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Employee Benefits Orientation

 

 

 

What is the cost?

Click on the link below to see a brief description of each medical plan and the costs:

 

BCBSTXBCBSTX Health Guide

Plan Year is from September 1 through August 31

Deductible Year is from September 1 through August 31

 

Your BCBSTX medical insurance card is ALSO your pharmacy card.

Customer Service: 1-800-521-2227

BCBSTX Helpline: 1-855-762-6084

BCBSTX Members Services Number (Prescriptions): 1-800-821-4795

Medical Prior Authorization Helpline: 1-800-441-9188

24 Hour Nurseline: 1-800-581-0368

BCBSTX TeleHealth (free for BCBSTX members): txtelehealth.com

 

How to Find if Your Doctor is in Network Flyer

 

Blue Access for Members (BAM) Website: bcbstx.com/member

  • BAM Flyer – How to Create Your BAM Account
  • Once you login to the BAM portal (use the information on your BCBSTX ID card to register your account), you will be able to:
  • IF YOU CREATED YOUR BAM PORTAL LAST YEAR, YOU WILL USE THE SAME USERNAME AND PASSWORD YOU CREATED LAST YEAR.
    • Search for providers, hospitals, and pharmacies in network
    • Request or print your ID card
    • Check your deductibles
    • Check the status or history of a claim
    • View and print your explanation of benefits statements
    • Use the cost estimator took to find pricing for hundreds of tests, treatments, and procedures
    • Sign up for text or email alerts

 

 

Prime Therapeutics– Pharmacy Plan

Your BCBSTX medical insurance card is ALSO your pharmacy card.

            Website: https://www.myprime.com/en.html

  • Register online to check for pharmacies that are in network, see your active prescriptions, send your refill order, etc.
    • Mail Order Prescriptions
    • Accredo
      • Accredo will provide specialty medications for our members
      • Accredo Informational Flyer
      • To start using Accredo for your current specialty drugs, call Accredo at 1-833-721-1619.
      • Once registered, you can manage your prescriptions on accredo.com or through the mobile app
    • Coverage Exception Form – to be completed by doctor and sent to BCBSTX to ask for a medication to be considered for coverage

 

 

MDLive

(Copay will apply – please see your BCBSTX insurance card)

  • How to Find MDLive Through Your BAM Portal
  • Activating your MDLive Account Flyer
  • MDLive/TeleHealth Website: mdlive.com
  • Phone Number: 888-680-8646
  • Set up your MDLive account through the Blue Access for Members Portal – MDLive can be used for:
    • Connecting with a board-certified doctor to help with minor conditions (allergies, cold, flu, cough and sore throat, headaches and sinuses, etc.)
    • Connecting with a licensed therapists for behavioral health counseling (addiction, anxiety, depression, loss, relationships, stress, trauma, PTSD, and life changes)
    • Can also send some prescriptions to nearby pharmacies

 

 

Livongo

  • Livongo Website: https://www.livongo.com/hypertension/
  • Livongo is for diabetes and hypertension management
  • Register Here
  • Download the Teladoc Health App
  • Call 1-800-835-2362
  • Text: Go Well-BCBSTX to 85240 to learn more and join
  • Registration Code: WELL-BCBSTX

 

The Standard Employees Assistance Program (EAP) – Free, 24/7 live access to a nationwide network of mental health professionals specializing in work/life balance and skill development.

The Standard Helpline: 1-888-293-6948

 

 

Accident: MetLife (High and Low)

Website: www.metlife.com/mybenefits

Accident Benefits Portal Webpage

Customer Service: 1-855-564-6638

Mailing Address: 200 Park Avenue   New York, NY 10166

MetLife Accident Claim Form

 

 

Cancer: American Fidelity Assurance Company (Basic and Enhanced)

Website: https://americanfidelity.com/

Cancer Benefits Portal Webpage

Customer Service: 1-800-662-1113

Mobile App: AFmobile

File a Claim: https://secured.americanfidelity.com/Login

AFA CANCER Claim Form

AFA WELLNESS Claim Form

 

 

Critical Illness Insurance: Aflac

Website: aflacgroupinsurance.com

Critical Illness Benefits Portal Webpage

Customer Service: 1-800-433-3036

File a Claim: https://www.aflacgroupinsurance.com/customer-service/file-a-claim.aspx  

Aflac Critical Illness Claim Form

Aflac Wellness Claim Form

 

 

Dental: MetLife Dental (High and Low)

**Give your dentist’s office your social security number to look up your coverage. Dental cards were not sent out.**

Website: www.metlife.com/mybenefits

Dental Benefits Portal Webpage

Customer Service: 1-800-942-0854

Dental Group ID#: 251931

Find a Dentist: https://providers.online.metlife.com/findDentist?searchType=findDentistMetLife

