General Information
Important Benefit Update!
Effective January 1, 2012, Cinnaminson Board of Education will be providing a Medical and Dependent Care Flexible Spending Account for all Eligible Employees. Flexible Spending Accounts allow you to use pre-tax dollars to pay for eligible unreimbursed medical and dependent care expenses.
Anyone who is eligible for health benefits is eligible to participate, even if you decide not elect the health benefits. Representatives will be available to help you enroll in the FSA plan. Eligible employees who wish not to enroll at this time will need to sign a waiver.
Click Here for a copy of the enrollment/waiver form. If waiving enrollment at this time, please make sure to check off at the bottom that you have been given the opportunity to participate in this Flexible Benefits Plan, and have decided not to participate at this time.
How does an FSA work? What are considered eligible expenses? How much can I contribute? When will the contributions begin? For these answers and everything else you will want to know about the Flexible Spending Account, click on the Flexible Spending Account tab below.
Important Benefit Update! - Beginning 10/1/2011, Walgreens will no longer be a participating provider in your pharmacy network. Please click here for all the details. If you should need assistance in finding a new participating pharmacy, please contact your Employee Advocates at (800) 394-6111.
Preventative Care- Under the Affordable Care Act, certain preventive services for your group will be covered 100%, effective 7/1/2011. For these specified preventive services, you won’t have to pay anything when:
For further details and a list of preventive services from Aetna, please click here.
What is the Aetna Navigator?
The Aetna Navigator allows you to access your personal benefits information on-line. After you register, under "Select From Your Memberships and Programs" choose the SNJ Regional Employee Benefit Fund (Please note- you will see an option for Cinnaminson Board of Education. This is your previous Aetna plan). Once logged in, you will be able to:
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Check the status of a medical claim.
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Change your Primary Care Physician.
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Request a new ID card
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Review the Aetna Benefit Booklet specific to your group.
It's easy to sign up. Log into https://www.aetna.com and click on register under Member Log-In.
Delta Dental Benefits Connection- Your connection to your Delta Dental benefits, eligibility, and claim information.
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Determine your dental maximum and deductible balances
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Check the status of your claims
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Print a copy of your ID card.
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Available 24 hours a day, seven days a week
Delta Dental Information
Members in the Premier Plan do not need ID cards to visit their dentist. Simply supply your dentist with the following information:
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Name
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Group Number # 3603-0351
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Delta Dental of NJ
For the Delta Dental Premier plan, members can contact Member/Provider customer service line at 800-452-9310 for additional ID card, Claim info etc.
For the Delta Care NJ6 and Complete Care plans, Members can contact DMO Customer Service line in NJ at 800-722-3524.
Does Aetna have a fitness program? Yes. Please contact Member Services at the toll-free number listed on your ID card. Member Services will send you information about our Fitness Program including a program description, a list of participating health clubs in your area, and a list of home exercise equipment available for purchase.
Copay Reimbursements- All medical and prescription co-pays incurred during the year by you and/or covered dependents are eligible for reimbursement through your Aetna Patriot V and Aetna Patriot X medical coverage.
Patriot V Plan: Submit your doctors’ office and prescription copay receipts to Aetna for your copayment to be applied to your deductible. Once your deductible is met you will be reimbursed 70% of your copay amount.
Patriot X Plan: Submit your doctors’ office and prescription copay receipts for your copayments to be applied to your deductible. Once your deductible is met you will be reimbursed 80% of your copay amount.
We ask that members use the following guidelines to insure prompt processing of the claims:
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Photocopy as many of the copay receipts as possible onto an 8.5x11 sheet of paper. Claims that include multiple receipts on one page can be processed in a shorter time and result in a quicker turn around time for the member. Please be sure that all necessary information is showing clearly for each receipt (i.e. provider name, provider address, complete drug information or medical procedure code, and the date of service, along with amount paid by member clearly indicated or circled). Aetna does not need the original receipts - photocopies are fine.
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Members should clearly mark their respective Aetna Member ID # on each copay receipt.
The claim form, along with the receipts, can be sent to the mailing address below (or members can fax the required documentation if less than 5 pages).
Aetna - NJ School Board Claims Unit
730 Holiday Drive
Foster Plaza, Bldg. 8
Pittsburgh, PA 15220
Fax: 860-754-5704 (please be sure to address to NJ School Board Claims Unit)
This process only applies to the submission of copay receipts (office visit copays or Rx copays). All provider claims must continue to be submitted to the El Paso, TX P.O. Box address.
Please remember your insurance benefits are limited to the terms, conditions, exclusions and limitations of the insurance carrier's policy. Nothing contained on this website shall be deemed to have altered, waived, or extended the coverage provided by the policy. This overview contains a general description of your benefit program for your use as a convenient reference. Complete details of your program appear in the policy, which govern the benefits and operation of your program. The policy supersedes if there should be any inconsistency or difference between its provisions and the information in this overview. |
