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For questions on claims or benefits call 1-800-527-7706
Or use their on-line services at
Anthem.
All permanent employees working 20 (18.75 if working a standard 37.5 hour work week) hours or more per week and their eligible dependent(s) may participate in the City of Portland’s health insurance plan. Employees have 60 days from their date of hire or qualifying event to enroll. Examples of qualifying life events include but are not limited to losing or obtaining other coverage, marriage, formation of a domestic partnership, birth, adoption or placement of adoption.
Current weekly rates for full-time permanent employment, (contact your payroll clerk or the Benefits Division for proration schedule of costs) are $0.00 for employee plan, $41.86 for employee and child(ren), $59.78 for employee and adult and $101.64 for employee, adult and child(ren). Open enrollment is held during June each year with an effective date of coverage for July 1. Payroll deductions are on a pre-tax federal, state and Medicare basis.
Point of Service Health Plan (POS): The POS health plan requires each covered member to choose a Primary Care Physician (PCP). To receive the highest level of benefits, covered services must be provided or authorized by the PCP. The health plan is administered by Anthem Blue Cross and Blue Shield.
Please call important telephone numbers on the back of the health plan ID card prior to a planned hospital admission or within two business days after an emergency admission or to receive the highest level of benefits for mental health and substance abuse services.
Visit www.anthem.com and register for online services to check the status of a claim, change a PCP, search the online provider directory for network physicians, update your address or order a new ID card. MyHealth@Anthem is now powered by WebMD providing information and services that can help you take an active role in managing your health.
The City of Portland is a member of the Maine Health Management Coalition (MHMC). The Coalition is made up of employers, hospitals, health plans and doctors working together to provide you with patient safety and qualify information. Better quality healthcare not only can save lives, it can make a difference in how fast your health improves. Visit the MHMC website to view physician and hospital data collected at www.getbettermaine.org
Visit www.portlandmeds.com for information, enrollment forms and a current listing of eligible maintenance prescriptions. Health plan members pay $0 for maintenance prescriptions when enrolled in this program.
