Arkansas Public School Employees
New Benefits Effective Oct. 1, 2009
|
Plan Information
ARHealth Health Advantage 2009—2010
Benefit Summary
Rates
Contacts (27 KB PDF)
FAQs
Forms for Members
My Blueprint
My BlueLine
Pharmacy Benefits
Provider
Directory
Services Provided through Arkansas Employee Benefits Division
The Annual Benefits Guide (239 KB PDF)
includes information on the new 2010 plan, what changes can be made, how to enroll, who to call with
questions, benefit coverage, rates, retirement information and frequently asked questions.
Important information about pre-certification, appeals and case management. Read to avoid
denials for services not pre-certified.
Health Advantage
The health-care coverage you select is a very important decision. Today more than
60,000 public school employees, retirees and dependents have their health-care coverage with
Health Advantage.
Health Advantage, a subsidiary company of Arkansas Blue Cross and Blue Shield, has
offered health insurance products to public school employees and their dependents
for more than 10 years. We understand the importance of having local access to customer service
for you and your family. If you need to walk in and
speak with someone, we are there to help you,
with local offices in Texarkana, Little Rock, Hot Springs, Jonesboro, Fort Smith,
Pine Bluff and Fayetteville. These local offices provide services to all the counties
within their region.
ARHealth Health Advantage gives members the ability to visit any in-network provider without
going through a PCP for referral and receive the highest level of benefits available under the
in-network benefit program. Members also have the option of using out-of-network providers and
receiving the out-of-network benefit coverage.
- No referrals are required for services performed by an in-network provider.
- PCP and specialist office visit copayments are $25 and $35.
- In-network and out-of-network coinsurance amounts now are 20 percent and 40 percent on most services.
BlueCard®
As an ARHealth member through Health Advantage, you have more freedom to choose the doctors and
hospitals that best suit you and your family. Your coverage gives you a world of choices through
the BlueCard® Program.
DentalBlue
If your school offers dental coverage with Arkansas Blue Cross, you may go to the
DentalBlue Web site for more information, or you may
call Customer Service at 1-800-482-8416 to obtain a copy of your schedule of benefits.
|