REHP Benefit Videos. The following videos provide information on a variety of topics pertaining to retiree benefits. Eligibility.PEBTFBy 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 …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.Access – PA Medicaid (must have medical insurance); Aetna (except PEBTF plans); AmeriHealth; AmeriHealth Administrators; Blue Cross Blue Shield; Cigna ...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 ...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 …The PEBTF includes the Prior Authorization List on this Web site under Publications and Forms. You may also contact the PEBTF or the prescription drug plan to determine if a drug appears on the Prior Authorization List. Otherwise, you will be told that the drug appears on the list when you try to fill the prescription at the pharmacy. 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 Website Visit www.pebtf.org > 2022 Open Enrollment. View the webinar, plan benefits and compare plans in your county of residence. The Summary of Benefits & Coverage are also available on the website. Contact the PEBTF Call 1-800-522-7279 or email [email protected]. Contact the PEBTF Call 1-800-522-7279 or email …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. Find out what works well at PEBTF from the people who know best. Get the inside scoop on jobs, salaries, top office locations, and CEO insights. Compare pay for popular roles and read about the team’s work-life balance. Uncover why PEBTF is the best company for you.You will work virtually with a physical therapist to design a home exercise program to fit into your busy schedule. Most exercise sessions take as little as 15 minutes to complete. Your program will combine gentle exercise with one-on-one support to improve your condition, reduce your pain and help you move with confidence.Luzerne County. Basic PPO. Choice PPO. Geisinger Custom HMO Northeastern PA. Bronze Plan. Supplemental Benefits Only. Pennsylvania Employees Benefit Trust Fund 150 South 43rd Street, Suite 1 Harrisburg, PA 17111-5700. Local: 717-561-4750 Toll Free: 800-522-7279. PEBTF telephone hours: 8 a.m. – 5 p.m. Monday through Friday. 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.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 ...Jun 17, 2010 ... Harrisburg – The Pennsylvania Employees Benefit Trust Fund (PEBTF) announced today that Highmark, Aetna, Capital Blue Cross, ...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. 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. Jun 17, 2010 ... Harrisburg – The Pennsylvania Employees Benefit Trust Fund (PEBTF) announced today that Highmark, Aetna, Capital Blue Cross, ...PEBTF Website Visit www.pebtf.org > 2022 Open Enrollment. View the webinar, plan benefits and compare plans in your county of residence. The Summary of Benefits & Coverage are also available on the website. Contact the PEBTF Call 1-800-522-7279 or email [email protected]. Contact the PEBTF Call 1-800-522-7279 or email …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. Your physician should be the only one prescribing medications for you. If you should happen to receive a call similar to what was reported above, please contact the PEBTF’s Fraud area via the Contact the PEBTF section of www.pebtf.org or call the PEBTF at 1-800-522-7279.The PEBTF complies with applicable Federal civil rights laws and does not discriminate ... Contact the PEBTF at 717-561-4750 or. 1-800-522-7279 or visit www.pebtf ...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. Click on the link below to see what your plan offers. For more information, log on to your plan’s website by creating a username and password.After the PEBTF receives proper notice of a qualifying event it will send you or your family member(s) an election notice explaining your rights and applicable premium rates for coverage. You have 60 days from the date of the election notice to notify the PEBTF that you wish to elect COBRA continuation coverage. A separateThe PEBTF also provides mental health and substance abuse coverage, as well as prescription drug, vision, dental and hearing aid benefits for eligible individuals. We are …About Us. The Pennsylvania Employees Benefit Trust Fund (PEBTF), established in 1988, administers health care benefits to approximately 68,000 eligible Commonwealth of Pennsylvania employees and their dependents and 65,000 retirees and their dependents, as well as additional employer groups. The PEBTF is governed by a Board of Trustees ... PEBTF is a health plan for retired employees of the Pennsylvania Employees Benefit Trust Fund. It offers an Open Access PPO plan with benefits such as mental health, fitness, …PEBTF-6 Disabled Dependent Certification Form. PEBTF-11 Retiree Declaration of Spouse Health Coverage for Retiree Members. PEBTF-14 Adult Dependent Coverage Form. PEBTF-36 