The DDP is a drug card plan in which the claimant is reimbursed directly by Assure Claims
|
|
- Archibald Jacobs
- 8 years ago
- Views:
Transcription
1 The DDP is a drug card plan in which the claimant is reimbursed directly by Assure Claims Management, instead of Great-West Life. GWL has given Assure the mandate to deal with pharmacies on their behalf in order to facilitate the operation of the CISVA Rx drug plan program. With the Deferred card, the claimant is reimbursed at the earlier of these two tiers: 1. Dollar Threshold Amount = $75, for the family, or 2. Deferred Period = 30 days
2 1. Dollar Threshold Amount = $75, for the family If the total cost of your eligible prescription drug purchase meets or exceeds $75, at the time of purchase, claims payment is released by Assure after 7-10 business days. 2. Deferred Period = 30 days If the total cost of your eligible prescription drug purchase, at the time of purchase, is less than $75, claims payment is released by Assure after 30 days Suggestion: sign-up for direct deposit through Member Portal so that you don t have to wait for snail-mail.
3 Plan continues: to be a reimbursement policy only You continue to pay 100% of the expenses up front & are then reimbursed accordingly for eligible expenses to reimburse at 80% for in-canada, non-emergency expenses to maintain a $25.00 annual, family deductible to maintain the claims submission deadline as June 30 th for the previous calendar year s claims to assess all other Extended Health claims directly by GWL Plan change in claims submission: Rx drug claims can no longer be submitted online via Member Portal
4 As we are positively enrolled, the Assure Card allows the individual registration of each plan member, as well as his or her dependants. With this information, the pharmacist can confirm the plan member and dependants eligibility and drug coverage. Drug card can be used at all participating pharmacies, nationwide. Cards cannot be used out-of-country. Drug cards will be issued to the following participants (if applicable): The employee (the insured) The dependent spouse Over-aged dependent child (age 22-25) Dependent children under the age of 22 will not receive a card
5 1. The plan member pays 100% of the cost of his or her prescription drugs 2. At the time of purchase, the Pharmacist electronically submits claims on the member s behalf One of the features of the deferred drug card is to greatly reduce (nearly eliminate) paper claims. 3. Member is reimbursed by cheque or direct deposit once the dollar-amount or time-period threshold is reached.
6 Mark-up not allowed on the actual drug cost per contractual agreement between pharmacies & Assure Be aware that for smaller community Mom & Pop pharmacies, the contractual agreement between a pharmacy & Assure may not be established. Where no contractual agreement is in-place, your drug cost will not be cut-back to a reasonable & customary charge. You will simply be reimbursed at 80% of the total drug card for eligible Rx drug claims. Dispensing fees are not managed by Assure Pharmacist can continue to charge whatever they want for dispensing fees so shop around!
7 Drug: Tylenol 3 R&C cost = $30.00 $30.00 x 80% = $24.00 Out-of-pocket cost = $6 (so, your 20% that s not covered = $6) Agreement established with Assure Drug: Tylenol 3 Cost (w/mark-up) = $35.00 $35.00 x 80% = $28.00 Out-of-pocket cost = $7 (so, your 20% that s not covered = $7. In this sample, although you re reimbursed at 80%, your out-of-pocket cost is higher) NO agreement in place with Assure (ie: Mom & Pop shop)
8 When plan members are covered by more than one drug plan, benefits from both plans can be coordinated at the pharmacy counter when a prescription is filled for a patient. To take advantage of electronic coordination of benefits, plan members need to provide their drug card to the pharmacist. The pharmacist may then submit both the primary and secondary claim electronically at the point of sale. Once processed, plan members need only pay the remaining amount not covered by the various drug plans. This means minimal out-of-pocket expense for the patient at the pharmacy, while controls on claims reimbursement are exercised.
9 When a plan member presents their drug card at the pharmacy counter to electronically process their prescription claim, the employee's benefits can be coordinated with their spouse's drug insurance benefits according to the CLHIA (Canadian Life and Health Insurance Association) guidelines. At the time of enrollment, each employee must declare if his/her spouse has other drug coverage with another insurer. This information is registered in the spouse's file to ensure that claims submitted to Assure for processing are processed as a second payor. All claims for spouses and children are validated electronically according to "first or second payor" status and are declined if not submitted properly. If spouse doesn t have a drug card (PDD or DDP), and they are 1 st payor, then a paper claim needs to be submitted for them.
