2024 Pebtf

May 24, 2021 ... According to our records, you have a spouse enrolled on your Pennsylvania Employees Benefit. Trust Fund (PEBTF) health benefits.. 2005 ford gt500 for sale

Physicians who are treating a PEBTF member and wish to order these drugs from a specialty pharmacy provider must obtain them from CVS/specialty by calling 1-888 ...PEBTFPennsylvania Electronic Benefit Transfer (EBT) Welcome to the PA EBT website! EBT stands for Electronic Benefits Transfer. If you have been approved to receive benefits from one of the programs listed below, you can use this website to view your benefit balance (s). Food Assistance (formerly Food Stamp) - Supplement Nutrition Assistance Program ...The Summary of Benefits & Coverage (SBC) is an easy to understand summary of your benefits and coverage under each plan option – PPO, HMO and Bronze Plan. It is meant as a summary only. For more detailed benefit information, see the PEBTF Summary Plan Description (SPD). Bronze Plan (for employees working an average of 30 hours per week ... PEBTF May Cancel Your Coverage For Fraud, Non-payment or Intentional Misrepresentation. IMPORTANT: If you intentionally provide false or misleading information about eligibility for coverage under the PEBTF Plan (or about a claim) or you fail to make a required contribution on time, your coverage may be terminated retroactively. This may occur ... 2024 Formulary. SilverScript Employer PDP sponsored by REHP (SilverScript) 2024 Formulary. (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. This formulary was updated on 08/16/2023. For more recent information or other questions, please contact …PEBTF - Open Enrollment. Active Members. Benefit Information. Health Plan Choices by County. Open Enrollment Information. Benefit Comparison. Appointments are available the last Thursday of each month (except on holidays). Please call the PEBTF to schedule. Appointments must be scheduled in advance. Unscheduled walk-ins are not accepted. Secure Dropbox: For your convenience a locked drop-box is located just inside the main doors of the PEBTF offices. You may drop off a check payment ... 120 days prior to the month you turn 65: You will receive a packet of information from the PEBTF via certified mail. You must enroll in both Medicare Part A and Medicare Part B to continue medical and prescription drug coverage under the Retired Employees Health Program (REHP). Contact the Social Security Administration at 1-800-772-1213 three ... (Dental Service Plans are not shown.) Participating Providers. Aetna - Commercial Aetna - PEBTF Aetna - Medicare Advantage Aetna Institutes of Excellence - ...May 15, 2009 ... ... PEBTF. “We basically want to become competitive with other employers,” Leo said. “A lot of other employers do provide such a benefit, so in ...Retail Prescriptions (up to 30-day supply) - Generic drug: $15; Preferred brand-name drug: $40, plus the cost difference between the brand and the generic, if one exists.; Non-preferred brand-name drug: $80, plus the cost difference between the brand and the generic, if one exists. Retail Maintainence at CVS Pharmacy and Mail Order - Generic ...Open Enrollment Newsletter for 30 Hour Week Employees – Bronze & Other PEBTF Plans CVS ® ExtraCare Plus (free for Aetna subscribers) Plan Web Site: www.aetna.com PEBTF Website Visit www.pebtf.org > 2023 Open Enrollment. View the webinar, plan benefits and compare plans in your county of residence. The Summaries of Benefits & Coverage are also available on the website. Contact the PEBTF g. Contact PEBTF Health Advocate Call 1-855-855-4238 to help locate network health care providers. Contact the HR ... Wellness Discounts Offered by PEBTF Medical Plans. As part of your enrollment in a medical plan option, you have access to discounts to: Health clubs and gyms. Diet programs. Complementary health and alternative medicine. Discounts vary by medical plan. New users, enter registration key, PEBTF. Any questions or issues with online registration may be directed to Quest Diagnostics Customer Support PEBTF Health Advocate is offered free of charge to members (employees, retirees, spouses/domestic partners and dependent children). PEBTF Health Advocate offers high-touch personalized support to help you navigate a complicated health care system. The service provides you and your family with confidential, one-on-one help. May 24, 2021 ... According to our records, you have a spouse enrolled on your Pennsylvania Employees Benefit. Trust Fund (PEBTF) health