Frequently Asked Questions

You will have the choice between two medical plan options. The choices are:

• A Consumer-Directed Health Plan with a Health Savings Account (CDHP)
• A PPO plan

Be sure to check out the Medical Matchup interactive feature so you can see which medical plan could be right for you.

If you are a new enrollee or change medical plans for 2024, AmeriBen will send you new ID cards for you and your dependents. If you do not make any medical plan changes, you may continue to use your current ID cards. The ID cards will have the policy number, and the Customer Care Center contact numbers. Be sure that your home address in MyHR is correct. You should receive your new card in late December.

Take the following steps to help ensure your annual wellness exam is billed correctly:

• Use terms like “wellness exam” or “annual physical,” not “check-up” when scheduling your appointment
• Tell your doctor you are there only for a wellness exam.
• You may ask questions about existing health conditions but avoid requesting treatment during a wellness exam as your doctor is allowed to bill accordingly for diagnostic visits.
• Do not save up all of your health concerns for your annual wellness exam.

 Click here for a list of age-appropriate recommended preventive services. You can learn more about preventive care by visiting HealthCare.gov.

Some non-emergency procedures such as MRIs, CT scans, and surgeries, require pre-certification. Whether you are considering an in-network or out-of-network provider, when your doctor mentions you need a non-emergency procedure or test, contact AmeriBen. The AmeriBen customer care representatives will walk you through the steps you need to take. Click here for a complete list of procedures that require pre-certification. Please note that if you do not receive pre-certification, your treatment may not be covered.

For more information about how the review process works, check out the pre-certification video.

When you enroll, you will need to indicate if you are a tobacco user or non-tobacco user by checking the appropriate box online for you and your covered dependents over the age of 18:

• Do not use tobacco products, and
• Have not used them for the past three months.

Remember, while the Partnership takes your self-elected designation with respect to your tobacco-free status, if it becomes known to the Partnership that you have misrepresented such status, you will be subject to removal from the Partnership's Medical Plans and additional discipline, up to and including termination.

The Tria Health Stop Tobacco use by Optimizing Pharmacists (S.T.O.P.) Program can help you or any of your covered family members over the age of 18 kick the tobacco habit. The program provides you with confidential telephone coaching with a Tria pharmacist and other tools and resources.

Visit Tria Health online to or call 1-888-799-(TRIA) 8742 to get started.

Go to doctorondemand.com, select AmeriBen and enter the Member ID and Group ID from your insurance card to complete your registration. Then, be sure to download the convenient Doctor on Demand mobile app for on-the-go care.

Yes. You need to go to doctorondemand.com and complete the registration process before you can use the service. Also, remember to download the convenient mobile app for on-the-go care.

The cost for each virtual visit varies based on the services needed.

• Medical: $25 (PPO), $49 (CDHP)
• Psychology: $79 - $199
• Psychiatry: $99 - $229