10 Please note that the birth control (contraceptives) used for medical reasons only and the 4 DINS (listed below) used for Induced Gastric Ulcers only will have to be handled manually by Great-West Life; therefore, these drugs cannot be purchased using the drug card. Employees will have to pay first and use the ASSURE CARD CLAIM FORM to get reimbursed APO MISOPROSTOL NOVO MISOPROSTOL MISOPROSTOL CYTOTEC
11 There are times when pharmacists do not explain why a particular claim was rejected. Members might complain that their pharmacists simply say, "This card doesn't work!" Many common reasons for a claim being rejected include: A dependant not registered (i.e. a new birth, new spouse, etc.), Incorrect dependant code, The dependant is now above the age specified for coverage, and An incorrect date of birth has been submitted.
12 Rejection codes & their descriptions are available on the pharmacists database. It is the pharmacists responsibility to relay these rejection messages to the member. If a coverage problem occurs, the member must be directed to the local employer & the required paperwork is then sent to the Benefit Administration Office in order to register the new dependent, ensure the correct date of birth, or ensure the appropriate information concerning a full-time student dependant has been given to the benefits office. Once the updated information has been relayed to GWL, the files will be updated electronically. Please note that these reject messages will continue to occur until the time that the necessary member profile adjustments are applied.
13 Customers sometimes state that they have had to pay for ingredient price cutbacks. They believe the system unfairly penalizes them when the pharmacy and Assure don't agree on price and they are asked to pay the difference. The price files at Assure are established from various reliable sources and allow a reasonable markup. Part of the agreement with Assure is that the pharmacy accepts their adjudicated ingredient cost payment and not charge the customer any excess amount. If you have actually paid more for the drug than Assure allows, contact the Benefits Office with a copy of the most recent invoice you received for the product, by fax or by mail, referencing the claim that was affected. The Benefits Office, with GWL, will work on your behalf to ensure that your claim is re-assessed and adjudicated correctly.
14 Problem with claim? At time of purchase, the pharmacist must call Assure directly. They have their own phone number (Pharmacist line) with Assure to verify any claim submission problems. Possible keying error on part of pharmacist.
SunAdvantage Administration Guide
SunAdvantage Administration Guide for Sun Life Financial-administered group plans Use this guide if Sun Life Financial administers your plan members records and prepares your billing statements. Our guides
More informationA Guide to Understanding the Trillium Drug Program
Ministry of Health and Long-Term Care A Guide to Understanding the Trillium Drug Program This program may make you eligible for Ontario drug benefits TRILLIUM DRUG PROGRAM What's in this Guide 1. What
More informationFREQUENTLY ASKED QUESTIONS ID CARDS / ELIGIBILITY / ENROLLMENT
FREQUENTLY ASKED QUESTIONS ID CARDS / ELIGIBILITY / ENROLLMENT BENEFIT INFORMATION CLAIMS STATUS/INFORMATION GENERAL INFORMATION PROVIDERS THE SIGNATURE 90 ACCOUNT PLAN THE SIGNATURE 80 PLAN USING YOUR
More informationPLANDIRECT USER GUIDE PLANDIRECT HEALTHCARE COVERAGE
USER GUIDE PLANDIRECT USER GUIDE This User Guide provides practical information on using your PlanDirect plan. It includes additional information on features of PlanDirect, how to access services and how
More informationFrequently Asked Questions Regarding Middlebury College FSA Benefits Card
Glossary of Terms: Frequently Asked Questions Regarding Middlebury College FSA Benefits Card Co-Insurance the percentage of covered expenses paid by Middlebury College s Health and Dental plans and the
More informationNova Scotia Pharmacare Programs
Nova Scotia Pharmacare Programs The Nova Scotia Family Pharmacare Program Effective December 2012 The information in this booklet is subject to change and does not replace the Health Services and Insurance
More informationTwo New Reporting Requirements Beginning in 2016 But Are Important Now
Two New Reporting Requirements Beginning in 2016 But Are Important Now Recently, the IRS published final regulations implementing two new information reporting requirements under ACA that are first due
More informationBRITISH COLUMBIA PHARMACARE PROGRAM CHANGES EFFECTIVE MAY 1, 2003
LEGISLATION UPDATE BRITISH COLUMBIA PHARMACARE PROGRAM CHANGES EFFECTIVE MAY 1, 2003 The Government of British Columbia has announced major changes to the provincial PharmaCare program effective May 1,
More informationDo more, see more online at my Sun Life
Do more, see more online at my Sun Life Some people say the best service you can get from anywhere is self-service. That s why Sun Life Financial created the industry-leading and award-winning my Sun Life
More informationUNIVERSITY OF VICTORIA RETIREES ASSOCIATION
RTAM PREMIER TRAVEL PLAN UNIVERSITY OF VICTORIA RETIREES ASSOCIATION VOLUNTARY RETIREE BENEFIT PLAN FREQUENTLY ASKED QUESTIONS Dear UVRA Members: We know that your benefit coverage is important to you.
