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EMPLOYEE BENEFITS INFORMATION QUICK REFERENCE GUIDE HR Online: When you access the web on a WellSpan PC, the WellSpan INET page is displayed. From there you can click on HR Online. At that point you can access numerous tools and documents including HR Policies, Benefit Summary Plan Descriptions and HR forms. Please visit this site often as it is frequently updated. My WellSpan Benefits: This website can be accessed from the home page of the INET or from any computer with internet access by going to https://hr.wellspan.org. This site provides access to your personal benefit information including current benefit elections and life insurance coverage. This site also contains benefit and cost information, forms for benefit enrollment/changes and address changes, provider directories, a provider search tool, links to the WellSpan Wellness program, Retirement Savings Plan, ERA Benefits and much more. Summary Plan Descriptions, as well as any legal notices regarding the benefits plans are available on this site; if you do not have access to a computer, please contact the Benefits Service Center at 717-851-3332 for a printed copy or if you have any questions. The fax # is 717-812-2066. WellSpan Plus, Standard & High Deductible Medical Plans Administered by South Central Preferred 3421 Concord Rd York, PA 17402 Member Services:800-842-1768 or 717-851-6800 Fax:717-755-7190 Plus Group#: W028 Standard Group#: W032 High Deductible Group#: W033 www.scphealth.com The website provides access to provider directories, the WellSpan Network Search tool as well as access to general health information, online newsletters, and links to other health information websites. You may also contact Member Services at the phone number to the left for customer support regarding benefits, claims inquires, network questions or to obtain new I.D. cards. www.aetnaproviderdirectory.com This is the website for Aetna Signature Administrators Provider Directory (Tier 2 providers). Access to this network is included with your WellSpan Plus coverage. Provider directory information is available here. Optum Rx-Prescription coverage Phone:844-265-1734 Group #SOCP Bin#: 610011 PCN#: IRX www.mycatamaranrx.com After you register on the website, you can access Pharmacy Locator, Drug Lookup, cost of prescriptions, and verify coverage and your order history. No separate ID card, information included on the medical card. Quest Behavioral Health P.O. Box 1032 York, PA 17405 800-364-6352 www.questbh.com All mental health and substance abuse services covered in the medical plans are administered by Quest Behavioral Health. All services must be pre-certified by calling the number listed to the left. On the website you can obtain member information, including frequently asked questions, information on mental health practice guidelines, prevention programs and member rights and responsibilities. Delta Dental of Pennsylvania One Delta Dr. Mechanicsburg, PA 17055-6999 800-932-0783 TTY/TDD-888-373-3582 Group #4262- WellSpan Health www.deltadentalins.com PPO Through this website you can find participating dentists, download claim forms and find useful dental health tips, etc. By calling the phone number to the left, you can review claim information with a Delta Dental representative. This plan has in-network and an out-of-network benefits. There are no ID cards for this plan. SCP Dental Plan 3421 Concord Rd York, PA 17402 Member services 800-842-1768 or 717-851-6800 Group #W028 This program is administered by South Central Preferred. If your benefit package offers this dental choice, you may receive care from any dentist. This program does not have a website but you can contact Member Services at the phone number to the left for coverage questions. Claim forms are available thru HR Online. Vision Benefits of America 300 Weyman Plaza Pittsburgh, PA 15236-1588 800-432-4966 Group #832 www.vbaplans.com - You can register on the site, find out how to use the plan, confirm eligibility for you and your covered dependents, and search for network providers. There are no ID cards for this plan.

EMPLOYEE BENEFITS INFORMATION QUICK … · – employees with ... WellSpan Employee Assistance ... earn incentive discounts or cash rewards for completing specific activities

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Page 1: EMPLOYEE BENEFITS INFORMATION QUICK … · – employees with ... WellSpan Employee Assistance ... earn incentive discounts or cash rewards for completing specific activities

EMPLOYEE BENEFITS INFORMATION

QUICK REFERENCE GUIDE

HR Online: When you access the web on a WellSpan PC, the WellSpan INET page is displayed. From there you can

click on HR Online. At that point you can access numerous tools and documents including HR Policies, Benefit

Summary Plan Descriptions and HR forms. Please visit this site often as it is frequently updated.

My WellSpan Benefits: This website can be accessed from the home page of the INET or from any computer with

internet access by going to https://hr.wellspan.org. This site provides access to your personal benefit information

including current benefit elections and life insurance coverage. This site also contains benefit and cost information, forms

for benefit enrollment/changes and address changes, provider directories, a provider search tool, links to the WellSpan

Wellness program, Retirement Savings Plan, ERA Benefits and much more. Summary Plan Descriptions, as well as any

legal notices regarding the benefits plans are available on this site; if you do not have access to a computer, please contact

the Benefits Service Center at 717-851-3332 for a printed copy or if you have any questions. The fax # is 717-812-2066.

WellSpan Plus, Standard

& High Deductible Medical Plans

Administered by South Central

Preferred

3421 Concord Rd

York, PA 17402

Member Services:800-842-1768 or

717-851-6800

Fax:717-755-7190

Plus Group#: W028

Standard Group#: W032

High Deductible Group#: W033

www.scphealth.com

The website provides access to provider directories, the WellSpan Network Search tool

as well as access to general health information, online newsletters, and links to other

health information websites. You may also contact Member Services at the phone

number to the left for customer support regarding benefits, claims inquires, network

questions or to obtain new I.D. cards.

www.aetnaproviderdirectory.com

This is the website for Aetna Signature Administrators Provider Directory (Tier 2

providers). Access to this network is included with your WellSpan Plus coverage.

