First things first, there isn’t much you can do until the official plan start date on January 1st. But! You might want to check through these quick tips to make sure you’re ready to go once your plans begin.
Below you’ll find links to videos and quick descriptions on what you’ll need to do once you’re enrolled. The videos are from 2021, so there’s a chance they’ll include dates that don’t exactly apply anymore, but the information is still 100% the same!
Aflac
When it comes to Aflac, the most important thing to understand is when and how to file a claim. You’re able to file a claim for a qualifying event as long as it happened during your coverage window, (note, the accident plan only covers accidents that happened while you are enrolled, whereas your hospital and critical illness plans cover doctor visits while you are enrolled).
In order to file a claim, you can call us at 888-315-8027 or email [email protected].
For more information and additional tips, check out the video below.
https://player.vimeo.com/video/576943647?app_id=122963
Best Health
Once you’re signed up for Best Health, you’re in! There’s nothing else to do. You can access the site by heading to https://sdpeba.sharp.wellness.us-1.healtheintent.com/onboarding and logging in.
If you’re having trouble, you can contact us by emailing [email protected] or by calling 888-315-8027 and we’ll help get you set up!
Identity Guard
Once you’re enrolled in Identity Guard you’ll receive an email from Aura asking you to set up your account. You’ll need to go in, make an account, and start filling in your information. The more information you give it, the more coverage you’ll have!
https://player.vimeo.com/video/589470926?app_id=122963&h=6f51781ac1
MetLife Dental
There are two dental plans: PPO and HMO. Depending on which plan you’re enrolled in there are some differences!
The PPO plan is more flexible but has a different schedule of benefits than the HMO plan. With the PPO plan you don’t get an ID card. You can grab one from MetLife’s website, but its not necessary. We recommend you head to MetLife’s website and find a dentist through their service to make sure you’re in-network. SDPEBA’s PPO plan is in the PDP Plus network.
If you have the HMO plan you’ll need to select a dentist ahead of time. You can do so while you’re enrolling, but if you didn’t you can make those changes on MetLife’s website or by calling us at 888-315-8027 (you can also email [email protected]). We recommend you contact us because our wait times are a lot lower than MetLife’s and also because we can make the change to your account immediately, whereas MetLife’s changes might take up to a month. If you choose to use their website to find a provider, SDPEBA’s HMO plan is under the “MET100” network.
If you’re new to the plan you’ll also receive an ID card with the HMO plan. This card should be sent out within 10 days of your enrollment, if you don’t receive one within 14 days, call us! We’ll get that squared away.
Dental plans can be complicated, so if you have more questions check out this video Will put together last year: https://www.sdpeba.org/news/peba-talk/metlife-dental--what-do-i-do-now-that-im-enrolled
MetLife Legal
Once you signed up for MetLife Legal you can start receiving covered legal services through MetLife’s site. You don’t need an ID card; you just need to call 800-821-6400 or go to https://legalplans.com and you’ll be able to get set up with a referral number.
If you signed up for the MetLife Legal + Parents plan, you’ll need to get them added as well. This will happen when you enroll with us.
We highly recommend you call the MetLife service team for advisement on what’s covered and do your research when choosing your lawyer! Check out the video below for more information on getting started with MetLife Legal.
https://player.vimeo.com/video/580946697?app_id=122963
Pet Insurance
There isn’t much extra you need to do for pet insurance. Since you can technically enroll in the plan year round, your start date might not be January 1st. Much like Aflac, this is a claims based service, so you just need to contact Nationwide after you go to the vet. There are a couple of ways to submit a claim, check out their site here: https://www.petinsurance.com/submit-claim/
You can also watch this video for some more tips.
https://player.vimeo.com/video/646660829?h=265984ad57&app_id=122963
Purchasing Power
Once you’re signed up for Purchasing Power, you’re in! There’s nothing else to do. You can access the site by heading to https://www.purchasingpower.com/?domain=sdpeba and logging in.
If you’re having trouble, you can contact us by emailing [email protected] or by calling 888-315-8027 and we’ll help get you set up!
Sharp Health Care
When it comes to Sharp Health insurance you could have 1 of 4 plans. There’s the Classic, Saver, Select, and our retiree plans. If you’re new to the plan, you’ll get an ID card in the mail within 10 days of your plan being entered into the system. If you don’t receive your ID card within 2 weeks of your plan starting, contact Sharp’s dedicated SDPEBA team by calling 888-840-4747 (for active employees) or 888-562-8853 (for Sharp Medicare).
Once you have your ID card you’re basically good to go! But we do recommend you make an account online. https://account.sharp.com/
Once you make an account you’ll be able to see where your doctor, urgent care, and emergency care center are and you can read more about your benefits. If you’d like to make any changes to your doctor, you can do so online or by calling the SDPEBA Sharp Team which again is 888-840-4747 (for active employees) or 888-562-8853 (for Sharp Medicare). We can help you out as well of course! But these hotlines are actual Sharp employees who know your benefits in and out, so we recommend you start by reaching out to them. If you have any billing or cost questions though, then you should call us first! 888-315-8027.
If you need help finding a provider, we have an article to help with that! Click here.
Unum
There isn’t much to do for Unum until you come to actually need long term care. If you are qualified to receive long-term care (you’ll need a doctor to sign off on this), you’ll have a 90-day elimination period. Once that period is over you can call 800-227-4165 to start receiving payouts.
If you have questions or are having trouble contact us and we’ll help you: [email protected] or call 888-315-8027.
We put together an article on Unum that has a lot of useful information, check it out by clicking here.
VSP
Whether you just got VSP through SDPEBA or you’ve had it for a while, the most important thing is to use your plan!
You can get an eye exam and two pairs of glasses every year. So be sure to book that optometrist appointment early so that way you’re not leaving any money on the table (reminder, with SDPEBA’s VSP plan you can get 2 pairs of glasses, if you have your plan through the city, you can only get one pair every 2 years).
Check out this video for a list of important things to do now that the benefit year has started!