Question 1

What services and screenings are covered as preventive care?

Accepted Answer

Preventive screenings can help you take better control of your health. They are an important foundation of early detection and prevention of disease.
 
Preventive care services are NOT subject to a copayment or deductible when using in-network providers and must be billed to insurance with proper preventive coding.
 
Take a look at this flyer to learn about the services and screenings that are covered as preventive care. 
 
Please note: Coverage for these services is subject to certain conditions, age and time limits.

Question 2

How do I find an in-network provider?

Accepted Answer

Medical: When you register on the Meritain portal, you will have access to print an ID card, view your claims, or find an in-network doctor. Visit https://account.meritain.com/Portal/Registration and input your Group ID, which is 20958.

You will also need your Member ID, which is located on your ID card.

If you do not have your ID card, please feel free to contact your Lacher Healthcare Advocate.

Dental: Click here and select the PDP (not PDP Plus) network.

Vision: Click here

Question 3

How do I register on the Meritain portal, so I can print an ID card or review my claims?

Accepted Answer

When you register on the Meritain portal, you will have access to print an ID card, view your claims, or find an in-network doctor. Visit https://account.meritain.com/Portal/Registration and input your Group ID, which is 20958. You will also need your Member ID, which is located on your ID card.

If you do not have your ID card, please feel free to contact your Lacher benefits advocate to obtain your Member ID.

Question 4

How do I get a copy of my ID cards?

Accepted Answer

Medical: Login to www.meritain.com. Once logged in, you'll have access to print of download an ID card. You may also call Meritain at 1-800-566-9311 to request a new ID card.

Dental: Login to www.metlife.com. Once logged in, you can view, print, or request ID cards. You may also call Metlife at 1-800-638-5433 to request a new ID card.

Vision: Login to www.aetnavision.com. Once logged in, you can view, print, or request ID cards. You may also call Aeta at 1-877-973-3238 to request a new ID card.

Question 5

What is a Coordination of Benefits and how often do I need to complete it?

Accepted Answer

You are required to update your Meritain Coordination of Benefits information every year so that they can properly process your claims.

Coordination of Benefits information confirms whether you and/or your enrolled dependents have insurance coverage other than your employer's and if so, what that other insurance is, so that they can determine proper payment responsibilities for claims. If your Coordination of Benefits is updated yearly or as requested, your claims will be processed.

Click here for the Coordination of Benefits form. If you’d like to complete the Coordination of Benefits online, you can do so once you are registered on the Meritain portal.

Question 6

Can I set up home delivery for my prescriptions?

Accepted Answer

Yes. You can access the Amazon Pharmacy (through SmithRx) to set up your mail order prescriptions:

1-855-206-3605
www.amazon.com/smithrx