Non - Supervisory Merit Medical

Calendar

The Non - Supervisory Merit employee plan year for medical  insurance goes from January 1st to December 31st.  The State of Iowa holds an open change period annually.  Information  is sent to employees each October outlining the changes that are allowed during that year's open change period.

Medical
Non - Supervisory Merit Health Benefit Comparison (2008)
Non-Supervisory Merit Medical Rates(2008)


 
Program 3 Plus(Classic)
Wellmark Blue Cross and Blue Shield
636 Grand Ave
Des Moines, IA  50309-2565
(515) 245-5185       Customer Service
1-800-622-0043       7:30 a.m.- 5:00 p.m
Patient Claim Form
Certificate
Providers List
Iowa
Nationwide
Wellmark Preferred Drug List

Alliance Approvals/Outpatient
Mental Health & Substance Pre Certification
(515) 245-4821
1-800-558-4409 (24 hrs/day) (In Iowa)
1-515-245-4821 (24 hrs/day) Collect (Outside Iowa)

Wellmark Blue Cross/Blue Shield Plan 3 Plus  is an indemnity plan.  You may seek treatment from any licensed physician anywhere in the world.  

 Benefits will be based on prevailing or usual, reasonable and customary (URC) fees for the service area in which the physician practices.  If the physician charges more than URC, and is not a Blue Cross/Blue Shield participating physician, you will be liable for the excess charges.


Iowa Select (Alliance Select)
Wellmark Blue Cross and Blue Shield
636 Grand Ave
Des Moines, IA  50309-2565
(515) 245-5185       Customer Service
1-800-622-0043       7:30 a.m.- 5:00 p.m.
Patient Claim Form
Certificate
Providers List
Iowa
Nationwide
Pharmacy
Wellmark Preferred Drug List

Alliance Approvals/Outpatient
Mental Health & Substance Pre Certification
(515) 245-4821
1-800-558-4409 (24 hrs/day) (In Iowa)
1-515-245-4821 (24 hrs/day) Collect (Outside Iowa)

Iowa Select is a preferred provider organization (PPO).  If you utilize a participating physician and/or participating hospital, you will be covered by one set of deductibles and co-insurance.  If you utilize a non participating physician or hospital, you will be covered by a different level of benefits. 


Managed Care Organization (MCO) List with Phone Numbers

Primary Care Plans


Heritage Select
United Health Care
9393 W 10th Street Suite 200
Overland Park, KS 66210
1-866-873-3903
Providers List
      
www.uhcrivervalley.com
Blue Advantage
Wellmark Blue Cross and Blue Shield
636 Grand
Des Moines, Iowa  50309-2565
1-800-553-7801>
Patient Claim Form
Certificate
Providers List
      
Iowa
   
Open Access Plans
United Health Care
Choice
9393 W 110th St Suite 200
Overland Park, KS 66210
1-866-873-3903
Providers List
      
www.unitedhealthcare.com
Blue Access
Wellmark Blue Cross and Blue Shield
636 Grand
Des Moines, Iowa  50309-2565
1-800-553-7801
Patient Claim Form
Certificate is Pending
Providers List
      
Iowa
The Managed Care Organization (MCO) vendors each have a different geographical service area and list of network providers.  Contact the insurance carrier for a list of Physicians.