Select: PDP Plus for the network

Mailing Address: 200 Park Avenue   New York, NY 10166

List of Dental Providers Document

MetLife Dental Claim Form

MetLife Generic Dental Card

 

 

Disability Claims and Administration Offices: The Standard

Website: https://www.standard.com/

Disability Benefits Portal Webpage

Customer Service: 1-855-757-4717

Log-In for Standard Account: https://login.standard.com/

Create a Standard Account to File a Disability Claim: https://login.standard.com/register

Fax: 1-971-321-8400

The Standard DISABILITY Claim Form

The Standard WELLNESS Claim Form

 

 

Employee Assistance Program (EAP): The Standard

Website: https://members.healthadvocate.com/ha/#

EAP Benefits Portal Webpage

Phone: 1-888-293-6948

Email: answers@HealthAdvocate.com

Up to 3 counseling sessions per issue

EAP Informational Document

 

 

Flexible Spending Account / Dependent Care (FSA): First Financial Administrators, Inc. (FFGA)

Website: www.ffga.com

FSA Benefits Portal Webpage

Dependent Care Benefits Portal Webpage

Mobile App: FF Mobile Account (https://www.ffga.com/individuals/)

Registration Instructions PDF

Mobile APP Quick Reference Guide

Customer Service and Inquiries for Claims: 1-866-853-3539

FSA Store: Click Here for FSA Store

Phone: 1-800-523-8422 or 1-281-847-8422

Submit Claim by Fax: 1-800-298-7785

Mailing Address for Claims: P.O. Box 161968   Altamonte Springs, FL 32716

Tech Support: 1-866-853-3539, option #3

 

 

Health Savings Account (HSA): First Financial Administrators (FFGA)

Website: www.ffga.com

Email: hsa@ffga.com

HSA Benefits Portal Webpage

Mobile App: FF Mobile Account (https://www.ffga.com/individuals/)

Registration Instructions PDF

Mobile APP Quick Reference Guide

Customer Service and Inquiries for Claims: 1-866-853-3539

HSA Store: Click Here for HSA Store

Submit Claim by Fax: 1-800-298-7785

Tech Support: techsupport@ffga.com

Tech Support: 1-866-853-3539, option #3

 

 

Hospital Indemnity: The Standard

Website: www.standard.com

Hospital Indemnity Benefits Portal Webpage

Customer Service: 1-888-937-4783

Videos:

Filing a Supplemental Claim Video

Hospital Indemnity insurance Video

Flyers:

Hospital Indemnity insurance: http://www.standard.com/eforms/21180.pdf

The Standard Hospital Indemnity Claim Form

 

 

Life Insurance: Texas Life Insurance

Website: https://www.texaslife.com/

Texas Life Benefits Portal Webpage

Phone: 1-800-283-9233

Mailing Address: 900 Washington   PO Box# 830   Waco, TX 76703-0830

 

 

Term Life Insurance: MetLife

Website: www.metlife.com/mybenefits

MetLife Benefits Portal Webpage

Customer Service: 1-800-638-5433

MetLife Life Insurance Claim Form

 

 

Identity Theft: iLock360 – Cypher Security

Website: https://www.ilock360.com/

iLock360 Benefits Portal Webpage

Customer Service: 1-855-287-8888

 

 

Legal: ARAG

Website: araglegal.com/myinfo

ARAG Benefits Portal Webpage

Access Code: 19050asd

 

 

Medical Transport: MASA Medical Transport Service

Website: https://www.masamts.com/

MASA Benefits Portal Webpage

Customer Service: 1-877-503-0585

Customer Service: 1-800-423-3226

Customer Service: 1-954-334-8261

Customer Service/Emergency Access: 1-800-643-9023

 

 

Retirement Plans 403(b) & 457(b): TCG Administrators

Website: www.tcgservices.com

Website: www.region10rams.org

TCG Benefits Portal Webpage

Customer Service: 800-943-9179 

475b Email  457b@tcgservices.com

403b Email  403b@tcgservices.com

 

 

Telehealth: Recuro

Website: www.recurohealth.com

Recuro Benefits Portal Webpage

Phone: 1-855-6RECURO

Recuro App Flyer

 

 

Vision: Superior Vision by MetLife (High and Low)

**Give your optometrist your social security number to look up your coverage.**

Website: www.metlife.com/mybenefits

Vision Benefits Portal Webpage

Customer Service: 1-833-393-5433

Vision Group ID#: 251931

Find a Vision Provider: https://www.metlife.com/insurance/vision-insurance/

** Click on Find Vision Provider **

** Select Superior Vision **

Mailing Address: 200 Park Avenue   New York, NY 10166

List of Vision Providers Document

MetLife Vision Claim Form

 

 

FFGA COBRA Administrators

Website: https://cobrapoint.benaissance.com

COBRA Benefits Portal Webpage

Phone: 1-800-523-8422, option 4