Nalc cigna claims address. Eligibility/Billing Phone: Fax: 1 (603) 268-7830.

Nalc cigna claims address Find a Doctor, Dentist, or Facility in. Contact / about; Workplace Issues. Cigna LifeSOURCE Transplant Network ®. Coverage determinations require consideration of 1) the terms of the applicable benefit plan document; 2) any applicable laws/regulations; 3) any relevant collateral source materials including Administrative Policies Electronic Claims Cigna strongly encourages you to submit claims electronically, including EAP and coordination of benefit (COB) claims. CIGNA; CVS Caremark® Hello Heart; Hinge Health; NALC High Option Plan - Aetna Medicare Advantage • Cigna which can be used to check the Plans provider directory to find in •Address •Phone # Whole Health 20547 Waverly Court, Ashburn VA 20149 888-636-6252. If you currently have Medicare coverage or are submitting a a claim. Our Point-of-Service plans are offered by Cigna HealthCare of California, Inc. Your Tribal employer may choose to contribute a higher portion of your premium. • Fee Schedule or We believe you will find that we are a competitive choice for all of your health insurance needs. Box 188050 Chattanooga, TN 37422-8050 Open season begins on Monday November 11 and closes at the end of Monday December 9. 2025 FEHB SilverScript Formulary We believe you will find that we are a competitive choice for all of your health insurance needs. Online Provider Directory. Cigna OAP Network providers. Modifications The modifications, effective as of January 1, 2025, are as follows: 1. claim form and itemized bills to the . All insurance policies and group benefit plans contain exclusions and limitations. 336: The number of employees of the Health Benefit Plan. Insurance benefits are underwritten by Cigna Health and Life Insurance High Option Plan. Stewart, Director Board of Trustees: Lawrence D. Non-Medicare medical claims should be submit-ted to Cigna, Electronic Payor ID# 62308, or mailed to P. Overpayment Recovery. The address and phone number for the NALC Health Benefit Plan High Option administrative office is: NALC Health Benefit Plan 20547 Waverly Court Ashburn, VA 20149 703-729-4677 or 1-888-636-NALC (6252) The address and phone number for the NALC Consumer Driven Health Plan and Value Option is: NALC Consumer Driven Health Plan or Value Option All medical claims (except when Medicare is the primary payer) should be submitted to: NALC Health Benefit Plan Cigna Payor 62308 P. nalchbp. OptumHealth Behavioral Solutions. The Aetna Grievance and Appeals Unit also has one box for all states except California, which has a separate box. 2025 PSHB brochure | 2025 FEHB brochure | 2024 brochure | 2023 brochure . Find out more about the doctors and services listed in the Cigna directory and read important state and federal notices and disclosures. Our PPO network is Cigna HealthCare Shared Administration OAP Network and our prescription drug retail network and mail order pharmacy are through CVS Caremark®. PSHB High Option Plan; PSHB Consumer Driven Health Plan; Federal Plans. For your privacy and security, inquiries regarding the NALC Health Benefit Plan should be directed to the HBP, not NALC Headquarters. , home health care, home infusion, spinal For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. All benefits are subject to the definitions, limitations, and exclusions set forth in the official brochure. Program. No verbal statement can modify or otherwise affect the benefits, limitations, and exclusions of this brochure. Refer to the 2024 NALC Health Benefit Plan brochure (RI 71-009) for complete details. 2025 FEHB High Option Summary of Benefits and Coverage (SBC) NATIONAL ASSOCIATION OF LETTER CARRIERS HEALTH BENEFIT PLAN 20547 Waverly Court, Ashburn, Virginia 20149 703-729-4677 or 888-636-NALC (6252) Brian L. Box 188050 High Option Plan. If the claim in question has had no payments to date or you are submitting additional information for the initial review of payment, please forward to the address on the back of the patient’s ID card. Cigna LifeSOURCE Transplant Network ® is a specialized component of Cigna Healthcare that offers customers access to high performing transplant providers with an enhanced benefit for customers with nalchbp. When you receive the other carrier's explanation of benefits and/or letter of denial, send it with the other set of bills to Cigna. 2 billion: The value of claims processed last year. OptumHealth. We're excited to announce a new program for our eligible members: Hello Heart. Box 188062 Chattanooga, TN 37422-8062. For more Plan member log in. medrxasp. 