benefits.Please note: This PEBTF Specialty Pharmacy Drug List is a list of drugs that must be filled through the pharmacy benefit plan, unless noted under the drug or drug class heading. The drugs on this list are subject to prior authorization review. Prospective Patients: Ready to get started? Enroll to get your medications from CVS Specialty.Summary. In-network deductibles differ between the Choice PPO and the Basic PPO: - Choice PPO – Annual in-network deductible is $400 single/$800 family. - Basic PPO – Annual in-network deductible is $1,500 single/$3,000 family. PPO option covers medical services as set forth in the PEBTF Plan Document. PPO option offers both an in ... Jul 1, 2012 ... PEBTF and REHP Members. Below is a list of medicines by drug class that will not be covered without a prior authorization. If you continue ...PEBTF - Log In. Active Members. Benefit Information. Health Plan Choices by County. Open Enrollment Information. Benefit Comparison. Pennsylvania Employees Benefit Trust Fund (PEBTF)—The PEBTF administers health care benefits for approximately 76,000 eligible commonwealth employees and their dependents. It is governed by a Board of Trustees comprised of both commonwealth and union representatives. Teladoc and telemedicine visits with your Behavioral Health doctor. $0 copay under the Optum Mental Health & Substance Use benefit. COVID-19 test (processed at a pharmacy, doctor’s office or other location) Copay applies. PPO: $0 if at a Quest Diagnostics or LabCorp; subject to your deductible elsewhere. Over the counter COVID-19 test kits.PEBTF - Benefit Comparison. Active Members. Benefit Information. Health Plan Choices by County. Open Enrollment Information. Benefit Comparison. The Summary Plan Description (SPD) summarizes the main terms of the benefits provided to Members and their eligible Dependents under the Pennsylvania Employees Benefit Trust Fund Plan. This SPD replaces all previous Summary Plan Descriptions for the Plan. The SPD has been prepared to help you understand the main features of the health benefit ... The Pennsylvania Employees Benefit Trust Fund (PEBTF) offers confidential wellness screenings that give you valuable information about your health and health risks. You may then visit your doctor to discuss your results and set goals for better health. Your health and well-being are important to the PEBTF. If each of us manages our health issues and …Summer P-EBT benefits of $120 per eligible student will be added to your Families First card for active SNAP households as a one-time payment. Summer P-EBT benefits of $120 per eligible student for non-SNAP recipients will be added as a one-time payment to the most recently issued P-EBT card you received, if you previously received …PEBTF Website Visit www.pebtf.org > 2023 Open Enrollment. View the webinar, plan benefits and compare plans in your county of residence. The Summaries of Benefits & Coverage are also available on the website. Contact the PEBTF g. Contact PEBTF Health Advocate Call 1-855-855-4238 to help locate network health care providers. Contact the …* For more information about limitations and exceptions, see the SPD or plan document at www.pebtf.org. Page 3 of 6 Common Medical Event Services You May Need What You Will Pay Limitations, Exceptions, & Other Network Provider Important Information (You will pay the least) Out-of-Network Provider (You will pay the most) If you have outpatientPennsylvania Employees Benefit Trust Fund (PEBTF)—The PEBTF administers health care benefits for approximately 76,000 eligible commonwealth employees and their dependents. It is governed by a Board of Trustees comprised of both commonwealth and union representatives. Non-Medicare Eligible Open Enrollment. Pennsylvania Employees Benefit Trust Fund. 150 S. 43 rd Street. Harrisburg, PA 17111-5700. You may also call the PEBTF at 1-800-522 …PEBTF - Log In. Active Members. Benefit Information. Health Plan Choices by County. Open Enrollment Information. Benefit Comparison.Summary. In-network deductibles differ between the Choice PPO and the Basic PPO: - Choice PPO – Annual in-network deductible is $400 single/$800 family. - Basic PPO – Annual in-network deductible is $1,500 single/$3,000 family. PPO option covers medical services as set forth in the PEBTF Plan Document. PPO option offers both an in ... Oct 16, 2023 · Open Enrollment: Enrollment Instructions for Active Members. Visit the Open Enrollment section of this website for more information on your