Apr 1, 2014 ... The PEBTF also provides mental health and substance abuse coverage, as well as prescription drug, vision, dental and hearing aid benefits for ...Pennsylvania Employees Benefit Trust Fund (PEBTF) 150 S. 43rd Street, Suite 1 Harrisburg, PA 17111-5700 Phone: 717-561-4750 800-522-7279 www.pebtf.org Form (PEBTF-2) is available online. To access the online version, go to www.pebtf.org > Publications/Forms and download the PEBTF-2 and the online instructions. Human Resource offices must make and distributed the necessary copies. The employee member should retain a copy of the PEBTF-2 Form, one copy should be sent to the PEBTF and …PEBTF May Cancel Your Coverage For Fraud, Non-payment or Intentional Misrepresentation. IMPORTANT: If you intentionally provide false or misleading information about eligibility for coverage under the PEBTF Plan (or about a claim) or you fail to make a required contribution on time, your coverage may be terminated retroactively. This may occur ... PEBTF Website Visit www.pebtf.org > 2023 Open Enrollment. View the webinar, plan benefits and compare plans in your county of residence. The Summaries of Benefits & Coverage are also available on the website. Contact the PEBTF g. Contact PEBTF Health Advocate Call 1-855-855-4238 to help locate network health care providers. Contact the HR ... The Pennsylvania Employees Benefit Trust Fund (PEBTF) offers confidential wellness screenings that give you valuable information about your health and health risks. You may then visit your doctor to discuss your results and set goals for better health. Your health and well-being are important to the PEBTF. About Us. The Pennsylvania Employees Benefit Trust Fund (PEBTF), established in 1988, administers health care benefits to approximately 68,000 eligible Commonwealth of Pennsylvania employees and their dependents and 65,000 retirees and their dependents, as well as additional employer groups. The PEBTF is governed by a Board of Trustees ... IMPORTANT: If you intentionally provide false or misleading information about eligibility for coverage under the REHP Plan (or about a claim) or you fail to make a required contribution on time, your coverage may be terminated retroactively. This may occur, for example, if you file a false claim, fail to notify us promptly of a divorce or fail ... The PEBTF complies with applicable Federal civil rights laws and does not discriminate ... Contact the PEBTF at 717-561-4750 or. 1-800-522-7279 or visit www.pebtf ...PEBTF is a health plan for retired employees of the Pennsylvania Employees Benefit Trust Fund. It offers an Open Access PPO plan with benefits such as mental health, fitness, …Business Wire. The Board of Trustees of the Pennsylvania Employees Benefit Trust Fund (PEBTF) today announced the appointment of Kathryn M. Farley to the position of …PEBTF-6 Disabled Dependent Certification Form. PEBTF-11 Retiree Declaration of Spouse Health Coverage for Retiree Members. PEBTF-14 Adult Dependent Coverage Form. PEBTF-36 Retiree Employer Benefit Verification Form for Retiree Members. PEBTF-40 Direct Payment Authorization Form.REHP Benefit Videos. The following videos provide information on a variety of topics pertaining to retiree benefits. Eligibility.Custom HMOs cover medical services as set forth in the PEBTF Plan Document. Treatment for medical services must be coordinated by a Primary Care Physician (PCP) $5 copayment for PCP office visits (for general practitioners, family practitioners, internists and pediatricians) $150 copayment for emergency room visit (waived if the visit leads to ...Pennsylvania Electronic Benefit Transfer (EBT) Welcome to the PA EBT website! EBT stands for Electronic Benefits Transfer. If you have been approved to receive benefits from one of the programs listed below, you can use this website to view your benefit balance (s). Food Assistance (formerly Food Stamp) - Supplement Nutrition Assistance Program ...The official Maryland EBT/P-EBT customer service phone line is 1-800-997-2222. This is the only number that should be used for inquiries related to your card. The customer service call center can be reached 24 hours a day, 7 days to order a new card, inquire about