HMO Health Insurance Plan

Carrier: Anthem Blue Cross Blue Shield
Plan Type: HMO Blue New England
Group #: 343 797 003
Customer Service: 800-870-3122
Provider Directory: www.anthem.com
Medical Service Claims Address: Anthem Blue Cross & Blue Shield
PO Box 533, North Haven, CT 06473
Prescription Claims Address: PO Box 66583, St. Louis, MO 63166-6583

In Network Coverage Includes:

Office Visit Co-pay Tier 1 Provider - $25 per visit
Tier 2 Provider - $30 per visit
Prescription Co-pay: $15 Generic
$50 Formulary
$100 Non-Formulary
Chiropractic Visits: $40 per visit (12 per year)
*Services Subject to Deductible
Emergency Room Co-pay: $250 Co-pay *Services Subject to Deductible

Available products expire on 12/31/2018. Please contact  Human Resources or contact us at 800-995-2673 for additional information.

Health Insurance - Frequently Asked Questions

Q: How do I elect to participate in CoreMedical Group Benefits?
Q: What if I want to change what I elected?
Q: When do my benefits begin?
Q: When do my benefits end?
Q: Who is eligible to participate in CoreMedical Group benefit plans?
Q: Who can I cover on my group plan?
Q: What type of plan options do I have?
Q: When will I get my ID cards?
Q: Where will my ID cards be sent?
Q: What do I do if I need services or prescriptions filled before I get my ID cards?
Q: How do I apply for a reimbursement?
Q: Does my health plan reimburse me for gym membership?

Q: How do I elect to participate in CoreMedical Group Benefits?
A: At the time you are discussing your contract terms with Core, you will need to advise us as to whether you require insurance or not. If you elect insurance, you will receive the appropriate paperwork to complete at the time your contract is mailed to you. (TOP)
Q: What if I want to change what I elected?
A: Please contact human resources to determine your eligibility for change. (TOP)
Q: When do my benefits begin?
A: All insurances are effective day one (1) of your contract. (TOP)
Q: When do my benefits end?
A: All insurance ends at midnight on your last physical day of work. (TOP)
Q: Who is eligible to participate in CoreMedical Group benefit plans?
A: Full-Time W2 Employees (on CMG Payroll) (TOP)
Q: Who can I cover on my group plan?
A: You can cover a legal spouse, legal dependents, domestic partner, and/or civil union partner. Documentation to substantiate dependent coverage is required. (TOP)
Q: What type of plan options do I have?
A: CoreMedical Group currently offers Single or Family coverage. Family coverage is for Employee + Spouse/Legal Partner, Employee + Dependent or Employee, Spouse/Legal Partner and Dependents. (TOP)
Q: When will I get my ID cards?
A: You will receive your ID cards approximately 10-14 days after your enrollment is processed. Your ID cards are sent via United States Postal Service directly from Anthem. (TOP)
Q: Where will my ID cards be sent?
A: Your benefits will be processed using your address. (TOP)
Q: What do I do if I need services or prescriptions filled before I get my ID cards?
A: If you need to seek services or fill prescriptions prior to receiving your ID cards, you will need to pay for your service and apply for a reimbursement directly from the carrier. (TOP)
Q: How do I apply for a reimbursement?
A: You will need to complete an insurance carrier reimbursement form directly from the carrier's website. You will need complete the form as instructed and attach a copy of your receipt. You will be reimbursed for service as covered by your plan. (TOP)
Q: Does my health plan reimburse me for gym membership?
A: A: Yes. Attend a participating gym 35 times in each 6 month period within your benefits plan year and Anthem will reimburse up to $400 of your annual membership fees.
Please contact Anthem’s Customer Service line for more details at 1-800-852-6592. (TOP)

Learn more about COBRA.

Additional services and coverage provided. Please contact us or email: Benefits@CoreMedicalGroup.com for additional information.

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