Toll-free:

Transcription

1 Dear AeroVironment, Inc. Participants CoreSource Group # AE0000 Welcome! You have elected to participate in the AeroVironment, Inc Health Benefits Plan. CoreSource, Inc. is the Benefits Administrator for your medical and dental benefits. CoreSource, Inc. is one of the country s largest claims administrators and we truly appreciate the opportunity to serve as your administrator for your medical plan. Anthem BC/BS will be the participating provider network for your medical plan. Cigna Dental PPO SA Plus will be the participating provider network for your dental plan. On page 2 of this document, you will find important phone numbers and mailing addresses necessary for processing and understanding your medical, dental and prescription claims, an Understanding your Explanation of Benefits (EOB), a brochure providing you step by step instructions for setting up member access to our website. Your retail and mail order Prescription Benefit Manager (PBM) will be CVS/Caremark. Caremark will assist participants that have open mail order prescriptions to transfer information to their system. For any prescription benefit questions, you can contact Caremark at or visit them online at To locate a participating Caremark pharmacy near you, please contact Caremark at the toll free number and/or website listed above. Caremark is one of the largest PBMs in the country and contracts with all major chain pharmacies and more than 98% of the independently-owned pharmacy stores nationwide. If you have a current mail order prescription, Caremark will assist you in transferring your information over to their system. If you have any questions, please contact your CoreSource Customer Service Department Monday through Friday, 8:00 AM to 6:00 PM Central Standard Time with any claims, eligibility or benefit questions. You can also visit CoreSource online at Our telephone number is: Toll-free: You will be receiving your permanent I.D. card from your Human Resource department. Please be sure to present your card to your medical care providers and your pharmacist to ensure claims payment based on eligibility under this Plan. For security and privacy purposes, your Social Security Number will not be on your card. Instead you will have a unique identification number that will be printed on the card. Your unique identification number can be used in place of your Social Security Number. However, our Claims and Customer Service unit can identify you by using either number. Again, we are excited to be your benefits administrator. Please let us know how we can be of further assistance to you. Your CoreSource Service Team Maple Creek Drive Suite 00 Tinley Park, IL

2 YOUR IMPORTANT PHONE NUMBERS AND ADDRESSES Vendor Claims Mailing Address Telephone # Website CoreSource, Inc. Your Medical and Dental Claims Administrator Anthem BC/BS Your Participating Provider Organization Out of California Providers Please submit claims to your local BC/BS plan To locate a participating Provider Anthem BC/BS Your Participating Provider Organization Anthem Blue Cross California Providers P.O. Box Los Angeles, CA Anthem BC/BS Pre-Certification CVS/Caremark Your Prescription Benefit Manager CVS/Caremark P.O. Box 5216 Phoenix, AZ Cigna Dental SA Plus Cigna DPPO SA P.O. Box Chattanooga, TN

3 AEROVIRONMENT, INC. CORESOURCE GROUP NUMBER: # AE0000 PPO Network California Employees: Anthem Blue Cross of California Blue Cross PPO (Prudent Buyer) Large Group PPO Network Non-California Employees: Blue Cross/Blue Shield - N ational PPO (BlueCard PPO) ANTHEM/BLUE CROSS BLUE SHIELD GROUP NUMBERS: #277825M001-CALIFORNIA PPO MEMBERS #277825M00-CALIFORNIA EPO MEMBERS #277825M002 OUT OF STATE PPO MEMBERS #277825M004 OUT OF STATE EPO MEMBERS CLAIMS SHOULD BE SUBMITTED TO: California Network Providers Submit Claims to: All Other States - Anthem Blue Cross Blue Cross Blue Shield Providers P.O. Box Submit Claims to your local Blue Cross Los Angeles, CA Blue Shield office. Cigna Dental PPO SA Plus Submit Claims to: P.O. Box Chattanooga, TN PRIOR AUTHORIZATION IS REQUIRED. Please call Anthem/Blue Cross Blue Shield at for Precertification approval. FAILURE TO CALL MAY RESULT IN A REDUCTION OF BENEFITS. THE IDENTIFICATION OF BENEFITS AND VERIFICATION OF ELIGIBILITY SHOULD BE REFERRED TO: CORESOURCE, INC (Nationwide) EMPLOYEES may visit the CoreSource, Inc. website at to view claims, view and print explanation of benefits, request identification cards, sign up for electronic communications, access the HealthCenter, etc. OUR OFFICE HOURS ARE: Monday through Friday 8:00 a.m. to 6:00 p.m. (CST) When you call CoreSource, we will need the following information to assist you to verify eligibility and benefits: CoreSource Group # AE0000 Employee s Name Employee s Social Security Number or Unique ID Members Date of Birth For information regarding Anthem/Blue Cross Blue Shield provider participation: Please call CoreSource at OR access the member website at ************************************************************************************************* PRESCRIPTION DRUG PROGRAM ADMINISTERED BY Caremark Customer Service: Pharmacist Help Line: Pharmacist please input in the Plan Code field: RxBIN: 0046, PCN: CS2200, RxGRP: CS2200

