What's New!                   

What's New Topics: (click title to go to specific topic) 

  News about new member numbers Q&A

  Notice to members in groups I10000, I10010, and I10030 affected by

flooding

  How much will my healthcare cost?   

 Improved Stay Healthy Benefit Reimbursement

 Mail-Order Pharmacy Prescription Drug Changes

 Requesting to Change Your Member ID#

 Customer Service Survey

 Annual Notices Specific to HMO (W1) Members

 Online Health Risk Assessment

Improved Stay Healthy Benefit Reimbursement

Effective January 1, 2008 the Stay Healthy Benefit reimbursement amounts were increased for our commercial membership.  Not only did the dollar amount increase, but, now, you may use your benefit for acupuncture and massage therapy!  Mercy Alternative Medicine at the Mercy Health Mall is aware of this additional benefit and will make sure you get the correct receipt to assure prompt reimbursement.

 Stay Healthy Benefit form

Please contact your benefits representative or Customer Service at (800) 895-2421 for further details.

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Mail-Order Pharmacy Prescription Drug Changes

Group #180290, 180291, 180294, 180295, 100390, 400100, 500840 and 850000.

Is one of the group numbers listed above your group number? If yes, you are now required to use the mail order pharmacy for the following medications:

Aciphex	Benicar	Lamictal	Singulair
Actos	Celebrex	Lexapro	Topamax
Advair	Cozaar	Lipitor	Vytorin
Asacol	Detrol LA	Niaspan	Zetia
Avandia	Fosamax	Plavix

If you are currently on medication that is not listed above or your group number is not one of those required to use mail order pharmacy services; you can still benefit by voluntarily switching your eligible medications to mail order.  In doing so, you receive a 3 month supply of your eligible medications for only 2 co-pays*!

* If you are currently involved in any other pharmacy cost savings program such as pill splitting, you will not be eligible for the 3-month/2 co-pay program as you are already receiving a reduction in your medication costs.

Please contact your employer's benefit representative or Customer Service at (800) 895-2421 for further details and co-pay reduction amounts.

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Requesting to Change your Member ID#

MercyCare presently uses your social security number in a combination of numbers as your member identifier.  In an effort to ensure the security of our member's identity, we are currently working with our software vendor to change this practice and assign random member numbers.

In the mean time, for those who wish to have their member number changed now, it's as easy as placing a call to our Customer Service Department at (800) 895-2421.  Once changed, we recommend our members advise their providers at each visit to assure the correct number is submitted on your claim.

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Customer Service Survey

      Annual Notices Specific to HMO (W1) Members

MercyCare has recently sent a letter to all HMO subscribers to update our members on our involvement with other quality organizations and important information found in the following documents:

Certificate of Coverage 

Go to the 'Members' menu options and pick 'Plan Summary' from the drop down menu.  The Certificate of Coverage link is located on the right side, within the blue banner of the page.

Formulary

Go to the 'Members' menu options and pick Pharmacy from the drop down box.  The formulary is located at the top of the page.

Schedule of Benefits 

Go to the 'Members' menu options and pick 'Plan Summary' from the drop down box.  The schedule of benefits is located at the top of the page.

Member Handbook 

Go to the 'Members' menu options and pick member forms and documents on the drop down box.  The member handbook is located at the bottom of the page.

If you would like paper copies of any of these documents, please contact customer service at (800) 895-2421.

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   Online Health Risk Assessment 

Find out your wellness score and health age.

MercyCare is pleased to report that we have moved our health risk assessment (HRA) to our website.  An HRA is a short, confidential survey designed to assess your true health status by giving you a "wellness score" and "health age" that reflects your lifestyle habits and current health.  The online HRA will give you an instant report on your health and related lifestyle habits.  To learn more or take the HRA click on the link below.

  Health Risk Assessment

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Frequently Asked Questions