HEALTHCHOICE USA PLAN
For Plan Year January 1 through December 31, 2014
The HealthChoice USA Plan is a health plan designed for current employees who live and work outside of Oklahoma and Arkansas and pre-Medicare former employees who live outside of these states. The Plan provides benefits identical to the HealthChoice High Plan with access to a nationwide provider network.
HealthChoice USA members have access to the ChoiceCare Network, one of the largest provider networks in the country, with nearly 450,000 providers and 3,000 facilities across the United States.
When electing the HealthChoice USA Plan for the first time, you will receive two ID cards. The health benefits card is imprinted with the ChoiceCare Network logo and the HealthChoice plan administrator’s contact information. This ID card MUST be presented when using a ChoiceCare Network Provider; otherwise, you will be responsible for the higher costs of non-Network benefits. The pharmacy benefits card is imprinted with the Express Scripts logo.
To request additional or replacement health ID cards, contact HP Administrative Services, LLC at 1-405-416-1800 or toll-free 1-800-782-5218. TDD users call 1-405-416-1525 or toll-free 1-800-941-2160.
To request additional or replacement pharmacy ID cards, contact Express Scripts toll-free at 1-800-903-8113. TDD users call toll-free 1-800-825-1230.
To enroll in the HealthChoice USA Plan, the following eligibility requirements must be met:
- You are a current employee living and working outside Oklahoma and Arkansas for a minimum of 90 consecutive days; or
- You are a pre-Medicare former employee or surviving spouse living outside of Oklahoma and Arkansas for a minimum of 90 consecutive days.
You have 30 days after you relocate to change:
- From your current plan to HealthChoice USA, when relocating outside Oklahoma and Arkansas; or
- From HealthChoice USA to one of the plans available in your area when relocating to Oklahoma or Arkansas.
If the change is not requested within 30 days of relocation, you must wait until the next annual Option Period.
To enroll in the HealthChoice USA Plan, you must submit the proper enrollment or change form to your Insurance/Benefits Coordinator within 30 days of your relocation. Your Insurance/Benefits Coordinator must sign your form to certify that you are assigned to work outside of Oklahoma and Arkansas. HealthChoice reserves the right to request employer documentation verifying work assignments.
Pre-Medicare Former Employees
You must notify EGID in writing within 30 days of your relocation and include the following information:
- Your request to change your benefits to or from the HealthChoice USA Plan;
- Your new address; and
- Your relocation date.
The benefits for the HealthChoice USA Plan are identical to the HealthChoice High Plan. You are encouraged to use ChoiceCare Network Providers whenever possible to reduce your out-of-pocket costs. If you use a non-Network provider, benefits will be paid as non-Network which will reduce plan benefits and increase your out-of-pocket cost. Please refer to the HealthChoice Health Plans Handbook for more information.
Locating a Provider
When you schedule an appointment with a ChoiceCare Network Provider, always confirm the provider still participates in the ChoiceCare Network. Your can easily locate a Network Provider by:
- Visiting the ChoiceCare Network online provider directory at www.choicecarenetwork.com and select Physician Finder; or
- Calling the ChoiceCare Network toll-free at 1-877-877-0715, ext. 4059 or TDD toll-free at 1-800-941-2160, Monday through Friday from 8 a.m. to 5 p.m. CST.
Office of Management and Enterprise Services
Employees Group Insurance Division
3545 N.W. 58th Street, Suite 110
Oklahoma City, OK 73112
1-405-717-8701 or toll-free 1-800-543-6044
TDD 1-405-949-2281 or toll-free 1-866-447-0436
Health Claims Administrator
HP Administrative Services, LLC
P.O. Box 24870
Oklahoma City, OK 73124-0870
1-405-416-1800 or toll-free 1-800-782-5218
TDD 1-405-416-1525 or toll-free 1-800-941-2160
Pharmacy Benefit Manager
TDD toll-free 1-800-825-1230
55 N. Robinson, Suite 600
Oklahoma City, OK 73102
TDD toll-free 1-877-267-6367
Toll-free 1-877-877-0715, ext. 4059
TDD toll-free 1-800-941-2160