4 mycoresource.com A Personal Online Gateway To Your Health Plan These days, people do their banking, pay utility bills and shop for just about anything online. It s secure, fast, easy and convenient. At CoreSource, we believe accessing information about your health plan, and managing your accounts should be no different. That s why we provide mycoresource.com, a personal online portal to detailed claims data, out-of-pocket expense tracking, dedicated customer service with speedy responses to your important questions, and much more. Better yet, you can visit the portal to your health plan when it fits your busy schedule at anytime of the day or night. Take advantage of all that mycoresource.com has to offer: Claim Lookup and Account Balances View claim detail. Use a variety of filtering and sorting capabilities to help you find specific claims faster, including the ability to sort by patient status, type or service date. Site Security and Login Intense security protects members information. Create separate logins for family members, and have the ability to block certain information from other members of the household. Online Message Center Gain quick, direct access to Customer Service. Immediately send questions about a specific claim while viewing it. Select certain topics so that your important questions are delivered to the appropriate department and answered as quickly as possible. View Custom Content: Tailored messages from your employer when needed. Informational articles on website functions, health and wellness and healthcare consumer advice. View links and resources personalized to be relevant to your coverage. Electronic EOBs View information on medical claims and payments made by CoreSource with secure electronic Explanations of Benefits (EOBs). Receive a secure automatically when electronic EOBs become available. Update the address receiving secure electronic EOBs at any time. Receive Alerts When electronic EOBs are available to view. That your Message Center questions have a reply. Don t forget to register to use mycoresource.com! For access to the portal to your health plan, you must first register at mycoresource.com. Please refer to A Member s Guide to Registering... for more information on how to get started. AC TIO N ABLE DATA TAILO RED PL ANS ENGAGED E M PLOYEES CoreSource solutions CoreSource is a wholly owned subsidiary of Trustmark Mutual Holding Company CoreSource R _R2-15

5 A Member s Guide To Registering on mycoresource.com To register as a member on mycoresource.com for the first time, you will need to follow these steps: 1. Go to mycoresource.com and select the Create My Account button in the I am a Participant box. Each plan member will need to create their own account.

6 2. The Account Creation security page is a feature that protects members important information. a. Type the numbers shown. b. Select the Next button. a. b.. Create an account: a. Enter a username and password. The system will tell you immediately if the username has already been taken. Usernames must be four or more characters and contain at least one non-alpha character (not including an *, &, %, (), = or + sign). Passwords are case-sensitive and must be 6 to 2 characters long with at least one non-alpha character. b. Enter your name and the address that you want to use to recover your username, in the event you forget it. c. Select and answer three security questions. d. Select the Next button. d. a. b. c. Note: If at any time, you forget your username or password, you can select the appropriate link under the login button on the home page, and then follow the prompts.

