Benefits

ERS time-saving tips

ERS is committed to providing competitive benefits to the state workforce. They also know your time is valuable.

ERS tries to answer calls as quickly as possible, but sometimes holds are unavoidable. And many times, they have to tell you to call someplace else. ERS leaves it up to the plan administrators to answer questions about specific benefits.

Not sure whom to call or where to find information? Check out the following tips to save time:

Is my dependent eligible for coverage?

Visit the insurance eligibility section of the ERS website,or contact your benefits coordinator/human resources department.

I want to select a primary care physician.

Contact your health plan

Where can I get a replacement health ID card?

Call or sign into the website of your health plan. You may be able to present the information to your provider on a mobile device.

Where can I get a replacement dental ID card?

From your dental plan

I need to know how much I could pay out-of-pocket for a cavity filling.

Contact your dental plan

Did you receive my dependent’s proof of age to add him or her to health coverage?

Aon Hewitt handles these requests.

I need to know if I can use my TexFlex money for something specific.

Contact PayFlex

I need to discuss a health claim.

Contact your health plan

I need to discuss a dental claim.

Call your dental plan

Why haven’t I received my mail-ordered prescription?

Your prescription plan

Why did the cost of my medication go up?

Ask your prescription drug plan administer Caremark.

How much of my medical out-of-pocket maximum do I have left to pay for the year?

Contact your health plan

I will need to have a medical procedure—how can I request prior authorization?

Call your health plan

I’m about to have a medical procedure—how much could I pay out-of-pocket?

Visit your health plan’s website

I need a certain medication–how can I request prior authorization?

Contact your prescription drug plan

Directory

You may be able to find some information online. Visit our benefits administrator directory for a quick reference on whom to call.

Source: ERS News (March 2015)

 

Categories: Benefits, Wellness

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