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Legal Notices and Plan Documents
Please see below for notices related to your healthcare and benefits provided by Peaceful Living.
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When can I make changes to my benefit elections?You can make changes to your benefit elections during your healthcare and benefits open enrollment OR if you have a qualifying life event (QLE). A QLE is a change in your situation, like a marriage, divorce, or having a baby, for example, which allows you to make changes to your health insurance. Take a look a this document for more information. You have 30 days to submit your changes online through our benefits enrollment system. Here's an overview of qualifying life events from Healthcare.gov. If you have a QLE, contact your Rightway advocate at 1-833-689-0570.
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I think a provider is billing me an incorrect amount for a service, what should I do?First, make sure you compare the bill you received with the EOB from the insurance. If you need to locate an EOB you can find one by logging into your account at www.meritain.com. If the bill does not match the EOB, please contact Rightway for further assistance.
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Are any of my medications available at no cost?Yes! Take a look at this flyer for more details.
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Where should I go for medical care?Take a look at this flyer to learn about your choices when it comes to where you should receive care. High level overview: Telemedicine with Teladoc - Consider using Teladoc for non-life-threatening conditions, and when you need 24/7 care. Cost to you: Option 1 Plan: You pay a $0 copay Option 2 Plan: You pay a $0 copay Option 3 Plan: You pay a $0 copay Primary Care Physician - This is your home base. Your doctor knows your history and is a good place to start. Cost to you: Option 1 Plan: You pay a $15 copay Option 2 Plan: You pay a $20 copay Option 3 Plan: You pay a $40 copay Emergency Room - Go to an ER when you have a life-threatening issue. Cost to you: Option 1 Plan: You pay a $125 copay Option 2 Plan: You pay a $125 copay Option 3 Plan: You pay a $200 copay Urgent Care - Consider an urgent care center for non-life-threatening condition. You'll save time and money over the ER. Cost to you: Option 1 Plan: You pay a $87 copay Option 2 Plan: You pay a $87 copay Option 3 Plan: You pay a $140 copay
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What is a qualifying life event?A Qualifying Life Event (QLE) is a life change that allows you to make adjustments to your benefits outside of the usual enrollment period. Common QLEs include changes like marriage, divorce, the birth or adoption of a child, or turning 26 and losing your parents' insurance coverage. If you experience a QLE, be sure to reach out to the Peaceful Living Human Resources team within 30 days to update your benefits. You can contact them at 610-287-1200 or hr@peacefulliving.org.
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How do I change my plan or enroll my dependents?You can make plan changes and enroll dependents during open enrollment, or if you have a qualifying life event, by visiting the Enroll Now page.
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What services and screenings are covered as preventive care?Preventive screenings can help you take better control of your health. They are an important foundation of early detection and prevention of disease. Preventive care services are NOT subject to a copayment or deductible when using in-network providers and must be billed to insurance with proper preventive coding. Take a look at this flyer to learn about the services and screenings that are covered as preventive care. Please note: Coverage for these services is subject to certain conditions, age and time limits.
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Why did I get billed for my preventive care visit?While regular medical care focuses on treating illness, preventive care aims to keep you from getting sick in the first place by focusing on helping you maintain good health. When you visit your doctor for a preventive care service - like a physical exam or a health screening - you should not be billed. However, if you ask your doctor about a specific health concern while you are at your preventive care visit, it may be billed as an office visit, and not a preventive care visit. Here’s how to be sure your preventive care visit is free for you: Mention prevention upfront – When scheduling your appointment, confirm that you are scheduling a preventive care visit. Know what to discuss with your doctor during the visit – During your visit, keep the conversation focused on how you can maintain a healthy lifestyle. Ask your doctor - If you do ask questions about a specific health concern while at your visit, ask your doctor if that will be treated as an office visit or as a preventive visit. Let your doctor know you are expecting this visit to be of no charge to you. For more information about preventive care, contact Rightway.
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What is a Coordination of Benefits and how often do I need to complete it?You are required to update your Meritain Coordination of Benefits information every year so that they can properly process your claims. Coordination of Benefits information confirms whether you and/or your enrolled dependents have insurance coverage other than your employer's and if so, what that other insurance is, so that they can determine proper payment responsibilities for claims. If your Coordination of Benefits is updated yearly or as requested, your claims will be processed. Click here for the Coordination of Benefits form. If you’d like to complete the Coordination of Benefits online, you can do so once you are registered on the Meritain portal.
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How do I get a copy of my ID cards?Medical: Login to www.meritain.com. Once logged in, you'll have access to print of download an ID card. You may also call Meritain at 800-566-9311 to request a new ID card. Dental: Login to www.deltadental.com. Once logged in, you can view, print, or request ID cards. You may also call Delta Dental at 415-989-7443 to request a new ID card. (This phone number directs you to Allied Administrators, the company that manages our Delta Dental plan. The representative from Allied who answers your call can assist you with dental-related questions.) Vision: Login to www.vsp.com. Once logged in, you can view, print, or request ID cards.
