Provider Lookup
Pharmacy Lookup
Plan Information
Eligibility
True or False
100

Union-Local 94 Firefighters (UFA)

State- Texas, Bexar county-78201

How Much is Speech Therapy ? Can You check if my speech therapist is in the Network? (Lori Tyler)

ESA PPO 100 MA ONLY - PLAN DESIGN - OUTPATIENT REHABILITATION SERVICES - $0 CO- PAY 

(SPEECH,PHYSICAL, AND OCCUPATIONAL THERAPY )

PRIOR AUTHORIZATION OR PHYSICIAN'S ORDER MAY BE REQUIRED!

PROVIDER-LORI H TYLER - IN NETWORK! 

100

Union -Management Benefit Fund (MBF)

State- New Jersey 

I am looking for a 24-hour pharmacy near 30026, GA. This pharmacy has to be on 3070 Business Park Dr.

Pharmacy Look-up Tool - ESA PPO 15 W/RX

Managed Health Solutions -In Network

3070 Business Park Dr .STE A , Norcross,GA 30071

Pharmacy 24 HOURS - 770-496-5314

100

State -Georgia

Union -Local 831 Sanitation Worker

How Much is a Diabetic Eye Exam ? 

How much will I have to pay for a prosthetic Leg ?

Benefits Summary - ESA PPO 100 MA Only!

Diabetic Eye Exam $0 co-pay 

Durable Medical Equipment / Prosthetic Devices $0 co-pay 

(Prior Authorization or Physician's order may be required )

100

What phone number do i call for information for spouses under 65?

Eligibility Tab-  Jennifer Robertson 336-801-9037

100

True or false - For ESA PPO 100 W/ RX-The Hearing Aid Reimbursement is $500 every 37 months?

Plan Design -False-  The Hearing Aid Reimbursement is $500 every 36 months

200

County- Williamson County
-Zip Code 78759
-Union is Management Benefit Fund

What hospitals is Dr is George Rodgers affiliated with ?

Provider Look-up tool- Hospital Affiliations

-Cornerstone Specialty Hospital 

-Heart Hospital of Austin

-St.David's South Austin Medical Center 

-St.David's Medical Center 

-Ascension Seton Medical Center Austin  

200

State -Texas

-My zip code is 77009
-I have no union

What's the address of 'Med RX Pharmacy'

Pharmacy Look up tool - Med RX Pharmacy 

4000 Fulton St. Ste C

Houston , Tx 77009

200

Union -Sergeant Association

State -New York 


How Much is Emergency care if Admitted ?

Benefits Summary - 

 Emergency Care World-Wide $50 CO-PAY

(WAVED IF ADMITTED ) $0

200

Are Domestic Partners covered ? 

Eligibility Tab - Yes 

200

True or False- ESA Means that going out of network cost more then in network?

False- The ESA PLAN works as if every doctor is in network, in terms of copay. You will pay Same share cost as in network !

300

Union-Local 1180 CWA

State -New York 

Zip Code -10030

Looking for a Podiatrist near 10030 New York ,NY

2597 Frederick Douglass Blvd

Provider Look-up Tool-All Medical Specialist 

ESA PPO 15 W/RX

Singh Kalra,Amit Singh,DPM

IN NETWORK

2597 Frederick Douglass Blvd New York ,NY 10030

212-510-7160- accepts NEW PATIENTS 

300

State- South Carolina

 -Zip Code- 29403

-No Union

What Pharmacy is on Folly Rd, and 24 hours ?

Provider Look-up Tool-  

-Walgreen's 

907 Folly Rd Charleston ,Sc 29412 

843-795-5452 /Pharmacy 24 HRS

300

Union-Local 831 Sanitation Worker

State-Virginia 


How much is my Prescription Deductible ?


Union List- ESA PPO 100 MA Only

RX is Provided by Union -Please reach out to your Union about Your Rx coverage .

300

If i Terminate this plan will my spouse still be covered ?

Eligibility Tab- Spouse are eligible to be enrolled, But the retiree must also be on the plan .If the retiree terminates plan for any reason , The Spouse is no longer eligible for coverage !

(This includes if the Primary  (the retired City Employee) is deceased, the surviving spouse is not longer eligible to be on plan !

300

True or False - We Cannot Complete a Double Enrollment ?

False - We can complete a Double enrollment on 1 call !

Once come to end of first enrollment you will need to disposition as multiple enrollment to complete second enrollment !

400

State-New Jersey
    - No Union
   -zip code  07001
   
    Is Dr. Cruz, Wilfredo, MD in network ? What's the address and phone number?

Provider Look-up tool - 537 Pavonia Ave Suite 1803 Jersey City NJ,07306 201-653-8300

-550 Newark Ave suite 402 Jersey City NJ , 07306 201-918-6732

-268 St.Paul's Ave 1st Floor Jersey City NJ, 07306 201-656-7400

-525 Monmouth St Jersey City NJ ,07306 201-653-800

400

I live in zip code 32007, Is Angel's Pharmacy part of the network, if so, what is the address?

Pharmacy Look-up tool

Angel's Pharmacy -In Network

Yes. In network.
*610 Zeagler Dr.
Palatka, FL 32177
(386)325-9300

400

Union-Council of Supervisors & Admin (CSA)

State-Texas

Is there Any Therapy for Obesity on this Plan ?  if So How Much ? 

Is Naftin Gel 1% Covered ? If so, How much in Coverage Gap Phase ?

Benefits Summary - 

-Additional Medicare Preventive services 

Behavioral Therapy for Obesity $0 co pay 

-Open 2 plus 3 tier Formulary

Naftin 1% Covered at a Tier 3 QL (90 GM per 30 days) MO 

Tier 3 Non- preferred Brand 25% retail 30 day, 25% retail 90 day , 25% Preferred mail order 90 day supply 

400

In order to qualify for a Medicare Advantage plan, you must? (Confirm the three main requirements.)

 *Must have BOTH Part A & B Original Medicare,
*Have contributed/worked 40 quarters or 10 years and be a retiree, and
*Live in the plan service area.

400

True or False - PPO plans require a Referral !

False- PPO plans- No referral Required 

500

Union -PBA (Police)

Zip Code - 77201 ,Tx

Looking for a Female Dr. That Speaks German and located at 9440 Bellaire Blvd!

Provider Look-up Tool-

Filter language -German

Filter -Female 

Kumar,Malini A. MD-In Network

9440 Bellaire Blvd.Suite 230 Houston TX 77036 281-6888-4888

500

State-Arizona 

Union-Local 246 Tractor Operator

-Zip Code 85002.

What Pharmacy is Located at  2630 E MOHAWK LN STE 128 PHOENIX,AZ 85050 ?

Pharmacy Look-up Tool - 

Safety Drugs 

2630 E MOHAWK LN STE 128 PHOENIX, AZ 85050

500

When it comes to looking up the plan benefits for a particular
caller, what two things do we need to know to search for their plan?

-State and Union.

500

Union-Local 1199

State - New Jersey

What plan am i Eligible for ?

Union List - Pst Tool

ESA PPO 15 MA Only 

500

True or False - The Formulary we use to look up Medication is a Open 3 Plus 2 Tier !

False - Open 2 plus 3 tier 

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