On-line Prescription Benefit Manager member portal to review and track prescription claims, setup mail-order payment, shipping address . . .
Member Services (for prescription benefits only)
Pre-certification functions (prescription related only)
Retail (30-day supply) – Plan 1 $2/$10/$25/$45; Plan 2 $2/$10/$55/$105
Mail (90-day supply) – Plan 1 $4/$20/$50/$90; Plan 2 $4/$20/$110/$210
Plan year Individual Maximums out-of-pocket – $1250 / $1550
Information regarding processing prescriptions call 800.841.5396
Information regarding member benefits call 888.276.4732 or email email@example.com
Provider PPO Network for Medical, Dental, and Vision
Contracted rates and pre-determined discounting for provider services
All eligibility verification must be done through WebTPA, not the local Aetna group.
Vision & Alternative Benefits
No PPO network required. Review paid claims history or request new card call Member Services 888.276.4732 or email firstname.lastname@example.org
Chiropractic, Acupuncture, Massage, Refractive Eye Surgery, Hearing Aids, etc. No PPO Network required. Check your Plan Comparison Summary. Review paid claims history or request new card call Member Services 888.276.4732 or email email@example.com
Request Replacement Medical/Dental/Vision Card
For instructions on how to replace your card contact the Arizona Conference Corporation Human Resources Department at 480.991.6777 or email firstname.lastname@example.org
To make any changes to your medical enrollment (address, phone number, name, adding or subtracting dependents), please log into BSwift or email Human Resources at email@example.com or fax to 480.991.4833 attention HR.
Flexible Spending Account
All regular full time and part-time benefited employees are eligible to set aside pre-tax dollars, through payroll deductions, to spend on un-reimbursed medical and dependent care expenses. This pre-tax benefit is available through a Section 125 Cafeteria Plan program. The term Section 125 refers to a section of the Internal Revenue Code. Section 125 programs allow employees to save taxes on money they pay toward their group sponsored health plans.
Available upon hire and at annual open enrollment. Contact Human Resources for more information.
Our current Medical plan covers emergencies only. Additional coverage options are available. Click the link below to review the additional options approved by Adventist Risk Management.
Affordable Care Act Notice
New health insurance marketplace coverage options and your health coverage
Family and Medical Leave Act (FMLA)
The FMLA entitles eligible employees of covered employers to take unpaid, job-protected leave for specified family and medical reasons with continuation of group health insurance coverage under the same terms and conditions as if the employee had not taken leave. Arizona Conference requires use of paid leave accruals prior to non-paid leave commencing. Eligible employees are entitled to:
Twelve workweeks of leave in a rolling 12-month period for:
the birth of a child and to care for and bond with the newborn child within one year of birth;
the placement with the employee of a child for adoption or foster care and to care for and bond with the newly placed child within one year of placement;
to care for the employee’s spouse, child, or parent who has a serious health condition;
the employee’s own serious health condition that makes him/her unable to perform the essential functions of his/her job;
any “qualifying exigency” arising out of the deployment to a foreign country of the employee’s spouse, son, daughter, or parent who is in the Regular Armed Forces or National Guard or Reserves;
Twenty-six workweeks of leave in a single, rolling 12-month period to care for a covered service member or veteran with a qualifying serious injury or illness incurred or aggravated in the line of duty on active duty. The eligible employee must be the spouse, son, daughter, parent, or next of kin of the service member or veteran. (Military Caregiver Leave)
FMLA Documents and Resources