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How do I find an in-network provider?Medical: When you register on the Meritain portal, you will have access to print an ID card, view your claims, or find an in-network doctor. Visit https://account.meritain.com/Portal/Registration and input your Group ID, which is 15772. You will also need your Member ID, which is located on your ID card. You may also call Meritain at 800-566-9311 to request a new ID card. Dental: To locate in-network dental providers, visit https://www.deltadental.com/us/en/member/find-a-dentist.html and select Delta Dental PPO. Vision: Visit https://www.vsp.com/eye-doctor
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How do I register on the Meritain portal, so I can print an ID card or review my claims?When you register on the Meritain portal, you will have access to print an ID card, view your claims, or find an in-network doctor. Visit https://account.meritain.com/Portal/Registration and input your Group ID, which is 18747. You will also need your Member ID, which is located on your ID card. If you do not have your ID card, please feel free to contact Meritain at 1-800-925-2272.
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Why is the insurance sending me a statement that says, “this is not a bill”?After submitting a claim for medical treatment, you may receive an Explanation of Benefits (EOB) from your insurance company. The EOB is a form that insurance companies send to their members to explain what part of a claim was paid by insurance, what part was not paid, and why. It is important to understand what this statement means.
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Who do I talk to if I have a problem with a claim or questions about my benefits?You can contact your Rightway advocate, who is ready to: Help you understand your health care benefits Assist with claims & billing issues Help you find in-network providers Verify coverage Clarify prescription drugs CONTACT RIGHTWAY 1-833-689-0570 Download the app Learn how to use the app
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Why is it important to name a beneficiary for my life insurance?Your beneficiary will receive your life insurance benefit if you pass away while the policy is active. You can designate both primary and contingent beneficiaries to receive your life insurance benefit. Your primary beneficiaries are the first in line to receive the death benefit from your life insurance policy. Your contingent, or secondary, beneficiaries will receive the death benefit if your primary beneficiaries are also deceased.
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When can I begin using my accrued benefit time?Benefit time (sick, personal, vacation) begins accruing on the first day you are employed by Peaceful Living. After 90 days of successful employment, you may begin using your accrued benefit time.
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How do I update my beneficiary for my life insurance?You may change your beneficiary in EASE.
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Can I purchase additional life insurance coverage?Additional life insurance is not offered by Peaceful Living; however, you may reach out to our partners at Lacher for more information on a personal policy. They can be reached at 215-723-4378.
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Meritain Health portal user guideClick here to learn how to register, print an ID card, view your claims, and much more!
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Prescription medicine informationCovered prescriptions: Click here to determine which medications are covered under your plan and any applicable limitations. Magellan Rx mobile app: With this app, you can get accurate drug pricing from nearby pharmacies so you can compare and decide where to fill a prescription. Click here to learn more about this benefit. Download the app and start saving: iPhone - click here Android - click here
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Insurance carrier contact informationMedical: Meritain 1-800-925-2272 www.meritain.com Non-Specialty Prescription: Magellan Rx 1-800-424-0472 www.magellanrx.com Specialty Prescriptions: PaydHealth 1-877-869-7772 www.paydhealth.com
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Contact a doctor 24/7 with TeladocIf you are enrolled in a Peaceful Living medical plan, you have access to Teladoc, which allows you to speak with a doctor 24/7 by phone, video, or text. When would I use Teladoc? You may wish to use virtual care with Teladoc for these reasons: Instead of going to the ER or urgent care for non-emergency visits If your doctor doesn't have appointments available quickly While at home, work, or out of town If your child has a health issue in the middle of the night If you need to speak with a counselor about stress, anxiety, addiction, depression and more How much does it cost? There is no cost to use Teladoc! How do I sign up? Before you use Teladoc, you'll need to sign up. It's easy! Just go to https://www.teladoc.com/aetna/. Click the Get Started Now button. Fill out your details. On the next screen, select your medical plan (Meritain Health) and enter your Member ID (found on your Meritain ID card).
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Search for a Medical providerClick here and select Aetna Choice POS II (Open Access).
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Dental insurance carrier contact informationDelta Dental 415-989-7443 www.deltadental.com This phone number directs you to Allied Administrators, the company that manages our Delta Dental plan. The representative from Allied who answers your call can assist you with dental-related questions.
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Search for a Dental providerClick here and select Delta Dental PPO.
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Search for a Vision providerClick here
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Vision insurance carrier contact informationVSP 1-800-877-7195 www.vsp.com
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MedicalMedical Plan Summary of Benefits & Coverage Option 1 Option 2 Option 3 Dental Plan Summary Special Enrollments Rights, Marketplace information, Women's Health & Cancer Rights, and CHIP Notices HIPAA Privacy Notice Your Rights and Protections Against Surprise Medical Bills Summary Plan Description
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Passport to HealthClick here to read a Privacy Notice.
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MedicareMedicare creditable coverage disclosure notice
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DentalClick here
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VisionClick here
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How do I download the Teladoc app?Click here for Apple devices. Click here for Android devices.
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How do I print an ID card?Click here to learn more.
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How do I setup my Teladoc account?Click here to learn more.
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