for your prescriptions. Parts needed such as man-made arms or legs and the parts needed to attach them, These services are covered when ordered by a doctor and are part of a written plan of care, Some drugs including brand name drugs need an OK from BCBSTX, Visits to PCPs, specialists (with an OK ahead of time for out-of-network providers), or other providers, Routine physicals for children from birth through 20 years of age, ordered and done by (or under the guidance of) your provider, Visits to doctors, specialists or other providers, Medical equipment given for use in the home, Within the limits of what is covered by Medicaid, Marriage and family planning, education and counseling services, Birth control medications, including long acting reproductive contraception (LARC), Orthotic braces, splints or ankle and foot supports, Medical or surgical treatment of disease, injury or defects of the foot, After-delivery care when medically necessary, BCBSTX uses Medicaid/CHIP Vendor Drug Program's (VDP) preferred drug list, Most generic and over-the-counter drugs are covered, Comprehensive Care Program services for members 20 years and under, Home health and other medically necessary services, Human organ and tissue transplants that are not still being tested, All corneal, bone marrow and peripheral stem cell transplants that are not still being tested, 8 a.m. to 5 p.m. Central Time Monday through Friday. Does Blue Cross Blue Shield Cover Home Health Care? You also receive at no additional charge: BCBSTX members who use oral oncology or hemophilia specialty drugs may have other in-network specialty pharmacy options. BCBSTX, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime Therapeutics LLC. COVID-19 Register to get vaccinated BC's COVID-19 Immunization Plan Vaccine . Does Blue Cross Blue Shield Cover Flu Shots? They help us to know which pages are the most and least popular and see how visitors move around the site. State and Federal Privacy laws prohibit unauthorized access to Member's private information. 0000056264 00000 n
I can go down stairs without thinking twice about it and I sleep through the night," Willard said. 0000015693 00000 n
We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. HPV. 0000002027 00000 n
0000014196 00000 n
This new site may be offered by a vendor or an independent third party. FEP will waive copays for all telehealth services provided by Teladoc during this time for all members. Some Blue Cross Blue Shield cover SilverSneakers membership as an extra benefit. Very rarely, people experience more serious side effects, like allergic reactions. Accredo is a trademark of Express Scripts Strategic Development, Inc. Prime Therapeutics LLC is a pharmacy benefit management company, contracted by BCBSTX to provide pharmacy benefit management and related other services. Blue Cross and Blue Shield of Illinois (BCBSIL) wants to help you be protected from illnesses such as the flu, pneumonia, shingles, rabies, hepatitis B, tetanus, diphtheria and pertussis. We should be concerned about the numbers of illnesses and death that were seeing from vaccine preventable diseases, including the flu.. You can learn about it here. We've put together this resource page to help you learn more about immunizations and the processes that ensure they are safe and effective. 2023 Blue Cross Blue Shield Association. We currently don't offer resources in your area, but you can select an option below to see information for that state. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Covered Services Blue Cross and Blue Shield of Texas (BCBSTX) gives health care benefits and access to care to help your child stay well. Select Your Gender. More information is available in thepharmacy vaccine program member flier. "This stuff actually works and we've had a lot of patients come through here," he said. In addition, some sites may require you to agree to their terms of use and privacy policy. The site may also contain non-Medicare related information. 0000056299 00000 n
"Herd immunity" is the benefit that everyone in the population receives when enough people are vaccinated, creating a safer environment for those who are too young or too . JU. xref
If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. 0000011143 00000 n
GRAND RAPIDS, Michigan Blue Cross Blue Shield of Michigan and Blue Care Network will waive all copays, deductibles and coinsurance for administration of COVID-19 vaccines to commercial. To listen to this episode, as well as past and future episodes visit www.bcbswny.com/pointofhealth. 0000023734 00000 n
Step therapy does not apply to the generic equivalents for these medications (if available), so if you and your doctor decide the generic equivalent is best for you, prior authorization is not required. "This is not totally true but the concern is understood. Knee replacement surgeries, which are covered by privateinsurance and Medicare,can cost$28,000 or more whenincluding physicaltherapy expenses. All Rights Reserved. The relationship between Accredo and BCBSTX is that of independent contractors. Immunizations. Health plans are required to cover new vaccine recommendations in the next plan year. There are also additional guidelines if you're pregnant. The following preventive services and immunizations do not apply to all health plans administered or insured by Blue Cross and Blue Shield of Alabama. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. You can also visit bcbs.com to find resources for other states. <<7679805911B4654AA04E8D7AE740CF2B>]/Prev 341293/XRefStm 2027>>
The CDC recommends that anyone over the age of six months should get a flu shot. For more information about how PCM works: Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). Anthem BCBS is part of the Anthem family of brands. Remember, most Medicare Advantage and Medicare Part D plans will typically cover the same set of vaccines, so there may be additional benefits or costs to consider when choosing between plans. Click on a tab below Deductible Post-Deductible Donut Hole Post-Donut Hole Copay Range FREE - $416 We cover the preventive services listed in the following charts at no additional cost to our members when the services . Resources. Tpryor12 2 Dec 2018. 0000021255 00000 n