More informationA Comprehensive Look. Updated 8/15/2012
Retiree Healthcare Benefits: A Comprehensive Look Presented by The Benefits Team Montgomery County Government Office of Human Resources (OHR) Updated 8/15/2012 1 In This Presentation 1. Acronyms and terms
More informationLCRA Open Enrollment for 2015 Frequently Asked Questions: Medicare and Retiree Reimbursement Accounts (RRAs)
LCRA Open Enrollment for 2015 Frequently Asked Questions: Medicare and Retiree Reimbursement Accounts (RRAs) Medicare Supplement Insurance Plan and Medicare Prescription Drug Plan 1. Do I have to enroll
More informationYOUR FLEXIBLE SPENDING ACCOUNT
YOUR FLEXIBLE SPENDING ACCOUNT 1 Health Care Reimbursement Accounts Health Care Flexible Spending Accounts allow you to save money from your paycheck on a pre-tax basis to cover certain medical, dental,
More informationHealth Care Flexible Spending Account (HCFSA) Plan Frequently Asked Questions
Health Care Flexible Spending Account (HCFSA) Plan Frequently Asked Questions General FSA Questions What is a Health Care Flexible Spending Account (HCFSA) Plan? The Health Care Flexible Spending Account
More informationSTATEWIDE BENEFITS OFFICE SPOUSAL COORDINATION OF BENEFITS FREQUENTLY ASKED QUESTIONS
STATEWIDE BENEFITS OFFICE SPOUSAL COORDINATION OF BENEFITS FREQUENTLY ASKED QUESTIONS Contents: General Policy Information and Claims Processing Questions 1-20 Spousal Coordination of Benefits When Spouse
More informationHealth and Dental Insurance Questions/Answers for Retirees
Health and Dental Insurance Questions/Answers for Retirees What happens with my health insurance if I continue to work full-time beyond age 65? As an active full-time employee working beyond the age of
More informationADMINISTRATION GUIDE. Answers to questions such as:
ADMINISTRATION GUIDE Answers to questions such as:»» How do I add or remove an employee from our plan?»» How soon do I let Group Insurance Solutions know about changes to salary or hours worked?»» What's
More informationHealth Reimbursement Arrangement (HRA).
Retiree benefits 1 Retiree benefits Health Reimbursement Arrangement (HRA). Benefits for Union Pacific s Medicare-eligible retirees and their Medicare- eligible spouses and/or dependents. 2 Union pacific
More informationNew Extended Health Care & Dental Benefits Provider Sun Life
General 1. What changes are taking place with Employee Benefits in 2015? Starting April 1, 2015, BC Hydro s Extended Health Care and Dental benefits provider will be Sun Life Financial (Sun Life), replacing
More informationTable of Contents. 2 P a g e
Table of Contents Introduction... 3 Important Contact Information... 3 Pharmacy Rights... 3 Claims Adjudication... 3 Reversals... 4 Required Data Fields... 4 Identification cards... 4 Required Identification
More informationPharmacy Operating Guidelines & Information
Pharmacy Operating Guidelines & Information RxAMERICA PHARMACY BENEFIT MANAGEMENT Pharmacy Operating Guidelines & Information Table of Contents I. Quick Reference List...3 C. D. E. Important Phone Numbers...