94% of claims that are subject to this review are automatically approved and paid. We encourage you to register for the Cigna for Health Care Professionals website. Box 188004 Chattanooga, TN 37422-8004. Or you can request a printed copy of your Medicare Advantage Plan Provider and Pharmacy Directory to be mailed • Learn how Cigna Healthcare is supporting our customers and health care providers impacted by the wildfires in California. Member Rights and Protections Sponsored and administered by the National Association of Letter Carriers (NALC), American Federation of Labor and Congress of Industrial Organizations 877-814-NALC (6252) The address and phone number for the NALC Consumer Driven Health Plan (CDHP) is: NALC CDHP Call Cigna at 855-244-NALC (6252). The amount shown under employee contribution is the maximum you will pay. Claims submitted for services that are not accompanied by covered code(s) under this policy will be denied as not covered. Plan Brochure; Rates; Benefits at a Glance; Medicare Benefits; Rx Drug Benefits; Gender Affirming Care; Wellness and Other Cigna benefit plans. Laemmel Charles P. Forms General Information. liveandworkwell. CIGNA Member Portal Claim Forms. CIGNA Shared Administration Network CIGNA provides one of the largest nationwide networks of providers, including 6,670 general acute care hospitals, 12,327 facilities and 1,205,094 physicians, in addition to spe 3 Will the medicine I’m currently taking be covered under this plan? Covered medicines and drugs are listed in the plan formulary and supplemental drug lists. 2025 FEHB NALC Health Benefit Plan brochure. Keller Vol. Cigna / ASH Medical Coverage Policies are not recommendations for treatment and should never be used as treatment guidelines. What is Payer ID on insurance card? Payer ID (also known as payor ID OR EDI#) is a unique ID assigned to each insurance company e. Disclaimer. The address for NALC Health Benefit Plan High Option administrative offices is: NALC Health Benefit Plan 20547 Waverly Court Ashburn, VA 20149 888-636-NALC (6252) The address and phone number for the NALC Consumer Driven Health Plan (CDHP) is: 2025 FEHB NALC Health Benefit Plan brochure. An enhanced level of benefits for NALC Health Benefit Plan High Option Annuitants with Medicare Parts A and B. O. You will not have any out-of-pocket expense since we supplement Medicare’s payment up to 100% of the covered charge. When you have Double Coverage, obtain duplicate copies of all medical bills. Taking the time to do so can be an issue but doing so could improve your coverages and wallets by switching to the NALC Health Benefit Plan (NALCHBP). All medical claims (except when Medicare is the primary payer) should be submitted to: NALC Health Benefit Plan Cigna Payor 62308 P. If it is determined that your claim is an urgent care claim, we will expedite our review (if we have not yet responded to your claim). $1. Heege Happy New Year! The NALC Health Benefit Plan HBR Report Jan/Feb 2024 Director’s Report 2 Benefit Highlights 2024 Over the last few months, we have written a lot about the new SilverScript The address and phone number for the NALC Health Benefit Plan High Option administrative office is: NALC Health Benefit Plan 20547 Waverly Court Ashburn, VA 20149 703-729-4677 or 888-636-NALC (6252) The address and phone number for the NALC Consumer Driven Health Plan (CDHP) and Value Option is: NALC CDHP or Value Option P. www. password: Login; Forgot Username or Password? Sign-Up Note: If you have questions about the Program, wish to locate a preferred network pharmacy, NALC CareSelect Network retail pharmacy, or need additional claim forms, call 800-933-NALC (6252) 24 hours a day, 7 days a week. Coverage and cost 1 Do I need to use a doctor from the Aetna® network? No. PRIMARY MEMBER’S MAILING ADDRESS (No Send Claims to: 123 Main Street, Suite 999, Anytown, USA 12345-6789 For Dental call ABC Company 1-XXX-XXX-XXXX (not a Cigna Company) For Vision call ABC Company 1-XXX-XXX-XXXX (not a Cigna Company) Cigna Vision PO Box 385018, Birmingham, AL 35238-5018 Cigna Claims: PO Box XXXXX, Anytown, USA 12345-6789 TPV Name, PO Box XXXXX, Anytown, - If you are sending more than one claim in the same envelope, then please use a paper clip to keep the claim form and itemized bills together. Proposed 2023-2026 National Agreement between NALC and USPS ; Wage Calculator; Send Claims to: 123 Main Street, Suite 999, Anytown, USA 12345-6789 For Dental call ABC Company 1-XXX-XXX-XXXX (not a Cigna Company) For Vision call ABC Company 1-XXX-XXX-XXXX (not a Cigna Company) Cigna Vision PO Box 385018, Birmingham, AL 35238-5018 Cigna Claims: PO Box XXXXX, Anytown, USA 12345-6789 TPV Name, PO Box XXXXX, Anytown, Cigna Healthcare SM strives to informally resolve issues raised by health care providers on initial contact whenever possible. 2025 PSHB and FEHB Benefits have been released! Please contact the Nongroup Department at 703-729-4677 or 888-636-NALC (6252) with any questions concerning mastectomy-related benefits. the information in an Administrative Policy. Cigna, BCBS, United Healthcare to receive claims electronically. 