Benefits Information - Perkiomen Valley School District

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MEdical/Rx Benefits Information

As an employee of Perkiomen Valley School District, you may be eligible for certain benefits as a condition of your position. You can find information about the following programs and benefits by clicking on the links below. If you have any questions, please contact the Human Resources department.

2023-24 BMCS Benefits Guide

General Aetna Information
- Aetna.com Customer Service: 1-800-293-3536
- Aetna Health App View your benefits, search for providers, access your id card and more
- Find a Doc – Find a provider or check if your current provider is in-network for each offered plan
- Qualifying Events information (Making changes outside of open enrollment)
Specific Plan Information
- Aetna Plan Overview
- Detailed Side-by-side Coverage Summary (Open Choice 1, 2, & 3; POS);
  - Open Choice 2 Summary (PV core plan)
  - Open Choice 3 Summary
  - Open Choice 1 Summary
  - POS Summary

Additional services included with election of medical benefits

Prescription Coverage
- Capital Rx (beginning 7/1/22) Capital Rx Customer Care Team: 1-877-542-2779 (24 hours per day, 7 days a week)
  - Capital Rx National Chain Pharmacy Listing
  - Capital Rx Mobile App
- Walmart (the Capital Rx specialty pharmacy for patients with complex medical conditions) – Customer Service: 1-877-453-4566
  - Capital Rx Specialty Medication List

Additional Capital Rx Information
- Capital Rx FAQ’s and Plan Information
- Walmart Home Delivery
- Rx Cap Copay Assistance Program for Specialty Medications
- Generics preferred program/DAW (Dispense as Written) exclusion summary HERE

Teladoc
- Telephone or video appointments with a physician for non-emergency, acute general medical needs or mental health services; 24/7
- Teladoc website
- Teladoc Behavioral Health Services information
Talkspace A national leader in Virtual Mental Health
- Therapy visits available for those 13 and above and Psychiatry is available to those 18 and older
- Therapists available 5 days/week including weekends
- Members always have the same provider
- Providers are in all 50 states and all are NCQA certified. 30% specialize in LGBT and 40% specialize in working with adolescences.
- Sessions are subject to the member’s applicable copay, coinsurance/deductible cost share
- Talkspace Getting Started Guide
- Talkspace How to Change Coverage Member