More informationPERS Health Insurance Program. 2015 Fall Plan Change Meetings
PERS Health Insurance Program 2015 Fall Plan Change Meetings Agenda What is the PERS Health Insurance Program (PHIP)? Health Plans (Medicare / Non-Medicare) Providence Health Plans Kaiser Permanente PacificSource
More informationHow to use your Flexible Spending Account-Health Care (FSA-Health Care) and Flexible Spending Account-Dependent Care (FSA-Dependent Care) Accounts
How to use your Flexible Spending Account-Health Care (FSA-Health Care) and Flexible Spending Account-Dependent Care (FSA-Dependent Care) Accounts Overview of the Flexible Spending Account-Health Care
More informationCity of Yorkton JURISDICTION. All City of Yorkton Employees
City of Yorkton ADOPTED BY City Manager ORIGIN/AUTHORITY JURISDICTION EFFECTIVE DATE Director of Human Resources All City of Yorkton Employees April 1, 1999 Amended Jan. 1, 2014 Amended Dec.15, 2014 1
More informationFREQUENTLY ASKED QUESTIONS QUALIFIED HIGH DEDUCTIBLE HEALTH PLAN WITH A HEALTH SAVINGS ACCOUNT
FREQUENTLY ASKED QUESTIONS QUALIFIED HIGH DEDUCTIBLE HEALTH PLAN WITH A HEALTH SAVINGS ACCOUNT Qualified High Deductible Health Plans (QHDHP) What is a QHDHP? A QHDHP is a medical plan regulated by the
More informationPenn State Flexible Spending Account (FSA) Benefits
Penn State Flexible Spending Account (FSA) Benefits Eligibility and Enrollment Deadlines All regular, full-time faculty and staff members of the University are eligible to participate in the following
More informationFREQUENTLY ASKED QUESTIONS ABOUT THE FSA DEBIT CARD
FREQUENTLY ASKED QUESTIONS ABOUT THE FSA DEBIT CARD How does the FSA Debit Card factor in? If you participated in the Flexible Spending Plan last plan year, you will not receive a new card for the current
More informationA contract that requires your health insurer to pay some or all of your health care costs in exchange for a premium.
HEALTH INSURANCE A contract that requires your health insurer to pay some or all of your health care costs in exchange for a premium. HI, I m Kate! I Got Health Insurance! Card Member ID: 0000000000 Group
More informationPatient Billing & Insurance Information Q&A
Patient Billing Requirements Patient Billing & Insurance Information Q&A At your first visit our office you are required to bring your insurance card and driver s license. Our office will copy this information
More informationPHARMACY MANUAL. WHP Health Initiatives, Inc. 2275 Half Day Road, Suite 250 Bannockburn, IL 60015
PHARMACY MANUAL WHP Health Initiatives, Inc. 2275 Half Day Road, Suite 250 Bannockburn, IL 60015 Welcome WHP Health Initiatives, Inc. ( WHI ) is pleased to welcome you to our network of participating pharmacies.
More informationEmeriti Retirement Health Solutions Qualified Medical Expense Claim Form Effective January 1, 2012
1 Emeriti Retirement Health Solutions Qualified Medical Expense Claim Form Effective January 1, 2012 Please use this Claim Form to submit claims for the reimbursement of Qualified Medical Expenses, otherwise
More informationFlexible Spending Accounts (FSAs)
Flexible Spending Accounts (FSAs) Frequently Asked Participant Questions (FAQ) GENERAL FSA What Is A Health Care Flexible Spending Account (FSA)? The Health Care FSA is an employer-sponsored plan, which
More informationPlan Member Privacy Information Package
Plan Member Privacy Information Package This Privacy Information Package was developed to help you, as a group plan member, understand why Manulife s Group Benefits collects your personal information,
More informationGEASO BENEFITS Frequently Asked Questions & Answers April 2014
GEASO BENEFITS Frequently Asked Questions & Answers April 2014 Benefit Year When was the last increase in GEASO benefits and premium? August 1, 2012 Is there any change to the Anniversary date of the GEASO
More informationGuide to the D&B Post-65 Retiree SilverScript Prescription Drug Plan
Guide to the D&B Post-65 Retiree SilverScript Prescription Drug Plan What s Inside: Get to Know the D&B Post-65 Retiree SilverScript Prescription Drug Plan...1 Understand These Plan Features...2 Additional
More informationMedicare s Limited Income Newly Eligible Transition (NET) Program. Four Steps for Pharmacy Providers
Medicare s Limited Income Newly Eligible Transition (NET) Program Four Steps for Pharmacy Providers The Limited Income NET Program (or LI NET) is designed to eliminate any gaps in coverage for low-income
More informationHealth Insurance After Age 65
1 GUIDE TO MEDICARE PLANNING Health Insurance After Age 65 Whether you are retired or still working, Medicare will likely become part of your life after you turn 65. In the United States today, most health
More informationChapter 82-60 WAC All Payer Claims Database
Chapter 82-60 WAC All Payer Claims Database WAC 82-60-010 Purpose (1) Chapter 43.371 RCW establishes the framework for the creation and administration of a statewide all-payer health care claims database.
