Page 9 - Intertek 2021 Benefits Guide
P. 9
2021
Intertek Benefits Guide
Medical Benefits Musculoskeletal Program
Medical Coverage with Anthem Starting January 1, 2021, a new musculoskeletal program
can help you and your doctor make the best decision so
Our partnership with Anthem helps ensure you you can get the right care in the right place. As part of this
program, prior authorization will be required to help you
have the coverage, access to providers, and the understand the treatment options and requirements for
resources you need to understand your beneits. plan coverage when you need joint surgery or spinal pain
treatment.
Visit anthem.com/basics to learn more.
There’s no need to sign up for this resource. It’s already
Prescription Drug Coverage with included in your beneits if you’re enrolled in one of the
medical plans.
CVS/Caremark
Our prescription drug coverage is administered by How it Works
If you have a musculoskeletal condition and you and your
CVS/Caremark. Our partnership ofers employees doctor are considering any of the treatments below, your
enrolled in our Anthem medical plans access to a doctor must contact Anthem before scheduling them:
large network of pharmacies and deep discounts on X Spine, hip, knee, or shoulder joint surgery
prescription drug prices. X Spinal pain treatment, such as spinal pain injections,
epidurals, nerve blocks, ablations, thermal destruction
of the intervertebral disc, or use of spinal stimulators
LiveHealth Online Your doctor can contact us through our provider portal or
You can access care from your mobile device by calling the number for Image/Cardio/Sleep/Genetic/
or computer through our telemedicine program Ortho on the back of your digital ID card.
available through LiveHealth Online. Here’s what happens next:
1. Your treatment will be reviewed by orthopedic,
Online Tools neurosurgical, and pain specialists using state-of-the-
art clinical criteria and considering your beneits.
You can also log in as a member and use 2. The review may also include a phone call between
anthem.com to track your claims, manage claims one of our specialists and your doctor to help
determine the right test, the right treatment, and the
payments, review beneit details, access wellness right place for your care.
resources, and much more. 3. After the review, your doctor will talk to you about your
treatment options.
Lower Your Drug Costs If you’re currently undergoing treatment for pain
management, or if you’ve already received Anthem
Your pharmacy plan covers many tobacco cessation preapproval treatment, a 90-day transition will allow
drugs at 100% when received in-network. Talk to you to continue.
your pharmacist about your coverage and take
advantage of this opportunity to start living tobacco
free.
9
Intertek Benefits Guide
Medical Benefits Musculoskeletal Program
Medical Coverage with Anthem Starting January 1, 2021, a new musculoskeletal program
can help you and your doctor make the best decision so
Our partnership with Anthem helps ensure you you can get the right care in the right place. As part of this
program, prior authorization will be required to help you
have the coverage, access to providers, and the understand the treatment options and requirements for
resources you need to understand your beneits. plan coverage when you need joint surgery or spinal pain
treatment.
Visit anthem.com/basics to learn more.
There’s no need to sign up for this resource. It’s already
Prescription Drug Coverage with included in your beneits if you’re enrolled in one of the
medical plans.
CVS/Caremark
Our prescription drug coverage is administered by How it Works
If you have a musculoskeletal condition and you and your
CVS/Caremark. Our partnership ofers employees doctor are considering any of the treatments below, your
enrolled in our Anthem medical plans access to a doctor must contact Anthem before scheduling them:
large network of pharmacies and deep discounts on X Spine, hip, knee, or shoulder joint surgery
prescription drug prices. X Spinal pain treatment, such as spinal pain injections,
epidurals, nerve blocks, ablations, thermal destruction
of the intervertebral disc, or use of spinal stimulators
LiveHealth Online Your doctor can contact us through our provider portal or
You can access care from your mobile device by calling the number for Image/Cardio/Sleep/Genetic/
or computer through our telemedicine program Ortho on the back of your digital ID card.
available through LiveHealth Online. Here’s what happens next:
1. Your treatment will be reviewed by orthopedic,
Online Tools neurosurgical, and pain specialists using state-of-the-
art clinical criteria and considering your beneits.
You can also log in as a member and use 2. The review may also include a phone call between
anthem.com to track your claims, manage claims one of our specialists and your doctor to help
determine the right test, the right treatment, and the
payments, review beneit details, access wellness right place for your care.
resources, and much more. 3. After the review, your doctor will talk to you about your
treatment options.
Lower Your Drug Costs If you’re currently undergoing treatment for pain
management, or if you’ve already received Anthem
Your pharmacy plan covers many tobacco cessation preapproval treatment, a 90-day transition will allow
drugs at 100% when received in-network. Talk to you to continue.
your pharmacist about your coverage and take
advantage of this opportunity to start living tobacco
free.
9
