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Medical Plans

Log in to myMCHCP to access claims and benefit information.


UMR — 2019 Plan
HSA Plan, PPO 750 and PPO 1250
www.umr.com

Member Services:
888-200-1167*
8 a.m. - 5 p.m., M-F

*Access UMR NurseLine 24 hours a day by calling this number

 Claims Address

Claims Address

PO Box 30787
Salt Lake City, UT 84130-0787

 Appeals Addresses

Appeals Addresses

Pre-service Claims:
UMR Appeals
PO Box 400046
San Antonio, TX 78229
Fax: 888-615-6584
800-808-4424, ext. 15227 (Expedited Appeals only)

Post-service Claims:
UMR Claims Appeal Unit
PO Box 30546
Salt Lake City, UT 84130-0546
Fax: 877-291-3248

 Find a Provider

Find a Provider

UnitedHealthcare Choice Plus Provider Network
UnitedHealthcare Choice Plus Providers

  • Select either Search for a medical provider or View directory of behavioral health providers
  • Complete the search options

UMR Urgent Care Locations

Aetna — 2019 Plan
HSA Plan, PPO 750 and PPO 1250
www.aetna.com

Member Services:
800-245-0618

Nurse On Call Program:
844-521-7617

 Claims Address

Claims Address

PO Box 14079
Lexington, KY 40512-4079

 Appeals Address

Appeals Address

Appeals Resolution Team
PO Box 14463
Lexington, KY 40512
Fax: 859-425-3379
800-245-0618 (Expedited Appeals only)

 Find a Provider

Find a Provider

SW MO Region Premier Open Choice PPO
Go to: www.aetna.com

  • Select Find a doctor from the top menu
  • If you are already a member, select Find providers under the Already a member? heading, log in and complete the search options
  • If you are not a member yet, select Plan from an employer under the Guests heading
  • Below the Continue as a guest heading, enter your home location, move the slider to the desired Look within number of miles, then select Search
  • In the Select a Plan box, choose SW MO Region Premier Open Choice PPO, listed under Springfield, MO Premier Networks (includes Health Fund Plans) [you may need to scroll down to find this option], then select Continue
  • Complete the search options

Aetna Urgent Care Locations


Southwest and south central regions of Missouri only.
Counties include: Barry, Barton, Cedar, Christian, Dade, Dallas, Douglas, Greene, Hickory, Howell, Jasper, Laclede, Lawrence, McDonald, Newton, Oregon, Ozark, Polk, St. Clair, Shannon, Stone, Taney, Texas, Vernon, Webster and Wright.

UnitedHealthcare®
Group Medicare Advantage (PPO) Plan
www.uhcretiree.com/MCHCP

Member Services:
844-884-1848, TTY 711
8 a.m. – 8 p.m., M-F

Nurseline®:
Access 24 hours a day
877-365-7949

 Claims Address

Claims Address

PO Box 30995
Salt Lake City, UT 84130-0995

 Appeals Address

Appeals Address

PO Box 6103, MS CA124-0157
Cypress, CA 90630-0023

 Find a Provider

Find a Provider

Open UnitedHealthcare's MCHCP Member home page

  • Select Look up a provider now from the Find a Provider box in the middle area of the page
  • Enter your ZIP code or city & state, then select CONTINUE
  • If required, select your county
  • Select UnitedHealthcare Group Medicare Advantage (PPO)
  • Complete the search options

Anthem — 2020 Plan
HSA Plan, PPO 750 and PPO 1250
www.anthem.com

Anthem Member Services:
844-516-0248 (available 9/23/2019)
7 a.m. - 6 p.m., M-F

BlueCard® Customer Service:
(for help while traveling in and outside of the U.S.)
800-810-2583 or anthem.com

24/7 NurseLine:
866-962-1395

 Claims Address

Claims Address

PO Box 14079
Lexington, KY 40512-4079

 Appeals Addresses

Appeals Addresses

Appeals Resolution Team
PO Box 14463
Lexington, KY 40512

 Find a Provider

Find a Provider

Networks
(Anthem members may use any network provider, even if they do not live in that area of Missouri.)

  • St. Louis area: Blue Access Choice
  • Kansas City area: Preferred-Care Blue
  • Other areas: Blue Access
  1. Go to www.anthem.com/findadoctor.
  2. Scroll down to Search by Selecting a Plan and select the Continue button
  3. In the What type of care are you searching for? drop down menu, select Medical
  4. In the What state do you want to search in? drop down menu, select Missouri (or the state where the provider is located)
  5. In the What type of plan do you want to search with? drop down menu, select Medical (Employer Sponsored)
  6. For the Select a plan/network drop down menu, Anthem networks are based on your home zip code and the provider's location (see map for Missouri service areas).
    • If you live in the St. Louis area and your provider is in Missouri, select Blue Access Choice.
    • If you live in the Kansas City area and your provider is in Missouri, select Preferred-Care Blue (KC) (Select Network).
    • If you live in other areas and your provider is in Missouri, select Blue Access.
    • To search for a provider not in Missouri, select National PPO (BlueCard PPO).
  7. Select the Continue button
  8. Using the drop down boxes, choose the type of doctor and the location you're looking for, then select the Search button
  9. For more information about a medical provider (like skills and training), just select their name in the directory.

