Health Care News Compass Outreach
Health Care News
Moved Recently? We Need to Hear From You!
By now, you and your covered family member(s) have been issued your own member ID card. Please take note of your NEW ESI Prescription ID number. If you require medical care, your provider will request your member ID card at the time of service. Services include: doctors’ office visits, hospital, lab, pharmacy, and other medical facilities. Below is a sample of your new Compass Rose Health Plan member ID card. For your convenience, we have also provided a brief explanation of the important information displayed on your card.
If you have recently changed your address, you can conveniently update your personal information:
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Compass Rose Health Plan A Federal Employees Health Benefits Plan
2.) 2 A unique number that categorizes our entire member population.
Member
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3 The name of the Insured. 3.) 4 A distinctive number assigned to you and your 4.) covered family members. This number is essential for accurate claims processing.
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PPO Network
Group #: 78370001 Member: ENNIS XXXXXX Member ID: 307780124609 Effective: 01/01/2013
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7 EDI: 50946
8 PPO UnitedHealthcare Options
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Copay(s): Office Visit $15, Specialist $25, Urgent Care $50, Emergency Room $100 Medicare Part B $0
Pharmacy Plan
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Rx Bin: Rx Group: ID:
610014 DFGFEHB 780124609
12www.express-scripts.com/pharmacy For Pharmacists: 800-922-1557 Members: 877-438-4449
5.) 5 The date your member ID card became effective.
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J005
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J005
9.) 9 The required out-of-pocket expenses owed to your provider at the time of your appointment. For members with Medicare Part B as their primary payer, your co-pay is waived. 10.) 10
12.) 12 An optional online tool to manage your ESI Prescription Benefit Plan. 13.) 13 The number your pharmacist calls for prescription inquiries. 14.) 14 The number you call for prescription inquiries. 15.) 15 An electronic number used by many providers to file claims.
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Eligibility/Precertification For full benefits to be considered precertification may be required. Inpatient precertification is waived for: Medicare A Primary members and admissions outside of the U.S.
EDI: 50946
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Mail: Compass Rose Health Plan P.O. Box 141501 Nashville, TN 37214
16 Possession of this card does not guarantee eligibility or coverage
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• By Phone: Contact our Administrative Office by calling (866) 368-7227.
New Year, New You! Are you ready to make this year count? Whether you are looking to lose weight, learn how to make healthier lifestyle choices or quit smoking, we’ve got you covered! As a Compass Rose Health Plan member, you and your covered family members have unlimited access to these discount benefits: GlobalFit and Smoking Cessation.
GlobalFit offers a full range of affordable options to get fit, feel more energized, and live a healthier lifestyle. GlobalFit offers you and your covered dependents:
• Guaranteed lowest rates on full-access memberships, the same benefits as if you paid full retail price
• 1 0,000 locations nationwide, including 24-Hour Fitness, Bally, Curves, and Anytime Fitness, plus regional chains and local favorites
• Free Guest Passes to try most gyms before joining
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• A range of membership options to fit your needs
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Visit www.compassrosebenefits.com/GlobalFit for more details!
Members: Medical Claims and Benefit Inquiries call: 877-531-1159 Providers: 17 Precertification call: 877-531-1159 Medical Provider Inquiries please contact UnitedHealthcare Shared Services: 877-370-5324 or www.uhis.com
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Quitnet’s Smoking Cessation Program offers members over the age of 18 a mix of support options including personal coaching, online tools and support, a printed Quit Guide, Quit medications, and (Quit Tips) emails. To learn more about these additional FREE benefits, please visit www.compassrosebenefits.com/QuitSmoking.
Your pharmacy manager/Express Scripts.
11.) 11 The numbers your pharmacist will use to process your prescriptions at a local pharmacy.
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1078 XX-78370001-CRHPPPONONRET---R001-N M (NA) D() V() 0719 *0* 20130109T12J0050000000010002000110 Env [1] 2 of 1 Carrier [1]
8.) 8 An electronic number used by many providers to file claims.
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Medical Claims Submission
Compass Rose Health Plan
• O nline: Complete and submit the Change of Address Form by visiting www.compassrosebenefits.com/address.
Gym Memberships:
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6.) 6 The lab provider for 100% covered outpatient laboratory testing. 7.) 7 Your nationwide Preferred Provider Organization (PPO) network of providers, hospitals, and labs.
Reminder: If you change your address with your parent Agency or with the Office of Personnel Management (OPM), CRBG is not notified. *0* 20130109T12J0050000000010002000110 Env [1] 2 of 1 Carrier [1]
1 The name of your health plan. 1.)
1078 1078 XX-78370001-CRHPPPONONRET--R001-N M(NA) D() V() 0DDC
How to Read Your Health Care Card
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The mailing address for claims.
LIVE Chat with the President Transcript Now Available! “As President of Compass Rose, I am not always able to connect directly with our members as much as I would like to. However, as a member-centric association, servicing your needs is our top priority and as such, implementing new communication channels like this will allow me the opportunity to connect with you in an open forum more frequently in the future.”
17.) The number you call for pre-certification, medical 17 claims and benefit inquiries. For members with Medicare Part A as your primary payer, your inpatient pre-certification is waived.18.) 18
The number your provider calls for precertification, claims, and benefit inquiries.
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The number your provider calls for UnitedHealthcare contract inquiries.
Fun Facts: There are 65 million dogs owned in U.S.
– Randy Stoughton President, Compass Rose Benefits Group
On behalf of Compass Rose Benefits Group, we’d like to extend a very special thank you to all members who participated in our first LIVE Online Chat with the President on November 30th! To read the entire transcript from the chat, please visit www.compassrosebenefits.com/Transcript.
Fun Facts: There are 65 speeding tickets issued EVERY MINUTE in the U.S.
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