9800: Allied Pilots Association Cancelled 9/1/2021; terminated SAR 11/1/21 : WebTPA: 3343975: 50164: 800. • Services is a line-by-line breakdown for each service the patient received, submitted to The address and phone number for the NALC Health Benefit Plan High Option administrative office is: NALC Health Benefit Plan 20547 Waverly Court Ashburn, VA 20149 703-729-4677 or 888-636-NALC (6252) The address and phone number for the NALC Consumer Driven Health Plan (CDHP) and Value Option is: NALC CDHP or Value Option P. We invite you to consider the NALC Health Benefit Plan High Option. Access online services and plan information. g. COBRA*** NOTE: NALC HBP may disclose the information on this form to other persons and entities, including your employer (if your coverage is NALC Health Benefit Plan Cigna Payer 62306 PO Box 188004 Chattanooga, TN 37422-8004 888-636-NALC (6252) or 703-729-4677 C. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance PayerSolution - payer. ** You’ll find links, email addresses, and phone numbers that I know that like the letter carriers, we will deliver. Medical management Cigna Health Management, Inc. , Chairman Sandra D. com > For Providers > Coverage and Claims > Coverage Policies: ID Cards. Whether your needs are for general information or specific medical and claims questions, the NALC Health Benefit Plan for Employees and Staff is here for you! For us to service your call Contact Cigna Healthcare Customer Service at 1 (800) 997-1654 or visit this page to find phone numbers for plan and coverage questions or a claims mailing address. *You must be a dues paying member of an NALC local branch. 813. 117,000-plus: The number of members of the Plan. If a patient U. Through June 2024, we could use the OptumHealth portal, liveandworkwell. If you want to: Use the following: Update your contact or demographic information, or notify us of errors/changes to the way you are Locating a participating pharmacy near you is easy—simply call 800-933-NALC (6252). The NALC Health Benefit Plan HBR Report April 2015 Director’s Report 2 Solutions for Caregivers NALC Health Benefit Plan NALC Health Benefit Plan Seminar - Room Reservations The Seminar is coming back! The 36th National Health Benefit Seminar will be held at the Tropicana in Las Vegas, NV. Contact the Plan. listed on your ID card. The address for NALC Health Benefit Plan High Option administrative offices is: NALC Health Benefit Plan 20547 Waverly Court Ashburn, VA 20149 888-636-NALC (6252) The address and phone number for the NALC Consumer Driven Health Plan (CDHP) is: TPA customer service telephone number for eligibility, benefits, and claims; Abatement Workers Local 207 Cancelled 9/1/2021); full-service Cigna Healthcare as of 9/1/21 : BeneSys: 3334199: 50107: 248. Enrollment codes for this Plan: €€€ 321 Self Only €€€ 322 Self and Family 877-814-NALC (6252) The address and phone number for the NALC Consumer Driven Health Plan (CDHP) is: NALC CDHP P. Contact Us; Search; Member Login/Register; Home; About Us. Program-wide changes Effective in 2022, premium rates are the same for non-post - al and postal employees. Program availability is for those annuitant members who remain enrolled in Medicare Parts A, B, and the SilverScript Employer Prescription Drug Plan (PDP General Information. High Option Plan Benefits at a Glance 2024 Physician Benefits. Get an ID card File a claim View my claims and EOBs Check coverage under my plan See prescription drug list Find an in-network doctor, dentist, or facility Find a form Find 1095-B tax form information View the Cigna Glossary Contact Cigna Audiences Individuals and member of NALC when you enroll in the NALC Health Benefit Plan. Doctor by Name . There are many reasons to use the Cigna for Health Care Professionals website. The United States Letter Carriers Mutual Benefit Association (MBA), founded in 1891, was created for the benefit of National Association of Letter Carriers members and their families. Value Option Plan. And best of all, it’s FREE. 5. Box 188050 Chattanooga, TN 37422-8050 800-594-NALC (6252) Cigna OAP Network Providers. Submit Correspondence Only: Contact Us; Search; Member Login/Register; Home; About Us. Show 1950: The year NALC started its own independent Health Benefit Plan. Letter Carriers Mutual Benefit Association 100 Indiana Ave. Our HMO and Network plans are offered by Cigna HealthCare of California, Inc. Stewart, Director IMPORTANT QUESTIONNAIRE RESPONSE REQUIRED In order to process claims correctly and timely, the Plan must have accurate High Option Plan Hello Heart. To view or print your Cigna Healthcare SM Medicare Advantage Plan Provider and Pharmacy Directory, select your state below (each directory lists both providers and pharmacies). 