City of Nacogdoches 2021 Enrollment Guide

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REMINDER: Effective as of 10/1/2019, the city moved to the Performance Formulary Drug Plan. The plan is designated to drive members to over- the counter products, low cost generic drugs, or lower cost preferred brand-name drugs. For some drugs, prior authorizations and step therapy are required. Compound drugs are excluded. Coverage is only available through an exception review process only to ensure medical necessity. Proton Pump Inhibitors (i.e. Nexium, Prilosec, Omeprazole, etc) are excluded due to the abundance of over-the-counter products. Non-sedating Antihistamines (i.e. Claritin, Zyrtec, Allegra, loratadine, etc) are excluded due to the abundance of over-the-counter products To see if your prescriptions are covered: 1. Go to www.myprime.com ● click “Find medicines”. ● Register as a user. ● If asked for your drug list, choose “Performance-Annual Drug List”. ● You may also call BCBS at 1-800-521-2227 1. You can Contact ● BXS Insurance at 936-564-1713 ● Human Resources at 936-559-2567 8
VIRTUAL VISITS / MDLIVE When it comes to healthcare, access is important. You want care that is convenient, high-quality and low-cost. But depending on your condition, going to your personal physician or an urgent care clinic might not be your best option. We are proud to offer telemedicine / virtual visits. TREATED THROUGH TELEMEDICINE Allergies Cold & Flu Symptoms Cough Ear Infection Pink Eye Prescription Refills Respiratory Infection Sinus Problems / Nasal Congestion Urinary Tract Infection And more! NOT TREATED THROUGH TELEMEDICINE Sprains, broken bones or injuries requiring bandaging Anything that needs a hands-on exam Anything that needs a lab test or X-ray Chronic conditions 9
Page 1 and 2: EMPLOYEE BENEFITS ENROLLMENT GUIDE
Page 3 and 4: CONTENTS 04 Benefits Overview 06 Me
Page 5 and 6: BENEFITS OVERVIEW ELIGIBILITY Full-
Page 7: MEDICAL INSURANCE CARRIER: BLUE CRO
Page 11 and 12: 11
Page 13 and 14: FLEXIBLE SPENDING ACCOUNTS Why not
Page 15 and 16: FLEXIBLE SPENDING ACCOUNTS 15
Page 17 and 18: DENTAL INSURANCE CARRIER: BLUE SHIE
Page 19 and 20: VISION INSURANCE - HIGH PLAN CARRIE
Page 21 and 22: BASIC LIFE AND AD&D INSURANCE CARRI
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Page 25 and 26: VOLUNTARY LIFE INSURANCE CARRIER: L
Page 27 and 28: LONG TERM DISABILITY INSURANCE CARR
Page 29 and 30: ENROLLMENT INSTRUCTION The City of
Page 31 and 32: IMPORTANT CONTACTS BENEFIT CARRIER

City of Nacogdoches 2021 Enrollment Guide

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