7 4. account creation. Select the Next button. 5. CoreSource. Special Note: You ll need to enter your information as it appears on your ID card (such as your full name and member ID). If you do not have an ID card, enter your Social Security number (without dashes or spaces). Select the Submit button. 6. Accept Terms and Conditions.

8 7. If the Communication Preferences window automatically appears, it will show the address Otherwise, you will be directed to your home page. The method for the communication types is automatically set to so that you will receive automatically by . You can update your preferred address on this screen if you need to. Once all updates are made, select Save. Once you re registered on this new site, please be sure to bookmark it as a favorite, and return directly to mycoresource.com for all future visits. AC TIO N ABLE DATA TAILO RED PL ANS ENGAGED E M PLOYEES CoreSource solutions CoreSource is a wholly owned subsidiary of Trustmark Mutual Holding Company CoreSource R _R7-15

9 Sign up for electronic EOBs and you could win a 64GB ipad Air 2! CONVENIENT ECO-FRIENDLY SECURE How to sign up for electronic EOBs How to view your electronic EOBs Visit mycoresource.com and log in to your account. Not registered yet? Select Create an Account to get started. Select either the Update Contact Information link, or the Enrollment tab at the top left. You will be directed to the Personal Information page. Add or edit your address using the Electronic Contact Information section. In the Preferred Communication Method table, select the Explanation of Benefits box under your preferred address, and select the Save button to save your updates. You ll receive an at the address listed on your mycoresource.com account letting you know when you have a new electronic EOB available. The provides the instructions to access your electronic EOB: Select the link provided in the and enter your password (your five-digit ZIP code and the last four digits of your Social Security number). If you need to access a previously issued EOB, simply log into your account at mycoresource.com and click on the Claims tab at the top. Once you begin receiving electronic EOBs, you will no longer be mailed a paper version. However, you can easily print your electronic EOB for your records. Sign up today for a chance to win a 64GB ipad Air 2! Two winners will be selected each month from January 2016 through December 2016, so don t wait! of the drawing. The odds of winning are dependent on the number of eligible entries each month. Winners must be 18 years or older. No purchase necessary to win. CoreSource is a wholly owned subsidiary of Trustmark Mutual Holding Company CoreSource R _R CoreSource R ipad_R6-16

10 Downloading and Using the CoreSource Mobile App Whether you are at home, on vacation or at the doctor s office, you can download the mobile app from CoreSource to Apple or Android phones and tablets. Download the App Select the CoreSource app from the App Store from Apple or Google Play. It s a free download. Set Up Log in with the username and password used for mycoresource.com. (If you have not created an account on mycoresource.com, create one now.) First-time users will be asked to agree to the terms and conditions. Use Click on the icons below Account Balances or, for more information, click on the drop-down menu in the top left corner to access the dashboard. Both pathways will allow you to: See your deductible and out-of-pocket maximum Access other important benefits information Show your ID card to providers Find a doctor View claims status Contact CoreSource CoreSource is a wholly owned subsidiary of Trustmark Mutual Holding Company CoreSource R

11 Improve Your Health with the CoreSource HealthCenter Everyday, we make decisions that impact our health. The HealthCenter provides the tools to make those decisions easier. The HealthCenter is a secure, health education website to help you better manage your health. Available 24 hours a day, seven days a week, the HealthCenter is always there when you need it. Read on to discover all that the HealthCenter can do for you! Health Risk Assessment: When you complete this confidential health survey the HealthCenter gives you your health age, along with personalized recommendations to decrease your risk for chronic conditions and improve your health. Health Home Page features interactive content to help members achieve an active, healthy lifestyle. Logs, Calculators and Trackers help members make real change and see results. The Family Health Guide delivers information on more than 200 self-care topics. Visit the HealthCenter at mycoresource.com, log in with your username and password, and select the HealthCenter tab on the right. Complete your Health Risk Assessment to learn your current risks and what can you do to get healthier. Personal Health Record is a convenient way to store your medical history, prescription information and Health Risk Assessment profile for quick reference or to share with your physician. AC TIO N ABLE DATA TAILO RED PL ANS ENGAGED E M PLOYEES CoreSource solutions CoreSource is a wholly owned subsidiary of Trustmark Mutual Holding Company CoreSource R _R10-14

