Page 28 - Acadia 2021 Benefits Guide DBI Wellplace
P. 28
Contact Information
Plan Provider Group Phone Website
Numbers
Number
Single Sign On Users:
acadia.ultipro.com
Enrollment Services UltiPro Enrollment Solution
All Other Users:
www.myacadiahealthcare.com
Medical Beneits BlueCross BlueShield of TN 125211 (800) 565-9140 www.bcbst.com
Healthy Maternity BlueCross BlueShield of TN (800) 818-8581 www.bcbst.com/health-wellness/
healthy-maternity
Physician Now BlueCross BlueShield of TN 125211 (888) 283-6691 www.bcbst.com
Experian ID Theft Protection BlueCross BlueShield 125211 (866) 926-9803 www.bcbst.com
of TN/Experian
Prescription Home Delivery Express Scripts/Medco 125211 (877) 673-9165 www.bcbst.com
Maintenance Matters Program BlueCross BlueShield of TN 125211 (877) 673-9165 www.bcbst.com
Tobacco Cessation Program BlueCross BlueShield of TN (866) 498-9806 www.bcbst.com
FSA and HSA Accounts Discovery Beneits (866) 451-3399 www.discoverybeneits.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 Discovery Beneits (866) 451-3399 www.discoverybeneits.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 Username: acadia
Password: employee
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:
• Summary of Beneits and Coverage (SBC) • Evidence of Insurability Forms
• Claim Forms • Life Insurance Conversion and/or Portability Forms
• Evidence of Coverage Booklets • Required Notices
28 | DBI-Wellplace Michigan
Plan Provider Group Phone Website
Numbers
Number
Single Sign On Users:
acadia.ultipro.com
Enrollment Services UltiPro Enrollment Solution
All Other Users:
www.myacadiahealthcare.com
Medical Beneits BlueCross BlueShield of TN 125211 (800) 565-9140 www.bcbst.com
Healthy Maternity BlueCross BlueShield of TN (800) 818-8581 www.bcbst.com/health-wellness/
healthy-maternity
Physician Now BlueCross BlueShield of TN 125211 (888) 283-6691 www.bcbst.com
Experian ID Theft Protection BlueCross BlueShield 125211 (866) 926-9803 www.bcbst.com
of TN/Experian
Prescription Home Delivery Express Scripts/Medco 125211 (877) 673-9165 www.bcbst.com
Maintenance Matters Program BlueCross BlueShield of TN 125211 (877) 673-9165 www.bcbst.com
Tobacco Cessation Program BlueCross BlueShield of TN (866) 498-9806 www.bcbst.com
FSA and HSA Accounts Discovery Beneits (866) 451-3399 www.discoverybeneits.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 Discovery Beneits (866) 451-3399 www.discoverybeneits.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 Username: acadia
Password: employee
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:
• Summary of Beneits and Coverage (SBC) • Evidence of Insurability Forms
• Claim Forms • Life Insurance Conversion and/or Portability Forms
• Evidence of Coverage Booklets • Required Notices
28 | DBI-Wellplace Michigan
