WMHS Employee Zone - Medical Insurance

July 25, 2008

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Medical Insurance

Click on the link listed below to connect to our health insurance carrier, HealthScope Benefits, to view eligibility and medical claims; order new identification cards; and access flexible spending account (FSA) information/claims. Please remember some functions on this site require you to establish an ID and password.

HealthScope - www.healthscopebenefits.com

Listed below are forms to help you with the benefit process (click on the form name to open and print).

Form	Purpose
Medical Plan Highlights – (PDF File)	Provides the highlights of the Medical Plan
Amendments Document 1 – (PDF File) Amendments Document 2 – (PDF File) Amendments Document 3 – (PDF File) Amendments Document 4 – (PDF File) Amendments Document 5 – (PDF File)	Printable amendments to the 1/1/2006 medical summary plan description
2008 Medical and Dental Benefit Cost - (PDF File)	A printable cost sheet of the medical and dental cost per pay period based on the employee's authorized hours
WMHS Medical Network Directory - (PDF File)	Lists the WMHS Network of Physicians and other providers, phone numbers and specialty
HSB Flexible Spending Account Direct Deposit Form - (PDF File)	A printable form to be used when electing to have your FSA reimbursement deposited to your savings or checking account. Must be faxed or mailed with your reimbursement request to HealthSCOPE Benefits. (Address/fax number on the form)
HSB Flexible Spending Account Claim Form - (PDF File)	A printable form required when submitting your request for reimbursement of your FSA claims. Must be faxed or mailed to HealthSCOPE Benefits. (Address/fax number on the form)
CATALYST Retail Pharmacy Listing - (PDF File)	Listing of pharmacies in-network (maximum benefit is provided at WMHS pharmacy)
Flex Benefits Change Form - (PDF File)	Printable form to change benefits. This form can only be used within 30 days of a life status or employment change (such as divorce, marriage, birth, loss of coverage, or employment hours change). Upon completion, this form is returned to Human Resources.
Medical Claim Form- (PDF File)	A printable form to submit for medical claim expenses.

To verify if a provider is in network,

LOCAL SEARCH - Use the WMHS Medical Network Directory located above
NETWORK SEARCH – Medavant Health - www.medavanthealth.com (click on 'Resource Center' then use the 'Provider Search')

JOHNS HOPKINS PHYSICIAN NETWORK – Contact June Ward
WVU – UNIVERSITY HEALTH ASSOCIATES – Contact June Ward

If you have any questions regarding this benefit, please contact June Ward, Benefits Manager at jward@wmhs.com or call 301-723-4472.