 

Prescription Drug Plans

Express Scripts, Inc. (ESI)
Non-Medicare
www.express-scripts.com
800-797-5754
TTY: 866-707-1862
24 Hours a day

 Home Delivery Pharmacy Service

Home Delivery Pharmacy Service

PO Box 66773
St. Louis, MO 63166-6773

 Claims Address

Claims Address

Express Scripts
Attn: Commercial Claims
PO Box 2872
Clinton, IA 52733-2872
Fax: 608-741-5475
Claim Form

 Appeals Address

Appeals Address

Express Scripts
Attn: Clinical Appeals Department
PO Box 66588
St. Louis, MO 63166-6588
Fax: 877-852-4070

 Find a Provider

Find a Provider

Express Scripts

  • You must be a registered member on the ESI site
  • Log in with your account information
    (if you do not know your account information, you may access your Express Scripts account directly through myMCHCP)
  • Select Find a Pharmacy under Prescriptions

Express Scripts Medicare
Medicare
www.express-scripts.com
866-544-6963
TTY: 800-716-3231
24 Hours a day

 Medicare Home Delivery Pharmacy Service

Medicare Home Delivery Pharmacy Service

PO Box 66577
St. Louis, MO 63166-9843

 Claims Address

Claims Address

Express Scripts
Attn: Medicare Part D
PO Box 14718
Lexington, KY 40512-4718
Fax: 608-741-5483
Claim Form

 Appeals Address

Appeals Address

Express Scripts
PO Box 66588
St. Louis, MO 63166-6588
Attn: Medicare Clinical Appeals
800-935-6103

 Find a Provider

Find a Provider

Contact Express Scripts Medicare Customer Service for provider information.


Accredo Specialty Pharmacy
800-803-2523
TTY: 877-804-9222

 

Dental & Vision Plans

MetLife
https://www.metlife.com/mchcp/
844-222-9106 (Dedicated for MCHCP members)
800-942-0854
7 a.m. - 10 p.m., M-F

 Claims Address

Claims Address

MetLife Dental Claims
PO Box 14588
Lexington, KY 40512

 Appeals Addresses

Appeals Addresses

MetLife Group Claims Review
PO Box 14589
Lexington, KY 40512

 Find a Provider

Find a Provider

MetLife PDP Plus Providers

  • Scroll to the bottom of the page
  • Enter your ZIP code in the Find a dentist near you box
  • Select the Find button

National Vision Administrators, LLC (NVA)
www.e-nva.com
User Name: mchcp
Password: vision1
877-300-6641
24 Hours a day

NVA now has a mobile app available on Google Play and the App store

 Claims Address

Claims Address

Attn: Claims
PO Box 2187
Clifton, NJ 07015

 Appeals Address

Appeals Address

Attn: Complaints, Grievances & Appeals
PO Box 2187
Clifton, NJ 07015

 Find a Provider

Find a Provider

NVA Providers

  • Enter User Name: mchcp
  • Enter Password: vision1
  • Select Find a Provider
  • To have NVA contact a provider about network participation, select Nominate a Provider

 

Strive Employee Life & Family (SELF)

ComPsych
www.guidanceresources.com

You must be registered with ComPsych to use their website.

If you are an active employee eligible for MCHCP medical coverage, please log in to myMCHCP for access to SELF services.

If you are a member of the household of an active employee eligible for MCHCP medical coverage, contact MCHCP Member Services, 800-487-0771, for instruction on how to access SELF services.

Find a Provider

  • To Register: Follow the instructions to the left.
  • To Log In: Registered users, enter your ComPsych User Name and Password in the Log In box, then select Login.
  • To Find a Provider: After logging in, select one of the options under I'm Looking For, and follow the on-screen instructions.

 

Other Contacts

Strive for Wellness® Health Center
Strive for Wellness®
573-526-3175
301 W. High Street
Jefferson City, MO

Strive for Wellness® Program
Quit Tobacco and Weight Management Programs
www.mchcp.org
Member Services: 573-751-0771
Toll-free: 800-487-0771
Attn: Wellness Department
832 Weathered Rock Court
Jefferson City, MO 65110

Teladoc®
Aetna
Teladoc.com/Aetna
855-Teladoc (835-2362)

UMR
www.teladoc.com
800-835-2362

TRICARE Supplement Plan
Selman & Company
www.selmantricareresource.com/MCHCP
800-638-2610
9 a.m. - 7 p.m. (ET), M-F

Naturally Slim®
www.naturallyslim.com/MCHCP

Central Bank
mohsa.centralbank.net
500 Madison
Jefferson City, MO 65101-3161

573-634-1243
877-554-5535
8 a.m. - 5 p.m., M-F; 8 a.m. - Noon, Sat.

Missouri State Employee's Cafeteria Plan (MOCafe)
asiflex.com/MOCafe/
800-659-3035

 


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