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Frequently Asked Questions

Visitor & General Frequently Asked Questions

  • Are there programs to help people with limited incomes?
  • What is a deductible?
  • What are exclusions?
  • Can I use my plan once I’ve registered but haven’t yet received my information in the mail?
  • What information do I need to utilize my plan?
  • Do I have to use in-network providers?
  • What information do I need to apply for a plan?
  • If I apply for a plan, how soon will my coverage begin?

Member Frequently Asked Questions

  • Are there restrictions on my prescription drug coverage?
  • Who do I contact for benefits questions?
  • When do I need pre-service authorization?
  • Who do I contact for billing?
  • What does preferred allowance mean?
  • What is the difference between in-network and out-of-network providers?
  • What are exclusions?
  • What is my coverage period?
  • What do copayment and coinsurance mean?
  • How can I find a provider?
  • Where do I send my claims?
  • Is my prescription covered?
  • How do I renew my insurance?
  • How do I view my current benefit plan?
  • How do I check the status of a claim?
  • How do I update my information?

Provider Frequently Asked Questions

  • When must a pre-service authorization be obtained?
  • Who can make a pre-service authorization?
  • How do we add/delete a new Tax ID number?

Employer Frequently Asked Questions

Agent Frequently Asked Questions