your balance or change your Personal Identification Number (PIN).Call 1-800-522-7279 or email [email protected]. Contact PEBTF Health Advocate. Contact the HR Service Center (or your local HR office if your agency is not supported by the HR Service Center) Call 1-855-855-4238 to help locate network health care providers. Visit Employee Self Service at www.myworkplace.pa.gov to complete your enrollment.2024 Formulary. SilverScript Employer PDP sponsored by REHP (SilverScript) 2024 Formulary. (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. This formulary was updated on 08/16/2023. For more recent information or other questions, please contact …New users, enter registration key, PEBTF. Any questions or issues with online registration may be directed to Quest Diagnostics Customer Support by email at [email protected] or by calling 1-844-598-7966, Monday – Friday, 8 a.m. – 8 p.m. EST and Saturday 8:30 a.m. – 3 p.m. EST. ...Open Enrollment: Enrollment Instructions for Active Members. Visit the Open Enrollment section of this website for more information on your health plan choices. If you have questions about your medical plan options, coverage for services, etc. please contact the PEBTF at 1-800-522-7279. When you are ready to select a medical plan, you …You will work virtually with a physical therapist to design a home exercise program to fit into your busy schedule. Most exercise sessions take as little as 15 minutes to complete. Your program will combine gentle exercise with one-on-one support to improve your condition, reduce your pain and help you move with confidence.The Pennsylvania Employees Benefit Trust Fund (PEBTF) offers confidential wellness screenings that give you valuable information about your health and health risks. You may then visit your doctor to discuss your results and set goals for better health. Your health and well-being are important to the PEBTF. If each of us manages our health issues and …Call showed PEBTF. Did not answer. No message left. Caller: PEBTF? Call type: Scam suspicion. Reply !Feb 1, 1997 ... Each Blue Cross Plan has sent a new ID card to all PEBTF members enrolled in the. Basic Option. The Pennsylvania Employee Benefit Trust Fund ...PEBTF for secondary coverage only. Any claims must be submitted to your spouse’s employer-sponsored health plan before they can be submitted for consideration of payment through the PEBTF health plans. The following information is required to confirm your spouse’s eligibility and enrollment in their employer’s health plan. Employee and Spouse …Pennsylvania Employees Benefit Trust Fund (PEBTF)—The PEBTF administers health care benefits for approximately 76,000 eligible commonwealth employees and their dependents. It is governed by a Board of Trustees comprised of both commonwealth and union representatives. PEBTF-14 Adult Dependent Coverage Form. PEBTF-36 Active Employer Benefit Verification Form for Active Members. PEBTF-40 Direct Payment Authorization Form. PEBTF-41 Enrollment in PEBTF Prescription Drug Plan Without PEBTF Medical Plan Coverage. PEBTF-44 Attesting to Other Coverage Due to a Plan Change Effective 4/1/2021 …Enter your last name, date of birth and social security number. On the next screen, you will be able to Select your Payment – either pay in full or make a custom payment. Enter the card holder name, credit card number, expiration date and security code and click on Proceed to Checkout. Click on Complete Payment.IMPORTANT: If you intentionally provide false or misleading information about eligibility for coverage under the REHP Plan (or about a claim) or you fail to make a required contribution on time, your coverage may be terminated retroactively. This may occur, for example, if you file a false claim, fail to notify us promptly of a divorce or fail ...PEBTFPEBTF Health Advocate is offered free of charge to members (employees, retirees, spouses/domestic partners and dependent children). PEBTF Health Advocate offers high-touch personalized support to help you navigate a complicated health care system. The service provides you and your family with confidential, one-on-one help. Their experts …As an insurer for 74,000 Pennsylvania public employees and 64,000 