health plan choices. If you have questions about your medical plan options, coverage for services, etc. please contact the PEBTF at 1-800-522-7279. When you are ready to select a medical plan, you can use ... Enter your last name, date of birth and social security number. On the next screen, you will be able to Select your Payment – either pay in full or make a custom payment. Enter the card holder name, credit card number, expiration date and security code and click on Proceed to Checkout. Click on Complete Payment. For more information about Aetna plans, go to PEBTF.AetnaMedicare.com or call Member Services at toll-free at 1-888-272-5651 (TTY: 711). Hours are 8 a.m. to 9 p.m. EST, Monday through Friday. The provider network may change at any time. You will receive notice when necessary. In case of emergency, you should call 911 or the local emergency hotline. PEBTF - Log In. Active Members. Benefit Information. Health Plan Choices by County. Open Enrollment Information. Benefit Comparison.Custom HMOs cover medical services as set forth in the PEBTF Plan Document. Treatment for medical services must be coordinated by a Primary Care Physician (PCP) $5 copayment for PCP office visits (for general practitioners, family practitioners, internists and pediatricians) $150 copayment for emergency room visit (waived if the visit leads to ...REHP May Cancel Your Coverage For Fraud, Non-payment or Intentional Misrepresentation. IMPORTANT: If you intentionally provide false or misleading information about eligibility for coverage under the REHP Plan (or about a claim) or you fail to make a required contribution on time, your coverage may be terminated retroactively. Please note: This PEBTF Specialty Pharmacy Drug List is a list of drugs that must be filled through the pharmacy benefit plan. Exceptions are noted below, particularly injectable products used for oncology indications which may be billed under the medical benefit.SMALL CHANGES MAKE A BIG DIFFERENCE. Making small lifestyle changes to the foods you eat and activity you get can make big improvements to your health. Find out if you qualify for a program that can help you lose weight and lower your chance of getting type 2 diabetes. ¹.PEBTF - Log In. Active Members. Benefit Information. Health Plan Choices by County. Open Enrollment Information. Benefit Comparison. The following details the Copayments under the Prescription Drug Plan. Prescriptions at a Network Pharmacy – up to a 30 Day Supply. Your Copayment. Tier 1: Generic drug. $12. Tier 2: Preferred brand-name drug. $30, plus the cost difference between the brand and the generic, if one exists. Tier 3: Non-Preferred brand-name drug.For more information about Aetna plans, go to PEBTF.AetnaMedicare.com or call Member Services at toll-free at 1-888-272-5651 (TTY: 711). Hours are 8 a.m. to 9 p.m. EST, Monday through Friday. The provider network may change at any time. You will receive notice when necessary. In case of emergency, you should call 911 or the local emergency hotline. Mail Order and CVS Pharmacy – up to a 90 Day Supply. Your Copayment. Tier 1: Generic drug. $22.50. Tier 2: Preferred brand-name drug. $60, plus the cost difference between the brand and the generic, if one exists. Tier 3: Non-Preferred brand-name drug. $120, plus the cost difference between the brand and the generic, if one exists. If you have questions about your benefits, please contact the PEBTF at 1-800-522-7279. To view, print, or save the RPSPP Handbook click here * . To request a printed copy of the RPSPP Handbook, click here. Please note there is a charge for the printed copy at a cost of $.25 per page or $41.50 for the Handbook.Summer P-EBT benefits of $120 per eligible student will be added to your Families First card for active SNAP households as a one-time payment. Summer P-EBT benefits of $120 per eligible student for non-SNAP recipients will be added as a one-time payment to the most recently issued P-EBT card you received, if you previously received …Enter your last name, date of birth and social security number. On the next screen, you will be able to Select your Payment – either pay in full or make a custom payment. Enter the …A. Detailed information is included in the Open Enrollment newsletter and on the PEBTF website. At a very high level, the PPOs have in-network deductibles on certain services and offer an out-of-network benefit. The Choice PPO also has a PPO buy-up for employees hired on or after 8/1/2003. The REHP Custom HMO is a network-benefit