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 Summary of Benefits 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.
Prescriptions dispensed for acute care (short-term) medications and initial fills of maintenance (long-term) medications may be obtained through any retail pharmacy for up to a 30-day supply. Short-term drugs include antibiotics and other medications that you take for short periods of time. Long-term drugs, also called maintenance medications, are those you take on an ongoing basis, such as drugs that treat high blood pressure, cholesterol or chronic diseases. Maintenance medications are only available under the Smart90 program.
For those using Specialty Medications that require focused care and monitoring to maximize effectiveness of treatment, BRI has contracted with Accredo, an Express Scripts specialty pharmacy with more than 25 years of experience in the field. Accredo provides comprehensive local clinical services and 24/7 personalized support and education to patients navigating complex health issues through pharmaceutical therapy.
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. It is highly recommended that you take a moment and go to the ESI website at www.expressscripts.com and register; 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 pharmacy plan questions or support, contact Express Scripts Customer Service at 800-987- 5246.
For more information, see the Medical/Prescription Drug Plan Document below.
For information about other BRI plans, see the following pages (which also are available from the Resources > Benefits menu above):
Hearing Aid Program
Health Savings Account
Medicare Supplement Plans
Disability, Life, and AD&D Plans
Documents, Forms, and Notices
Church Administrator Resources
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 email@example.com or 407-930-4492 (voice and fax).