retirees (as well as for some dependents), the Pennsylvania Employees.If you have questions about your benefits, please contact the PEBTF at 1-800-522-7279. To view, print, or save the RPSPP Handbook click here * . To request a printed copy of the RPSPP Handbook, click here. Please note there is a charge for the printed copy at a cost of $.25 per page or $41.50 for the Handbook.Please update your bookmarks. The page you requested has been moved to https://www.aetna.com/index.htmlSummary. The Medicare Open Access PPO allows you to see any doctor as long as they are eligible to receive Medicare payment and accept the plan. You may self refer for medically necessary care. There is no need to have your care coordinated by a Primary Care Physician (PCP)The PEBTF Board of Trustees has full and complete discretion and authority over all Plan provisions, including their interpretation and application. Pennsylvania Employees Benefit Trust Fund (PEBTF) 150 S. 43rd Street, Suite 1 Harrisburg, PA 17111-5700 Phone: 717-561-4750 800-522-7279 www.pebtf.org The PEBTF complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia …NVA Offers Active Members the EyeEssentialSM Plan. Your National Vision Administrators (NVA) vision benefit includes coverage for an annual eye exam. Reimbursement for lenses or contact lenses is provided every year. Reimbursement for frames is provided every two years. There may be times when you would like to purchase another pair of glasses ...PEBTF-6 Disabled Dependent Certification Form. PEBTF-11 Retiree Declaration of Spouse Health Coverage for Retiree Members. PEBTF-14 Adult Dependent Coverage Form. PEBTF-36 Retiree Employer Benefit Verification Form for Retiree Members. PEBTF-40 Direct Payment Authorization Form.payable to the PEBTF and be sent along with a written request for the information to the address listed below. Regards, Pennsylvania Employees Benefit Trust Fund (PEBTF) 150 South 43rd Street, Suite 1 Harrisburg, PA 17111-5700 Telephone: (717) 561-4750 Toll Free Telephone: (800) 522-7279 Website: www.pebtf.orgSMALL CHANGES MAKE A BIG DIFFERENCE. Making small lifestyle changes to the foods you eat and activity you get can make big improvements to your health. Find out if you qualify for a program that can help you lose weight and lower your chance of getting type 2 diabetes. ¹.For more information about Aetna plans, go to PEBTF.AetnaMedicare.com or call Member Services at toll-free at 1-888-272-5651 (TTY: 711). Hours are 8 a.m. to 9 p.m. EST, Monday through Friday. The provider network may change at any time. You will receive notice when necessary. In case of emergency, you should call 911 or the local emergency hotline.SMALL CHANGES MAKE A BIG DIFFERENCE. Making small lifestyle changes to the foods you eat and activity you get can make big improvements to your health. Find out if you qualify for a program that can help you lose weight and lower your chance of getting type 2 diabetes. ¹.contact the Pennsylvania Employees’ Benefit Trust Fund (PEBTF) at (717) 561-4750 or toll-free at (800) 522-7279, or at . www.pebtf.org. Benefits, benefit levels, and eligibility rules …New users, enter registration key, PEBTF. Any questions or issues with online registration may be directed to Quest Diagnostics Customer Support Pandemic Electronic Benefit Transfer (P-EBT) Please tell us if you need assistance with this site or the P-EBT Parent Portal because you have a disability or don’t speak English. Free assistance is available via our P-EBT Hotline at 833-419-3210 and/or the TTY number at 711. You will reach an operator who can provide you with an interpreter.It is designed to help you, through online tools, a printed workbook and toll-free access to expert Quit Coaches®, to make good decisions about nicotine replacement therapy, develop new thinking skills and learn how to act differently in situations that used to involve tobacco. Call 1-866-QUIT-4-LIFE (1-866-784-8454) today or visit www.quitnow ...