| Specific Plan Component |
Contact For: |
Administrator's Name & Address |
Administrator's Name & Address |
Quality Care Medical Care Services |
Medical service information, claim forms and filing, claim resolution, and pre-determination of benefits |
CIGNA
Group Number 3181456 Cigna Health Care P.O. Box 5200 Scranton, PA 18505-5200 |
888/962-0051
(nationwide)
800/526-0844
(TDD/TTY |
Quality Care Medical Pre-certification Case Management |
Pre-certification prior to hospital services. Non-compliance penalty of $800 applies. |
Intracorp,Inc
(no address required) |
800/9620051 (nationwide) For access when outside the United States, dial the AT&T Direct Access code of the country you are calling from and then the above number.
800/526-0844
(TDD/TTY) |
Quality Care Pharmacy Benefits |
Information on prescription drug coverage, pharmacy network, claim forms and filing |
Medco
Group Number 1400 1400BS, 1400CE, 1400CF
Paper Claims:
Medco Health Solutions
PO Box 2080
Lee's Summit, MO 64063 Mail Order Prescriptions: Medco
PO Box 30493
Tampa, FL 33630 |
|
Quality Care Mental Health & Substance Abuse Services |
Pre-certification and authorization for any and all related services. |
Magellan Behavior Health
Group Number 3181456
P.O. Box 2216
Maryland Heights, MO 63043 |
|
Quality Care Dental Plan |
Dental services, claim forms and filing and ID Cards. |
CompDent, Inc.
Group Number 950
P.O. Box 4677
Chicago, IL 60680-4677 |
|
Vision Plan |
Vision Services and benefits, network providers, claim forms and filing. |
EyeMed Vision Care Out-of-Network Claims PO Box 8504
Mason, OH 45040 |
866/723-0512
800/526-0844
(TDD/TTY) |
Flexible Spending Account Program (MCAP & DCAP) |
Information on setting aside pre-tax dollars for medical and dependent care expenses. |
Fringe Benefits Management Company
P.O. Box 1800
Tallahassee, FL 32302-1800 |
800/342-8017
800/955-8771
(TDD/TTY)
850/514-5817 (fax) |
State Health Plans, COBRA, Life Insurance & Adoption Benefits |
General information on the state health plans or other benefits |
CMS Group Insurance Division
201 E Madison
PO Box 19208
Springfield, IL 62794-9208 |
217/782-2548
800/442-1300
800/526-0844
(TDD/TTY) |
Employee Assistance Program (EAP) |
Confidential assistance and assessment services, and ID cards. |
Magellan Behavioral Health
For Non AFSCME represented employees
No Address Required |
|
Personal Support Program( PSP-AFSCME EAP) |
Confidential assessment and assistance services |
AFSCME Council 31
For represented State employees
No Address Required |
|