2024 Benefits-at-a-Glance. Customer service may be reached at 888-636-NALC (6252) or through our website: www. Claims Address: PO Box 5809 Troy, MI 48007-5809. Using your NALC Health Benefit Plan identification card, you can purchase up to a 30-day supply of covered medication, plus one refill Easily track claim status with multiple payers through an EDI vendor. As part of our ef- forts, we have partnered with Cig-na to bring you the Cigna Care and Costs directory. Brochure Download The Office of Personnel Management’s (OPM) Going Green mandate instructs all Federal Employees Health Benefit plans to reduce their use of paper by providing an CIGNA ID cards will continue to show the Scranton, PA address for claims and correspondence submission until they are updated throughout 2011. The CDHP focuses on you, the health care consumer, and gives you greater It just keeps getting better by pushing the envelope. Gill Lawrence D. 766,089: The amount of • Learn how Cigna Healthcare is supporting our customers and health care providers impacted by the wildfires in California. You will continue to be a member of the NALC Health Benefit Plan and can expect the same high level of service that you have experienced with the NALC Health Benefit Plan with this new enhanced benefit. Partners. In the event that you have received overpayment, please return the funds to Cigna Healthcare SM at: Cigna Healthcare P O Box 188012 Chattanooga, TN 37422. Associate members will be billed by the NALC for the $36 The NALC Health Benefit Plan BR Reor Fredric V. Form 41 Complete this questionnaire in full when you or a covered family member have: coverage under any other health plan; automobile insurance that pays health care expenses without regard to fault; Medicare coverage; a workplace-related illness or injury; Member Claim Form nalchbp. Check OptumHealth claim status, as well as a wealth online health and wellness resources that presents programs and information to help you achieve your goals and enhance your relationship at home and work. Changes to this Plan • We now offer the NALC Health Benefit Plan Mobile App. A review of outpatient services (e. , Suite 510 Washington, DC 20001-2144. • HBP omer ust service—888-636-NALC (6252) • Cigna provider locator/precertification—877-220 For questions regarding covered providers or benefits, contact the NALC Health Benefit Plan or refer to the NALC Health Benefit Plan brochure RI 71-009 for detailed information regarding your benefits. Box 52192 Phoenix, AZ 85072-2192 Claims for overseas (foreign) services must include an Eng-lish translation. The right plan has to be the ideal balance of cost and coverage. Claims submitted for services that are not accompanied by covered code(s) under the applicable Coverage Policy will be denied as not covered. For availability, costs and complete details of coverage, contact a licensed agent or Cigna Healthcare sales representative. View claim payment information, including: – Amount paid Home Providers Coverage and Claims Claim Payments: EFT and ERA Overpayment Recovery. Please visit our Helpful Transplant Information page for links to valuable information regarding COVID-19. OptumHealth SM Behavioral Solutions provides our mental health and substance use disorder (MHSA) benefits. Cigna address. With more than 1. These are some of the reasons we continue to be rated as one of the top federal insurance plans for member satisfaction: Customer Service; Overall plan satisfaction Go to Cigna. HealthEquity enables members to easily access their Medicare Reimbursement Account (MRA) sponsored by the NALC Health Benefit Plan. Previously, we NALC Headquarters switchboard 202-393-4695: Address changes, dues questions Membership, 202-662-2836: Health Benefit Plan 888-636-6252 20547 Waverly Court, Ashburn, VA 20149-0001 Cigna Healthcare OAP Online Provider Directory How to File a Claim; Hello Heart. (in-network), or Cigna Health and Life We offer the convenience of submitting claim forms online for Supplemental Health claims, including Accidental Injury, Critical Illness, Hospital Care, or Wellness claims. If issues cannot be resolved informally, Cigna Healthcare offers two options: An appeal process for resolving contractual disputes regarding post-service payment denials and payment disputes 1; For claim denials relating to claim coding and bundling edits, Your Medicare Part B claims are transmitted electronically to the NALC Health Benefit Plan High Option where we will pay the Medicare Part B deductible and coinsurance on covered services. (Branches with out-of-date contact information listed should contact NALC with updated information. If the ID card indicates COVID-19 Information. View claim payment information, including: – Amount paid If you recently went to the doctor and received care, you or your doctor will submit or “file” a claim. Some information in these Coverage Policies may not apply to all benefit plans administered by Cigna. This program is offered at no cost to you. Member Rights and Protections The Cigna Healthcare name, logo, and other Cigna Healthcare marks are owned by The Cigna Group Intellectual Property, Inc. Access the Member Portal of the National Association of Letter Carriers Health Benefit Plan. 4. Cigna may not control the content or links of non-Cigna websites. In California, Cigna Healthcare SM offers a number of products, services, tools and capabilities to a wide variety of clients and to individuals. Cigna claim address and phone numbers updated from authorized sources and do corrections time to time if any changes found. 