More informationAB1455 Claims Processing Complete Definitions
Complete s Automatically Automatically means the payment of the interest due to the provider within five (5) working days of the payment of the claim without the need for any reminder or : (a) (1) request
More informationOpen Enrollment Benefit Year: July 1, 2014 - June 30, 2015
Open Enrollment Benefit Year: July 1, 2014 - June 30, 2015 Created by your Columbus State Community College Benefits Team What is Open Enrollment? Open Enrollment is Your Once a Year Opportunity: To enroll
More informationMedicare. Prescription Drug Plan Guide. Simple steps to help you choose the right prescription drug coverage
Medicare Prescription Drug Plan Guide An educational resource developed by Simple steps to help you choose the right prescription drug coverage and published by Rite Aid Corporation. Rite Aid pharmacists
More informationHigh Deductible Health Plan (HDHP) with Health Savings Account (HSA) FREQUENTLY ASKED QUESTIONS
High Deductible Health Plan (HDHP) with Health Savings Account (HSA) FREQUENTLY ASKED QUESTIONS Part I HIGH DEDUCTIBLE HEALTH PLAN (HDHP) Q. What is the HDHP? A. The High Deductible Health Plan (HDHP)
More informationGeneral Notice. COBRA Continuation Coverage Notice (and Addendum)
University Human Resources Benefits Office 3810 Beardshear Hall Ames, Iowa 50011-2033 515-294-4800 / 1-877-477-7485 Phone 515-294-8226 FAX General Notice And COBRA Continuation Coverage Notice (and Addendum)
More informationIt's Your Fund - Your Money - Your Choice You can earn up to $2,400 per year
UFCW Local 1776 and Participating Employers Health and Welfare Fund 3031 B Walton Road, Plymouth Meeting, PA 19462 Phone (610) 941-9400 Fax (610) 941-5325 www.ufcw1776benefitfunds.org fund@1776funds.org
More informationSummary of Benefits. Blue Shield of California Medicare Rx Plan (PDP)
Summary of Benefits Blue Shield of California Medicare Rx Plan (PDP) An employer-sponsored Medicare Prescription Drug Plan for University of California (UC) retirees January 1, 2015 December 31, 2015 State
More informationHow To Get A Shop Marketplace Plan On A Small Business Employer Plan On Healthcare.Gov
SMALL BUSINESS HEALTH OPTIONS PROGRAM Marketplace EMPLOYER ENROLLMENT USER GUIDE Table of Contents 1. SHOP Marketplace Employer Enrollment Application...3 Create a HealthCare.gov account...4 Create a profile...6
More informationHealth Reimbursement Account (HRA) Frequently Asked Questions
Health Reimbursement Account (HRA) Frequently Asked Questions Q. What is a Health Reimbursement Account (HRA)? A. A Health Reimbursement Account (HRA) is part of the benefit plan offered to you by Brookhaven
More informationHow to Reimbursement a Dependent Day Care Period
SECTION 125 FLEXIBLE BENEFIT PLANS A Summary of the Reimbursement Account Arrangement Unreimbursed Medical Expense Account Dependent Day Care Expense Account AFES rev 12/12 0 Dear Participant: Thank you
More informationMaking Your Medicare Reimbursements Easier
Making Your Medicare Reimbursements Easier Back in the fall, you enrolled in a medical insurance plan and probably a prescription drug coverage plan through the Extend Health Medicare Exchange. Now that
More informationRETIREE BENEFITS Health Reimbursement Arrangement (HRA).
RETIREE BENEFITS 1 RETIREE BENEFITS Health Reimbursement Arrangement (HRA). Benefits for Union Pacific s Medicare-eligible retirees and their Medicare- eligible spouses and/or dependents. 2 UNION PACIFIC
More informationLCRA Frequently Asked Questions: Medicare Health Plans and Retiree Reimbursement Accounts (RRAs)
LCRA Frequently Asked Questions: Medicare Health Plans and Retiree Reimbursement Accounts (RRAs) Medicare Health and Prescription Drug Plans 1. Q: Do I have to enroll in Medicare Part A and Part B? A:
More informationRhode Island School of Design Student Health Insurance Plan
Rhode Island School of Design Student Health Insurance Plan Frequently Asked Questions: 2014-2015 Academic Year Table of Contents Who is Required to Have Health Insurance Coverage While Attending RISD?...
