Health Insurance

Saint Mary’s College’s health insurance is offered through Anthem Blue Cross/Blue Shield. Please refer to the Anthem Blue Access PPO Plan when referring to the Saint Mary's College plan.

PPO – Group 00244365
Anthem Customer Service Number - 1-800-295-4119
Anthem Precertification Number - 1-877-814-4803
Anthem Formulary Line (to hear recent changes to the prescription drug formulary) - 1-877-468-5279
WellPoint NextRx (mail-service pharmacy) - 1-800-962-8192
Anthem Web Site - www.anthem.com

Immediately upon employment, full-time employees are eligible to enroll in a group health insurance plan through Anthem Blue Cross/Blue Shield. 

There is a 31-day election period for employees to enroll. If an employee declines coverage upon hire, enrollment can occur only if the employee has a life-style status event OR applies during open enrollment. Open enrollment occurs during the month of May with an effective date of June 1.

Benefits are available on a single or family plan basis. The family plan covers the employee’s spouse and her/his dependent children under the age of 26.

For your convenience you may download and print the following information and forms. Copies are also available in the Office of Human Resources.

Enrollment/Change Form - Please use this form to sign up for health insurance or to make any changes to existing coverage.

Anthem Benefit Sheet Option 1 - Please use this to view the benefits available by the Anthem Blue Access PPO plan.

Anthem Benefit Sheet Option 2  - Please use this to view the benefits available by the Anthem Blue Access PPO plan.

Certificate of Coverage: Plan Option 1 ($750 Deductible) -  Please read this Certificate for specific information on the Anthem Blue Access Plan Option 1.

Certificate of Coverage: Plan Option 2 ($1500 Deductible) - Please read this Certificate for specific information on the Anthem Blue Access Plan Option 2.

Tier 4 Prescription Drugs - The cost for drugs in this tier will be 25% of the cost of the drug up to a maximum of $150/prescription.

 

To view ways to make some prescription drug cost-savings, please click on the following links:

Prescription Drug cost-savings Ideas
Walmart Prescription Program Drug List
MyFourDollarDrugList.com

Notices:

CHIPRA Model Notice
HIPAA Notice of Privacy Practices
Creditable Coverage Disclosure Notice
Janet's Law Annual Notice

SBC Distribution Requirements:

PPO SBC Plan Option 1
PPO SBC Plan Option 2