only and it ...Results 1 - 25 of 77 ... Key Employees of PEBTF · Profile Picture. Lori Donovan. Chief Operating Officer. Phone Email · Profile Picture · Nancy Murphy. Chief&n...PEBTF-14 Adult Dependent Coverage Form. PEBTF-36 Active Employer Benefit Verification Form for Active Members. PEBTF-40 Direct Payment Authorization Form. PEBTF-41 Enrollment in PEBTF Prescription Drug Plan Without PEBTF Medical Plan Coverage. PEBTF-44 Attesting to Other Coverage Due to a Plan Change Effective 4/1/2021 …PEBTF - Open Enrollment. Active Members. Benefit Information. Health Plan Choices by County. Open Enrollment Information. Benefit Comparison. Electronic Benefits Transfer (EBT) and. the Michigan WIC Bridge Card. - the safe and easy way for you to buy your WIC foods. Your family's WIC food benefits will be automatically deposited until your next WIC visit. You will use your Michigan WIC Bridge Card to purchase your WIC food benefits at WIC stores that display the Michigan WIC Bridge ...REHP Benefit Videos. The following videos provide information on a variety of topics pertaining to retiree benefits. Eligibility.You must be an authorized representative to create a member account or reset an Email/Password. By using or accessing PEBTF.org (the 'Website'), you agree that you will use it for legitimate purposes only, and not for any illegal or unauthorized purpose, including without limitation, in violation of any intellectual property or privacy law. Custom HMOs cover medical services as set forth in the PEBTF Plan Document. Treatment for medical services must be coordinated by a Primary Care Physician (PCP) $5 copayment for PCP office visits (for general practitioners, family practitioners, internists and pediatricians) $150 copayment for emergency room visit (waived if the visit leads to ... Enter your last name, date of birth and social security number. On the next screen, you will be able to Select your Payment – either pay in full or make a custom payment. Enter the card holder name, credit card number, expiration date and security code and click on Proceed to Checkout. Click on Complete Payment. Claim forms are available at a participating provider office. United Concordia also accepts any standard dental claim form. Your dentist will complete an examination and recommend needed treatment. For more information, refer to your Summary Plan Description or contact PEBTF. United Concordia Dental Options (UCCI) www.ucci.com 1-888-320-3321. Claim forms are available at a participating provider office. United Concordia also accepts any standard dental claim form. Your dentist will complete an examination and recommend needed treatment. For more information, refer to your Summary Plan Description or contact PEBTF. United Concordia Dental Options (UCCI) www.ucci.com 1-888-320-3321. PEBTFPennsylvania Employees Benefit Trust Fund (PEBTF)—The PEBTF administers health care benefits for approximately 76,000 eligible commonwealth employees and their …A: If such an unfortunate event should occur, Active members should contact the HR Service Center or their local HR Office if their agency is not serviced by the HR Service Center. Retiree members may contact the State Employees' Retirement System (SERS) at 800-633-5461. Once you provide the necessary documentation, this information will be ... SERS is the retirement system for public employees in Pennsylvania, offering pension and health care benefits. The PEBTF is the Pennsylvania Employees Benefit Trust Fund, the …PEBTF - Open Enrollment. Active Members. Benefit Information. Health Plan Choices by County. Open Enrollment Information. Benefit Comparison.Claim forms are available at a participating provider office. United Concordia also accepts any standard dental claim form. Your dentist will complete an examination and recommend needed treatment. For more information, refer to your Summary Plan Description or contact PEBTF. United Concordia Dental Options (UCCI) www.ucci.com 1-888-320-3321.PEBTF's legal argument was as follows. When established in 1988, PEBTF was a governmental plan within the meaning of ERISA and excluded from the Act's coverage.PEBTF - Open Enrollment. Active Members. Benefit Information. Health Plan Choices by County. Open Enrollment Information. Benefit Comparison. The employer is responsible for notifying the PEBTF if the qualifying event is a reduction in hours, termination of employment, or death of the employee. For other qualifying events (divorce, termination of domestic