Q: Who is HealthSCOPE Benefits?
A: HealthSCOPE Benefits is a claims administration and health
management
firm providing services to self-funded employers.
Q: Who pays my claims?
A: Your employer is “self-funded” for
your health plan benefits. This means your
claims are “processed” by HealthSCOPE Benefits
but your health plan benefits
are “paid” by
your employer.
Q: How do I obtain an ID card?
A: Go to the “Request ID Card” selection
under Member Self Service at
www.healthscopebenefits.com.
Q: Where are claims mailed?
A: Claims should be mailed or filed electronically
by your provider to the address
on the back of your ID card.
Q: How do I locate a contracted doctor or hospital?
A: To obtain a list of contracted providers or to determine
if a particular provider
is contracted, you can visit the HealthSCOPE Benefits website at
www.healthscopebenefits.com or by calling HealthSCOPE Benefits.
The toll free
number is located on the front of your ID card. Printed directories
may become out of date, so, HealthSCOPE’s toll free number
and the website are the best sources for current provider information.
Q:
Who should my provider or I call if I am going to be admitted to
the
Hospital?
A: To pre-certify a hospital admission, contact the Precertification
phone number
listed on your ID card.
Q: Where can I obtain benefit information?
A: Benefit information can
be obtained by visiting the “Benefit Summary” section
of the HealthSCOPE Benefits website at www.healthscopebenefits.com
or by
calling HealthSCOPE Benefits. The toll free number
is located on your ID card.