More information4.05. Drug Programs Activity. Chapter 4 Section. Background. Follow-up on VFM Section 3.05, 2007 Annual Report. Ministry of Health and Long-Term Care
Chapter 4 Section 4.05 Ministry of Health and Long-Term Care Drug Programs Activity Follow-up on VFM Section 3.05, 2007 Annual Report Chapter 4 Follow-up Section 4.05 Background Ontario has a number of
More informationPayPal Blue Shield of California Consumer Directed Health Plan with Health Savings Account (CDHP with HSA) Frequently Asked Questions
PayPal Blue Shield of California Consumer Directed Health Plan with Health Savings Account (CDHP with HSA) Frequently Asked Questions What is the Blue Shield of California CDHP with HSA? The Blue Shield
More informationHEALTH SAVINGS ACCOUNT Q&A
HEALTH SAVINGS ACCOUNT Q&A HSA BASICS What is a health savings account or HSA? A health savings account (HSA) is a tax sheltered savings account, which is only offered to people who are covered under a
More informationSMALL EMPLOYER GROUP APPLICATION INSTRUCTIONS
SMALL EMPLOYER GROUP APPLICATION INSTRUCTIONS This form should be completed with the assistance of your authorized Broker or Horizon Healthcare of New York Sales Representative. Please be sure that all
More informationEAST DETROIT PUBLIC SCHOOLS FLEXIBLE SPENDING ACCOUNT
EAST DETROIT PUBLIC SCHOOLS FLEXIBLE SPENDING ACCOUNT a Group Resources Company EAST DETROIT PUBLIC SCHOOLS FLEXIBLE SPENDING ACCOUNT 2013 PLAN YEAR Through the Cafeteria Plan provided by East Detroit
More informationRetiree Medical Benefits County of Marin
January 2016 General Information This booklet provides general information about the post-retirement medical benefits available to retirees of the. Eligibility and enrollment for retiree medical are handled
More informationHow To Get A Better Price On Health Care From Your Printer (Xerox)
Recovery and Audit Services Recouping hundreds of millions of dollars every year. It is estimated that over 10% of U.S. medical claims are paid incorrectly by healthcare payers. This costs the healthcare
More informationHRA Healthcare FSA What s the difference and how can they work together to benefit you?
Non-Represented Employees Your Health. Take Charge. HRA Healthcare FSA What s the difference and how can they work together to benefit you? A key component and benefit of Sandia Total Health is the Health
More informationMedical & Dental Coverage
Hawthorne Residential Partners offers Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Dependent Care Flexible Spending Accounts and Voluntary Life Insurance through our company s
More informationInstruction Guide. People First Dependent Certification Process
People First Dependent Certification Process Each time an employee logs into People First to make an enrollment selection during open enrollment or because of a qualified status change (QSC), he/she must
More informationHow do I sign up for the Debit Card? You need to make an active selection on your annual enrollment form.
Debit Card FAQs What is the Debit Card? The Debit Card is a special-purpose MasterCard that gives you an easy, automatic way to pay for eligible healthcare expenses. The Card lets you electronically access
More informationHealth Savings Account. UNE Employee Questions and Answers
Health Savings Account UNE Employee Questions and Answers Eligibility How does an HSA Plan affect my domestic partner? A Domestic Partner can be enrolled on the medical plan, but they are not eligible
More informationHealth Insurance Information International Students
Health Insurance Information International Students Health services can be extremely costly without adequate insurance coverage. Therefore, all international students at the University of Tennessee at
More informationOut-of-Scope Health Care Spending Account (HCSA)
Out-of-Scope Health Care Spending Account (HCSA) The Supplementary Health Care and Dental Plans provided through your employment with the City of Edmonton offers you and your family considerable protection
More informationSTATE OF IOWA HEALTH INSURANCE PLAN COMPARISON EFFECTIVE JANUARY 1, 2016
This comparison is only a summary of benefits. Benefits will be administered as described in each plan s Summary of Benefits & Coverage. For further details, refer to those documents or call Wellmark Blue
More informationPATIENT REGISTRATION Date:
PATIENT REGISTRATION Date: PLEASE PRESENT YOUR DRIVER S LICENSE AND INSURANCE CARDS TO RECEPTION DESK. INSURANCE CO-PAYMENTS ARE EXPECTED BEFORE SERVICES ARE RENDERED. PAYMENT IN FULL IS EXPECTED WHEN
More informationYour Questions Answered
Your Questions Answered 1. GENERAL 1.1 What is happening to my retiree medical and prescription drug benefits for Medicare-eligible participants as of January 1, 2015? Effective December 31, 2014, CIGNA
More informationMedicare Part D & Ryan White HIV/AIDS Program As of November 2008
Medicare Part D & Ryan White HIV/AIDS Program As of November 2008 The below discussion can guide Ryan White HIV/AIDS programs in understanding implications of the Medicare Part D prescription drug benefit
More informationManage your Liberty Mutual group benefits online.
