Health Care FAQS

This section covers frequently asked questions related to Active Participants’ health care benefits.

Claims

How do I request a claim form?

Claims

If my claim is denied, how do I appeal the claim denial?

Medical Plans

What is a deductible?

Medical Plans

What is coinsurance?

Medical Plans

What is an annual medical out-of-pocket maximum?

Medical Plans

I need surgery; what should I be aware of?

Medical Plans

I am enrolled in the Indemnity PPO Medical Plan, and I want to use a doctor who is not part of the Anthem Blue Cross Prudent Buyer network. What should I be aware of?

Medical Plans

I am enrolled in the Indemnity PPO Medical Plan; how do I find a doctor in the Anthem Blue Cross Prudent Buyer network?

Medical Plans

How do I request a medical plan identification card?

Medical Plans

How do I contact my medical plan carrier?

Health Reimbursement Account (HRA)

What is “HRA”?

Health Reimbursement Account (HRA)

How do I earn funding for my HRA?

Health Reimbursement Account (HRA)

After I complete a Healthy Activity, when do I receive funds for my HRA?

Health Reimbursement Account (HRA)

Can I use my HRA to pay for prescription drug copays?

Health Reimbursement Account (HRA)

How do I know how much money is in my HRA?

Health Reimbursement Account (HRA)

What if I don’t use my entire HRA balance during a calendar year?

Health Reimbursement Account (HRA)

Can I use my HRA to pay for dental and vision expenses?

Prescription Drug Program FAQs

Who is Caremark?

Prescription Drug Program FAQs

How will I fill my prescription at a local pharmacy?

Prescription Drug Program FAQs

Will the medication I’m currently taking be covered with Caremark?

Prescription Drug Program FAQs

Who can I talk to if I have questions about my prescription benefits? Can I find out my prescription costs before April 1?

Prescription Drug Program FAQs

What is formulary?

Prescription Drug Program FAQs

Why could my medication cost change?

Prescription Drug Program FAQs

My medication was already approved through a Prior Authorization process. Will I have to go through this again?

Prescription Drug Program FAQs

How are my diabetic medications and supplies covered?

Prescription Drug Program FAQs

What is CVS Specialty?

Prescription Drug Program FAQs

Why should I use CVS Specialty?

Prescription Drug Program FAQs

How will I receive my specialty medication from CVS Specialty?

Prescription Drug Program FAQs

How do I get started with CVS Specialty?