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PLAN INFORMATION

The Silver Plan has the features you and/or your family depend on, like an office visit co-payment to see a doctor (whether a PCP or a Specialist) and co-payments for pharmacy benefits. 

Review rates and benefits for the Silver Plan.

 
 SILVER PLAN HIGHLIGHTS
 PCP Office Visit Co-payment $35
 Specialist Office Visit Co-payment $70 (no referral needed)
 Pharmacy Co-payment $15/$40/$80/$100 (depending on drug tier)
 Wellness Benefits 100% coverage

 Other HIGHLIGHTS Include
  • Statewide network of hospitals and doctors (including the following counties outside of Arkansas (Shelby County-Tennessee, Bowie County-Texas, Greene County-Missouri)
  • National network for members traveling or seeking care outside Arkansas (excluding the following counties in the QualChoice network; Shelby County-Tennessee, Bowie County-Texas, Greene County-Missouri)
  • Open access to network providers (no requirement to elect a PCP)
  • Online access to claims and benefits
  • Out-of-Network Coverage

 
MORE INFORMATION
2013 Summary Plan Description 2014 Summary Plan Description 2013 Rates - Employees (PDF) 2014 Rates - Employees (PDF) Forms for Members Medical Policies Pharmacy Benefits
Preferred Drug ListQualChoice Statewide Provider Directory QualChoice National Network ARBenefits Health Enhancement
  • Free Nurse Coaching
  • Maternity Program
  • Wellness Programs
  • 24/7 Nurse Line
 
 CUSTOMER SERVICE
For Benefit Information & Assistance
 Phone: 1-877-815-1017
Press “1”


Email: AskEBD@ARBenefits.org
Web:
www.arbenefits.org
 
 

CUSTOMER SERVICE

Phone: ARBenefits Customer Service • 1-877-815-1017 • Press “1”
Email: AskEBD@ARBenefits.org

ARBenefits Customer Service will assist you with claims, eligibility, including dependent status, COBRA and general questions about your plan
.



PRE-AUTHORIZATION
Phone: 1-877-815-1017 • Press "2"
Fax: 1-866-317-0166


EBD has contracted with a third-party vendor American Health Holding, Inc. (AHH), not affiliated with QualChoice, for the Arkansas State and Public School employees, to provide utilization management, services that require pre-authorization and concurrent review.



LOOKING FOR A PROVIDER?
QualChoice Network
Silver Plan members will have access to the QualChoice Statewide Network which encompasses all of Arkansas, Shelby County-Tennessee, Bowie County-Texas, and Greene County-Missouri.

To find a participating provider, click here.

QualChoice National Network (QCNN)
When seeking services outside of the QualChoice Service area, Silver Plan members will have access to the QualChoice National Network through PHCS Network.

To find a participating provider within the QCNN, click here.





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