WE ARE HERE TO HELP

Review the chart below to learn where you should start—depending on your question.

If you have questions about… Contact Phone Website
• Eligibility
• Who you are covering
• General benefits questions
Benesys (888) 559-1155 extension: 2784 n/a
• Medical Benefits
• Finding a doctor or provider in−network
• Checking on the status of a claim
Aetna (800) 772-4683 aetna.com
Your prescription drug benefits SAV-RX (866) 233-4239 savrx.com
Dental Benefits Delta Dental of Ohio (800) 524-0149 deltadentaloh.com
Vision Benefits VSP Vision Care (800) 877-7195 vsp.com

HEALTH AND WELFARE DOCUMENTS

REMINDER: Active members, non-Medicare retirees, and their spouses will be required to get an Annual Wellness Screening.

Active members and their spouses are required to undergo a primary care (wellness) screening or physical between October 1 and September 30 each year to maintain a lower deductible for the following plan year.

An annual wellness visit with your primary care provider or family doctor is vital for long-term wellness. Yearly wellness exams and immunizations are covered 100% for providers in the Aetna CPOSII network.

Here’s how you make sure you receive the no-cost wellness exam and preventive care:

  • Make sure your provider is in the provider network by visiting aetna.com or calling member services at the number on your ID card.
  • Learn about coverage for specific preventive services
  • Make sure your yearly wellness visit is covered 100% by ensuring your provider is using these preventive medicine visit CPT codes and submit the billing to Aetna with the preventive office exam or preventive diagnosis Z code (for example Z01.411, Z01.419, Z12.4, Z12.72, Z12.73 or Z39.2).

NOTE:  Actives, non-Medicare retirees, and their spouses only. This does not apply to Medicare retirees.


Your Health, 24/7: Manage it with Aetna’s easy-to-use web and mobile tools.

Visit aetna.com, click “Login,” then “Register”.

The website is your online resource for personalized health and financial information.

  • Find a doctor, hospital, or urgent care facility.
  • Check on a claims status.
  • Compare provider costs, and read reviews.
  • View your health history.
  • Take a health assessment, and participate in online wellness programs.

Download the free Aetna app for on-the-go access. Text AETNA to 90156 (message/data rates may apply).

  • View a map of your provider’s office or facility, and call with the tap of a finger.
  • Access ID card information


Manage Your Prescriptions Online, Anytime.

Take control of your prescriptions with our convenient online portal. Visit app.savrx.com to get started.

Register using your Sav-Rx Card, Social Security Number, or an active Rx number (especially for Mail Order users).

Member Portal Features:

  • Easily view your account details
  • Download your Sav-Rx ID card
  • Track your mail order deliveries
  • Access your complete claim history


Manage your dental plan online with Member Portal

Visit deltadentaloh.com to get started.

Member Portal gives you easy, secure online access to your benefits information 24/7. Use this free service if you have Delta Dental dental benefits for:

  • Eligibility. Review your specific benefits, including eligibility for dependents.
  • Up-to-date benefit information. Find current information about your benefits, such as how much of your annual maximum has been used to date, how much is still available to use, and levels of coverage for specific dental services.
  • Claims information. Review specific claims transactions, reimbursements, payments and pre-treatment estimates. You can also print a copy of your Explanation of Benefits (EOB) statements.
  • ID Cards. Print a copy of your ID card to give to your dentist. Please note that ID cards are not required and do not verify eligibility, although many dental offices like to keep a copy on file.
  • Paperless EOBs. Sign up for paperless delivery of your EOB statements.
  • Dentist search. Search for participating dentists near you.

This tool uses highly secure encryption technology to protect your personal information. All users must first register to gain access to Member Portal.

SUMMARY OF DENTAL PLAN BENEFITS


 

 

Create an account on vsp.com to view your in-network coverage, find the VSP network doctor who’s right for you, and discover savings with exclusive member extras. At your appointment, just tell them you have VSP.

SUMMARY OF VISION PLAN BENEFITS

If a dependent is under age 26 and is employed and is OFFERED health insurance through that employer, than that dependent is not eligible for coverage under the Steubenville Electrical Welfare Fund.

PLEASE NOTE: It is VERY IMPORTANT that you notify the Fund of any change in dependents or change in address. Failure to do so will cause delay in payment of your insurance claims.

If any answer to “Is dependent covered by other insurance?” is yes, then please fill out the next form (Other Insurance Form) and submit it.

WARNING: Any person who, with intent to defraud of knowing that he/she is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud. (Ohio Revised Code Section 3999.21)