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1. Caremark
is your prescription drug care provider as of June 1, 2006.
Click here for a list of phone
numbers and addresses.
2. Decision
Power™
offers participants the most appropriate and cost-effective medical care
possible by addressing each participant's individual needs.
It covers chronic disease management and preference-sensitive condition
management. This program provides clinical and financial modeling
capability, health coaching/member outreach, and physician communication.
This year, Decision Power has set goals to integrate with all medical
management intervention, leverage any interaction to "case find", improve
clinical performance of participating providers, and improve member
well-being and medical outcomes. Please call
(800) 893-5597 24 hours a day, seven days a week to speak to a Decision
Power™
Health Coach. This service is offered to Fund participants at no cost.
3. MultiPlan
is a
network for out-of-network providers who agree to provide services at
favorable rates. The rates effectively lower the amount of coinsurance you
pay. The program doesn't include chiropractic, mental health, lab tests,
or other ancillary services.
A list of
MultiPlan providers can be found by calling
(800) 672-2140 or by logging
on to
www.multiplan.com.
4.
Locate an MHN mental health provider
online at
www.mhn.com.
Select "Members" on the home page, then choose "Practitioner
Search."
5.
Examine your vision benefits
eligibility
on
Davis Vision's Web site.
Sign in
using "Member Login" and choose "Check Eligibility."
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6.
Health
Net
updates its provider directory every week. You can search for
providers by specialty, location, or gender.
7.
Student letters are due twice a year:
by Jan. 1 for the spring semester and by Sept. 1 to ensure coverage
through Dec. 31.
The original letter from the school registrar should include your and your
dependent's Social Security numbers and verify that he is a full-time
student.
8.
Quest is the
only in-network lab.
Locate Quest Labs by calling the Health Net
Directory by Phone at (800) 686-9847 or
checking online at
www.healthnet.com.
9.
You have two Benefits Fund identification cards.
One is for medical care coverage
through Health Net. The other card is for dental through Aetna and
prescription drug coverage through Caremark.
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