Blue Cross hasn'tsaidwhen it anticipates its final decision on the injections. Unlike other vaccines, it can only be covered by Medicare prescription drug plans (Part D). If your patient needs help finding a pharmacy offering vaccine services, direct them to Premera Blue Cross Medicare Advantage Customer Service at 888-850-8526, Monday through Friday, 8 a.m. to 8 p . The following vaccines are usually covered by health insurance: Check with your insurance provider for coverage details. Watch: The mathematical reason your knuckles crack. 0000065328 00000 n
CDC twenty four seven. 97 0 obj
<>stream
Blue Cross Blue Shield of Michigan is a nonprofit corporation and independent licensee of the Blue Cross and Blue Shield Association. Hosted by BlueCross BlueShields Vice President, Corporate Relations, Julie R. Snyder, Point of Health audiocasts are posted bi-monthly and feature an interview with experts on health insurance and health care, covering a variety of perspectives and information. Once symptoms begin, the disease is almost always fatal. Step 2: If you and your doctor decide that a first-line drug is not right for you or is not as good in treating your condition, your doctor should submit astep therapy exception request for coverage of the other drug. They said, 'No, I've been great. Non-Covered: Rabies vaccinations, as a requirement for school or employment or related to an employment . A specialty pharmacy coordinator will contact you to confirm your correct mailing address and arrange delivery of your covered medications. These vaccines can help protect you from illnesses such as the flu, pneumonia, shingles, hepatitis B, meningitis, HPV, tetanus, diphtheria and pertussis. You can also visit bcbs.com to find resources for other states It looks like you're outside the United States. Call the number listed on your member ID card if you have any questions. "The surges are worrisome, but we are better off today than when the COVID-19 pandemic started," Yeats said. Does Blue Cross Blue Shield Cover SilverSneakers? 0000087965 00000 n
If you received the Johnson & Johnson COVID-19 vaccine, a booster shots is recommended two months or more after initial shot. 0000006203 00000 n
The new audiocast is the latest in the health plans Point of Health series launched in December of 2016. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Get access to your member portal. 0000019251 00000 n
0000017440 00000 n
Before the injections, Willard said he had trouble getting out of a chair andgoing down steps. Additional vaccines are typically covered if a plan member is exposed to a particular danger, such as a tetanus shot after stepping on a rusted nail. deesan 4 July 2018. Immunizations are important for all ages. Both are made from killed virus and have excellent efficacy and safety records. Heoftenawakened in the middle of the night from the pain. As always, cost is only one factor in choosing medication and treatment decisions are between you and your doctor. As part of your BCBSIL prescription drug benefit, you and your covered family members may get these select vaccinations at participating pharmacies. "It just made no sense," Darrell. 0000105402 00000 n
Contact JC Reindl: 313-222-6631 or jcreindl@freepress.com. hYko8+8E7);dqw:A$+m~g,I9R&b9`RHf%6bV1e
)ie{f3. 0000023561 00000 n
These cookies may also be used for advertising purposes by these third parties. Dr. Brian Hallstrom, a University of Michigan orthopedic surgeon, once regularly gave the injections,but has since mostly stopped after he came to doubt theireffectiveness. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices Preventive Care. If you do not currently have health insurance, visit www.HealthCare.govexternal icon to learn more about affordable health coverage options. One option is Adobe Reader which has a built-in reader. Medicare Part B covers some other vaccines as free preventive care, such as flu and pneumonia . Before you go, be sure to confirm the location's participation and hours, vaccine availability and ask about any other age limits, restrictions or requirements that may apply. Yes. 0000071775 00000 n
The site may also contain non-Medicare related information. Leading the way in health insurance since 1929. startxref
with or without notice. Medicare's Part A and Part B don't cover shingles vaccinations, even though the Centers for Disease Control and Prevention (CDC) recommends that everyone age 50 and older get the vaccine. The Pharmaceutical Care Management (PCM) program helps you get the best results from the medicines you take. Some radiology services need an OK from us before you get the service. "Every (Blue Cross Blue Shield) company sets its own value-based contracts with local providers," said a Blue Cross Blue Shield spokesperson. Understanding Health Care Costs and Quality, Provider Finder -Network Selection Criteria, HMO Provider Network Important Information, Making Your Health Insurance Work For You, Prescription Drug Changes and Pharmacy Information, Machine Readable Files for Transparency in Coverage, Prior Authorization Program for Members on a Metallic Health Plan, Prior Authorization Program for Members on the Basic or Enhanced (Quarterly and Annual) Drug Lists, Prior Authorization Program for Members on the Balanced Drug List, Prior Authorization Program for Members on the Performance (Quarterly and Annual) Drug List, Prior Authorization Program for Members on the Performance Select Drug List, Step Therapy Programs for Members on a "Metallic" Health Plan, Step Therapy Programs for Members on the Basic or Enhanced (Quarterly and Annual) Drug Lists, Step Therapy Programs for Members on the Balanced Drug List, Step Therapy Programs for Members on the Performance (Quarterly and Annual) Drug List, Step Therapy Programs for Members on the Performance Select Drug List. Just hand your member ID card to the pharmacist. You can download theSpecialty Pharmacy Program Drug List which includes a reminder about coverage for self-administered specialty medications. Does Blue Cross Blue Shield Cover Dental Implants? 47 0 obj
<>/Filter/FlateDecode/ID[<254D85E1757B4505B7EBB81A8835C047><685254373F1C654CA317E6E94AC24B77>]/Index[7 91]/Info 6 0 R/Length 163/Prev 107896/Root 8 0 R/Size 98/Type/XRef/W[1 3 1]>>stream
Select a state for information that's relevant to you. At $0 cost share for most Florida Blue members, it's the single best way to be protected from the flu. The. Please have your member ID card, prescription information and your doctors contact information available. 0000005457 00000 n
In addition to needing the vaccine to be administered by a network provider, certain other restrictions may apply to obtain full coverage of the vaccine.