Pebtf - The PEBTF Board of Trustees has full and complete discretion and authority over all Plan provisions, including their interpretation and application. Pennsylvania Employees Benefit Trust Fund (PEBTF) 150 S. 43rd Street, Suite 1 Harrisburg, PA 17111-5700 Phone: 717-561-4750 800-522-7279 www.pebtf.org . 1 To All Benefit Eligible Members:

 
PEBTF The CVS Caremark® Performance Drug List - Standard Control for PEBTF is a guide within select therapeutic categories for clients, plan members and health care providers. Generics should be considered the first line of prescribing. If there is no generic available, there may be more than one brand-name medicine to treat a condition.. Mens pirate shirt men

Find out what works well at PEBTF from the people who know best. Get the inside scoop on jobs, salaries, top office locations, and CEO insights. Compare pay for popular roles and read about the team’s work-life balance. Uncover why PEBTF is the best company for you.(PEBTF) operates as a non-profit organization. The Organization offers health care assistance such as vision, dental, hearing aid, and other related ...SMALL CHANGES MAKE A BIG DIFFERENCE. Making small lifestyle changes to the foods you eat and activity you get can make big improvements to your health. Find out if you qualify for a program that can help you lose weight and lower your chance of getting type 2 diabetes. ¹.Mail Order and CVS Pharmacy – up to a 90 Day Supply. Your Copayment. Tier 1: Generic drug. $22.50. Tier 2: Preferred brand-name drug. $60, plus the cost difference between the brand and the generic, if one exists. Tier 3: Non-Preferred brand-name drug. $120, plus the cost difference between the brand and the generic, if one exists.PEBTF-14 Adult Dependent Coverage Form. PEBTF-36 Active Employer Benefit Verification Form for Active Members. PEBTF-40 Direct Payment Authorization Form. PEBTF-41 Enrollment in PEBTF Prescription Drug Plan Without PEBTF Medical Plan Coverage. PEBTF-44 Attesting to Other Coverage Due to a Plan Change Effective 4/1/2021 …Mail Order and CVS Pharmacy – up to a 90 Day Supply. Your Copayment. Tier 1: Generic drug. $22.50. Tier 2: Preferred brand-name drug. $60, plus the cost difference between the brand and the generic, if one exists. Tier 3: Non-Preferred brand-name drug. $120, plus the cost difference between the brand and the generic, if one exists. CVS Caremark is a pharmacy benefit manager dedicated to helping each of our members on a path to better health by getting them the prescriptions they need when they need them.Find out what works well at PEBTF from the people who know best. Get the inside scoop on jobs, salaries, top office locations, and CEO insights. Compare pay for popular roles and read about the team’s work-life balance. Uncover why PEBTF is the best company for you.Visit www.pebtf.org> Get Healthy > Help for Diabetics for more information and a direct link to the Livongo website to get started. Or call Livongo Member Support at 1-800-945-4355 and mention registration code, PEBTF. *To enroll in Livongo, you must be enrolled in a PEBTF medical and/or prescription drug plan. You must also meet theThe weight management program is a covered preventive benefit for PEBTF employees and dependents over 18 years old with an Aetna health plan, who qualify through the health quiz. How do I sign up?Apr 3, 2023 ... PEBTF is also run quarterly for all CHIP enrollees. PEBTF is not verified upon receipt, caseworker must verify PEBTF eligibility. PACSES. No ...What is Livongo: Livongo is a health program that has always been known for helping people with diabetes to live happier, healthier lives. Livongo has since expanded the benefit to help manage not only diabetes, but also blood pressure, weight, stress, and more, all at no cost to you. Who can join: PEBTF-covered employees and REHP non-Medicare ...Gastric Surgery/Therapy/Durable Medical Equipment/Outpatient Procedures: 888-236-6321. Home Health/Home Infusion Therapy/Hospice: 888-567-5703. Inpatient Clinical: 800-416-9195. Medical Injectable Drugs: 833-581-1861. Musculoskeletal (eviCore): 800-540-2406. Telephone: For inquiries that cannot be handled via the online provider portal, call ...A. Complete the registration process on the Quest Diagnostics website. To access the Quest site, go to www.pebtf.org and click on the Get Healthy logo. Follow the instructions on the website. If you cannot go online, please contact Quest Diagnostics at 1-844-598-7966 to request the Physician’s Results Form. Q.PEBTF Website Visit www.pebtf.org > 2023 Open Enrollment. View the webinar, plan benefits and compare plans in your county of residence. The Summaries of Benefits & Coverage are also available on the website. Contact the PEBTF g. Contact PEBTF Health Advocate Call 1-855-855-4238 to help locate