partnership, dependent child’s losing eligibility for coverage as a dependent) you must notify the PEBTF in writing (to thePPO Bronze Plan (Open Choice) Aetna Customer Service: 1-800-991-9222 PEBTF Benefits - 2024 Network Providers Non-Network Providers** DEDUCTIBLE (Per Calendar Year) Includes costs for medical, mental health and substance abuse benefits and prescription drug costs. $9,450 single $18,900 family $9,554 single $19,108 familyEnter your username and password in the Sign In box. You will see your demographic information populate. If you receive the message, Last 4 SSN is required, click on My Account in the upper right, and hit Save. That should take you directly to the Welcome screen where you can click on Get Started to register for a wellness screening.instructions at www.pebtf.org and clicking on the Get Healthy logo to go to the Quest Diagnostics website. Register for the wellness screening because walk-ins will not be accepted at onsite events this year. At a Patient Service Center, make sure you register so that Quest Diagnostics has an order for you.PEBTF - Benefit Comparison. Active Members. Benefit Information. Health Plan Choices by County. Open Enrollment Information. Benefit Comparison.Enter your last name, date of birth and social security number. On the next screen, you will be able to Select your Payment – either pay in full or make a custom payment. Enter the card holder name, credit card number, expiration date and security code and click on Proceed to Checkout. Click on Complete Payment. SilverScript. Evidence of Coverage Evidence of Coverage January 1, 2024, and December 31, 2024.Pennsylvania Employees Benefit Trust Fund (PEBTF)—The PEBTF administers health care benefits for approximately 76,000 eligible commonwealth employees and their dependents. It is governed by a Board of Trustees comprised of both commonwealth and union representatives. State Employees’ Retirement System (SERS)—SERS administers four …PEBTF - Log In. Active Members. Benefit Information. Health Plan Choices by County. Open Enrollment Information. Benefit Comparison. For more information about Aetna plans, go to PEBTF.AetnaMedicare.com or call Member Services at toll-free at 1-888-272-5651 (TTY: 711). Hours are 8 a.m. to 9 p.m. EST, Monday through Friday. The provider network may change at any time. You will receive notice when necessary. In case of emergency, you should call 911 or the local emergency hotline.PEBTF May Cancel Your Coverage For Fraud, Non-payment or Intentional Misrepresentation IMPORTANT: If you intentionally provide false or misleading information about eligibility for coverage under the PEBTF Plan (or about a claim) or you fail to make a required contribution on time, your coverage may be terminated retroactively.With the federal public health emergency ending in May 2023, P-EBT services are no longer being offered. Please note: This PEBTF Specialty Pharmacy Drug List is a list of drugs that must be filled through the pharmacy benefit plan, unless noted under the drug or drug class heading. The drugs on this list are subject to prior authorization review. Prospective Patients: Ready to get started? Enroll to get your medications from CVS Specialty.Jan 1, 2013 · Medicare Part D Prescription Drug Plan. Three-Tier Copayment Plan - Generic, Preferred Drugs and Non-Preferred Drugs. Retail Prescriptions (up to 30-day supply) - Generic drug: $12; Preferred brand-name drug: $30, plus the cost difference between the brand and the generic, if one exists; Non-preferred brand-name drug: $60, plus the cost ... Non-Medicare Eligible Open Enrollment. Pennsylvania Employees Benefit Trust Fund. 150 S. 43 rd Street. Harrisburg, PA 17111-5700. You may also call the PEBTF at 1-800-522 …Enter your last name, date of birth and social security number. On the next screen, you will be able to Select your Payment – either pay in full or make a custom payment. Enter the card holder name, credit card number, expiration date and security code and click on Proceed to Checkout. Click on Complete Payment. The PEBTF Board of Trustees has full and complete discretion and authority over all Plan provisions, including their interpretation and application. Pennsylvania Employees Benefit Trust Fund (PEBTF) 150 S. 43rd Street, Suite 1 Harrisburg, PA 17111-5700 Phone: 717-561-4750 800-522-7279 www.pebtf.org Business Wire. The Board of Trustees of the Pennsylvania Employees Benefit Trust Fund (PEBTF) today announced the appointment of Kathryn M. Farley to the position of …

