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Please
note: If you or one of your dependents is
Medicare-eligible, be aware of phone scams in connection
with the new Medicare Prescription Drug Program. For
more information, please review the
Medicare Consumer Alert from the Centers for Medicare &
Medicaid Services (CMS).
Medical:
Custom PPO Health Plan
(888) 233-7915 or (858) 292-3542
Group Number JPAK052 - A (Active)
JPAK052
-
B (Retirees, Group II)
JPAK052 -
BB (Retirees, Group I)
JPAK052
-
C (COBRA)
PPO Prescription Drug Plan Changes: The PPO
prescription drug plan has changed for maintenance
medications (such as those for diabetes or high blood
pressure). The
plan will only cover maintenance medications if ordered
through Express Scripts' mail order pharmacy.
Express Scripts can assist employees in changing their
maintenance prescriptions from local pharmacies to mail
order delivery, and may be contacted at (800) 235-4357 or
visit the Express Scripts website at
www.express-scripts.com. For questions regarding
these changes, please contact Lucy Nelson, Benefits
Specialist, at ext. 2889 or
lnelson@palomar.edu.
PPO Plan Outline
PPO
Provider Directory
PPO Summary Plan Document
HIPAA Privacy Notice - Fringe
Benefits Consortium
PPO Out of Network Claim Form
PacifiCare Behavioral Health/OptumHealth Behavioral
Solutions
(800) 999-9585
Group Number 10000922
Notice Regarding Merger/Name Change
Schedule of Benefits
PacifiCare Provider Network
PacifiCare Behavioral Health Plan Description
PacifiCare Behavioral Health Claim Form
Express Scripts (for prescriptions covering a 90-day supply)
(800) 206-4005
Register online to order refills:
www.express-scripts.com
Prescription Drug Home Delivery Program FAQs
Kaiser HMO Plan
(800) 464-4000
Group Number 104317-0100 (Active)
104317-0101 (Retirees)
104317-7101 (COBRA)
104317-5200 (Part Time Faculty)
Kaiser 2009
Active Employee EOC
Kaiser 2009 EOC -
Chiropractic - Active Employees
How to obtain Kaiser's chiropractic services - Active
Employees and Retirees
Kaiser
2009 EOC - Senior Advantage (Retirees)
Kaiser 2009 EOC - Chiropractic - Retirees
Kaiser
2008 EOC - Part Time Faculty
Dental:
Delta
Dental
How to Use the Delta Dental Website
(866) 499-3001
Delta Preferred Option
is for employees hired
on or
after January 1, 1996
Group Number 7028-2905 (Active)
7028-2906 (COBRA)
7028-2907 (Retiree)
Delta Preferred
Option Plan Outline
2008
DPO EOC
Delta Premier
is for employees hired before January 1, 1996
Group Number 7128-2901 (Active)
7128-2903 (Retiree)
7128-2904 (COBRA)
Delta Premier
Plan Outline
2008 Premier EOC
Dental Claim Form (for out of network claims in either
plan)
HIPAA Privacy Notice - Delta
Dental
Find
a dentist when traveling outside the United States
Vision:
Vision Service Plan (VSP)
(800) 877-7195
Group Number 712201-0019
Out of network claim form and provider directory can be found at
www.vsp.com.
VSP Fact Sheet
HIPAA Privacy Notice - Vision
EASE
(Employee Assistance Service for Educators):
(800) 722-EASE (3273)
Palomar College provides the EASE service, free of charge,
to all employees and
their family members. EASE is a professional,
confidential service to help you
resolve your personal or job-related problems. EASE
specialists are licensed,
trained therapists who will assess the nature of your
problem(s) during one or
several meetings with you, and assist with brief problem
solving if appropriate. If
ongoing assistance is necessary, referral options will be
discussed with you. Any
referral may involve charges which will be your
responsibility. A brochure with
more detailed information is available in Human Resources.
For more information about
benefits, please contact Lucy Nelson, Benefits
Specialist, at ext. 2889 or
lnelson@palomar.edu.
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Benefits - Health Benefits
Health Benefits