Page 30 - Acadia 2022 Benefits Guide | DBI
P. 30
Contact Information
GROUP
PHONE
PLAN PROVIDER NUMBER NUMBERS WEBSITE
Single Sign On Users:
Enrollment Services UltiPro Enrollment Solution acadia.ultipro.com
All Other Users:
www.myacadiahealthcare.com
Medical Beneits BlueCross BlueShield of TN 125211 800.565.9140 www.bcbst.com
www.bcbst.com/health-
Healthy Maternity BlueCross BlueShield of TN 800.818.8581 wellness/healthy-maternity
Physician Now BlueCross BlueShield of TN 125211 888.283.6691 www.bcbst.com
BlueCross BlueShield
Experian ID Theft Protection 125211 866.926.9803 www.bcbst.com
of TN/Experian
Prescription Home Delivery CVS 125211 844.740.0604 www.bcbst.com
Maintenance Matters
Program BlueCross BlueShield of TN 125211 844.740.0604 www.bcbst.com
Tobacco Cessation Program BlueCross BlueShield of TN 866.498.9806 www.bcbst.com
FSA and HSA Accounts WEX 866.451.3399 www.wexinc.com
Dental Beneits Delta Dental of TN 5603 800.223.3104 www.deltadentaltn.com
Vision Beneits NVA 3209000101 800.672.7723 www.e-nva.com
COBRA WEX 866.451.3399 www.wexinc.com
Life and AD&D, Short Term Lincoln Financial Group ACADIAHCC 800.423.2765 www.lincoln4beneits.com
& Long Term Disability
401(k) Plan Empower 866.467.7756 www.empowermyretirement.com
www.lifeserviceseap.com
EAP LifeServices 800.822.4847 Company Code: LS0230
Employee Discount Program PerkSpot www.acadiahealthcare.perkspot.com
This guide describes the beneit plans available to you. The details of these plans are contained in the oficial Plan documents,
including some insurance contracts. This guide is meant only to cover the major points of each plan. It does not contain all of the
details that are included in your Summary Plan Description (SPD) (as described by the Employee Retiree Income Security Act). If there
is ever a question about one of the plans, or if there is a conlict between the information in this guide and the formal language of the
Plan documents, the formal wording in the Plan documents will govern.
The UltiPro system provides a one-stop-shop for all of your Acadia beneits information at your ingertips.
Visit www.myacadiahealthcare.com to access the following resources:
y Summary of Beneits and Coverage (SBC) y Evidence of Insurability Forms
y Claim Forms y Life Insurance Conversion and/or Portability Forms
y Evidence of Coverage Booklets y Required Notices
30 | Detroit Behavioral Institute (DBI)
GROUP
PHONE
PLAN PROVIDER NUMBER NUMBERS WEBSITE
Single Sign On Users:
Enrollment Services UltiPro Enrollment Solution acadia.ultipro.com
All Other Users:
www.myacadiahealthcare.com
Medical Beneits BlueCross BlueShield of TN 125211 800.565.9140 www.bcbst.com
www.bcbst.com/health-
Healthy Maternity BlueCross BlueShield of TN 800.818.8581 wellness/healthy-maternity
Physician Now BlueCross BlueShield of TN 125211 888.283.6691 www.bcbst.com
BlueCross BlueShield
Experian ID Theft Protection 125211 866.926.9803 www.bcbst.com
of TN/Experian
Prescription Home Delivery CVS 125211 844.740.0604 www.bcbst.com
Maintenance Matters
Program BlueCross BlueShield of TN 125211 844.740.0604 www.bcbst.com
Tobacco Cessation Program BlueCross BlueShield of TN 866.498.9806 www.bcbst.com
FSA and HSA Accounts WEX 866.451.3399 www.wexinc.com
Dental Beneits Delta Dental of TN 5603 800.223.3104 www.deltadentaltn.com
Vision Beneits NVA 3209000101 800.672.7723 www.e-nva.com
COBRA WEX 866.451.3399 www.wexinc.com
Life and AD&D, Short Term Lincoln Financial Group ACADIAHCC 800.423.2765 www.lincoln4beneits.com
& Long Term Disability
401(k) Plan Empower 866.467.7756 www.empowermyretirement.com
www.lifeserviceseap.com
EAP LifeServices 800.822.4847 Company Code: LS0230
Employee Discount Program PerkSpot www.acadiahealthcare.perkspot.com
This guide describes the beneit plans available to you. The details of these plans are contained in the oficial Plan documents,
including some insurance contracts. This guide is meant only to cover the major points of each plan. It does not contain all of the
details that are included in your Summary Plan Description (SPD) (as described by the Employee Retiree Income Security Act). If there
is ever a question about one of the plans, or if there is a conlict between the information in this guide and the formal language of the
Plan documents, the formal wording in the Plan documents will govern.
The UltiPro system provides a one-stop-shop for all of your Acadia beneits information at your ingertips.
Visit www.myacadiahealthcare.com to access the following resources:
y Summary of Beneits and Coverage (SBC) y Evidence of Insurability Forms
y Claim Forms y Life Insurance Conversion and/or Portability Forms
y Evidence of Coverage Booklets y Required Notices
30 | Detroit Behavioral Institute (DBI)