PEBTF May Cancel Your Coverage For Fraud, Non-payment or Intentional Misrepresentation. IMPORTANT: If you intentionally provide false or misleading information about eligibility for coverage under the PEBTF Plan (or about a claim) or you fail to make a required contribution on time, your coverage may be terminated retroactively. This may occur ... . Old time pottery hours

Apr 3, 2023 ... PEBTF is also run quarterly for all CHIP enrollees. PEBTF is not verified upon receipt, caseworker must verify PEBTF eligibility. PACSES. No ...Visit www.pebtf.org > 2023 Open Enrollment. View the webinar, plan benefits and compare plans in your county of residence. Call 1-800-522-7279 or email [email protected]. The representative can answer questions about your benefits, costs and how to change plans. Call 1-855-855-4238 to help locate network doctors. PEBTF Website Contact ...PEBTF: Basic PPO Coverage for: Individual + Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be providedSilverScript. Evidence of Coverage Evidence of Coverage January 1, 2024, and December 31, 2024.By William Kauffman on May 24, 2021. The Pennsylvania Employees Benefit Trust Fund’s (PEBTF) annual spousal attestation process will begin on June 1, 2021, for employees …PPO Bronze Plan (Open Choice) Aetna Customer Service: 1-800-991-9222 PEBTF Benefits - 2024 Network Providers Non-Network Providers** DEDUCTIBLE (Per Calendar Year) Includes costs for medical, mental health and substance abuse benefits and prescription drug costs. $9,450 single $18,900 family $9,554 single $19,108 familyPEBTF - Log In. Active Members. Benefit Information. Health Plan Choices by County. Open Enrollment Information. Benefit Comparison.By using or accessing PEBTF.org (the 'Website'), you agree that you will use it for legitimate purposes only, and not for any illegal or unauthorized purpose, including without limitation, in violation of any intellectual property or privacy law. You agree not to attempt to interfere with the Website’s network or security features or to attempt to gain unauthorized access to …Gastric Surgery/Therapy/Durable Medical Equipment/Outpatient Procedures: 888-236-6321. Home Health/Home Infusion Therapy/Hospice: 888-567-5703. Inpatient Clinical: 800-416-9195. Medical Injectable Drugs: 833-581-1861. Musculoskeletal (eviCore): 800-540-2406. Telephone: For inquiries that cannot be handled via the online provider portal, call ...PEBTF Custom HMO Aetna Member Services 1-800-991-9222 PEBTF Active Members 2023 Everyone is on the same page When you get care from doctors and hospitals in the PEBTF Custom HMO network, your health history is in one place. So your care team can be on the same page, too. Your team can: • Keep tabs on your prescriptions and lab resultsSMALL CHANGES MAKE A BIG DIFFERENCE. Making small lifestyle changes to the foods you eat and activity you get can make big improvements to your health. Find out if you qualify for a program that can help you lose weight and lower your chance of getting type 2 diabetes. ¹.The .gov means it’s official. Local, state, and federal government websites often end in .gov. State of Georgia government websites and email systems use “georgia.gov” or “ga.gov” at the end of the address.Services or supplies provided by a Hospital or Other Facility Provider, or by a Physician or Other Professional Provider that the Claims Payor - PPO, HMO, or Mental Health and Substance Abuse Plan Provider, or the PEBTF - determines are: (a) appropriate for the symptoms and diagnosis or treatment of the Member's condition, Illness, disease, or ...The official Maryland EBT/P-EBT customer service phone line is 1-800-997-2222. This is the only number that should be used for inquiries related to your card. The customer service call center can be reached 24 hours a day, 7 days to order a new card, inquire about your balance or change your Personal Identification Number (PIN).PEBTF May Cancel Your Coverage For Fraud, Non-payment or Intentional Misrepresentation. IMPORTANT: If you intentionally provide false or misleading information about eligibility for coverage under the PEBTF Plan (or about a claim) or you fail to make a required contribution on time, your coverage may be terminated retroactively. This may occur ... Glossary. Retiree Members: Non-Medicare Eligible. Benefit Information. REHP Benefit Videos. Health Plan Choices by County. Open Enrollment Information. Benefit Comparison. Turning 65..

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