New Articles

  1. Understanding Our Plans

    We know employees get sick or hurt, and when they do, they need health care. They can’t always avoid the bad stuff life throws at them, but it’s nice to help them through it. That’s why we’re here–to give them insurance for real life.  We explain ...
  2. Medicare Part D Transition Process

    Within your first 108 days as a new member, you might be taking drugs that are not on our formulary, or list of covered drugs, that require you to meet certain requirements, like prior authorization, step therapy or quantity limits. If you're in ...
  3. Medication Therapy Management Program

    Better therapeutic outcomes for members with multiple conditions Our Medication Therapy Management Program (MTMP) is focused on improving therapeutic outcomes for Medicare Part D members. To qualify for MTMP, a member must meet all of the following...
  4. How do I find a doctor or provider?

    To determine if a doctor or specialist is in-network, click here and select “By Provider Type or Name”. Enter the name of the physician or specialist to see if the doctor is covered in one of our networks. ...
  5. Do I need prior authorization?

  6. How do I enroll in a Medicare plan?

    The Annual Enrollment Period is October 15 to December 7 each year. Outside those dates, you must qualify for a Special Enrollment Period to enroll in a plan. Our plans are only available in certain places. Make sure you live in our service are...
  7. How can I sign up for Medicare Part A and Part B?

    Apply online through the Social Security's website . Call Social Security at (800) 772-1213, TTY (800) 352-0778 or 711. Fill out the Application for Enrollment in Part B . Remember, you must already have Part A to apply for Part B. If you're a...
  8. Am I eligible for a Special Enrollment Period?

    Outside the Annual Enrollment Period , you can only enroll in a plan after a special event with a Special Enrollment Period (SEP). These are the different kinds of SEPs: Moved to a new service area or to an area with new plan options: You can s...
  9. Initial Enrollment Period

    Your Initial Enrollment Period (IEP) is a 7-month period, which includes the 3 months before your 65th birthday, the month of your birthday, and the 3 months after your birth month, when you can enroll in Original Medicare, a Medicare Advantage plan...
  10. Annual Enrollment Period

    The Annual Enrollment Period (AEP) is each year from October 15 to December 7, when you can enroll in Original Medicare, a Medicare Advantage Plan, a stand-alone Part D plan or switch plans. At this time, you can enroll in or leave a Medicare Adv...