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Provider Quick Links

Welcome! Guide &  Site Map

The BCHP web site summarizes the medical, dental, prescription and wellness benefits for you online. This guide will help you get the most from our web site.

Links to General Information about BCHP and the web site is located across the top navigation buttons.

1. HOME takes you to the opening page of the web site.
2. The NEWS page highlights the latest plan updates and information. 
3. The ABOUT US page describes the history of the plan, management and the participating school districts.
4. The Q&A page is a list of the most frequently asked questions and answers. 
5. The Choose a Plan page helps you compare plan options.
6. The GET ID CARD page allows you to order replacement or additional ID cards.



Summary of the Plan Benefits runs down the left navigation buttons.

1. The MEDICAL, DENTAL and PRESCRIPTION pages summarize the benefits.
2. The ELIGIBILITY page explains enrollment rules.
3. The CLAIMS HELP page describes how payments are made.
5. The FORMS page has printable plan forms.
6. The WELLNESS page summarizes the benefits.
7. The SCHOOL COMMITTEE page highlights school wellness programs.
8. YOUR HEALTH provides information on personal wellness.
9. SEARCH provides ability to search the site by keyword.


QUICK SEARCH PROVIDER LINKS is located in the upper, right corner of the web page. Click on the arrow and highlight the link you want to search. A window will open automatically and link to the site. The size of the window is determined by your current computer settings. You may move the window by dragging from a top corner.

NAVIGATION TIPS

  • You only need to click once on all blue, underlined words to open a link, email address or navigate through the site. 

  • When using Quick Search Provider Link, you must highlight the link by using the arrow key and you will be automatically taken to that site.

  • This web site is best viewed on 800 x 600 pixel computer display. You may control this in your Computer Settings.


BCHP Site Map

Home 

Claims Payor Phone Number
Preferred Provider Networks (PPO) Phone Number
Pharmacy Manager Phone Number

Quick Search Links (top of each page)

Health Span Provider Look Up
Emerald Health Network Provider 
PharmaCare
Lab One
Principal Financial Group
Claims Online

News

News - the latest BCHP updates


About Us

Who is BCHP? 
BCHP Employees and Partners 
BIC - Benefit Information Committee 
Board of Trustees


Q & A

Who do I notify for family status or address changes? 
Do I have coverage while I am on vacation? 
How do I know what is covered by the BCHP plan? 
Traveling Abroad! Do You Need Medical Evacuation Insurance? 
Does my ID card work outside the USA? 
What is a Usual & Customary, U/C charge? 
I'm a new employee. I do not have a medical or drug card yet. How do I get coverage? 
What is the HIPAA? 


Ask Principal - Principal Financial Group Customer Service Form
Get ID Card - Request Additional ID cards. 


Benefits

Medical

Summary of Medical Benefits 
Download, view and print BCHP Medical Handbook (pdf) 
Print 2003 Amendment to the BCHP Medical Handbook 
How do I answer the question, "WHAT INSURANCE DO YOU HAVE?" 
What is a Preferred Provider Organization (PPO)? 
Is my doctor or hospital In-Network or Out-of-Network? 
Do I need a referral to see a Specialist? 
My child attends a college out of the PPO Nework region. How will the plan pay for medical, dental and prescription services? 
Understanding Your ID Card 
How do I get another ID card? 
What is the Multiplan Network? 
What is the LabOne Program? 
Who do I notify for emergency admission or inpatient hospital stays? 


Dental

Summary Of Dental Benefits 
Do we have dental cards for employees? 
Do we have a dental network? 
When should I schedule my preventive cleanings? 
My proposed dental treatment is over $1000. The dental office is requiring that I pay 50% of the cost before they will remove my wisdom teeth. Is that an unusual request? 


Prescription

Summary of Prescription Benefits 
How do I fill a prescription? 
How do I get a new ID card? 
What is a Generic drug? 
How do I get a Generic drug? 
What if I choose a Brand Name drug with a Generic available? 
What is the PharmaCare Preferred Formulary Drug List? 
How does my doctor know what drugs are on the formulary? 
My medication is not listed on the PharmaCare Preferred Formulary Drug List? What should I do? 
A drug that I have taken for two years is not on PharmaCare Preferred Formulary Drug List, can I continue with my drug at the higher benefit level of 20%? 
What drugs are covered? 
Prior Authorizations 
How do I use PharmaCare mail order for maintenance drugs? 
How do I determine when to have my prescriptions filled through the PharmaCare’ mail service pharmacy? 
Can I have a prescription filled at a local network pharmacy for greater than 30 days? 
If I order my prescription(s) through the mail or via the web site, how long will it take? 
Do I have to mail my prescription order to PharmaCare when using the mail service pharmacy? 
Can I order my refills by e-mail?  


Eligibility

Initial (New Hire) Enrollment 
Spouse's Enrollment 
Annual Open Enrollment 
Communicate Family Status Changes, Qualifying Events and… 
Continuation of Coverage 
How do I elect COBRA? 
My daughter will turn 19 and is not a full student. Will she still be covered under my plan? 
My divorce is final, what steps do I take regarding my ex-spouse's coverage? 
What is a Pre-Existing Condition? 
Can Pre-Existing clause be waived? 
How do I prove that I had previously uninterrupted credible coverage?Acceptable ways to establish creditable coverage are.. 


Claims Help

How to file a claim. 
Is there a time limit on filing a claim? 
How long does it take for a claim to be processed? 
I'm a new employee. I do not have a medical or drug card yet. How do I get claims paid? 
How are payments made for an In-Network Provider? 
How are payments made for an Out-of-Network Doctor? 
Can my doctor collect my co-pay at the time of service? 
What is Coordination of Benefits (COB)? 
BCHP is the secondary payor to my spouse's medical insurance, how do I file a claim? 
Understanding your Explanation of Benefits (EOB) 
What are the most common reasons a claim may be pended? 
How do I know if claim is paid? 
What if I find a billing error? The Check and Share Program. 

Forms

Downloadable health plan forms.


Wellness

Wellness Benefits

Summary of Wellness Benefits 
How do I know what the current recommended guidelines are for routine screening and immunizations? 
What is the difference between a routine screening mammogram or a diagnostic mammogram? 
Is the ThinPrep pap test covered? 
My spouse, who is in the BCHP plan, had to pay 100% for the health screening and flu shot held at our school district. Why? 
What tests are included in the employee health screening? 
I tried to get a prescription drug, Zyban, for smoking cessation, but the pharmacy denied my card. 


School Program

Why school wellness programming at your district? 
Wellness Coordinators 
BCHP Wellness Program Goals 
What is Wellness? 
What type of School Wellness Programs Have Been Organized? 
Health Club Discounts Available to Butler County School Employees 
American Heart Association HEART WALK 
School Wellness Web Site Links 

Your Health

Making Wise Health Decisions
20 Tips to Help Prevent Medical Errors *
Surfing the Web Wisely
Health Care Links


Search

Search Our Site

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