PMEA - Health Care information Minimize

 

Health Care 


Information



PMEA Contacts:  

 

Matt Kersic 

matthew.kersic@pennmanor.net

Mindy Rottmund

mindy.rottmund@pennmanor.net

 


January - Current Report


Most Commonly Accessed Links:

NEW Employee Wellness Form - due to HR by 11/30/2022

In-Network Provider Search 

 


Health Costs for 2022:





2022 Deductible: $750 Individual / $1,500 Family

Remember, when you go to the doctor and need an allergy test, allergy injection ,Labs, x-ray, diagnostic imaging (MRI, CT scans, etc.), mental health services, PT/OT, chiropractic care, etc., you will FIRST need to fulfill your deductible before costs will be covered 100%!


Medical Care



Trustmark

     Phone: 866.893.4472

     Address:  Trustmark Health Benefits, P.O Box 2920, Clinton, IA 52733-2920

Trustmark Home Page


2022 PMSD Summary of Benefits & Coverage



Physician Providers Search    Office Visit $15   Specialist $45 


Urgent Care Provider Search   $40


Behavioral Health Providers


Mental Health/Behavioral Healthhttp://www.mhnet.com/

1-800-835-2094


Employee Assistance Program- Mazzitti & Sullivan EAP Services 

     When You Call   

    EAP Brochure

    Penn Manor EAP FAQs



PRE-CERTIFICATION.   Call 866.884.6819 for authorization.  You/physicians must call 15 days prior to all non-urgent care elective admissions. Call within 48 hours or next business day for an urgent care admission, and prior to a home healthcare service.


 PRE-CERTIFICATION REQUIREMENTS:
If pre-certification is not obtained, a penalty of $300 could apply.
Inpatient Admissions (hospital, rehabilitation, skilled nursing, transplant)
Home Health Care (including infusions)
Hospice Care



Expectant Mother/Special Delivery.  Call 888.785.2229



General Information


Guide to Accessing myTrustmarkBenefits.com

myTrustmarkBenefits Member Portal Highlights

Trustmark Health Claim Form 


Teladoc Information: teladoc.com    

Did You Know

You've Got Teladoc

Talk To A Doctor Anytime

Getting Started with Teladoc



Pharmacy

Express Scripts    ph. 844.730.2004

https://www.express-scripts.com/

Talk to a Pharmacist – 800.922.1557


Pharmacy Locator, Drug Listing, Exclusion, Alternatives


Preferred Formulary List

2023 Formulary Exclusions


Express Scripts:  Transitioning/FAQ   

Getting Started with Home Delivery 

Prescription Drug Reimbursement Form

Express Scripts Pharmacy Prescription Order Form 

www.StartHomeDelivery.com


Price a Medication

Instructions for Completing the Benefit Coverage Request Form

Benefit Coverage Request Form



FSA Information

FSA Account Management

Accessing the FSA Mobile App

FSA Reimbursement Form

FSA Direct Deposit Form


Resources

2022 Wellness Certificate Form


PMEA Sick Bank


3D Mammogram Information

Learn & Earn Program 

Learn & Earn Refund Request Form 


Active & Fit (Gym Membership): 

     Joining Act & Fit

     Member FAQs

     Client Program Q & A 

   


FMLA Policy & Procedures 


Member Appeal Process/Member Complaint Form
See Theresa Chiodi with concerns



Vision Care


Amount $300, no carry over.  Send receipts to vision@pennmanor.net


NEW Discount Program:  Aetna Signature Vision Program


Vision Discount Plan Cards

Discount Flyer

Discount Plan

Process from CBA



Delta Dental

Enrollment Form

Claim Form

Benefit Coverage

Benefit Highlights

Payroll Deduction

6 Essential Dental Routine Steps

Dentist Search 


Delta Dental Contact Information   1-800-932-0783


Orthodontic Benefits