Plan Features In & Out of Benefit StatusAn employee who is off assignment and no longer receiving a paycheck can miss a premium payment without having their medical coverage canceled. If an employee comes back to work between one (1) and six (6) weeks, payroll deductions will automatically begin again and be applied on a going-forward basis (no back premiums need to be paid unless there has been a claim). If, while off assignment, an employee files a claim then all missed premiums will need to be paid before the claim can be processed. Verifying CoverageProviders call a phone number located on the back of the member’s ID card to receive information on a member’s benefits. The provider will also be provided with any information regarding how much of the deductible and out-of-pocket the member has already met. Check Benefits OnlineHealthWeb StatusLink is an on-line benefits information website that is always available, 24 hours a day, seven days a week, giving plan members access to their health information. They can check the status of their medical, vision and dental claims, read a detailed Explanation of Benefits (EOB) for paid claims and see how far they are in meeting their deductibles. Because it’s password protected, member health information remains confidential.
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