Important Websites and Phone Numbers

While SERS is happy to assist you with your retirement or health care needs, sometimes it is necessary to contact the plan administrator directly.

 

Legitimate calls are often made on behalf of SERS’ Health Care Services. Scroll to the bottom of this page for a listing of vendors who are SERS’ Health Care Partners.

Aetna Choice POS II

www.aetna.com
Toll-Free: 800-826-6259
TDD: 711

Aetna Traditional Choice Plan

www.aetna.com
Toll-Free: 800-826-6259
TDD: 711

 

Aetna Medicare℠ Plan (PPO)

www.aetna.com
Toll-Free: 866-282-0631
TDD: 711

AultCare PPO

www.aultcare.com
Local: 330-363-6360
Toll-Free: 800-344-8858
TDD: 866-633-4752

Delta Dental

www.deltadentaloh.com/sersohio
Toll-Free: 800-524-0149
TDD: 711

Group #: 1200-0001-0002

Express Scripts (Medicare)

www.express-scripts.com
Toll-Free: 866-258-5819
TDD: 800-716-3231

Express Scripts (Non-Medicare)

www.express-scripts.com
Toll-Free: 866-685-2791
TDD: 800-759-1089

HealthSCOPE Benefits (SERS Wraparound Plan)

Toll-Free: 888-236-2377
SERS@healthscopebenefits.com

Medicare

www.medicare.gov
Toll-Free: 800-633-4227
TDD: 877-486-2048

PrimeTime Health Plan

www.PTHP.com
Local: 330-363-7407
Local TDD: 330-363-7460
Toll-Free: 800-577-5084
TDD: 800-617-7746

Social Security Administration

www.ssa.gov/medicare
Toll-Free: 800-772-1213
TDD: 800-325-0778

VSP Vision Care

www.vsp.com
Toll-Free: 800-877-7195
TDD: 800-428-4833

Group #: 30041628

SERS Health Care Partners

Medical and prescription drug plans often call enrollees regarding a prescription fill or programs for in-home health assessments, diabetes prevention, or care management.

Medicare regulations also require that specific calls go out during the year.

You may receive a call from one of SERS’ partners, but at no time will any SERS partner ask for payment in the form of gift cards or threaten you with legal action for not complying.

Some organizations making legitimate calls to retirees on SERS’ behalf include:

Know Your Rx

Know Your Rx pharmacists started making calls this year to select Aetna health care plan enrollees with Express Scripts prescription coverage. Know Your Rx is reviewing pharmacy claims and contacting retirees who may have a prescription alternative available.

For example, a dose of a tablet medication may be much less expensive than the capsule version and have the same effect for the patient. In such cases, a switch to the tablet could save money for the retiree and the SERS plan without changing the outcome of treatment. These small opportunities make a big difference, helping to save thousands of dollars across our entire group.

With your consent, the Know Your Rx pharmacist will contact the prescriber to discuss a possible change.

The pharmacist will not ask for any financial information and only discusses prescription issues. The discussion is confidential.

Human Arc

New disability recipients joining SERS’ health care coverage can expect a call from Human Arc. This organization assists eligible disability retirees in filing paperwork for Social Security Disability Insurance (SSDI) benefits.

Service retirees may also receive a call from Human Arc if their claim history indicates a possible benefit from this process.

SERS members approved for SSDI might not receive a monthly income benefit from Social Security, but would qualify for Medicare before age 65, which is significantly less expensive.

SaveonSP

SaveonSP makes calls to Aetna Choice POS II enrollees taking certain specialty medications who are eligible for a co-pay assistance program through a drug manufacturer.

Express Scripts’ specialty pharmacy, Accredo, determines whether a specialty medication is eligible for co-pay assistance. If so, the retiree is contacted by SaveonSP to enroll and lower his or her cost to $0. SaveonSP only contacts retirees if the specialty medication qualifies for the program

Before You Call: Answers to Frequently Asked Questions CLICK HERE