Webthe Pennsylvania Employees’ Benefit Trust Fund [PEBTF]): Preferred Provider Organization (PPO) – Choice PPO (Aetna) or Basic PPO (Highmark) o Allows the member to receive care from any in-network physician or facility. Primary Care Physicians and referrals are not needed. o Choice PPO – annual deductible of $400 single/$800 family WebHighmark Blue Shield, Highmark Benefits Group, Highmark Choice Company, Highmark Senior Health Company, and Highmark Health Insurance Company are independent …
Pennsylvania Employees Benefit Trust Fund (PEBTF) - Aetna
WebHighmark requires authorization of certain services, procedures, and/or Durable Medical Equipment, Prosthetics, Orthotics, & Supplies ( DMEPOS) prior to performing the procedure or service. The authorization is typically obtained by the ordering provider. Some authorization requirements vary by member contract. WebPEBTF Highmark Basic PPO Plan. Member Service. 888-301-9273; PEBTF Aetna Choice PPO. Member Service. 800-991-9222; PEBTF Aetna Custom HMO West. Member Service. 800-991-9222; PEBTF General Information & Get Healthy. Member Service. 800-522-7279; DEMension Benefit Management. Member Service my radar windows 10 app
PEBTF Health Plan -All Members (PPOs and HMOs)
WebIf you have questions about insurance providers, coverage, or claims, call the Pennsylvania Employees Benefit Trust Fund at 1.800.522.7279. How We Help. SERS supports the organizations that run REHP by helping you: Determine if you qualify for REHP. Enroll in REHP as part of the retirement process, if appropriate WebApr 4, 2024 · Pennsylvania Employees Benefit Trust Fund (PEBTF) Aetna Medicare Login/Register COVID home tests As of April 4, 2024, Medicare covers up to eight over-the-counter COVID-19 tests each month, at no extra cost to you if you have Medicare Part B. You must get the tests at participating providers or pharmacies. Learn more Welcome to your … WebHighmark recommends that facilities wait to submit claims until authorization determinations are made and, if inpatient admission is not authorized, until the facility decides whether it will pursue an appeal. All outpatient services, including observation, may be billed when it is determined that inpatient admission is not medically necessary. my radar app windows 10