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2019 MEDICAL/PRESCRIPTION DRUG PLANS

EPC Benefit Resources, Inc., provides medical insurance coverage through Highmark Blue Cross Blue Shield. EPC Medical Plan participants have access to more than 96 percent of hospitals and 95 percent of doctors and specialists contracted through the Blue Card Preferred Provider Organization (PPO).

A Preferred Provider Organization, or PPO, offers two levels of benefits. You receive the highest level of benefits if you are provided services from a provider in the PPO network, often called In-Network. If you receive services from a provider who is not in the PPO network, often called Out-of-Network, this will be at a reduced benefit. There is no requirement to select a Primary Care Physician (PCP) to coordinate your care, but please be aware of the reduced benefit when using an Out-of-Network provider. Please refer to the appropriate Summary of Benefits document for your Plan or the EPC Medical Plan Document for more information on coverage levels.

When you enroll in the Medical Plan, you will be enrolled in the Prescription Drug Plan, which is administered by Express Scripts.

To receive the highest level of benefits, prescription drugs must be obtained from a Pharmacy in their national pharmacy network or directly via the Express Scripts Mail Service or Specialty Pharmacy. We highly recommend that you take a moment and register at  www.expressscripts.com (be sure to have your member ID number handy). Once registered and logged in, you can locate a pharmacy, identify formulary and non-formulary medications to find the lowest co-pay priced medication, and even print an ID card for a family member.

If you have questions or don’t have internet access, call Express Scripts Customer Service at 800-987-5246. One of the prescription benefits specialists will be happy to assist you. For enrollment related questions, contact the EPC Administration Office at 877-578-8707.

For more information, see the Medical/Prescription Drug Plan Document below. For questions or support on the Medical Plan, contact Highmark Customer Service at 866-472-0928 (use Reference Code P009077).

You can use these quicklinks to navigate to the appropriate section of this page:

Medical/Prescription Drug Plan Resources
Highmark BCBS Resources
Express Scripts Resources
Teladoc

MEDICAL/PRESCRIPTION DRUG PLAN RESOURCES

Premium Rates Calculator

Calculators and charts provide monthly premium rates for 2019 EPC Benefit Plans

Medical/Prescription Drug Plan Document

The 2019 Plan summary document constitutes the terms and conditions of your medical and prescription drug coverage

Medicare Supplement Plans

A Medicare Supplement benefit is designed to “supplement” coverages provided by “original” Medicare

BCBS Global Core Plan

Also known as the Gold Ex-Pat Plan, the BCBS Global Core Plan is designed for our World Outreach global workers serving overseas

2019 Medical/Prescription Drug Plans Comparison Chart

For more information on coverage levels, see the Summary of Benefits (SBC) Document below for the each of our Medical/Prescription Drug Plans.

HIGHMARK BCBS RESOURCES

Highmark BCBS Website

www.highmarkbcbs.com

Highmark Baby Blueprints

Maternity education and support program

Highmark Beat Diabetes

Lower your risk of type 2 diabetes

Highmark Blue Distinction

Hospitals proven to deliver superior results for complicated, costly procedures

Highmark Blues on Call

No-cost information and support from a health coach

Highmark Care Cost Estimator

Compare cost estimates for more than 1,600 procedures

Highmark Member Portal

Check claim status, view your explanation of benefits, locate providers, and more

Highmark Personal Wellness Coach

Connecting you to resources available through your health plan, employer, and community

Highmark 2019 Preventive Schedule

Planning your care: Know what you need and when you need it

Highmark Virtual ID Card

Works just like your plastic ID card

EXPRESS SCRIPTS RESOURCES

Express Scripts Website

www.express-scripts.com

Prescription Drug Plan Smart90 Fact Sheet

Smart90 provides 90-day refills of maintenance medication prescriptions via Walgreens or Express Scripts home delivery

Prescription Drug Mail Order Form

Information and instructions for our Express Scripts prescription drug home delivery program

Prescription Drug Reimbursement Form

Use this form to submit receipts for prescription drugs you have purchased at full price from a retail pharmacy

TELADOC

We’ve partnered with Teladoc to provide you with a convenient and affordable way to receive quality medical care. Teladoc lets you talk with experienced doctors by phone or video anytime, anywhere. All Teladoc doctors are board-certified, state-licensed, and can treat many health issues, including:

Cold and flu symptoms.
Allergies.
Bronchitis.
Skin problems.
Respiratory infections.
Sore throat.
Sinus problems.
And more!

Teladoc offers U.S. board-certified physicians to help you get a diagnosis, treatment, and a prescription when needed. If you are enrolled in our medical plan, Teladoc is already part of your benefits so make sure your Teladoc account is set up and ready to go! It’s quick and easy to register your Teladoc account. For more information, call 1-800-Teladoc (835-2362) or register online at www.Teladoc.com/Enter

Information provided in this web site does not constitute legally binding advice. EPC benefits are subject to the provisions of the Medical Plan and Retirement Plan documents available on this web site or in print from EPC Benefit Resources, Inc. (BRI), 5850 T.G. Lee Blvd., Suite 510, Orlando FL 32822. For more information, contact BRI at benefits@epc.org or 407-930-4492 (voice and fax).

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