12 CoreSource PO Box 2920 Clinton, IA understanding your EXPLANATION OF BENEFITS Questions: Contact us Toll-Free: Website: mycoresource.com

13 understanding your EXPLANATION OF BENEFITS Members receive easy-to-understand Explanation of Benefits (EOB) with consolidated information on medical claims and payments made for each family member. In this guide, CoreSource provides definitions of EOB terms and a sample EOB. Each numbered definition below corresponds to one of the numbers on the sample EOB on the following pages Group Number Number assigned to the employer by CoreSource Print Date Date the check was issued Patient Name Name of person who received the service Type of Service Description of the visit (e.g., physician visit) Claim Number This number identifies the claim in our system Other Adjustments Negotiated or ineligible amounts that are not a member s responsibility Other Plan Payment A payment made by another health plan due to coordination of benefits Ineligible Amount of submitted charges not covered by the plan Copay A predetermined charge that the provider can collect from you at the time of service Reason Codes Used to explain why a portion of submitted charges is not covered by the plan. A number, or reason code, shown on the EOB corresponds with an explanation. (See page 2 of example.) Patient Account Number Account number assigned by the facility or professional provider that rendered the service Provider Name of facility or professional provider that rendered the service Description of Service A brief description of the services for which the provider billed Service Date The date the provider indicated the services billed for were received or rendered Billed Charges Services for the member that have been billed to the member s health plan Discount Amount The amount that has been reduced from the provider Deductible The amount of the covered charge that the patient is responsible for before health plan payment begins Co-Insurance A percentage of the submitted charges not paid by the health plan for which the member is responsible Plan Benefit Total amount that will be paid by the plan for the submitted charge(s) Plan Paid At Percentage of the covered expense paid by the plan, after any applicable deductible Issued Date the claim was released and sent to processing to send payment or an EOB statement Patient Responsibility Portion of total submitted expenses for which the member is responsible Family Dollars applied toward the employee and covered dependents Current Year Benefit payments made during this year Prior Year Benefit payments made last year * Depending on how the claim was paid, these columns may appear differently. The claim will be paid with in-network, out-of-network or PPO rates. These columns will include payments toward your deductible, out-of-pocket costs and lifetime medical maximum allowance.

14 sample EXPLANATION OF BENEFITS The items appearing on the Explanation of Benefits (EOB) sample are for reference clarification only and correspond to further details, definitions and terminology. CoreSource PO Box 2920 Clinton, IA Questions: Contact us: Toll-Free: Website: mycoresource.com page 1 of EOB

15 sample EXPLANATION OF BENEFITS The items appearing on the Explanation of Benefits (EOB) sample are for reference clarification only and correspond to further details, definitions and terminology Current Year Prior Year 2 page 2 of EOB AC TIO N ABLE DATA TAILO RED PL ANS ENGAGED E M PLOYEES CoreSource solutions CoreSource is a wholly owned subsidiary of Trustmark Mutual Holding Company CoreSource R _R9-14

16 Easy, convenient, accessible: Caremark.com and the CVS/caremark mobile app Your health is important so we re making it convenient and easy to manage your prescription benefits. Simply visit Caremark.com or download the CVS/caremark mobile app and get the access you need, anywhere and anytime. Easy Refills Refill online or use our mobile app to scan the barcode on your prescription label You can order new prescriptions and renewals online. We take care of contacting your doctor Timesaving Tools Manage delivery by mail, auto refill, find a pharmacy and more Choose from retail and mail options for 90-day prescriptions Get started: Register today at Caremark.com or download the CVS/caremark mobile app Convenient Savings See how much you ve spent and where you might have savings opportunities. Even break down your costs by family member See savings options by prescription and print a report so your doctor can help you choose Caremark.com 2016 CVS/caremark. All rights reserved j