729. The NALC High Option Plan — Aetna Medicare Advantage is simply an enhanced benefit available to NALC Health Benefit Plan High Option annuitants. Phone Numbers: (800) 605-8259 or (402) 390-8233 the drug receipts and mail to the NALC Prescription Drug Program at P. 2023 NALC Health Benefit Plan brochure Claims Mailing Address Cigna Healthcare PO Box 5200 Scranton, PA 18505. It allows In a few clicks, you can quickly find this information in Cigna Important Contact Information* or in the Medicare Advantage Provider Quick Reference Guide. Letter carriers and the Hatch Act. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. , Cigna HealthCare of Illinois, Inc. com, to file out-of-network mental health claims for my daughter's therapy. In this section. Please contact us at 888-636-NALC (6252) with any questions. Plan Brochure; Rates; Benefits at a Glance; Medicare Benefits; Rx Drug Benefits; Gender Affirming Care; Wellness and Other Special Features; Member Resources. Aetna Dental P. com TIN. 2023 NALC Health Benefit Plan brochure Besides giving eligible providers the ability to electronically receive payments for covered services from the NALC Health Benefit Plan, the RMS Platform offers expanded online visibility into claims submitted and member eligibility through its Claims Status and Eligibility modules. From premiums and outstanding benefits, to a network of quality providers for your medical care, we are an outstanding choice. Mental Health and Substance Use Disorder Claims. O. , Chairman Randall L. Submitting claims electronically is one of the best ways to simplify and streamline the reimbursement process. The address and phone number for the NALC Health Benefit Plan High Option administrative office is: NALC Health Benefit Plan 20547 Waverly Court Ashburn, VA 20149 703-729-4677 or 888-636-NALC (6252) The address and phone number for the NALC Consumer Driven Health Plan (CDHP) is: NALC CDHP P. CIGNA; CVS Caremark® Hello Heart; Hinge Health; NALC High Option Plan - Aetna Medicare Advantage; NALCHBP Telehealth; OptumHealth; Other Discount Networks; SilverScript Prescription Drug Plan (PDP) Plans and Benefits. All claims and specialist authorizations. Medicare claims should be In addition, if you did not indicate that your claim was a claim for urgent care, call us at 877-814-NALC (6252). NALC Health Benefit Plan High Option Plan - Pg. Health Care Provider log in Find information and manage your profile. This website is not intended for residents of New Mexico. Most individuals do not experience any additional costs if their claim is denied via PxDx. The address and phone number for the NALC Health Benefit Plan High Option administrative office is: NALC Health Benefit Plan 20547 Waverly Court Ashburn, VA 20149 877-814-NALC (6252) The address and phone number for the NALC Consumer Driven Health Plan (CDHP) is: NALC CDHP P. Instead, contact Luminare Health via the Message Center on our secure portal or via the phone number at the top of your ID card. Obtain claim status for your medical, dental, or behavioral claims using the HIPAA standard health care claim status codes. With the NALC High Option Plan — Aetna Medicare Advantage, you have the freedom to see Members If you have questions, please do not use the form on this page. Customer Service Incoming Fax Cover Sheet. Choosing a health insurance plan is a big decision. Visit AetnaRetireePlans. In most cases, if you received in-network care, your provider will file a claim for you. We have expanded our Hello Heart program to include coverage for pregnant members. Once approved, we pay the health Contact Cigna's Customer Service Department at the toll-free number listed on the back of your ID card to review any adverse which may result in a delay in handling your request or processing your claim. It has to provide coverage for the services most important to you and your family, and it has to be provided at an affordable cost. com to review the plan formulary. Contact information is available on the HBP site CIGNA; CVS Caremark® Cigna Telehealth; Hinge Health; In this section. 2. - Send your . Physicians must file on the form CMS-1500; hospitals must use the form UB-04. Look up a claim using the patient's name or Cigna ID number, or the claim or reference number. Associate members will be billed by the NALC for the $36 annual membership fee, except where exempt by law. • The Cigna Group announced an agreement to divest our Medicare Advantage, Cigna Supplemental Benefits (which includes Medicare Supplemental Benefits), Medicare Part D, and CareAllies businesses to Health Care Service Corporation (HCSC). OTC COVID-19 Test Reimbursement Claim Form: If you have purchased a COVID-19 at home test, on or after January 15, 2022, and are seeking reimbursement, please print this form and submit a copy of the completed form and your receipt to the address shown on the form. Quit For Life® (High Option Plan) program In May, members of the NALC Health Benefit Plan may have received a Quit for Life® flyer included with their Ex-planation of Benefits in regard to “World No Tobacco Day. Box 188007 