Medical Benefits
A fixed dollar amount for PCP or Specialist Visit
What is a copayment?
Administration of NAPA's prescription drug benefits
Who is RxBenefits and Express Scripts (ESI)?
Who to contact if you receive a Balance Bill
Who is ELAP?
Who is Delta Dental?
May 11, 2022 through May 24, 2022
What is Open Enrollment?
Network of medical practitioners
What is PHCS?
90-day supply
What is Mail Order?
The amount you owe on your Explanation of Benefits (EOB) does not match the provider bill sent by your doctor or facility
What is Balance Bill?
Offered at no cost that provides confidential support for mental health, substance abuse, legal and financial issues, etc.
What is Employee Assistance Program (EAP)?
Due to IRS regulations, you cannot change your benefit elections until next Open Enrollment unless you have this
What is a qualified life event?
Third Party Administrator (TPA) that processes medical claims & answers health plan questions
Who is GPA?
Tier-1 prescription drug copay for 30-day supply
What is $4?
Online portal for 24/7 access to submit bills, contact Member Services Advocate (MSA) or resolve a bill
What is Pulse (gpatpa.com)?
New Voluntary Benefit Provider
Who is Mutual of Omaha?
The length of time NAPA has not changed/increased employee contributions
What is 8 years?
Medical service that deductible, coinsurance, copays do not apply
What is preventive care?
Prescription Drug tier that typically covers brand-name prescriptions
Uses a reference point, such as Medicare, to determine a base price so members pay a fair price for care
What is Reference Based Pricing (RBP)
New voluntary benefit offering providing up to 60% salary for 2-years if disabled prior to age 68 (typically followed by STD)
What is Long-Term Disability (LTD)?
NAPA's new benefit at no cost that enables you to see doctors from your phone, desktop or mobile app
What is Telehealth/Telemedicine?
The percentage you pay after your deductible is met for in-network medical services
What is 20%?
Medicines used to treat complex conditions and may need to be administered by injection or infusion
What is Specialty Medication?
It's the person you work with at ELAP once a balance bill is established
Who is Member Service Advocate (MSA)?
Frequency for exams, lenses and contact lenses (in lieu of glasses)
What is 12-months?
Make changes or enroll in benefits
What is Enrollment Alliance?