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Allied School District 45 DuPage County Group Health Plan Changes Effective October 1, 2013.

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Presentation on theme: "Allied School District 45 DuPage County Group Health Plan Changes Effective October 1, 2013."— Presentation transcript:

1 Allied School District 45 DuPage County Group Health Plan Changes Effective October 1, 2013

2 What are the Changes? New Network – Aetna PPO New Administrator – Allied New Pharmacy Manager – CVS Caremark One Plan for All Members Vision Exam Covered under Medical Plan One Routine Vision Exam per Calendar Year

3 Who is Allied? Who is Aetna? Who is CVS Caremark? Allied –Operating since 1980 –One of the most respected Administrators in the Country –One of very few Administrators in the Country contracted as an Aetna Signature Administrator –Services provided to over 400 employers throughout the country Aetna –Over 36 million members nationwide –Over 4,700 hospitals –Over 820,000 professionals CVS Caremark –One of the top 3 largest Pharmacy Benefit Managers in the Country –Over 50,000 pharmacies nationwide

4 Open Enrollment Period– Ending September 13, 2013 One plan for all members ALL HMO members must complete new enrollment forms. Current PPO members need only complete a new form if there are changes to your enrollment information. NOTE: No Primary Care Physician selection necessary. All forms MUST be turned in to PAYROLL by Friday, September 13, 2013. Open Enrollment Highlights

5 2013 Highlights of PPO Plan * Please refer to the schedule of benefits for more details. A complete summary plan description will follow.

6 2013 Highlights of PPO Plan * Please refer to the schedule of benefits for more details. A complete summary plan description will follow.

7 2013 Highlights of PPO Plan * Please refer to the schedule of benefits for more details. A complete summary plan description will follow.

8 2013 Highlights of PPO Plan * Please refer to the schedule of benefits for more details. A complete summary plan description will follow.

9 Aetna Signature Administrators Call: (866) 455-8727 OR Website: www.alliedbenefit.com We strongly recommend that you contact your PPO for current provider information. How do I Find Participating Doctors and Facilities? Click here to begin your search

10 How do I Find Participating Doctors and Facilities? Then click here

11 How do I Find Participating Doctors and Facilities? Enter Doc Find

12 How do I Find Participating Doctors and Facilities? Enter search fields and be sure to select the proper Provider Category

13 What Else Do I Need to Know? ID Cards –All Members will receive 2 new ID cards in the 9/30/2013 payroll –BE SURE TO DESTROY YOUR OLD ID CARDS ON OCTOBER 1, 2013. THEY WILL NOT WORK –Contact Allied at 866-455-8727 if you need an additional card. –One card for both medical and Rx Claims –All bills for services prior to 10/1/2013 continue to go to BCBS. Call BCBS with questions on these claims. –Use your New ID Card on or after 10/1/2013 –Be sure your doctors record the new claim filing instructions. –Allied processes all claims with dates of service of 10/1/2013 and after. NOTE: ALLIED PROCESSES ALL CLAIMS NOT AETNA. DO NOT CALL AETNA WITH ANY QUESTIONS.

14 www.alliedbenefit.com

15 Your Enrollment Information Claim Status for You and Your Covered Family Members Explanation of Benefits Plan/Benefit Information Personal Health Record Healthcare Information Database Search for Network Providers Custom E-mail Wellness Notifications Personal Home Page Features

16 How Do I Fulfill My Private Account on alliedbenefit.com on or After October 1, 2013 Step 1: Click here to request an account Step (1) Go to Allied’s home page http://www.alliedbenefit.com and click on the link titled Request New Account.http://www.alliedbenefit.com

17 How Do I Fulfill My Private Account on alliedbenefit.com on or After October 1, 2013 Step 2: Enter all of the required information here. Step 3: Submit your request. You will receive an e-mail from notifications@alliedbenefit.com. Step (2) Enter all of the required information on the Request Account Information page. Step (4) Follow the instructions on the Notifications e-mail to complete the process

18 Call Allied Benefit Systems, Inc. at 866-455-8727 Customer Service Hours Monday through Thursday 7:30 a.m. to 7:00 p.m., Fridays from 8:00 a.m. to 5:00 p.m., and Saturday from 9:00 a.m. to 12:00 p.m. (Central Time) For Claim and Benefit Questions After October 1, 2013

19 Questions and Answers


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