Chattanooga, TN 37422 Download claim form. Practical-full integration High Option Plan OptumHealth. Claims that are denied payment through this process represent less than 1% of our total volume of claims. For Cigna Healthcare for Seniors, please return This address is intended only for appeals of coverage denials. ) The best way to contact officers or a foreign claim, please mail a completed claim form to the following address: NALC Health Benefit Plan 20547 Waverly Court Ashburn, VA 20149 As letter carriers, you trust NALC with your job, so why would you trust someone else with Non-Medicare medical claims should be submit-ted to Cigna, Electronic Payor ID# 62308, or mailed to P. Login to Portal Providers All providers should contact Luminare Health via the Message Center on our secure portal or via the phone number at the top of the member ID card. 4677 Michael J. org. Member Medical Claim Form - Complete this claim form to submit your covered medical expenses to the Plan. In most cases, physicians and facilities will file claims for you. Phone Numbers: (800) 605-8259 or (402) 390-8233 General Information. In the event of a conflict, a customer’s benefit plan document . Eligibility/Billing Phone: Fax: 1 (603) 268-7830. Physical Address: 13815 FNB Parkway, Suite 250 Omaha, NE 68154. With the NALC High Option Plan — Aetna Medicare Advantage, you have the freedom to see While speaking at NALC's 1891 National Convention in Detroit, MBA's founding fathers reaffirmed NALC's fundamental goal of uniting for the benefit of NALC members and their families. Distributed by: Operating subsidiaries of The Cigna Group Corporation. Cigna's electronic claims program is: Fast-we process, within 15 days, all electronic claims that auto-adjudicate. Employer log in. Contact Cigna Healthcare Customer Service at 1 (800) 997-1654 or visit this page to find phone numbers for plan and coverage questions or a claims mailing address. In 2017, the NALC HBP issued 1. Coverage Policies relate exclusively to the administration of health benefit plans. If the ID card indicates: NALC-MRA Claim Form | NALC-MRA Claim Form Instructions. 866-241-0262 (TTY:711) | Monday through Friday, 8 AM to 8 PM ET NALC High Option Plan — Aetna ® Medicare Advantage. Enrollees in the Plan must be members, or associate members, of the NALC. Includ-ing covered family members, the Plan protects the health of more than 224,000 people. Cigna / ASH Medical Coverage Policies are not recommendations for treatment and should never be used as treatment NALC Health Benefit Plan; 20547 Waverly Court; Ashburn, VA 20149. The NALC Health Benefit Plan knows that you may have eligibility and/or benefit verification or claim status inquiries that need to be answered before or after our core operating hours of 8:00 AM to 3:30 PM Eastern Standard Time. com to another website, which may be a non-Cigna website. CIGNA; CVS Caremark® Cigna Telehealth; Hinge Health; Plans and Benefits. Box 188050 Chattanooga, TN 37422-8050 800-594-NALC (6252) This brochure is the official statement of benefits. always supersedes . . completed. need to be enrolled in the NALC Health Benefit Plan and have blood pressure readings of 130/80 mmHg or above, or take blood pressure Now in 2018, the NALC HBP has 327 employees at the Plan and we cover a total of 129,208 members or over 253,000 lives. Skip to main content. Cigna Healthcare Open Access Plus (OAP) Network Program. Resources. For more information about the NALC Health Benefit CDHP or to locate a CDHP Option Cigna HealthCare Claim Forms. In 2009, we processed 4,493,127 claims—an increase of 627,307. Any other requests sent to this address will be forwarded to the appropriate Cigna location, which may result in a delay in handling your request or processing your claim. It’s easy to use and available at no cost to you. Box 188050 must use the most appropriate codes as of the effective date of the submission. Membership dues: NALC dues vary by local branch. To find contact information for a regional office or branch, use the map at the bottom of this page. Manage your contract online. The average tenure of an NALC HBP employee is 20 years. Coverage Policies are not Cigna Home Delivery Pharmacy Claims Cigna Healthcare PO Box 10190 Horsham, PA Zip-19044. 5 million physicians and specialists and thousands of hospitals and facilities nationwide, the OAP network can deliver great care at a reasonable cost to the participating primary care providers, contact Cigna® at 877-220-NALC (6252), NALC Health Benefit Plan at 888-636-NALC (6252), or visit our website at www. It is a powerful tool to help you and your office staff do business with Cigna efficiently in real time. * claim, and service channels may differ based on the Cigna participant’s identification (ID) card. Cigna will reach out to your doctor. Some MHSA Federal Plans Benefits at a Glance 2024 Physician Benefits. Box 188050 Chattanooga, TN 37422-8050 The NALC Health Benefit Plan has a partnership with health insurance provider CIGNA to give members access to the CIGNA Open Access Plus (OAP) network of preferred providers. I want to Get an ID Card; File a Claim; View My Claims and EOBs; password: Login; Forgot Username or Password? Sign-Up The NALC Health Benefit Plan is an employee organization plan. com | Healthy Parenting | Solutions for Caregivers | Provider Locator | Real Appeal® Program| Quit for Life Program | Behavioral Health Coaching Program. Gene therapy. Instructions for returning funds to Cigna Healthcare. Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc. Health Facilities and Group Practices. The call back number they leave if they do not Medicare Advantage Plans (Part C) Provider and Pharmacy Directories. 477. OptumHealth SM Behavioral Solutions is a nationally recognized leader specializing in providing behavioral health care and substance use disorder services. If you have additional questions, please contact Customer Service using the toll-free number on 2025 Benefits Release. See page€65 for more details. When Cigna Healthcare SM receives a claim, it’s checked against your plan to make sure the services are covered. Cancel. It is your Easily track claim status with multiple payers through an EDI vendor. Enter Address, City, or Zip (edit) Overlay . Information for all other Brokers: Cigna Healthcare Sales Offices Member Medical Claim Form. -Fee schedule or reimbursement terms for multiple ne of the NALC Health Benefit Plan’s goals is to help our members find, access and understand their benefits so they can make well-informed health care decisions. dollars us-ing the exchange rate at the time the expenses were incurred. Disregard the Scranton, PA address on the ID card and submit all medical - Corrected claims should be submitted to the claim address on the back of the patient’s Cigna identification card (ID card). This simple online tool gives you personalized pricing and quality ratings on health care providers and services. News, clinical information, NALC benefit information and other resources will now be available on our Provider Information page. nalchbp. For your convenience, we have a single post office box for claims and specialty authorization submissions. The NALC Health Benefit Plan Brian L. , and Cigna HealthCare of North Carolina, Inc. /CareAllies provides medical management for inpatient utilization reviews (precertification) for acute, rehabilitation, skilled nursing, and management. The Plan has been pushing the envelope since it was created, by letter carriers, for letter carriers, in 1950. Forms; Publications; Eligible a foreign claim, please mail a completed claim form to the following address: NALC Health Benefit Plan 20547 Waverly Court Ashburn, VA 20149 Mail Completed Form to: NALC Health Benefit Plan Cigna Payer 62308 PO Box 188004 Chattanooga, TN 37422-8004 888-636-NALC (6252) or 703-729-4677 The National Association of Letter Carriers (NALC) is the national labor union of city delivery letter carriers employed by the United States Postal Service. The NALC Health Benefit Plan offers comprehensive coverage for your medical needs whether you need diagnostic and treatment services, maternity care, or well-child care. Overview General Information. If the other plan is primary, send the original bills to the other insurance carrier. There are no claim forms to file and no waiting for reimbursement when you purchase your prescriptions at a network pharmacy. It has been merged into the Consumer Driven Health Plan (CDHP). Mission and History; Accreditation and Certifications; Machine Readable Files (MRFs) Contact Us; Postal Plans. Now is the chance for active and retired letter carriers to review their plans and benefits and compare plans. Brown, Jr. Call us at 877-814-NALC Find the contacts you need to get in touch with us for information about your patients with Cigna coverage. Doctor by Type. That’s how the NALC Health Benefit Plan works to keep letter carriers and their families healthy—each year, the Plan seeks to make changes that keep up with the latest medical advances and keep your costs low. As a top-rated FEHB plan, members will find the NALC HBP eager to assist you and ready to provide prompt and safety-minded responses to questions related to your medical care. Claim Forms. ” The vast majority of claims reviewed through this process are automatically paid. Certain Cigna . Cigna / ASH Medical Coverage Policies relate exclusively to the administration of health benefit plans. Charges will be converted to U. OptumHealth SM Behavioral Solutions provides For us to service your call better, please have your Plan ID number and claimant information readily available when you place your call. See page 82 and the back cover for more details. 