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Save on Medical Care with KISx Card & Accarent Health
Imagine paying $0 for a knee replacement, colonoscopy, or even cancer surgery!
Gain access to many surgical and imaging procedures, at no cost to you!
If you or your dependents are currently enrolled in a United Zion medical plan, these two programs are FREE to use!
Click on the links below to learn more about each program.
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How much does it cost?If you are enrolled in our PPO 3000 plan, you will not pay anything for your service. If you are enrolled in our high deductible medical plan (HSA 4500), your provider may ask you to pay a portion of the fee, up to $1,650 if you are enrolled as an individual, or up to $3,200 if you are enrolled with dependents. But don’t worry! United Zion will fully reimburse you for this amount.
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Accarent HealthUse this program for advanced surgery, like complex cancer surgery, bariatric surgery, and cardiac surgeries, for example. Accarent offers one of the most robust selections of medical procedures available. They currently have over 130 procedures offered by top-rated hospitals across the country, from common knee and hip replacement, to complex organ transplant. And the cost is FREE for you! Click here to learn more about this program. Visit https://www.accarenthealth.com/faq#individuals to learn more.
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Do I need to enroll in KISx or Accarent Health to participate?No, you don’t need to enroll! When you're ready to use the KISx Card program or Accarent Health, simply reach out to your Lacher Healthcare Advocate. They’ll provide all the details you need to make an informed decision.
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What is the phone number and web address for KISx and Accarent?KISx Card Program 1-877-438-5479 www.getkisx.com Accarent Health 1-866-771-0697 www.accarenthealth.com
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How do I know which program to use?Since the KISx Card and Accarent Health programs offer similar benefits for surgeries and imaging procedures, it's important to make sure you're choosing the option that best suits your needs. To do this, we recommend contacting your Lacher Healthcare Advocate before scheduling any procedure. They will guide you through the details of each program, ensuring you get the highest quality care at no cost to you. Your advocate is there to provide personalized support, helping you navigate the process with confidence and peace of mind - whether you're preparing for a minor procedure or something more complex. Your Lacher Healthcare Advocate Stephanie Cassel 267-498-0600 stephanie@lacherinsurance.com
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KISx Card Program (part of Valenz Health)Use this program for orthopedic surgery, general surgery, colonoscopies, and MRI/CT/PET Scans. Click here to learn more! The KISx (pronounced "Kiss") program allows you to pay $0 out of pocket for over 400 surgical and imaging procedures. This benefit is available to you and your dependents if they are covered on our health insurance plan. So rather than paying your normal copay or deductible on a knee replacement, for example, you could now receive it for free! Click here to get a copy of the KISx card. Hang onto it! Whenever you have an upcoming surgery or major imaging procedure, call the phone number on the back of the card to see if it's covered. This benefit is available to you and your dependents, as long as they are covered on our health insurance plan.Talk to a KISx Card Nurse about a procedure: 877-GET-KISX (438-5479). How it works: Member testimonial:
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Do I have to be enrolled in the company medical plan to participate?Yes, the KISx Card program and Accarent Health are only available to employees and their dependents enrolled in a United Zion medical plan.
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MedicalHSA 4500 Plan - Medical Plan Summary of Benefits and Coverage PPO 3000 Plan - Medical Plan Summary of Benefits and Coverage Employee Benefits Plan Document and Summary Plan Description Special Enrollments Rights, Marketplace information, Women's Health & Cancer Rights, CHIP Notices, Newborns' Act Disclosure, and Privacy Practices HIPAA Privacy Notice Your Rights and Protections Against Surprise Medical Bills
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MedicareMedicare creditable coverage disclosure notice
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DentalLow Medium High
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VisionPlan M100D Plan M150A Other details
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Passport to HealthClick here to read a Privacy Notice.
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What is a Coordination of Benefits and how often do I need to complete it?You are required to update your Meritain Coordination of Benefits information every year so that they can properly process your claims. Coordination of Benefits information confirms whether you and/or your enrolled dependents have insurance coverage other than your employer's and if so, what that other insurance is, so that they can determine proper payment responsibilities for claims. If your Coordination of Benefits is updated yearly or as requested, your claims will be processed. Click here for the Coordination of Benefits form. If you’d like to complete the Coordination of Benefits online, you can do so once you are registered on the Meritain portal.
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What services and screenings are covered as preventive care?Preventive screenings can help you take better control of your health. They are an important foundation of early detection and prevention of disease. Preventive care services are NOT subject to a copayment or deductible when using in-network providers and must be billed to insurance with proper preventive coding. Take a look at this flyer to learn about the services and screenings that are covered as preventive care. Please note: Coverage for these services is subject to certain conditions, age and time limits.
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How do I find an in-network provider?Medical: When you register on the Meritain portal, you will have access to print an ID card, view your claims, or find an in-network doctor. Visit https://account.meritain.com/Portal/Registration and input your Group ID, which is 17732. You will also need your Member ID, which is located on your ID card. Dental: To locate in-network dental providers, Visit https://providers.online.metlife.com/findDentist. Enter enter PDP for Network. Our group number is 5344306. Vision: Visit https://mymetlifevision.com/find-provider-location-internal.html. When you visit a vision provider, let them know our group number which is 5344306.
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How do I register on the Meritain portal, so I can print an ID card or review my claims?When you register on the Meritain portal, you will have access to print an ID card, view your claims, or find an in-network doctor. Visit https://account.meritain.com/Portal/Registration and input your Group ID, which is 17732. You will also need your Member ID, which is located on your ID card. If you do not have your ID card, please feel free to contact Meritain at 1-800-925-2272.
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Are any of my medications available at no cost?Yes! Take a look at this flyer for more details.
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When can I make changes to my benefit elections?You can make changes to your benefit elections during your healthcare and benefits open enrollment OR if you have a qualifying life event (QLE). A QLE is a change in your situation, like a marriage, divorce, or having a baby, for example, which allows you to make changes to your health insurance. Take a look a this document for more information. You have 30 days to submit your changes online through our benefits enrollment system. Here's an overview of qualifying life events from Healthcare.gov. If you have a QLE, contact your Rightway advocate at 1-833-689-0570.
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I think a provider is billing me an incorrect amount for a service, what should I do?First, make sure you compare the bill you received with the EOB from the insurance. If you need to locate an EOB you can find one by logging into your account at www.meritain.com. If the bill does not match the EOB, please contact Rightway for further assistance.
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How do I change my plan or enroll my dependents?You can make plan changes and enroll dependents during open enrollment, or if you have a qualifying life event, by visiting the enrollment system.
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Why did I get billed for my preventive care visit?While regular medical care focuses on treating illness, preventive care aims to keep you from getting sick in the first place by focusing on helping you maintain good health. When you visit your doctor for a preventive care service - like a physical exam or a health screening - you should not be billed. However, if you ask your doctor about a specific health concern while you are at your preventive care visit, it may be billed as an office visit, and not a preventive care visit. Here’s how to be sure your preventive care visit is free for you: Mention prevention upfront – When scheduling your appointment, confirm that you are scheduling a preventive care visit. Know what to discuss with your doctor during the visit – During your visit, keep the conversation focused on how you can maintain a healthy lifestyle. Ask your doctor - If you do ask questions about a specific health concern while at your visit, ask your doctor if that will be treated as an office visit or as a preventive visit. Let your doctor know you are expecting this visit to be of no charge to you. For more information about preventive care, contact Rightway.
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Why is the insurance sending me a statement that says, “this is not a bill”?After submitting a claim for medical treatment, you may receive an Explanation of Benefits (EOB) from your insurance company. The EOB is a form that insurance companies send to their members to explain what part of a claim was paid by insurance, what part was not paid, and why. It is important to understand what this statement means.
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Who do I talk to if I have a problem with a claim or questions about my benefits?You can contact your Rightway advocate, who is ready to: Help you understand your health care benefits Assist with claims & billing issues Help you find in-network providers Verify coverage Clarify prescription drugs CONTACT RIGHTWAY 1-833-689-0570 Download the app Learn how to use the app
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Are any of my medications available at no cost?Yes! Select preventive medications are available at no cost. Take a look at this flyer for more details. Also, seelect medications to treat depression, anxiety, and mental health will now be available at no cost! Click here to learn more.
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Prescription medicine informationCovered prescriptions: Click here to determine which medications are covered under your plan and any applicable limitations. Mail order: Save time and money by enrolling in mail order pharmacy through Prime Therapeutics (formerly Magellen Rx). Click here to learn how to enroll. Download the home delivery order form here. PrimeCentral mobile app: With this app from Prime Therapeutics, you can get accurate drug pricing from nearby pharmacies so you can compare and decide where to fill a prescription. Click here to learn more about this benefit. Download the app and start saving: iPhone - click here Android - click here Learn more about PrimeCentral:
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Meritain Health portal user guideClick here to learn how to register, print an ID card, view your claims, and much more!
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Insurance carrier contact informationMedical: Meritain 1-800-925-2272 www.meritain.com Non-Specialty Prescription: Prime Therapeutics 1-800-424-0472 www.primetherapeutics.com Specialty Prescriptions: PaydHealth 1-877-869-7772 www.paydhealth.com
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Search for a Medical providerClick here and select Aetna Choice POS II (Open Access).
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How do I submit a claim?If you use an out-of-network provider, you can submit a claim by downloading and completing this form. Follow the "how to submit this form" instructions on page five.
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Dental insurance carrier contact informationMetLife 1-800-638-5433 www.metlife.com You will not receive an ID card from MetLife. When you visit a dental provider, let them know our group number which is 5344306 and our plan network is PDP.
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Search for a Dental providerVisit https://providers.online.metlife.com/findDentist. Enter enter PDP for Network. Our group number is 5344306.
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Search for a Vision providerVisit https://mymetlifevision.com/find-provider-location-internal.html
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How do I submit a claim?If you use an out-of-network provider, you can submit a claim by downloading and completing this form. Mail it to the address listed at the top of page two.
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Vision insurance carrier contact informationMetLife 1-800-638-5433 www.metlife.com You will not receive an ID card from MetLife. When you visit a vision provider, let them know our group number which is 5344306.
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