Manage your Liberty Mutual group benefits online. MyLibertyConnection.com offers convenient access to online tools to help you manage your group benefits. To get started, visit www.mylibertyconnection.com
More informationAPWU Health Plan s Blueprint to. Understanding your health insurance coverage
APWU Health Plan s Blueprint to Understanding your health insurance coverage This guide is designed to help you understand how APWU Health Plan works with Medicare. Dealing with one health insurance company
More informationImportant Health Care Information for US Employees. Preparing to Begin an International Assignment
Important Health Care Information for US Employees Preparing to Begin an International Assignment CIGNA Global Health Benefits Enrollment Medical, dental and vision coverage is provided through CIGNA Global.
More informationHealth Care Reform Checklist: Provisions, Obstacles and Solutions
Health Care Reform Checklist: Provisions, Obstacles and Solutions HEALTH CARE REFORM PROVISION: COVERAGE FOR CHILDREN UNTIL AGE 26 Summary of Benefit: Benefits are the same as those for other dependent
More informationCOOPER Health Care Benefits. Benefit Enrollment Guide Salaried Cooper Tire Retirees 2015
COOPER Health Care Benefits Benefit Enrollment Guide Salaried Cooper Tire Retirees 2015 Retiree Medicare-Eligible Benefits Change Effective January 2010 Effective Jan. 1, 2010, Cooper revamped the medical
More informationTHOUGHTS TO CONSIDER ABOUT YOUR MEDICARE SUPPLEMENTS
THOUGHTS TO CONSIDER ABOUT YOUR MEDICARE SUPPLEMENTS The following information is just information. These thoughts and ideas are NOT recommendations because everyone s situation is different and choices
More information2014-15 EMPLOYEE BENEFITS GUIDE
2014-15 EMPLOYEE BENEFITS GUIDE ELIGIBILITY All People 2.0 employees are eligible to enroll in The American Worker program within 30 days of your first pay check. People 2.0 offers a variety of affordable
More informationConsumer Choice Plan, Health Savings Account and Health Care Flexible Spending Account Frequently Asked Questions
Consumer Choice Plan, Health Savings Account and Health Care Flexible Spending Account Frequently Asked Questions Information on how the plan and the accounts work The Consumer Choice Plan 1. How is the
More information2015 Health Plan Options Employee Meeting FAQ s
Hormel Foods Health Plans... 1 HSA Questions... 3 FSA & LPFSA... 6 Earning Interest & Investing... 7 Taxes... 8 Retirement & Preparing for Retirement... 8 Miscellaneous... 9 NOTE: These FAQ s are provided
More informationInternational Student Health Insurance Plan Overview. Presented by Renaissance Insurance Agency, Inc
International Student Health Insurance Plan Overview Presented by Renaissance Insurance Agency, Inc Topics for Discussion 1. Health Insurance Basics Why do I need health insurance? How does health insurance
More informationSunAdvantage Health Spending Account. Administration guide
SunAdvantage Health Spending Account Administration guide Contents Introduction... 1 About this guide...1 Member recordkeeping... 2 Adding a member...2 Sending us member data...2 Allotments... 3 Establishing
More informationWhat is a Flexible Spending Account (FSA) plan?
What is a Flexible Spending Account (FSA) plan? A Cafeteria Plan is a benefit provided by your employer which allows you to contribute a certain amount of your gross income to a designated account or accounts
More information2015 Benefit Open Enrollment
2015 Benefit Open Enrollment Opens: 8:30 a.m. Friday October 31, 2014 Closes: 5:00 p.m. Thursday, November 13, 2014 2015 Benefit Open Enrollment Guide 1 The guide is divided into six parts to help you
More informationBlue Shield of California Consumer Directed Health Plan with Health Savings Account (CDHP with HSA) Frequently Asked Questions
Blue Shield of California Consumer Directed Health Plan with Health Savings Account (CDHP with HSA) Frequently Asked Questions What is the Blue Shield of California CDHP with HSA? The Blue Shield of California
More informationE D M O N T O N ADMINISTRATIVE PROCEDURE
DEPARTMENT DELEGATED AUTHORITY CONTACT FINANCIAL SERVICES CHIEF FINANCIAL OFFICER, FINANCIAL SERVICES DEPARTMENT TRAVEL COORDINATORS DEFINITIONS Account Coding A defined list of SAP cost elements used
More informationReimbursement Accounts Claim Filing Guidelines