5 billion in benefits and processed over 9 million claims. Box 188062 Chattanooga, TN 37422-8062 NALC High Option is a CIGNA OAP participant, and mental health claims are serviced by OptumHealth. Login Claims processing In 2008, the Plan processed 3,865,820 claims. Survey categories are overall plan satisfaction, getting needed care, getting care quickly, how well doctors communicate, customer service and claims processing. The dates for the seminar are October 15, 2023 through October 18, 2023. Procedure Cost. Selecting these links will take you away from Cigna. Mail Paper Claims: CIGNA Payor 62308 P. An enhanced level of benefits — for NALC Health Benefit Plan High Option Annuitants with Medicare Parts A and B. Brochure Download Step 1: After clicking on ‘Find Your Provider, Enter your home zip code, Step 2: Select ‘plan year’ Step 3: Select Employer or group-sponsored retiree plan and select 'See Plans' Step 4: Under Medicare Advantage Plans with Prescription Drugs, select PPO Aetna Medicare Plan (PPO) with Extended Service Area (ESA)* Step 5: Select View Care Options at the bottom of page to NALC Health Benefit Plan 20547 Waverly Court Ashburn, VA 20149 (back to top) In this section. Disclosures & Rates contact Cigna® at 877-220-NALC (6252), NALC Health Benefit Plan at 888-636-NALC (6252), or visit our website at www. View Cigna Healthcare Company Names . Please contact your Tribal Benefits Officer for exact rates. 2025 FEHB High Option Booklet 2025 FEHB CDHP Booklet. This address is intended only for appeals of coverage denials. If the claim in question has had no payments to date and/or you are submitting additional information for the initial review of payment, please forward to the address on the back of the customer's identification card. W. MBA, they said, was designed to advance that tion on the benefits for the 2022 NALC Health Benefit Package can be found in the official brochure. Box 18804, Chattanooga, TN 37422-8004. FEHB High Option Plan; FEHB Consumer Driven Health Plan; Member Resources. Phone Numbers: (800) 605-8259 or (402) 390-8233 The Cigna Healthcare name, logo, and other Cigna Healthcare marks are owned by The Cigna Group Intellectual Property, Inc. Membership dues: NALC dues vary by local branch for Postal employees. Box 14094 Lexington, KY 40512-4094. If the ID card indicates: GW - Cigna Network Cigna Appeals Unit P. Locate an OptumHealth participating provider. How to File With NALC. Claims the claim to NALC. All dental Medicare claims 3 Will the medicine I’m currently taking be covered under this plan? Covered medicines and drugs are listed in the plan formulary and supplemental drug lists. 15-3 April 2015 Board of Trustees. Quick claim service; Network Savings; Hundreds of thousands of network choices; Enrollee Survey results are collected, scored, and reported by an independent organization. Renfroe, President Stephanie M. As of January 1, 2024, the Value Option Plan is no longer available. Associate member enrollees of the NALC Health Benefit Plan include active and retired associate member of NALC when you enroll in the NALC Health Benefit Plan. The NALC Health Benefit Plan room rate at the Tropicana is $149 plus $20 resort fee & tax, per room, per night for the Club Deluxe The representatives making these calls will always identify themselves as being from MultiPlan. These are some of the reasons we continue to be rated as one of The National Association of Letter Carriers (NALC) is the national labor union of city delivery letter carriers employed by the United States Postal Service. , N. If you currently have Medicare coverage or are submitting a foreign claim, please mail a completed claim form to the following address: NALC CDHP PO Box 188050 Chattanooga, TN 37422-8050 Contact Us. Whether your needs are for general information or specific medical and claims questions, the NALC Health Benefit Plan for Employees and Staff is here for you! For us to service your call better, please have your Member ID number and claimant information readily available when you place your call. S. Submit Claim. 8957: American Postal Workers The address and phone number for the NALC Health Benefit Plan High Option administrative office is: NALC Health Benefit Plan 20547 Waverly Court Ashburn, VA 20149 703-729-4677 or 888-636-NALC (6252) The address and phone number for the NALC Consumer Driven Health Plan and Value Option is: NALC Consumer Driven Health Plan or Value Option • Corrected claims should be submitted to the claim address on the back of the patient's Cigna ID card. 2025 FEHB High Option Summary of Benefits and Coverage (SBC) 2025 FEHB CDHP Summary of Benefits and Coverage (SBC) 2025 FEHB Formulary Drug List 2025 FEHB Advanced Control Specialty Formulary Chart. High Option Plan– a nationwide Fee-for-Service plan with a preferred provider organization (PPO). Rolando, President Brian Hellman, Director 20547 Waverly Court Ashburn, VA 20149 - 703. • We now require prior authorization for all non-emer- Welcome to the NALC Consumer Driven Health Plan (CDHP). Cigna Healthcare Employer Services PO Box 2010 Concord, NH 03302. They are primarily trying to verify information we have on file, such as TIN or service address, which will help us process healthcare claims/bills on behalf of our clients and their health plan members. dczet pimfb cqqv edumz ippafr tmzcb tvuubp xjhl ltdf ydbpzv