Our healthcare insurance plans are provided by the Allegheny County Schools Health Insurance Consortium (ACSHIC), partnered with Highmark and offered to eligible full-time employees. Currently there are two products offered: Community Blue Flex PPO and Community Blue Flex EPO. The employee's coverage plan is specific to the respective collective bargaining contract(s) and/or agreement(s). The district pays the full insurance premium less the employee's premium contribution share as per the specific contract(s) and/or agreement(s).
Both the PPO and EPO benefit summary grids are attached for review. In addition, a grid comparison of the EPO and PPO plan differences is also attached. Please note that the Allegheny County Schools Health Insurance Consortium's website is a great resource to review all medical benefit information including but limited to the 2020 Benefit Booklets for the EPO and PPO plans. ACHSIC Website link: https://acshic.com/your-benefits/#.
Best practice - seek care within the Enhanced Value Network to optimize the benefit and pay less out of pocket costs for services. Utilizing the Standard Value or Out-of-Network networks results in deductibles, higher co-pays, and balance billing.
Register at www.highmarkbcbs.com
to search for Enhanced Value network physicians and facilities or call Highmark Member Services 1-877-258-3123 for assistance. An employee may elect to waive the healthcare benefits and if provided by contracts or agreements may be entitled to a health benefit buy-out (refer to specific contract and /or agreement language for details).
The EPO and PPO SBC's (Summary of Benefits and Coverage) attachments are standardized documents, as per the Affordable Care Act regulations. The SBC does not represent all coverage features, and the coverage examples within the SBC are intended only to convey a general illustration of costs.
2021 ACSHIC WELLNESS REWARDS PROGRAM
Thanks for participating in the 2021 wellness rewards program.
Distribution of e-gift card reward is expected in the fall. An email communication will be sent!
Welcome to this year's wellness rewards program featuring both
Please note: only ACSHIC members with active medical coverage may participate in the 2021 Wellness Reward Program.
What's the reward?
- $100 gift card of your choice: Amazon, Target, or Dick's Sporting Goods
- GOOD HEALTH
How do you earn the reward?
- You need all 1,000 points to qualify (point total appears in your Sharecare account as you complete all the required activities).
- You must complete the following required activities:
- RealAge Test on Sharecare 250 points
- Play the Fact or Myth: ACSHIC 2021 Wellness Rewards Game on EdLogics - 250 points
- Preventive Exam (can be in-person or virtual visit if your provider allows). Note: if you received a preventive exam after June 30, 2019, you will automatically receive credit for the activity. Once a claim is submitted by your provider, please allow up to 6 weeks for the credit to display in your Sharecare account) or Cancer Screening - 250 points
- One additional activity (as listed on the wellness program flyer attached) - 250 points
See attached file for program details and/or contact Pattie Strickengloss at 724-850-2221 or firstname.lastname@example.org
$0 NO COST VACCINATIONS
See attached file for listing of $0 no cost vaccines available to members of ACSHIC benefits.
It is very beneficial to register on your Highmark member website www.highmarkbcbs.com
. Once registered, you can access your benefit details, view claims, and search for in-network providers. In addition, the website provides up-to-date information of many resources and services offered by Highmark.
If you need assistance with any coverage questions, you can get VIP treatment! Highmark has set up a concierge service to provide your one-call resource for help with coverage questions (see flyer below). In addition, Highmark can help: find new in-network doctors or hospitals, make appointments, and transfer medical records.
2021 Preventative Schedule (attached) - PLAN YOUR CARE: KNOW WHAT YOU NEED AND WHEN TO GET IT
Preventive or routine care helps us stay well or finds problems early, when they are easier to treat. The preventive
guidelines on this schedule depend on your age, gender, health and family history. As a part of your health
plan, you may be eligible to receive some of these preventive benefits with little to no cost sharing when using
in-network providers. Make sure you know what is covered by your health plan and any requirements before you
receive any of these services.
If you have questions as to which UPMC facilities are now accessible to Community Blue Flex members under the Consent Decree signed between Highmark and UPMC in June 2019, please refer to the attachment below.
A notable resource from Highmark is the Experian IdentityWorks and Identity Restoration Services (previously AllClear Identity). Provides Identity protection at no cost for you and family members. Review the Experian website or call Experian directly with questions. You can reach them at www.experianidworks.com/highmark or call toll-free 1-866-584-9479. Please reference the flyer below for full program details.
OTHER RESOURCES offered through Allegheny County Schools Health Insurance Consortium (ACSHIC)
Lytle EAP Partners - Employee Assistance Program
Company code: acshic
Lytle EAP Partners is your provider of Employee Assistance Program services and Personal Health Partners. The EAP offers counseling and a wide variety of work/life services to you and your immediate family members to help with problems that impact your personal well-being and your ability to perform your job. Personal Health Partners offers a helping hand with the many aspects of family healthcare and navigating the complicated medical system. The EAP and Personal Health Partners are available 24/7/365 and are free and confidential.
