My Employee Benefits

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Segue HR for Benefits and Enrollment Support: 901-682-3700
Support Email: [email protected]

Username – First initial Last name (no space)
Password – Last 4 of SSN (if first time login)

Click on one of the tabs to learn more about that benefit.

Important Medical-Rx Plan Information Below:

Your new plan offers the pathway for $0 Care through First Primary Care and Magic Pill ……..

Below you will find plan coverage information.  Members will receive additional information at your open enrollment meetings.

First Primary Care
First Primary Care Website 
About the FPC Program

Coverage Period:
FEB 1 – JAN 31
Group Number: NHC623

Medical Claims Administrator For Doctor, Medical, and Rx Support:
NEW – Contact RCI (Regional Care Inc.)
Phone: (800) 795-7772
www.RegionalCare.com

Rx Perscription Administrator 
First, check Magic Pill using the Magic Pill App
Drexi is the Pharmacy Benefit Manager
www.drexi.com
Phone (844) 728-3479 Customer Service
Phone (877) 668-5461 Rx Advocacy
Rx Bin: 018448
PCN: 66202303

Look up provider instructions.  Click the button above > a new webpage will open, and you will see three options > select the First Health Network.   www.myfirsthealth.com by phone (800) 226-5116.

REMEMBER – to receive the Platinum benefits and $0 cost to your care, you should not need to look up a provider.  When you utilize your First Primary Care Doctor, they will guide you to the best place for care.  Let your FPC Doctor help you!  And the care is free!

New DPC (Direct Primary Care) Plan through First Primary Care.  We are the quarterback to guide you through the healthcare maze.   

Medical
SBC – Summary of Benefits & Coverage
Simple One Page Summary – English
About the PFC Program
Labs Included with DPC Membership

Video about the plan

Prescription Drugs (Rx)
Magic Plill Program and Drug List – 2024
Get the Magic Pill Phone app for Apple IOS

Additional Information

RCI online medical manual claim form (Use this to be reimbursed if you paid for a covered medical bill out of your pocket.  Dont use this if the Plan paid.)

Slides from Employee Group Meeting

Humana-Logo

Coverage Period:
FEB 1 – JAN 31
Group Number: 845012

Customer Service: 1-877-877-1051
Mon.– Fri., 8 a.m.–8 p.m.

Finding a Dentist Instructions:
– First click on the “Find a Dentist” button above,

– In “Select a Network” Choose: “PPO/Traditional Preferred.”

Humana-Logo

Coverage Period:
FEB 1 – JAN 31
Group Number: 845012

Customer Service: 1-877-877-1051
Mon.– Fri., 8 a.m.–8 p.m.

Finding a Vision Provider Instructions:
– First click on the “Find a Vision Provider” button above,

– In “Select a Network” Choose: “Humana Insight.”

Allstate-Logo

Coverage Period:
FEB 1 – JAN 31
Group Number: 53850

Customer Service: 1-800-521-3535
Customer Service: 1-800-211-5533 *Se Habla Español
Group Claims Customer Service: 1-800-348-4489
Fax a Claim: 1-866-428-2516
Mon.– Fri., 8 a.m.–8 p.m. EST

Allstate-Logo

Coverage Period:
FEB 1 – JAN 31
Group Number: 53850

Customer Service: 1-800-521-3535
Customer Service: 1-800-211-5533 *Se Habla Español
Group Claims Customer Service: 1-800-348-4489
Fax a Claim: 1-866-428-2516
Mon.– Fri., 8 a.m.–8 p.m. EST

Humana-Logo

Coverage Period:
FEB 1 – JAN 31
Group Number: 845012

Customer Service: 1-877-877-1051
Mon.– Fri., 8 a.m.–8 p.m.

Helpful Terminology

Provider: A clinic, hospital, doctor, lab, health care practitioner, or pharmacy.

Insurer or carrier: The insurance company providing coverage to the policy holder.

Policy holder: The individual or business (“group”) that has entered a contractual relationship with the insurance company.

Insured: The person with the health insurance coverage. For individual health insurance, you may be both the policy holder and the insured.

Premium: The amount of money charged by an insurance company for coverage. The cost of premiums may be determined by several factors, including age, geographic area, number of dependents and tobacco consumption. Policy holders pay these rates annually or in smaller payments over the course of the year, and the amount may change over time. When insurance premiums are not paid, the policy is typically considered void, and companies will not honor claims against it. Self-employed persons may deduct the cost of their individual health insurance premiums from their taxes.

Copayment (Copays): A fixed amount you pay for a covered health care service, usually when you get the service. The amount can vary by the type of covered health care service.

Deductible: The amount you owe for health care services each year before the insurance company begins to pay. For example, if your annual deductible is $1,000, your plan won’t pay anything until you’ve met your $1,000 deductible for covered health care services that are subject to the deductible. The deductible may not apply to all services, such as preventive care services.

Deductibles are useful for keeping the cost of insurance low. The amount varies by plan, with lower deductibles generally associated with higher premiums. They are standard on most types of health coverage.

Coinsurance: Your share of the costs of a covered health care service calculated as a percent (for example, 20 percent) of the allowed amount for the service. You pay coinsurance plus any deductibles you still owe for a covered health service.

Out-of-Pocket Maximum: The most you will be required to pay for your health care during a year, excluding the monthly premium. It protects you from very high medical expenses. After you reach the annual out-of-pocket maximum, your health insurance or plan begins to pay 100 percent of the allowed amount for covered health care services or items for the rest of the year. Copays, deductibles, and coinsurance count towards the out-of-pocket maximum.

Preventive Care: Medical tests and checkups, immunizations, and counseling services used to prevent chronic illness from occurring.

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DISCLAIMER
Every reasonable effort has been made for the information provided to be accurate. It is intended to provide an overview of the coverage’s offered. It is in no way a guarantee or offer of coverage. Each carrier has the ability to underwrite based on its contract. Each carrier’s contract, underwriting, and policies will supersede the information on this page. Please be aware that each carrier may have exclusions or limitations and you must consult your summary plan description and/or policies for details.