Glossary
Healthcare terms
Claim
A provider’s request to your plan administrator asking to be paid for a service you’ve received.
COBRA
The Consolidated Omnibus Budget Reconciliation Act (COBRA) provides continued coverage of your health benefits if certain events occur that would normally result in the termination of coverage. Events under which COBRA continuation health coverage can be extended include job loss, reduction in hours worked, death, divorce and other life events. In most cases, coverage under COBRA may be extended for up to 18 months, though coverage may be extended to 36 months in some cases.
Coinsurance
The percentage of the cost you pay for covered health care services, after you meet your calendar-year deductible.
Deductible
The amount you pay out of pocket for health care each calendar year before the plan begins to share in the cost of covered services. All Cigna medical plans have separate deductibles for in-network and out-of-network care. What you pay for one doesn’t count toward the other.
Explanation of Benefits
After you get care, you’ll receive an Explanation of Benefits (EOB) from Cigna, the claims administrator. The EOB provides information about how your claim was paid, including how much you owe or will be reimbursed.
Flexible Spending Accounts (FSAs)
These are special tax-advantaged plans that you can use to pay for eligible expenses. The general purpose healthcare FSA can be used to pay for eligible medical expenses. The limited purpose healthcare FSA can be used to pay for eligible dental and vision care expenses if you have a Health Savings Account. The Dependent Care FSA can be used to pay for eligible care expenses for your dependents.
Formulary
A list of drugs determined and maintained by Cigna or Accredo to use for the prescription drug program. The formulary is designed to assist physicians in prescribing drugs that are medically necessary and cost-effective.
Generic drugs
Approved by the FDA as a therapeutic equivalent to the brand-name drug; has the same active ingredient as the brand-name version but at a lower cost.
In-network
The facilities, providers, and suppliers Cigna has contracted with to provide covered health care services.
Health Savings Account (HSA)
A special savings account that you can participate in if you enroll in the HSA Base Plan. You save on taxes three ways with the HSA: no taxes on your contributions (including those from Veradigm), no taxes when you use the money to pay for eligible medical expenses, and no taxes on interest earned on your account.
Maintenance medications
Prescribed to treat chronic health conditions—such as asthma, diabetes, high blood pressure, or high cholesterol—and are taken on an ongoing, regular basis to maintain health.
Non-preferred brand
Prescription drugs listed under “non-preferred” generally have higher copays than preferred brand-name drugs.
Out-of-network
Providers that are not in the Cigna network or have not contracted with Cigna and have not agreed to charge certain rates for certain services.
Out-of-pocket maximum
The most you’ll pay for covered health care services in a calendar year. Once you reach it, the plan pays 100% of the costs for covered services for the rest of the year.
Preferred brand drugs
These are drugs for which generic equivalents are not available. However, they have been on the market for a time and are widely accepted. They cost more than generics but are less expensive than non-preferred brand-name drugs.
Preventive care
All Veradigm medical plans provide preventive services at no cost to you if you visit a participating provider and claims submitted are coded correctly. Covered preventive care is based on your age and gender. Follow-up testing for a diagnosed medical condition will generally not be covered as preventive.
Specialty medications
These are drugs that are used to treat complex or chronic conditions that usually require close monitoring, such as multiple sclerosis, hepatitis, rheumatoid arthritis, cancer, and other conditions that are difficult to treat with traditional therapies. Specialty drugs are obtained from Accredo specialty pharmacy and may require prior authorization.
Contacts
Beneft: Provider | Phone | Website |
---|---|---|
Benefits Service Center: AllCare | 844.705.4101 | website |
COBRA: Businessolver | 844.705.4101 | website |
General HR: Service Now | website | |
Payroll: Service Now | website | |
Health & Wellness | ||
Dental: Cigna | 800.244.6224 | website |
HSA Accounts: Cigna HSA Bank | 800.244.6224 | website |
HSA Accounts: Kaiser Permanente | 877.761.3399 | website |
Medical: Kaiser Permanente | 800.464.4000 | website |
Medical: Cigna | 888.806.5042 | website |
Prescription drug: Accredo Specialty Pharmacy (Cigna) | 877.826.7657 | website |
Telehealth: MDLIVE (Cigna) | 888.726.3171 | website |
Vision: VSP | 800.877.7195 | website |
Financial Security | ||
Basic Life & AD&D: New York Life/Service Now | website | |
Business Travel Accident (BTA): AIG | 877.244.6871 | website |
Disability/LOA: New York Life | 888.842.4462 866.562.8421 (Español) |
website |
EAP: Health Advocate | 866.799.2728 | website |
ESPP: E*TRADE | ||
Investment Advice: CAPTRUST | 800.967.9948 | website |
Legal Plan: MetLife | 800.821.6400 | website |
Pet Insurance: VPI Pet Insurance | 877.738.7874 | website |
Retirement Savings Plan: Charles Schwab | 800.724.7526 | website |
Voluntary insurance: Aetna | 800.607.3366 TTY: 711 |
website |
Everyday | ||
Employee Mall: Abenity | website |
Digital Wallet Card
Imagine having all of Veradigm benefits contacts at your fingertips. Now, accessing our benefit partners through your mobile device is as easy as 1, 2, 3!
- Go to veradigmbenefitscard.com
- Add the digital benefits wallet card to your device:
iPhone/iPad—tap the Share button. You may need to use the Safari browser
Android—tap the Option button - Click Add to Home Screen
That’s all there is to it! Once the digital card is on your device, you can:
- Find (and automatically link to) our benefit partners’ phone numbers, emails & websites
- Download our benefit partners’ mobile apps
- Connect to the AllCare Benefits Service Center (with questions or assistance in enrolling/making benefit changes) and more!
If you have questions or need assistance, please enter a Benefits Service Now ticket.
This is a mobile site found at veradigmbenefitscard.com and is not found in Apple or Android app stores.