Ways to Save
Get the Most From Your Health Benefits
There are multiple ways to save as you use your health benefits, including keeping up to date on your preventive care, considering the providers, and facilities you choose for care.
Preventive Care Benefits: Most preventive care services are covered at 100% when you use in-network providers.
Getting regular exams, screenings and immunizations can reduce your risk for disease and save you a lot of money in the long run by catching problems early or preventing them altogether.
The Right Care: When you need care, know your options:
- By using providers and facilities included in the White Plains Hospital/Montefiore system, you pay the lowest cost for all care
- Consider an urgent care center versus an emergency room
Tier 1 Providers:
You will receive the highest level of benefits and lowest out-of-pocket cost when you utilize the services of White Plains Hospital Tier 1 providers. Tier 1 providers include a wide variety of physicians as well as the select medical facilities, all affiliated with White Plains Hospital.
The provider/facility you utilize for services determines whether your benefits will be considered at Tier 1.
For example, your Tier 1 medical provider may refer you to another provider for services. Tier 1 providers include: White Plains Hospital, Montefiore Hospital's Main Campus, Weiler Campus, Wakefield Campus, Children's Hospital, Montefiore New Rochelle or Montefiore Mt. Vernon.
If you have the services performed at any other medical facility, your costs will be based on whether the provider participates with Anthem.
If the provider participates with Anthem, your costs are same as any other Anthem provider or facility therefore, subject to deductibles, copays, and/or coinsurance.
If the provider does not participate with Anthem, your costs could be either out of network, or not covered, depending on your plan election.
WPH Virtual Health Care
WPH physicians are here for you when you need them–and you don’t even need to leave your home.
Montefiore MyChart video visits are convenient and easy to schedule for you and your dependents. Start by calling your doctor’s office to determine if a video visit is appropriate. Need help finding a doctor? Call 1-914-849-MyMD.
Benefits of Montefiore MyChart Video Visits
- Less time away from work
- No travel expenses or time
- Less interference with child or elder care responsibilities
- No exposure to other potentially contagious patients
Types of Appointments
Conditions appropriate for a virtual visit include typical cold symptoms, urinary tract infections, pink eye, dermatology issues, stomach discomfort, sprains, strains, and mild headaches.
Appointments that require physical examinations, such as annual physicals and gynecological visits, still require in-person office visits.
Ways to Save: Prescription
Mail Order: Through Anthem/CarelonRx Pharmacy, you have two ways to get up to a 90-day supply of your long-term medications (those medications you take regularly for ongoing conditions).
You can conveniently fill those prescriptions either through home delivery from CarelonRx Pharmacy mail order or at Retail90 locations. For more information, contact CarelonRx Pharmacy at 1-833-396-0309 or carelonrx.com.
Generic Drugs: The next time you need a prescription, ask your doctor if it is appropriate to use a generic drug rather than a brand name drug. Generic drugs contain the same active ingredients, are identical in dose, form and administrative method AND are less expensive than their brand name counterparts.
If you must take a brand name drug, ask your doctor for samples or coupons. Also check the drug manufacturer’s website for available rebates and discounts.
Benefits Information, All in One Place
Log in to HealthyMeBenefitsEnroll.com to securely access your personal benefits information, review your current coverage, find plan documents and make changes after a qualifying life event. If you need help finding information or understanding your benefits, ask Sofia, your personal benefits assistant.