Provider directory information is available here.

Optum Rx-Prescription coverage

Phone:844-265-1734

Group #SOCP

Bin#: 610011

PCN#: IRX

www.mycatamaranrx.com

After you register on the website, you can access Pharmacy Locator, Drug Lookup, cost

of prescriptions, and verify coverage and your order history. No separate ID card,

information included on the medical card.

Quest Behavioral Health

P.O. Box 1032

York, PA 17405

800-364-6352

www.questbh.com

All mental health and substance abuse services covered in the medical plans are

administered by Quest Behavioral Health. All services must be pre-certified by calling

the number listed to the left. On the website you can obtain member information,

including frequently asked questions, information on mental health practice guidelines,

prevention programs and member rights and responsibilities.

Delta Dental of Pennsylvania

One Delta Dr.

Mechanicsburg, PA 17055-6999

800-932-0783

TTY/TDD-888-373-3582

Group #4262- WellSpan Health

www.deltadentalins.com – PPO Through this website you can find participating

dentists, download claim forms and find useful dental health tips, etc. By calling the

phone number to the left, you can review claim information with a Delta Dental

representative. This plan has in-network and an out-of-network benefits. There are no

ID cards for this plan.

SCP Dental Plan

3421 Concord Rd

York, PA 17402

Member services 800-842-1768 or

717-851-6800

Group #W028

This program is administered by South Central Preferred. If your benefit package offers

this dental choice, you may receive care from any dentist. This program does not have

a website but you can contact Member Services at the phone number to the left for

coverage questions. Claim forms are available thru HR Online.

Vision Benefits of America

300 Weyman Plaza

Pittsburgh, PA 15236-1588

800-432-4966

Group #832

www.vbaplans.com - You can register on the site, find out how to use the plan,

confirm eligibility for you and your covered dependents, and search for network

providers. There are no ID cards for this plan.

Page 2: EMPLOYEE BENEFITS INFORMATION QUICK … · – employees with ... WellSpan Employee Assistance ... earn incentive discounts or cash rewards for completing specific activities

PayFlex Systems USC, Inc.

P.O. Box 3039

Omaha, NE 68103-3039

844-PAYFLEX(844-729-3539)

Fax 402-231-4310

www.payflex.com – employees with spending accounts will submit claims directly to

PayFlex. Claim forms can be down loaded from their website and faxed to PayFlex, or

select Express Claims and file on line. Account balance information and information on

eligible expenses can also be obtained on the website.

WellSpan Employee Assistance

Program

800-673-2514

www.wellspaneap.org – the Employee Assistance Program (EAP) is a confidential and

voluntary program designed for employees, spouses and dependent family members

who want to seek help for personal issues. WellSpan EAP’s services include

assessment, short-term counseling and referral.

WellSpan Pharmacy

Dallastown-717-851-1351

Apple Hill-717-741-8150

York Hospital-717-851-2712

Fairfield-717-642-8812 Adams Health Center-717-339-2600

www.wellspan.org – WellSpan Pharmacy customers can refill their prescriptions on-

line by filling out a simple form located on this website or through the WellSpan INET.

Wellness Matters

Online health and wellness

resources

717-851-4336

www.wellspanwellness.org - set up a personal account on this website and take

advantage of healthy resources, information and tools. Participating employees can

earn incentive discounts or cash rewards for completing specific activities.

ERA

717-851-2874

Satellite Office-Adams County

717-337-4197

Employee Recreational Activities Department provides WellSpan employees with

travel and recreational opportunities, local discount services, as well as cell phone

discounts, theatre, sports events and amusement park tickets. Access the INET ERA tab

for complete store locations and up-to-date calendar of event listings.

Voluntary Benefits

MetLife Supplemental Insurance - Auto & Home Insurance, Veterinary Pet

Insurance – provides you with access to insurance coverage for personal insurance

needs. Contact 1-800-GET-MET8 (800-438-6388) or www.metlife.com/mybenefits for

more information.

Colonial Supplemental Insurance - Short Term Disability, Universal Life and

Term Life, Critical Illness Insurance – provides you with access to coverage to

supplement your existing WellSpan benefits. Contact Customer Service at 1-800-325-

4368 or representative Dena McVicker 610-524-9360, ext 229 or

[email protected] for more information.

Retirement Savings Program

Retirement Benefit Program

403(b), 401(k), 457, 529

Contact Katrina Boucher or Katie Calpin, Benefits Consultant at 717-851-2369

Great-West Retirements Services Key Talk 1-877-728-9355 or

www.wellspansavings.com

Employee Credit Unions

Provides access to a variety of

financial products and services

First Capital Federal Credit Union – www.FirstCapitalFCU.com

717-767-5551 or 800-893-2328

Belco Federal Credit Union – www.belco.org -1-800-642-4482

Members 1st Federal Credit Union- www.members1st.org – 1-800-237-7288

Summary Plan Descriptions Summary versions of the plan documents are available on HRONLINE, Benefits

Resources, SPDs tab.

Employee Benefits Human Resources Benefits Service Center, WellSpan Health

Main number: 717-851-3332 Fax: 717-812-2066

Legal Notices Required legal notices concerning the benefits plans are posted on the INET: HR

online, Legal tab under benefit resources.

Rev. 7-31-2017