Faqs
We’re
Here To Serve You
Frequently
Asked Questions
Below
are the most commonly asked questions our Customer Service Department
receives. We hope you find them helpful. If you have a question
that is not answered, please call Customer Service at 503.620.3822
or 800.452.0914.
Benefit
Questions
How
do I check to see if my provider is a PPO/Participating Provider?
What
does PPO vs. NONPPO benefits mean?
What
services require prior authorization?
Is
emergency treatment covered in another state or country if I am
traveling?
How
do I appeal a claims decision?
What
does Out of Pocket Maximum mean?
What
is my plan year?
How
do I submit a medical claim for treatment I paid for myself?
Are
immunizations covered for both adults and children? What about the
vaccinations that I need in order to travel?
What is Section 125 Flexible Benefits and how
do I utilize the plan?
Enrollment
and Eligibility Questions
How
long can my children stay on my plan?
How
do I add my new baby to my plan?
How
do I add my new spouse to my plan?
My
spouse lost their coverage through their employer; can I add them
to my plan now?
I’m
getting a divorce, when should I remove my spouse from my policy?
Can they remain on my policy if they have no other coverage?
I
continue my insurance after COBRA has run out?
Pharmacy
Questions
Why
are prior authorizations required on certain drugs?
How
often can I refill my medication?
I'm
going on vacation and will need an extra supply of medication, what
can I do?
How
does the mail order portion of my prescription benefit work and
can I refill my prescription online?
How
do I get reimbursed for medications I have purchased at non-participating
pharmacies?
How
are diabetic supplies covered under my prescription plan?
Preferred
Drug Program Questions
What
is the ODS Preferred Drug Program?
What
makes the ODS Preferred Drug Program different?
Is
my drug preferred?
How
does it work?
How
do I know if I have this drug program?
What
if my prescribed drug is not listed on the chart? |