Reimbursement Accounts Claim Filing Guidelines Follow these guidelines when you submit your claim. They ll help to ensure less paperwork and faster reimbursement. For each claim, you must send a completed
More informationTerms Defined. Participating/Non-Participating Provider. Benefits Coverage Charts. Prescription Drug Purchases. Pre-Authorization
Medical Coverage Terms Defined Participating/Non-Participating Provider Benefits Coverage Charts Prescription Drug Purchases Section Two MEDICAL COVERAGE Pre-Authorization Coordination of Benefits Questions
More informationOPEN ENROLLMENT PLAN YEAR 2013
OPEN ENROLLMENT PLAN YEAR 2013 HR PERSONNEL HIPAA (protects your private health information) Sydney Covey ext. 7437 Melissa Spence ext. 7296 Benefit Explanations Claim Questions Family Status Changes Katherine
More informationFrequently Asked Questions: DuPont Retiree Health Plan Changes
New questions and answers added after September 6th, 2012 are shown in blue. The following questions and answers are general in nature. Medicare eligible retirees with specific questions regarding the
More informationHealth Services L. I. C.C. 09/15/2014 Lawrenso Korquoi
Health Services L. I. C.C 09/15/2014 Lawrenso Korquoi 0 1 Table of Contents Policy... 2 What is the LICC Health Service?... 2 Enrolment process... 2 Period of Coverage... 3 Benefits Covered... 3 Health
More informationEMR Technology Checklist
Patient Accessibility/Scheduling/Account Maintenance: Able to interact with schedule through an online portal pre register VIP status to move patient to the front of the line Access and pre registration
More informationAetna Global Benefits A Guide to Your Plan: Questions and Answers for the Cultural Mission of the Royal Embassy of Saudi Arabia
Aetna Global Benefits A Guide to Your Plan: Questions and Answers for the Cultural Mission of the Royal Embassy of Saudi Arabia This information is not evidence of coverage. You must enroll and be accepted
More informationPharmaCare is BC s public drug insurance program that assists BC residents in paying for eligible prescription drugs and designated medical supplies.
PHARMANET AND PHARMACARE DATA DICTIONARY Date Range: September 1, 1995 to present date, data is provided by calendar year Data Source: BC Ministry of Health Description The PharmaNet system is an online,
More informationAgent Name: Office: Company Name: Address: City: Province: Postal Code: Name of Plan Administrator: Title: Nature of Business: In Business Since:
New Group Application General Information Agent Name: Office: Client Information Company Name: Address: City: Province: Postal Code: Telephone: Fax: Name of Plan Administrator: Title: Email Address: Nature
More informationHEALTH INSURANCE PREMIUM PAYMENT (HIPP) REIMBURSEMENT PROGRAM 1.0 BACKGROUND. Office of Employee Benefits EFFECTIVE DATE: SEPTEMBER 1, 2001
Office of Employee Benefits Administrative Manual HEALTH INSURANCE PREMIUM PAYMENT (HIPP) REIMBURSEMENT PROGRAM 260 EFFECTIVE DATE: SEPTEMBER 1, 2001 REVISION DATE: MARCH 2003; SEPT. 2008 PURPOSE: To provide
More informationMyCare Ohio Skilled Nursing Facility Orientation
MyCare Ohio Skilled Nursing Facility Orientation Demonstration/Pilot Area Demonstration/Pilot Area 2 Health Plan Options Northwest Southwest West Central Central East Central Northeast Central Northeast
More informationCompPharma. Manage. Process. Inform. Ensure. The Role of a PBM in Workers Compensation
Manage Inform Process Ensure The Role of a PBM in Workers Compensation Understanding the role of workers compensation pharmacy benefit managers (WC-PBMs) can help state and local government agencies ensure
More informationNYU HOSPITALS CENTER. Retirement Plan. Your Health & Welfare Plan Benefits
NYU HOSPITALS CENTER Retirement Plan Your Health & Welfare Plan Benefits 1 What s Inside Welcome to the NYU Hospitals Center Retiree Health & Welfare Program Retiree Health & Welfare Benefits At-A-Glance...
More informationPATIENT REGISTRATION Date:
PATIENT REGISTRATION Date: PLEASE PRESENT YOUR DRIVER S LICENSE AND INSURANCE CARDS TO RECEPTION DESK. INSURANCE CO-PAYMENTS ARE EXPECTED BEFORE SERVICES ARE RENDERED. PAYMENT IN FULL IS EXPECTED WHEN
More informationNova Scotia Pharmacare Programs
Nova Scotia Pharmacare Programs The Nova Scotia Seniors Pharmacare Program Effective April 2013 The information in this booklet is subject to change and does not replace the Health Services and Insurance
More information