Medical Prescription and Dental Plans
Click the links below for the appropriate form:
Who to call about your Hospital, Medical, Prescription, Dental & Life Benefits General Questions
Eligibility, COBRA, HIPAA Certificates, FMLA, USERRA, general questions
Benefit Office
Jeannine Devlin, Director
Dawn Lange, Manager
Wilma Alvarez, Coordinator
100 Corporate Drive, Holtsville, NY 11742
P: (631) 234-1803
F: (631) 434-1071
Emblem Health
www.emblemhealth.com
Healthplex (dental)
www.healthplex.com
Annuity Fund (Pension)
https://wwwrs.massmutual.com/journey
Your Hospital and Medical Plans
Your Hospital, Medical and Prescription Plans are provided by Emblem Health. There are many ways you contact Emblem’s customer service. Use can use the Internet, phone or mail to get the information you need, when you need it.
MEMBER SERVICES
For questions about your benefits, claims or membership
Call 1-877-842-3625
MEDICAL MANAGEMENT PROGRAM
Precertification of hospital admissions and certain surgeries, therapies, diagnostic tests and medical supplies
Call 1-877-482-3625
8:30 a.m. to 5:00 p.m. Monday – Friday
24/7 NURSELINE
Speak with a specially trained nurse to get health information and instructions on how to listen to the tapes
Call 1-877-444-7988
24 hours a day, 7 days a week
BEHAVIORAL HEALTHCARE MANAGEMENT
To locate a participating behavioral healthcare provider in your area
Precertification of mental health and alcohol/substance abuse care
Call 1-866-208-1424
NON-EMERGENCY CARE
8:30 a.m. to 5:00 p.m. Monday –- Friday
EMERGENCY CARE
24 hours a day, 7 days a week
Help prevent health insurance fraud 1-800-I-C-FRAUD (423-7283)
9:00 a.m. to 5:00 p.m. Monday –Friday
IN WRITING
Emblem Health
P.O. Box 3000
NY, NY 10116
Optum Rx Pharmacy Service
1-866-863-1408
Submit Claims to:
Optum Rx Pharmacy
P.O. Box 29044
Hot Springs, AR 71903
Your Dental Plan
Dental Benefits are administered by DentCare Delivery Systems, Inc. and provided through Healthplex Network Dental (www.healthplex.com).
Healthplex PPO Network Dental Plan
(516) 542-2200
1-800-468-0600
www.healthplex.com
DentCare Delivery Systems, Inc.
1-800-468-0600
Your Optical Benefits
For general eligibility questions contact the Benefit Office at 631-234-1803
To schedule an appointment at a participating provider contact Davis Vision at 1-800-999-5431 or find a doctor visit their website at www.davisvision.com and utilize the “Find a Doctor” feature.
Your Life Insurance Plan/AD&D (for actives only)
The plan provides Term Life Insurance in the amount of $50,000 if you die. Accidental Death and Dismemberment: The plan provides insurance for losses resulting from accidents in addition to other benefits up to $50,000.
Amalgamated Life/Benefit Office
(631) 234-1803
(631) 434-1071(fax)
Claims should be sent to the Benefit Office