network health care providers. Contact the …TTY users should call 1-877-486-2048. Or visit www.medicare.gov. SilverScript’s Formulary. The formulary that begins on page 1 provides coverage information about the drugs covered by our plan. If you have trouble finding your drug …PEBTF-11 Retiree Declaration of Spouse Health Coverage for Retiree Members. PEBTF-14 Adult Dependent Coverage Form. PEBTF-36 Active Employer Benefit Verification Form for Active Members. PEBTF-36 Retiree Employer Benefit Verification Form for Retiree Members. PEBTF-40 Direct Payment Authorization Form. Business Wire. The Board of Trustees of the Pennsylvania Employees Benefit Trust Fund (PEBTF) today announced the appointment of Kathryn M. Farley to the position of …Pandemic Electronic Benefit Transfer (P-EBT) Please tell us if you need assistance with this site or the P-EBT Parent Portal because you have a disability or don’t speak English. Free assistance is available via our P-EBT Hotline at 833-419-3210 and/or the TTY number at 711. You will reach an operator who can provide you with an interpreter.PEBTF Specialty Pharmacy Drug List Providing one of the broadest offerings of specialty pharmaceuticals in the industry The Specialty Pharmacy Drug List is a guide of medications available through CVS Specialty®. Our goal is to help make your life better. With more than 40 years of experience, CVS Specialty provides quality care and service.Visit www.pebtf.org> Get Healthy > Help for Diabetics for more information and a direct link to the Livongo website to get started. Or call Livongo Member Support at 1-800-945-4355 and mention registration code, PEBTF. *To enroll in Livongo, you must be enrolled in a PEBTF medical and/or prescription drug plan. You must also meet theIf you have any questions, please contact a PEBTF Benefit Services Representative at 1-800-522-7279. 3. Pennsylvania Employees Benefit Trust Fund 150 South 43rd Street, Suite 1 Harrisburg, PA 17111-5700. Local: 717-561-4750 Toll Free: 800-522-7279. PEBTF telephone hours: 8 a.m. – 5 p.m. Monday through Friday.The PEBTF will not receive any information that would enable us to identify you or your individual results. Who is eligible to complete the wellness screening? For 2021, wellness screenings are available to employees only who are enrolled in PEBTF medical and/or prescription drug benefits.PEBTF Website Visit www.pebtf.org > 2023 Open Enrollment. View the webinar, plan benefits and compare plans in your county of residence. The Summaries of Benefits & Coverage are also available on the website. Contact the PEBTF g. Contact PEBTF Health Advocate Call 1-855-855-4238 to help locate network health care providers. Contact the HR ... By using or accessing PEBTF.org (the 'Website'), you agree that you will use it for legitimate purposes only, and not for any illegal or unauthorized purpose, including without limitation, in violation of any intellectual property or privacy law. You agree not to attempt to interfere with the Website’s network or security features or to attempt to gain unauthorized access to …Discounts on fitness, wellness, weight loss programs, etc. Members may visit the PEBTF website for links to the plan's wellness benefits. Click on the Get Healthy Discount Programs button to get started. Discounts on fitness, wellness, weight loss programs, etc. Members may visit the PEBTF website for links to the plan's wellness benefits.PEBTF - Log In. Active Members. Benefit Information. Health Plan Choices by County. Open Enrollment Information. Benefit Comparison.PEBTF-11 Retiree Declaration of Spouse Health Coverage for Retiree Members. PEBTF-14 Adult Dependent Coverage Form. PEBTF-36 Active Employer Benefit Verification Form for Active Members. PEBTF-36 Retiree Employer Benefit Verification Form for Retiree Members. PEBTF-40 Direct Payment Authorization Form.Pennsylvania Employees Benefit Trust Fund (PEBTF)—The PEBTF administers health care benefits for approximately 76,000 eligible commonwealth employees and their dependents. It is governed by a Board of Trustees comprised of both commonwealth and union representatives. State Employees’ Retirement System (SERS)—SERS administers four …PEBTF Custom HMO – Aetna (SOB). PEBTF Custom HMO – Geisinger (SOB). Resources & Contacts: Pennsylvania Employees Benefit Trust Fund. Phone: 717-561-4750 (ext ...Pennsylvania Employees Benefit Trust Fund 150 South 43rd St., Suite 1 Harrisburg, PA 17111-5700. Postmaster, please deliver between October 11 and October 21, 2023. Local: 717-561-4750 Toll Free: 800-522-7279. PEBTF telephone hours: 8 a.m. – 5 p.m. This newsletter is available in an alternative format.PPO Bronze Plan (Open Choice) Aetna Customer Service: 1-800-991-9222 PEBTF Benefits - 2024 Network Providers Non-Network Providers** DEDUCTIBLE (Per Calendar Year) Includes costs for medical, mental health and substance abuse benefits and prescription drug costs. $9,450 single $18,900 family $9,554 single $19,108 familyPennsylvania Employees Benefit Trust Fund 150 South 43rd St., Suite 1 Harrisburg, PA 17111-5700. Postmaster, please deliver between October 11 and October 21, 2023. Local: 717-561-4750 Toll Free: 800-522-7279. PEBTF telephone hours: 8 a.m. – 5 p.m. This newsletter is available in an alternative format.Dec 31, 2014 ... Wellness screenings are offered to employees and covered spouses/ domestic partners enrolled in PEBTF medical and/or supplemental benefits. The ...PEBTF Health Advocate is offered free of charge to members (employees, retirees, spouses/domestic partners and dependent children). PEBTF Health Advocate offers high-touch personalized support to help you navigate a complicated health care system. The service provides you and your family with confidential, one-on-one help. Luzerne County. Basic PPO. Choice PPO. Geisinger Custom HMO Northeastern PA. Bronze Plan. Supplemental Benefits Only. The Bronze Plan is offered to non-permanent employees working an average of 30 hours a week. It offers both an in-network and an out-of-network benefit. You are responsible for the first $9,450 of in-network covered medical and prescription drug expenses for single coverage or $18,900 for family coverage. This is known as the annual deductible.Please note: This PEBTF Specialty Pharmacy Drug List is a list of drugs that must be filled through the pharmacy benefit plan. Exceptions are noted below, particularly injectable products used for oncology indications which may be billed under the medical benefit.By using or accessing PEBTF.org (the 'Website'), you agree that you will use it for legitimate purposes only, and not for any illegal or unauthorized purpose, including without limitation, in violation of any intellectual property or privacy law. You agree not to attempt to interfere with the Website’s network or security features or to attempt to gain unauthorized access to …You will work virtually with a physical therapist to design a home exercise program to fit into your busy schedule. Most exercise sessions take as little as 15 minutes to complete. Your program will combine gentle exercise with one-on-one support to improve your condition, reduce your pain and help you move with confidence.PEBTF 2023 Open Enrollment Webinar for Non-Medicare Retired Members ...Please note: This PEBTF Specialty Pharmacy Drug List is a list of drugs that must be filled through the pharmacy benefit plan, unless noted under the drug class heading. Prospective Patients: Ready to get started? Enroll to get your medications from CVS Specialty.PEBTF-11 Retiree Declaration of Spouse Health Coverage for Retiree Members. PEBTF-14 Adult Dependent Coverage Form. PEBTF-36 Active Employer Benefit Verification Form for Active Members. PEBTF-36 Retiree Employer Benefit Verification Form for Retiree Members. PEBTF-40 Direct Payment Authorization Form.SMALL CHANGES MAKE A BIG DIFFERENCE. Making small lifestyle changes to the foods you eat and activity you get can make big improvements to your health. Find out if you qualify for a program that can help you lose weight and lower your chance of getting type 2 diabetes. ¹.The .gov means it’s official. Local, state, and federal government websites often end in .gov. State of Georgia government websites and email systems use “georgia.gov” or “ga.gov” at the end of the address.Jun 14, 2019 ... On February 15, 2019, we published “NEW POLICIES & PROCEDURES FOR PEBTF MEDICAL BENEFIT. SPECIALTY MEDICATION COVERAGE.pebtf The CVS Caremark ® Performance Drug List - Standard Control for PEBTF is a guide within select therapeutic categories for clients, plan members and health care providers.Join to see who you already know at Pennsylvania Employees Benefit Join now Sign inThe PEBTF also provides mental health and substance abuse coverage, as well as prescription drug, vision, dental and hearing aid benefits for eligible individuals. We are …May 24, 2021 ... According to our records, you have a spouse enrolled on your Pennsylvania Employees Benefit. Trust Fund (PEBTF) health benefits.PEBTF Website Visit www.pebtf.org > 2022 Open Enrollment. View the webinar, plan benefits and compare plans in your county of residence. The Summary of Benefits & Coverage are also available on the website. Contact the PEBTF Call 1-800-522-7279 or email [email protected]. Contact the PEBTF Call 1-800-522-7279 or email …For more information about Aetna plans, go to PEBTF.AetnaMedicare.com or call Member Services at toll-free at 1-888-272-5651 (TTY: 711). Hours are 8 a.m. to 9 p.m. EST, Monday through Friday. The provider network may change at any time. You will receive notice when necessary. In case of emergency, you should call 911 or the local emergency hotline.Retail Prescriptions (up to 30-day supply) - Generic drug: $15; Preferred brand-name drug: $40, plus the cost difference between the brand and the generic, if one exists.; Non-preferred brand-name drug: $80, plus the cost difference between the brand and the generic, if one exists. Retail Maintainence at CVS Pharmacy and Mail Order - Generic ...PEBTF May Cancel Your Coverage For Fraud, Non-payment or Intentional Misrepresentation IMPORTANT: If you intentionally provide false or misleading information about eligibility for coverage under the PEBTF Plan (or about a claim) or you fail to make a required contribution on time, your coverage may be terminated retroactively.The PEBTF complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia …The Bronze Plan is offered to non-permanent employees working an average of 30 hours a week. It offers both an in-network and an out-of-network benefit. You are responsible for the first $9,450 of in-network covered medical and prescription drug expenses for single coverage or $18,900 for family coverage. This is known as the annual deductible. pebtf.com has been informing visitors about topics such as Health Insurance for Retirees and Universities. Join thousands of satisfied visitors who ...The official Maryland EBT/P-EBT customer service phone line is 1-800-997-2222. This is the only number that should be used for inquiries related to your card. The customer service call center can be reached 24 hours a day, 7 days to order a new card, inquire about your balance or change your Personal Identification Number (PIN).The PEBTF will not receive any information that would enable us to identify you or your individual results. Who is eligible to complete the wellness screening? For 2022, wellness screenings are available to employees only who are enrolled in PEBTF medical and/or prescription drug benefits.Pandemic Electronic Benefit Transfer (P-EBT) Please tell us if you need assistance with this site or the P-EBT Parent Portal because you have a disability or don’t speak English. Free assistance is available via our P-EBT Hotline at 833-419-3210 and/or the TTY number at 711. You will reach an operator who can provide you with an interpreter.PEBTF-eligible employees can extend their health benefits to domestic partners and their dependents. The plan of benefits includes medical, prescription drug, dental, vision and hearing aid. Those who cover domestic partners will be charged the same rates and have the same plan choices as those in place for spousal and dependent coverage To ApplyPEBTF Health Advocate is offered free of charge to members (employees, retirees, spouses/domestic partners and dependent children). PEBTF Health Advocate offers high-touch personalized support to help you navigate a complicated health care system. The service provides you and your family with confidential, one-on-one help. Their experts …Your form will be processed after July 1, 2021 and you will earn the waiver retroactive to the first pay period when you enrolled in PEBTF benefits. If you have any questions about the Get Healthy Program, contact the PEBTF at 717‐561‐4750 or 800‐522‐7279.Retired members can get duplicate tax forms and click through to the Pennsylvania Employees Benefit Trust Fund - the PEBTF - for more about your health care. The Pennsylvania State Employees' Retirement System manages the pension benefits of nearly 240,000 employees and retirees for 101 public sector employers . IMPORTANT: If you intentionally provide false or misleading information about eligibility for coverage under the REHP Plan (or about a claim) or you fail to make a required contribution on time, your coverage may be terminated retroactively. This may occur, for example, if you file a false claim, fail to notify us promptly of a divorce or fail ...The official Maryland EBT/P-EBT customer service phone line is 1-800-997-2222. This is the only number that should be used for inquiries related to your card. The customer service call center can be reached 24 hours a day, 7 days to order a new card, inquire about your balance or change your Personal Identification Number (PIN).Mar 1, 2018 ... What are your initial thoughts on the Pennsylvania Employees Benefit Trust Fund (PEBTF)'s decision to cover bariatric surgery for state ...The PEBTF complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia …Mail Order and CVS Pharmacy – up to a 90 Day Supply. Your Copayment. Tier 1: Generic drug. $22.50. Tier 2: Preferred brand-name drug. $60, plus the cost difference between the brand and the generic, if one exists. Tier 3: Non-Preferred brand-name drug. $120, plus the cost difference between the brand and the generic, if one exists. 120 days prior to the month you turn 65: You will receive a packet of information from the PEBTF via certified mail. You must enroll in both Medicare Part A and Medicare Part B to continue medical and prescription drug coverage under the Retired Employees Health Program (REHP). Contact the Social Security Administration at 1-800-772-1213 three ... Enter your last name, date of birth and social security number. On the next screen, you will be able to Select your Payment – either pay in full or make a custom payment. Enter the card holder name, credit card number, expiration date and security code and click on Proceed to Checkout. Click on Complete Payment. A: If such an unfortunate event should occur, Active members should contact the HR Service Center or their local HR Office if their agency is not serviced by the HR Service Center. Retiree members may contact the State Employees' Retirement System (SERS) at 800-633-5461. Once you provide the necessary documentation, this information will be ... Luzerne County. Basic PPO. Choice PPO. Geisinger Custom HMO Northeastern PA. Bronze Plan. Supplemental Benefits Only. A. Detailed information is included in the Open Enrollment newsletter and on the PEBTF website. At a very high level, the PPOs have in-network deductibles on certain services and offer an out-of-network benefit. The Choice PPO also has a PPO buy-up for employees hired on or after 8/1/2003. The REHP Custom HMO is a network-benefit only and it ...PEBTF - Log In. Active Members. Benefit Information. Health Plan Choices by County. Open Enrollment Information. Benefit Comparison. 120 days prior to the month you turn 65: You will receive a packet of information from the PEBTF via certified mail. You must enroll in both Medicare Part A and Medicare Part B to continue medical and prescription drug coverage under the Retired Employees Health Program (REHP). Contact the Social Security Administration at 1-800-772-1213 three ... Call 1-800-522-7279 or email [email protected]. Contact PEBTF Health Advocate. Contact the HR Service Center (or your local HR office if your agency is not supported by the HR Service Center) Call 1-855-855-4238 to help locate network health care providers. Visit Employee Self Service at www.myworkplace.pa.gov to complete your enrollment.Retired members can get duplicate tax forms and click through to the Pennsylvania Employees Benefit Trust Fund - the PEBTF - for more about your health care. The Pennsylvania State Employees' Retirement System manages the pension benefits of nearly 240,000 employees and retirees for 101 public sector employers . PEBTF: Basic PPO Coverage for: Individual + Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be providedPEBTF - Log In. Active Members. Benefit Information. Health Plan Choices by County. Open Enrollment Information. Benefit Comparison. We advise you to remain enrolled in the REHP medical and prescription drug plan coverage. If you want to opt out of the new plan, you will need to do so by November 10, 2023. Just call the PEBTF at 1-800-522-7279, 8 a.m. to 5 p.m. Keep in mind: If you opt out, you and any covered dependents will be terminated from REHP medical and prescription ...PENNSYLVANIA EMPLOYEES BENEFIT TRUST FUND MEDICAL PLAN PLAN DOCUMENT as amended and restated effective July 1, 2023contact the Pennsylvania Employees' Benefit Trust Fund (PEBTF} at (717) 561-. 4750 or toll-free at (800) 522-7279, or at www.pebtf.org. Benefits, benefit ...Please note: This PEBTF Specialty Pharmacy Drug List is a list of drugs that must be filled through the pharmacy benefit plan. Exceptions are noted below, particularly injectable products used for oncology indications which may be billed under the medical benefit.Pennsylvania Employees Benefit Trust Fund (PEBTF) 150 S. 43rd Street, Suite 1 Harrisburg, PA 17111-5700 Phone: 717-561-4750 800-522-7279 www.pebtf.org When you enroll in an Aetna ® Medicare plan, here's what you can expect. We'll mail you: A new member Journey Handbook with helpful tools, cost-saving resources and important tips. Read your plan documents to learn more about your plan and how it works. The Evidence of Coverage will tell you exactly what's covered and your out-of-pocket costs. Summary. In-network deductibles differ between the Choice PPO and the Basic PPO. – Choice PPO – Annual in-network deductible is $400 single/$800 family. – Basic PPO – Annual in-network deductible is $1,500 single/$3,000 family. PPO option covers medical services as set forth in the PEBTF Plan Document. PPO option offers both an in ...The Pennsylvania Employees Benefit Trust Fund (PEBTF) offers confidential wellness screenings that give you valuable information about your health and health risks. You may then visit your doctor to discuss your results and set goals for better health. Your health and well-being are important to the PEBTF.

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Form (PEBTF-2) is available online. To access the online version, go to www.pebtf.org > Publications/Forms and download the PEBTF-2 and the online instructions. Human Resource offices must make and distributed the necessary copies. The employee member should retain a copy of the PEBTF-2 Form, one copy should be sent to the PEBTF and …PEBTF's legal argument was as follows. When established in 1988, PEBTF was a governmental plan within the meaning of ERISA and excluded from the Act's coverage.PEBTF May Cancel Your Coverage For Fraud, Non-payment or Intentional Misrepresentation. IMPORTANT: If you intentionally provide false or misleading information about eligibility for coverage under the PEBTF Plan (or about a claim) or you fail to make a required contribution on time, your coverage may be terminated retroactively. This may occur ... The Pennsylvania Employees Benefit Trust Fund (PEBTF) is seeking an exceptional leader for the coveted role of Executive Director.Benefit Cost Estimator Tool. You can find out what you will pay for certain medical services and procedures by visiting your health plan’s website. This self-service tool will help you estimate your out-of-pocket costs and compare costs for covered network and out-of-network services. This cost share will include any deductibles and copays.Your form will be processed after July 1, 2021 and you will earn the waiver retroactive to the first pay period when you enrolled in PEBTF benefits. If you have any questions about the Get Healthy Program, contact the PEBTF at 717‐561‐4750 or 800‐522‐7279.By using or accessing PEBTF.org (the 'Website'), you agree that you will use it for legitimate purposes only, and not for any illegal or unauthorized purpose, including without limitation, in violation of any intellectual property or privacy law. You agree not to attempt to interfere with the Website’s network or security features or to attempt to gain unauthorized access to …The Pennsylvania Employees Benefit Trust Fund (PEBTF) is seeking an exceptional leader for the coveted role of Executive Director.Access – PA Medicaid (must have medical insurance); Aetna (except PEBTF plans); AmeriHealth; AmeriHealth Administrators; Blue Cross Blue Shield; Cigna ...PEBTF-6 Disabled Dependent Certification Form. PEBTF-11 Retiree Declaration of Spouse Health Coverage for Retiree Members. PEBTF-14 Adult Dependent Coverage Form. PEBTF-36 Retiree Employer Benefit Verification Form for Retiree Members. PEBTF-40 Direct Payment Authorization Form.Call 1-800-522-7279 or email [email protected]. Contact PEBTF Health Advocate. Contact the HR Service Center (or your local HR office if your agency is not supported by the HR Service Center) Call 1-855-855-4238 to help locate network health care providers. Visit Employee Self Service at www.myworkplace.pa.gov to complete your enrollment.Custom HMOs cover medical services as set forth in the PEBTF Plan Document. Treatment for medical services must be coordinated by a Primary Care Physician (PCP) $5 copayment for PCP office visits (for general practitioners, family practitioners, internists and pediatricians) $150 copayment for emergency room visit (waived if the visit leads to ...Visit www.pebtf.org > 2023 Open Enrollment. View the webinar, plan benefits and compare plans in your county of residence. Call 1-800-522-7279 or email [email protected]. The representative can answer questions about your benefits, costs and how to change plans. Call 1-855-855-4238 to help locate network doctors. PEBTF Website Contact ...PEBTF Specialty Preferred Drug Step Therapy List As part of the Specialty Guideline Management program, your doctor needs to request prior authorization for specialty drugs before they will be covered by your prescription benefits. The …NVA Offers Active Members the EyeEssentialSM Plan. Your National Vision Administrators (NVA) vision benefit includes coverage for an annual eye exam. Reimbursement for lenses or contact lenses is provided every year. Reimbursement for frames is provided every two years. There may be times when you would like to purchase another pair of glasses ... .

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