Insurance Information (Aetna PPO/HealthSCOPE)
2016 DocFind (Find a Participating Provider/Doctor)
2016 Medical Plan Information Summary
Health Coverage and Medical Terms
(888) 276-4732 or (888) ARM-4SDA
When creating your HealthSCOPE online account enter Adventist Risk Management under Company Name and leave Group or Plan ID # blank
Member Services (for all HCAP product lines except prescription)
Phone line open 9:00 am – 7:00 pm M-TH; 9:00 am – 4:00 pm FR
Eligibility and Benefit Verification for providers (IVR available 24x7)
Claims processing Center (for medical, dental and vision claims)
Pre-Certification and Case Management Functions
On-line member portal to track claims, order new ID cards, credible medical information . . .
Aetna Signature Administrators
Provider PPO Network for both Medical and Dental
Contracted rates and pre-determined discounting for provider services
Prescription Benefit Manager
Member Services (for prescription benefits only)
Pre-certification functions (prescription related only)
On-line member portal to review and track prescription claims, setup mail-order payment, shipping address . . .
Need a new Medical Card?
To replace your card, please call 888-276-4732
You may also request one online at HealthSCOPE Benefits (see information above).
Please verify what address they have on file. If it is different than your current address, you will need to complete a Change Request Form to change your address.
To make any changes to your medical, please complete a Change Request Form and submit it to Tracy Yeager, Human Resources, Administrative Assistant via email or Fax: (509) 242-1431.
Claims Reimbursement Request Form (Medical, Dental & Vision)
Rx Claims Reimbursement Request Form (Perscription)
Employee Benefits Change Request Form
Declining HCAP Coverage
Employee Health Care Enrollment Application (for new enrollees only)
Medical Plan Verification 2016*
Pretax Benefit Election 2016*
*Must be completed each year
Vision services do not require the use of network providers. You will receive your vision services, pay, and submit receipts for reimbursement. With complete documentation, the reimbursement process is less than two weeks.
Claims Reimbursement Request Form
Currently available for new employees only
Aflac (Flexible Spending Account/Supplemental Insurance)
Family Medical Leave Act Information
Long Term Disability
Affordable Care Act Notice
New Health Insurance Marketplace Coverage Options and Your Health Coverage