Benefits

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 f change period.

Medical

Wellmark Blue Cross Blue Shield

Program 3 Plus (Classic)

Wellmark Blue Cross and Blue Shield
636 Grand Ave.
Des Moines, Iowa 50309-2565
(515) 242-5185 for customer Service
1-800-622-0043 7:30 a.m. - 4:00 p.m.

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, Iowa 50309-2565
(515) 245-5185 Customer Service
1-800-622-0043 7:30 a.m. - 5:00 p.m.

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 Plan

 

Blue Advantage
Wellmark Blue Cross and Blue Shield
626 Grand
Des Moines, Iowa 50309-2565
1-800-553-7801

Open Access Plan

  Blue Access
Wellmark Blue Cross and Blue Shield
626 Grand
Des Moines, Iowa 50309-2565
1-800-553-7801