| Frequently
Asked Questions
Q: How do I change
my Primary Care Physician (PCP)?
A: Call the 800# on the back of your medical card and tell CareFirst Blue
Cross Blue Shield your new physician's name. They will send out new cards.
Q: I have lost my identification
cards - how do I order more?
A: Call the FCPS Benefits Office, 301-644-5093.
Q: How do I order additional
cards for my family?
A: Call the customer service number on your card.
Q: I received a medical
Explanation of Benefits showing I owe a balance. This is incorrect. Who
do I call?
A: Call the local CareFirst Blue Cross Blue Shield Office at 301-663-3138.
If this does not resolve the problem - call the FCPS Benefits Office,
301-644-5093.
Q: I received a dental
Explanation of Benefits statement showing I owe a balance. This is incorrect.
Who do I call?
A: Call Delta Dental at 1-800-932-0783 - claims division.
Q: Can you send me
a list of mental health care providers?
A: Call Magellan Behavorial Health at 1-800-245-7013 and ask for a list
of Magellan in-network providers. Choose a provider. Make an appointment.
Call Magellan and have them approve the appointment. They will send a
pre-treatment plan to the provider to complete and return. Magellan's
authorization for treatment generally covers 8-10 visits. An updated treatment
plan will be required for additional coverage.
Q: Can I add or drop
a dependent at any time? What is the cost?
A: New dependents (due to marriage or birth) must be added within 30 days
of the event. If you wish to add a dependent outside open enrollment,
proof of loss of coverage will be required. Otherwise, you must wait until
open enrollment in May for a July 1 effective date.
Dropping a dependent outside open enrollment requires proof that the dependent(s)
have other coverage. If no proof is submitted, the dependent(s) cannot
be dropped until open enrollment. You can also drop a dependent due to
divorce or death.
Call the FCPS Benefits Office for premium cost information.
Q: What if I have trouble
understanding an Explanation of Benefits Statement I receive from CareFirst
Blue Cross Blue Shield or Delta Dental?
A: You can call CareFirst Blue Cross Blue Shield and Delta Dental and
talk directly with a customer service representative that will access
your records and go over your statement with you.
Q: Do I need a referral
for…? Is this procedure covered, if so how?
A: The answer varies of course, depending on the service and provider.
Refer to the Employee Benefits Guide Books or call CareFirst Blue Cross
Blue Shield directly.
Q: What is my group
and/or ID number?
A: Medical - Active employees - group number P661 - ID number XWS followed
by SS#
Medical - COBRA - group number P662 - ID number XWS followed by SS#
Medical - Retirees under age 65 - group number P663 - ID number XWS followed
by SS#
Medical - Retirees 65 years and older - group number P657 - ID number
XWF followed by SS#
Delta Dental - your SS# is your ID number
Eckerd Prescription - group number 200137689 - ID number is your SS#
Q: What doctors/vision providers/dentists
are in network?
A: Medical - You can refer to the POS, PPN, and vision directories, go
to the www.carefirst.com website, or call Blue Cross Blue Shield.
Dental - You can refer to the Delta Dental preferred provider book, visit
the www.midatlanticdeltadental.com website, or call Delta Dental.
Q: What card do I show
my eye care provider?
A: Your CareFirst Blue Cross Blue Shield medical ID card is also your
vision card. It will state Select Vision. That indicates you have vision
coverage through your medical plan.
Q: Why can't I get
my prescription filled?
A: Eckerd has certain clinical guidelines regarding prior authorization,
quantity limitations and contingent therapy protocal. If you or your pharmacist
are having problems, you should call Eckerd at 1-888-645-9303. Your doctor
may be required to fax Eckerd additional information to receive authorization
to fill your prescription through your Eckerd program.
Q: Who are my eligible
dependents?
A: Eligible dependents are your spouse (except in the event of divorce
or annulment) and your unmarried children through the age of 18 (and in
certain cases, to the age of 23)
Q: How long are my
dependents covered by insurance?
A: Eligible dependents from age 15 days to 1 year are covered by partial
term life insurance benefits.
From the age of 1 year through 18 years, dependents are covered by full
term life benefits.
Dependents are covered by health benefits from birth through age 18.
Dependents are covered by dental benefits from birth through age 18.
Unmarried children who are over the above age limits but less than 23
years old are nevertheless eligible provided they depend wholly upon you
for support and maintenance and are full-time students in an educational
institution.
Stepchildren, foster children
and legally adopted children may be included the same as your natural
children provided they depend upon you for support or maintenance.
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