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EMPLOYEE MEDICAL INFORMATION | |||||||||||||||||||||||
♦Prescription Fax Form (must be faxed from physician's office
SCHEDULE OF BENEFITS / MEDICAL MUTUAL ♦ American Fidelity Reimbursement Flex Claim Form ♦Medical Enrollment Form
♦Luminare Dental Enrollment Form (effective May 2024) ♦Medicare Part D Prescription Drug Coverage ♦Medical Mutual Claim Reimbursement Form The Transparency in Coverage mandate in the No Surprises Act/Transparency in Coverage Rule Under the Consolidated Appropriations Act, 2021, requires that insurers and group health plans make rate information publicly accessible starting July 2022. For information regarding this Act, including rate information, click on: https://www.medmutual.com/For-Employers/Employer-Resources/No-Surprises-Act-Legislation.aspx Under the Consolidated Appropriations Act, 2021, can be found under the Employer Resources tab on the https://www.medmutual.com/For-Employers.aspx .
Insurance / Medical Contact Info
Medical Mutual questions/problems:
Customer Care 800-585-2583
To find providers:
MedMutual.com
CVS questions/problems:
Customer Care 888-865-6584
www.caremark.com
Trustmark Dental questions/problems:
800-282-3920
Eyemed questions/problems:
800-521-3605
Or Eyemed.com
If your issue is not resolved by first using the numbers/websites above, please call Mark Dickerhoof ♦PPO Network Comprehensive Major Medical Health Care Benefits |
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STUDENT ACTIVITY GUIDELINES ♦Student Activity Guidelines |
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