Access to a doctor anytime, anywhere. Talk to a doctor anytime for free! No co-pay!!
Teladoc doctors can treat many medical conditions, including:
- Cold & flu symptoms
- Sinus problems
- Sore throat
- Respiratory infection
- Skin problems
- and more!
Why Teladoc? It is a convenient and affordable option for quality care.
- When you need care now
- If you're considering the ER or urgent care for a non-emergency issue
- On vacation, on a business trip, or away from home
- For short term prescription refills
Learn more and register at
Advance Medical brief summary of services are as follows:
Make decisions about your health with confidence.
With Advance Medical, the world’s leading doctors consult on your condition so you can make the best possible choices for your health.
Confirming a diagnosis and treatment may help you:
Feel confident in your diagnosis
Prevent a needless surgery
Avoid missed work time
Save out-of-pocket costs on unnecessary care
Verify prescription appropriateness
Experience better health
Find peace of mind
Call or visit 844-280-2457
Livongo - Diabetes Management
Modern diabetes management at no cost to you. The program is offered at no cost to you and your family members with diabetes. With Livongo you get an advanced glucose meter, unlimited strips, tips with every check, and coaches to support you so you never miss a beat.
Learn more and join at http:/www.join.livongo.com/ACSHIC/register Registration code: ACSHIC
American Hearing Benefits
As a member of ACSHIC, you and your family are eligible for exclusive American Hearing Benefits
Call 888-706-1459 to take advantage of your member discounts - see flyer below for details.
With Healthcare Bluebook, save hundreds to thousands of dollars on medical procedures by choosing Fair Price (green) facilities for your care; plus you'll earn rewards (dependents also eligible for rewards). Use the website, mobile app, or phone support to find a Fair Price (green) facility (always check network status before scheduling). Then schedule your appointment. Have your service performed at the Fair Price (green) facility of your choice. Go Green to Get Green! Must register with Healthcare Bluebook prior to procedure in order to be eligible for incentives. See flyers below for details.
Join at https://www.healthcarebluebook.com/cc/ACSHIC Registration code: ACSHIC
Download the App
What is EdLogics?? With fun, engaging games - monthly cash rewards ($200 gift card) - EdLogics will transform the way you learn about your health. Get the knowledge and tools to help you make healthier choices and handle sickness when it comes. The more you play, the better your odds of winning. Play for your health. Play to win.
**NEW** Invite a Friend
Starting January 1, 2021: Get 5 colleagues to sign up for EdLogics and earn a $50 gift card! After your 5th friend registers. you'll receive an email from Tango within 30 days to redeem your $50 gift card from Amazon, Target, or Dick's Sporting Goods.
How to get started? Register today: https://acshic.edlogics.com
Need Help? Contact support: email@example.com
How do you win a gift card? Everyday you will receive one HealthScratch ticket. The more Health Scratch tickets you answer correctly, the better your odds of winning random drawings done monthly. Keep playing - and good luck!
Our dental insurance plans are provided by United Concordia
and offered to eligible full-time employees and dependents (meeting eligibility requirements). The employee's coverage plan is specific to the respective collective bargaining contract(s) and/or agreement(s). The district currently pays the full dental insurance premium for employees as per their contract or agreement. The dental benefit summaries are listed below. Register at https://www.unitedconcordia.com
or call 1-800-332-0366 to have easy access to resources and information. Best practice - seek care in-network to optimize benefit and avoid out of pocket expenses. In addition, request a pre-determination of services PRIOR to treatment to be aware of any non-covered or out-of-pocket expenses.
FLEXIBLE SPENDING ACCOUNT
All employees have the option of an annual election into the Flexible Spending Account offered through Horace Mann. This benefit allows participants the option of deferring salary on a pre-tax basis to pay for healthcare expenses (medical co-pays and deductibles, prescription drugs, dental care, eye care, and other qualifying expenses), as well as for dependent care expenses (daycare expenses, before and after school care, summer camps, preschool tuition). This benefit will be consistent with and meet all requirements of Section 125 of the Internal Revenue Code as amended. Please see the plan details and enrollment form attached below. Enrollment occurs annually during open enrollment (May 15-June 15). When a qualifying event occurs enrollment is permitted outside the open enrollment period.
Horace Mann representative: Stephen Elsier Office: 724-234-2233 Cell: 717-422-7871
Learn more at links below:
See link for eligible flexible spending account purchases:
TAX SHELTERED ANNUITY 403(b)
Hempfield Area School District offers a tax sheltered annuity plan 403(b) for ALL employees. A 403(b) is a tax-deferred investment and savings program for school district employees. If you need more information or are interested in starting a tax sheltered annuity, please contact one of the district approved companies listed in Appendix B of the Plan Summary Document (see link below).
The representative will provide you with all of the forms and documentation needed to start, add, change or cancel your 403(b) account. Once completed, the salary reduction form needs to be sent to the payroll office.