Retiree Employer Benefit Verification Form for Retiree Members. PEBTF-40 Direct Payment Authorization Form.When you enroll in an Aetna ® Medicare plan, here's what you can expect. We'll mail you: A new member Journey Handbook with helpful tools, cost-saving resources and important tips. Read your plan documents to learn more about your plan and how it works. The Evidence of Coverage will tell you exactly what's covered and your out-of-pocket costs. Your form will be processed after July 1, 2021 and you will earn the waiver retroactive to the first pay period when you enrolled in PEBTF benefits. If you have any questions about the Get Healthy Program, contact the PEBTF at 717‐561‐4750 or 800‐522‐7279.PEBTF is a health plan for retired employees of the Pennsylvania Employees Benefit Trust Fund. It offers an Open Access PPO plan with benefits such as mental health, fitness, …contact the Pennsylvania Employees’ Benefit Trust Fund (PEBTF) at (717) 561-4750 or toll-free at (800) 522-7279, or at . www.pebtf.org. Benefits, benefit levels, and eligibility rules …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.When you enroll in an Aetna ® Medicare plan, here's what you can expect. We'll mail you: A new member Journey Handbook with helpful tools, cost-saving resources and important tips. Read your plan documents to learn more about your plan and how it works. The Evidence of Coverage will tell you exactly what's covered and your out-of-pocket costs. 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 ... Pennsylvania Employees Benefit Trust Fund (PEBTF)—The PEBTF administers health care benefits for approximately 76,000 eligible commonwealth employees and their …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. PEBTF Website Visit www.pebtf.org > 2022 Open Enrollment. View the webinar, plan benefits and compare plans in your county of residence. The Summary of Benefits & Coverage are also available on the website. Contact the PEBTF Call 1-800-522-7279 or email [email protected]. Contact the PEBTF Call 1-800-522-7279 or email …Jun 17, 2010 ... Harrisburg – The Pennsylvania Employees Benefit Trust Fund (PEBTF) announced today that Highmark, Aetna, Capital Blue Cross, ...PEBTF Specialty Preferred Drug Step Therapy List As part of the Specialty Guideline Management program, your doctor needs to request prior authorization for specialty drugs before they will be covered by your prescription benefits. The …Benefit Cost Estimator Tool. You can find out what you will pay for certain medical services and procedures by visiting your health plan’s website. This self-service tool will help you estimate your out-of-pocket costs and compare costs for covered network and out-of-network services. This cost share will include any deductibles and copays.PEBTF - Log In. Active Members. Benefit Information. Health Plan Choices by County. Open Enrollment Information. Benefit Comparison.Legal Disclaimer. The Pennsylvania Employees Benefit Trust Fund (PEBTF) maintains this web site to enhance access to information about the PEBTF and its services. This service is continually under development. While we try to keep the information as current and accurate as possible, we make no warranty of any kind, implied or express, as to its ...PEBTF - Benefit Comparison. Active Members. Benefit Information. Health Plan Choices by County. Open Enrollment Information. Benefit Comparison. Pennsylvania 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 ...PEBTF for secondary coverage only. Any claims must be submitted to your spouse’s employer-sponsored health plan before they can be submitted for consideration of payment through the PEBTF health plans. The following information is required to confirm your spouse’s eligibility and enrollment in their employer’s health plan. Employee and Spouse …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. What is Livongo: Livongo is a health program that has always been known for helping people with diabetes to live happier, healthier lives. Livongo has since expanded the benefit to help manage not only diabetes, but also blood pressure, weight, stress, and more, all at no cost to you. Who can join: PEBTF-covered employees and REHP non-Medicare ...Feb 1, 1997 ... Each Blue Cross Plan has sent a new ID card to all PEBTF members enrolled in the. Basic Option. The Pennsylvania Employee Benefit Trust Fund ...Jan 1, 2022 ... PEBTF's durable medical equipment (DME) coverage transitioned from DMEnsions to Aetna®. As of January 1, 2022, Aetna provides DME coverage for ...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 ... 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.Visit the Open Enrollment section of this website for more information on your health plan choices. If you want to change plans for January 1, 2024: Active Members. If …PEBTF Custom HMO – Aetna (SOB). PEBTF Custom HMO – Geisinger (SOB). Resources & Contacts: Pennsylvania Employees Benefit Trust Fund. Phone: 717-561-4750 (ext ...Call showed PEBTF. Did not answer. No message left. Caller: PEBTF? Call type: Scam suspicion. Reply !