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Employee Benefits

Employee Benefits

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PFT BENEFITS MODIFICATIONS

A Special PFT Open Enrollment will be held October 20, 2014 through November 14, 2014.  Please check the PFT Benefits page for additional information and updated at http://philasd.org/pftbenefits

Information Sessions will be held at the following dates and locations. All sessions will be from 4:00 PM to 5:00 PM.

10/22/2014 High School of the Future Auditorium

10/23/2014 Abraham Lincoln High School Auditorium

10/27/2014 Martin Luther King High School Auditorium

10/30/2014 Benjamin Franklin High School Auditorium

Reservations are not required, but recommended. Please RSVP to rsvpbenefits@philasd.org with your selected information session date in the subject line.


Please click here for Summary of PFT Employee Contribution Costs beginning December 15, 2014.

PFT Benefts Hotline: 215-400-5400

PFT Benefits Email: pftbenefits@philasd.org


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Welcome

Welcome to the School District of Philadelphia's Employee Benefits department.
You can find useful information about your benefits package in the programs & services section. You can also find contact information and download forms to make changes or additions to your plan coverage.
 
Customer Service Walk-in Hours are:
  • Monday through Thursday: 9AM to 5PM
  • Fridays: By ADVANCE appointment only

Quick Links to Popular Programs


Visit our Programs and Services page for more information and other plans

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UPDATES: Please check this section periodically for important announcements, deadlines, updates, and new programs.

 

10/10/14

This Notice is for employees* who are enrolled in the School  District of Philadelphia's (SDP) select drug covereage administered by Independence  Blue Cross.

If you or your dependent(s) are, or become, Medicare eligible, this notice confirms that your prescription drug coverage is "Creditable." As a result, if you leave our plan and enroll in a Medicare D Plan, you may do so without penalty.

If you have questions about your coverage, you may contact Independence Blue Cross at 1-800-ASK-BLUE or at the number listed on the reverse side of your membership card.

To view and print this notice, click here


* Non- represented employees and those represented by CASA and SPAP

 

6/30/2014

Important Independence Blue Cross (IBC) Changes Effective 7/1/14
The Office of Employee Benefits wants to make you aware of some important upcoming changes being made by IBC.  These changes affect ALL employees regardless of the benefit plan you have.

  • IBC will be mailing new ID cards to ALL enrolled employees and eligible dependents. The new ID cards will have new member numbers and pharmacy numbers (if applicable).
  • Quest Diagnostics is no longer a participating provider with IBC and is now considered an out of network provider.

Please see these important FAQ

Q: I didn't make any changes to my Benefits during Open Enrollment. Why am I getting a new Medical card?

A:  IBC is issuing new member and pharmacy (if applicable) numbers to ALL enrolled participants as of July 1, 2014.  You should receive a new ID card even if you did not make a change in your Benefits.

Q: I have a doctor's appointment for July 2 and I have not received my new ID card. What can I do?

A: If you have not received a new ID card, you have two options offered by IBC to obtain a temporary ID card.

1.      Create an account and log on to www.ibxpress.com to request a new ID card and also print a temporary paper copy to present to your healthcare provider.

2.      Download the IBX app to your smartphone to view ID cards and email or fax it to your healthcare provider.

 

Q: What do I need to do as of July 1?

A:  If you have not received your new IBC ID card as of July 1, 2014 and need to utilize services, you may print a temporary ID card in the interim. Once you have received your new ID card, you should destroy your existing card as the information will be expired. You will need to provide any healthcare provider, retail pharmacy and/or mail order pharmacy (if applicable) with a copy of your new ID card. It is important to do so because you will have a new IBC member and pharmacy number as of July 1, 2014. Failure to do so may result in the delay of claims processing and payment.

NOTE: Dental ID cards will not be changing. Please keep your current Dental ID cards.    

Q: My doctor sent my laboratory tests to Quest Diagnostics. Why am I being charged a fee now?

A: Effective July 1, 2014, Quest Diagnostics no longer participates in the IBC network.

If you are enrolled in a Keystone plan, your laboratory/pathology is chosen by your primary care physician. Your primary care physician has been informed by IBC that Quest Diagnostics is no longer an in network provider and should be submitting all laboratory services to a participating in network provider.

If you are enrolled in a Personal Choice plan, you can minimize out of pocket expenses by using LabCorp or another in network laboratory provider. Please discuss with your healthcare provider your laboratory/pathology provider options.  If you continue to use Quest Diagnostics after July 1, 2014, these claims will be processed at an out of network benefit level and you will be subject to higher out of pocket expenses and deductibles.

3/28/2014

The following is a clarification regarding the definition and documentation for an eligible spouse and required documentation.

In the definition of a spouse, legal separation refers to a legal process by which a couple formalized a separation while remaining legally married. A legal separation is granted in the form of a court order.

If an employee is still legally married and living apart from their spouse, they may submit a signed and dated attestation that they remain legally married and are responsible for providing medical benefits in lieu of the supplemental documents specified in the DEFINITIONS AND REQUIRED DOCUMENTS.  The attestation must state that should they become legally separated or divorced, they will notify the SDP within 30 days so that benefits may be terminated and COBRA continuation offered. 

sample attestation letter

4/25/2013

  • Summary of Benefits and Coverage (SBC) as required by the Affordable Care Act are available through your ibxpress.com login. A printed copy can be obtained from the site or by calling 1-800-ASK-BLUE
Attention School Disctrict Employees: