Benefit Providers

  • Blue Cross Blue Shield Community Blue PPO

    Blue Care Network

    Blue Cross Online Visits

    FPS Dental/ADN

    NVA Vision

    Navia - Customer Service 800-669-3539

     

    Blue Cross Blue Shield Community Blue PPO

    BCBS PPO Plan:

    There is a $750 per person/$1500 per family annual in-network deductible that must be met before the insurance pays its portion. The benefit year is from January 1 through December 31 and takes effect your date of hire.
    The PPO plan has a $20 office visit and urgent care co-pay.  Other services are payable at 80% after deductible.

    Prescription co-pays are $5 for generic medications, $40 for brand-name preferred medications and $80 for non-preferred brand name medications. Mail order is $10 for generic, $80 for brand-name preferred and $160 for non-preferred name-brand medications.

    BCBS CDHP PPO Plan:

    There is a $1,350 per person/$2,700 per family annual in-network deductible that must be met before the insurance pays its portion. The benefit year is from January 1 through December 31 and takes effect your date of hire. The CDHP plan requires you satisfy the deductible for services AND prescriptions. Once the deductible has been satisifed, services are 100% covered.

    AFTER the deductible, prescription co-pays are $10 for generic medications, $40 for brand-name preferred medications and $40 for non-preferred brand name medications. Mail order is $20 for generic, $80 for brand-name preferred and $80 for non-preferred name-brand medications.

    To contact BCBS directly you may call Customer Service at 1-877-790-2583 or visit their website.

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    Blue Care Network (BCN)

    BCN HMO Plan:

    There is a $500 per person/$1000 per family in-network deductible. There is a $20 office visit copay for Primary Care Office visits, and Specialist visits are subject to the deductible. Other services are payable at 80% after deductible. Subscribers must choose a primary care provider from the list of participating doctors. The prescription co-pay is $5 generic, $20 for preferred brand and $30 for non-preferred name-band medications. The mail-order co-pay is $10 generic, $40 name-brand preferred and $60 for non-preferred brand name.

    BCN CDHP HMO Plan:

    There is a $1,350 per person/$2,700 per family in-network deductible that must be met before insurance pays its portion. Subscribers must choose a primary care provider from the list of participating doctors. The CDHP plan requires you satisfy the deductible for services AND prescriptions. Once the deductible has been satisifed, services are 100% covered.

    AFTER the deductible, prescription co-pays are $10 for generic medications, $40 for brand-name preferred medications and $40 for non-preferred brand name medications. Mail order is $20 for generic, $80 for brand-name preferred and $80 for non-preferred name-brand medications.

    To contact Blue Care Network directly you may call Customer Service at 1-800-662-6667 or visit the BCN website.

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    Blue Cross Online Visits

    For those enrolled in any of the FPS medical plans, you have access to 24/7 online health care by using Blue Cross Online Visits. To use the service you only need to sign up. When you use Blue Cross Online Visits, you'll have access to online medical and behavioral health services anywhere in the United States. You and your covered family members can see and talk to:

    • A doctor for minor illnesses such as a cold, flu or sore throat. Online medical visits are available 24 hours a day, seven days a week for times when your primary care physician may not be available.
    • A therapist or psychiatrist to help you work through different challenges such as anxiety or grief. Online behavioral health visits are available by appointment, including evenings and weekends.

    Here's what you need to do to use online visits:

    Please refer to the Overview Flyer or the Frequently Asked Questions Brochure for more details about this coverage.

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    FPS Dental (administered by ADN)

    Farmington Public Schools has self-funded their dental plan. The name of your dental plan is "Farmington Public Schools Dental Plan". FPS does not process dental claims directly but, rather, has contracted out with ADN Dental (a large dental network in Michigan) to handle all of our dental claims processing. If you have questions concerning how a claim was processed please contact ADN directly at (248) 901-3705.

    The FPS Dental Plan is a NETWORK dental plan. Subscribers of the FPS Dental Plan have three dental networks available to them: the ADN Dental Network, the Michigan Dental Plan network and the Dentemax network. Employees will receive a higher level of coverage when using an in-network provider. To find in-network dentists you can visit the ADN dental website (be sure to search each network separately using the drop-down menu).

    Please refer to the "Dental Summary of Benefits" that details your benefits by employee category for specific information on your level of dental coverage.

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    NVA Vision

    Your vision coverage is through National Vision Administrators (NVA). The vision plan is a network plan and you will receive a higher level of benefits if you use a participating provider. Please refer to the Schedule of Benefits for your level of coverage. Any questions concerning your vision coverage should be directed to NVA at 800.672.7723. For more information, visit the NVA website at https://www.e-nva.com

    NVA Vision offers a benefit to their members to help save on hearing aids through EPIC Hearing Healthcare. EPIC Hearing Service Plan members save up to 60% off of retail on brand name hearing aids from major manufacturers. Members have access to the largest hearing care provider network in the country and substantial savings. The EPIC network is comprised of professional Audiologists and ENT physcicians and represent the largest accredited network of its kind in the nation, with providers in all 50 states. Please refer to the EPIC Hearing Description flyer for information on how to contact an EPIC counselor.

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    Health & Dependent Care FSA Reimbursement Accounts (Arcadia/Navia)

    The Health Care Reimbursement Account allows employees to save money on out of pocket medical, dental and vision expenses by having those expenses deducted from their pay on a pre-tax basis. The Dependent Care Reimbursement account allows employees to set aside money, pre-tax, to pay for eligible child care expenses during the year. Enrollment takes place each year in November for the following calendar year (or within 30-days of an employee’s date of hire). In some instances a “Qualifying Event” will allow employees to enroll mid-year. Please visit the Navia Member website for more information. For a list of eligible expenses, vist the Navia Benefits site.

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