* For more information about limitations and exceptions, see the SPD or plan document at www.pebtf.org. Page 4 of 6 Common Medical Event Services You May Need What You Will Pay Limitations, Exceptions, & Other Important Information Network Provider (You will pay the least) Out-of-Network Provider (You will pay the most) Habilitation services PEBTFCall 1-800-522-7279 or email [email protected]. Contact PEBTF Health Advocate. Contact the HR Service Center (or your local HR office if your agency is not supported by …contact the Pennsylvania Employees' Benefit Trust Fund (PEBTF} at (717) 561-. 4750 or toll-free at (800) 522-7279, or at www.pebtf.org. Benefits, benefit ...The PEBTF Board of Trustees has full and complete discretion and authority over all Plan provisions, including their interpretation and application. Pennsylvania Employees Benefit Trust Fund (PEBTF) 150 S. 43rd Street, Suite 1 Harrisburg, PA 17111-5700 Phone: 717-561-4750 800-522-7279 www.pebtf.orgIt is designed to help you, through online tools, a printed workbook and toll-free access to expert Quit Coaches®, to make good decisions about nicotine replacement therapy, develop new thinking skills and learn how to act differently in situations that used to involve tobacco. Call 1-866-QUIT-4-LIFE (1-866-784-8454) today or visit www.quitnow ...If you have any questions, please contact a PEBTF Benefit Services Representative at 1-800-522-7279. 3. Pennsylvania Employees Benefit Trust Fund 150 South 43rd Street, Suite 1 Harrisburg, PA 17111-5700. Local: 717-561-4750 Toll Free: 800-522-7279. PEBTF telephone hours: 8 a.m. – 5 p.m. Monday through Friday.PEBTF-14 Adult Dependent Coverage Form. PEBTF-36 Active Employer Benefit Verification Form for Active Members. PEBTF-40 Direct Payment Authorization Form. PEBTF-41 Enrollment in PEBTF Prescription Drug Plan Without PEBTF Medical Plan Coverage. PEBTF-44 Attesting to Other Coverage Due to a Plan Change Effective 4/1/2021 …Summer P-EBT benefits of $120 per eligible student will be added to your Families First card for active SNAP households as a one-time payment. Summer P-EBT benefits of $120 per eligible student for non-SNAP recipients will be added as a one-time payment to the most recently issued P-EBT card you received, if you previously received …May 24, 2021 ... According to our records, you have a spouse enrolled on your Pennsylvania Employees Benefit. Trust Fund (PEBTF) health benefits.By using or accessing PEBTF.org (the 'Website'), you agree that you will use it for legitimate purposes only, and not for any illegal or unauthorized purpose, including without limitation, in violation of any intellectual property or privacy law. You agree not to attempt to interfere with the Website’s network or security features or to attempt to gain unauthorized access to …Visit www.pebtf.org > 2023 Open Enrollment. View the webinar, plan benefits and compare plans in your county of residence. Call 1-800-522-7279 or email [email protected]. The representative can answer questions about your benefits, costs and how to change plans. Call 1-855-855-4238 to help locate network doctors. PEBTF Website Contact .... Please update your bookmarks. The page you requested has beenAcronym, Definition. PEBTF, Pennsylvania Employees Benefit Trus IMPORTANT: If you intentionally provide false or misleading information about eligibility for coverage under the REHP Plan (or about a claim) or you fail to make a required contribution on time, your coverage may be terminated retroactively. This may occur, for example, if you file a false claim, fail to notify us promptly of a divorce or fail ... About Us. The Pennsylvania Employees Benefit Trust Fund (PEBTF), established in 1988, administers health care benefits to approximately 68,000 eligible Commonwealth of Pennsylvania employees and their dependents and 65,000 retirees and their dependents, as well as additional employer groups. The PEBTF is governed by a Board of Trustees ... Pennsylvania Employees Benefit Trust Fund (P Please note: This PEBTF Specialty Pharmacy Drug List is a list of drugs that must be filled through the pharmacy benefit plan, unless noted under the drug or drug class heading. The drugs on this list are subject to prior authorization review. Prospective Patients: Ready to get started? Enroll to get your medications from CVS Specialty. PEBTF: Basic PPO Coverage for: Individual + Family | ...
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