NLB 1437-7 Medical ID Card Explained

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Your ID Card Explained

Review your ID card to ensure:

• All requested coverages are listed

• Your name, spouse, and eligible dependents are correct

• You refer to the ID Card Examples for guidance

Need changes?

• Contact your employer or call Nippon Life Benefits at 1-800-374-1835.

A new ID card will be issued when:

• You become newly eligible

• You add/remove a dependent

• You change your benefits

• Your plan details change

• Legal/vendor updates require it (e.g., 2022 deductible info update)

8. DEDUCTIBLE AND OUT-OF-POCKET AMOUNTS

EFF Your original Effective Date with Nippon Life Benefits.

ID # Your member ID number is used instead of your Social Security number. 5. BENEFIT PH # Your ID card is not a guarantee of coverage. Your provider should call this number for verification of coverage.

6. CVS CAREMARK Your Pharmacy Network. To locate a participating pharmacy, go to: www.caremark.com.

7. PROVIDER NETWORK Your Medical, Dental, and/or Vision networks. If your plan doesn’t use a network, these sections will be left blank.

Deductible and out-of-pocket amounts for both in and out of network are displayed. If the member has family coverage, those amounts will be displayed as well

9. QUEST SELECT This is an optional benefit designed to save you money on outpatient laboratory needs covered by your medical plan. Please note this is not available on all plans

10. CLAIMS ADDRESS In most cases, your provider will submit claims for you. However, you may mail it to the address on your ID card if you need to submit a claim.

11. INTERNATIONAL COVERAGE For outside of the U.S. care and claims, please contact Aetna International at 1-800231-7729 or visit https://www.aetnainternational.com

The card above is for illustrative purposes only. Your card may vary based on your state of residence, plan provision, and vendors.

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