We’re in your corner, simplifying the benefits experience so you can spend more time pursuing the things you love.
We know that the most important part of anyone’s business is their people, and that’s why we put members first. Our team is on call to help you navigate your company’s benefits landscape, from explanation of benefits to questions on bills and claims. You’ve got a partner to help you every step of the way.
Health insurance can be complex, which is why our customer service team is on call to support the healthcare journey—from understanding benefits to finding providers or managing medial claims.
Quality isn’t sacrificed to reduce cost—our nurse care managers, our provider networks and our affiliated clinical partners are industry leading.
From advocating for members to get the care they need, to supporting them through the claims process, our member experience team is there every step of the way.
Our dedicated support team is available to address any issues that arise for our members—so they can focus on their care and treatment.
Employees and their covered family members can access their benefit information from a desktop, tablet, and mobile app—whenever they choose.
From world-class customer care for members and employers to sales support for brokers, we pride ourselves in making each interaction a meaningful and positive experience.
All of your benefits information is accessible online via our portal 24/7. We also provide phone consultations to help you understand coverage and healthcare options, and billing and obligations after visiting a provider. Our team advocates for you and will support you as you get the care you need.
Looking for links to your provider network? Visit our Partners page and click on your network to learn more.
We know claims can be confusing, which is why our customer service team is on call to help you get the answers you need.
You have a right to question and/or appeal the processing of a claim. To receive an explanation of how your claim was processed, you may use the 'Online Customer Service' section of your healthcare portal, contact the BPA customer service team by phone, or email your inquiry to firstname.lastname@example.org.
On most plans, an eligible dependent will be a covered person’s married spouse and each unmarried child who is not yet age 19. Some plans also allow unmarried children to be covered until ages 23 or 26. You can verify coverage information and age limits in your benefits booklet.
The term “child” is defined as:
a) A natural born child;
b) A stepchild;
c) An adopted child; or
d) A child for whom the Covered person is the legal guardian
Pre-certification is a part of the utilization review process; it is designed to ensure that patients receive quality care that is medically necessary and appropriate to their condition. Your managed care company must be contacted prior to a non-emergency admission. If you are admitted to the hospital on an emergency basis, you have up to 48 hours after admission to make the notification. The appropriate phone number can be found on the front of your ID card.
More commonly known as your prescription drug vendor, a PBM contracts with independent pharmacies or a chain of pharmacies to provide prescription medicines at a discounted rate for retail and mail order prescription drug programs. Your PBM name and phone number is located on your ID card. In addition, you can find out more information about your PBM by going to the 'Benefit Information' page of the BPA healthcare portal and clicking on the link for the PBM.
Since changes in network participation can occur, it is important to verify that your health care provider is a current participant prior to receiving medical services. Verification can be obtained by contacting the network directly. You can also log into BPA’s healthcare portal and go to the 'Benefit Information' page. Clicking on the logo of the PPO network shown on that page will take you to the PPO’s website.