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. Effective July 1, 2014, the PEBTF provides coverage for the following preventive care benefits under all of its medical plans at 100% for in network preventive care. This chart outlines the preventive care benefits for adults, women, including pregnant women, and children. USPSTF: Evidence-based items or services that have in effect a rating of ... 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. 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 Through 12/31/2021. Dennis Scanlon speaks with Kate Farley, Executive Director of the Pennsylvania Employees Benefit Trust Fund (PEBTF), to understand the work of the PEBTF and ...The Handbook has been prepared to help you understand the main features of the health benefit coverage provided by the commonwealth. If you have questions about your benefits, please contact the PEBTF at 1-800-522-7279. To view, print, or save the REHP Handbook click here * . To request a printed copy of the REHP Handbook, click here.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 Bronze Plan is offered by Aetna and is administered by the PEBTF. The Bronze Plan provides minimum essential coverage and is considered affordable under the ACA. If you are eligible for the Bronze plan, and you elect to purchase a private health plan through the Health Insurance Marketplace, ...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 ... 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.PEBTF-6 Disabled Dependent Certification Form. PEBTF-11 Retiree Declaration of Spouse Health Coverage for Retiree Members. PEBTF-14 Adult Dependent Coverage Form. PEBTF-36 Retiree Employer Benefit Verification Form for Retiree Members. PEBTF-40 Direct Payment Authorization Form.Finding a doctor is easier than ever How to Find In-Network Doctors Go to your member website at Select the Find a Doctor or Rx tab. Choose the Find a Doctor, Hospital, or Other Medical Provider link. Select the Pick a Plan link. • Enter (from your ID Card).pebtf.com has been informing visitors about topics such as Health Insurance for Retirees and Universities. Join thousands of satisfied visitors who ...The weight management program is a covered preventive benefit for PEBTF employees and dependents over 18 years old with an Aetna health plan, who qualify through the health quiz. How do I sign up?Your form will be processed after July 1, 2021 and you will earn the waiver retroactive to the first pay period when you enrolled in PEBTF benefits. If you have any questions about the Get Healthy Program, contact the PEBTF at 717‐561‐4750 or 800‐522‐7279.PEBTF 2023 Open Enrollment Webinar for Non-Medicare Retired Members ...PEBTF - Benefit Comparison. Active Members. Benefit Information. Health Plan Choices by County. Open Enrollment Information. Benefit Comparison. 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. 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.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. This may occur, for example, if you file a false claim, fail to notify us promptly of a divorce or fail ...Dec 31, 2014 ... Wellness screenings are offered to employees and covered spouses/ domestic partners enrolled in PEBTF medical and/or supplemental benefits. The ...SilverScript. Evidence of Coverage Evidence of Coverage January 1, 2024, and December 31, 2024.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.A. Complete the registration process on the Quest Diagnostics website. To access the Quest site, go to www.pebtf.org and click on the Get Healthy logo. Follow the instructions on the website. If you cannot go online, please contact Quest Diagnostics at 1-844-598-7966 to request the Physician’s Results Form. Q.. The PEBTF Board of Trustees has full and comThe PEBTF Drug List is a guide within select t 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 ... Retail Prescriptions (up to 30-day supply) - Generic drug: $ Legal Disclaimer. The Pennsylvania Employees Benefit Trust Fund (PEBTF) maintains this web site to enhance access to information about the PEBTF and its services. This service is continually under development. While we try to keep the information as current and accurate as possible, we make no warranty of any kind, implied or express, as to its ...Mounjaro Prior Authorization Process Tips Indication and Select Safety Information Indication: Mounjaro is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. Limitations of Use: Mounjaro has not been studied in patients with a history of pancreatitis.Mounjaro is The Summary Plan Description (SPD) summarizes the main terms of the ...
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