Some medications require pre-authorization from our plan before they can be dispensed by your pharmacy. All EHP members can receive a flu shot at their primary care physicians office, an EHP vaccine network pharmacy, or an out-of network provider. Johns Hopkins OnDemand Virtual Care connects you to a health care provider using your mobile device or computer, 24/7. If you have a newborn baby, you must enroll the newborn within 30 days from the date of birth. From there click theNewand new message box will open. For any of these treatments, we recommend that the members dentist provide a proposed course of treatment and a pre-treatment estimate. HealthLINK gives you 24/7 access to your health plan. Your deductions may be changed at any time throughout the year. The regular out-of-pocket maximum includes the deductible and coinsurance, but does not include copays; penalties; amounts in excess of the Allowed Benefit; amounts in excess of Plan maximums; or any charges for services which are not covered. EHP. MaximumThe maximum amount the member pays for medical expenses during a plan year. These deposits would be on a post-tax basis but would be deducted on your taxes (no need to itemize). Johns Hopkins physicians and physician groups are also not participating with the Core, Compass, Navigate, Value or Balance plans, which are also offered on state health exchanges. Access our Provider Directory.EHP Preferred Network Providers include: FACILITIES: The Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, Howard County General Hospital, Suburban Hospital, Sibley Memorial Hospital, Johns Hopkins All Childrens Hospital (St. Petersburg, FL), Mt. Claims status will be updated to HealthLINK in 2-5 business days after your claim has been processed. For services and claims before July 1, 2023, contact EHP Customer Service. A member or an authorized representative must file the appeal or request a review in writing to EHP within 180 days of the date of the denial. Certain medical services and supplies require approval before they will be covered by your plan. Designed to give members and their dentist a better understanding of the benefits payable under the Dental Plan before services are provided. Members may obtain vaccines from a network provider or the vaccines listed below from a network pharmacy. Notice of Nondiscrimination. You can now search for your dependents health care costs the same as you would for yourself, with the cost estimator taking into account your dependents deductible stage, out-of-pocket spend and benefit structure. Plan Overview All Medical Benefits Medical Benefits Student Health Program is no longer part of EHP, as of June 30, 2023. For more information, please contact billing and insurance customer service at855-662-3017. Ask your health care provider to request the device for you using the instructions below. Homepage - Johns Hopkins Employer Health Programs (EHP) Anesthesia PolicyApplied Behavior Analysis (ABA)Assistant-at-Surgery: Modifiers 80, 81, 82 or ASBilateral and Split Care Procedures: Modifier 50COVID-19 Testing, Treatment, and Vaccination PolicyDiscontinued Procedures: Modifiers 73 and 74DME Rent-to-OwnGap Fill Fee ScheduleIncreased Procedures: Modifier 22Infants less than 4kg: Modifier 63Injections & Infusions CodesMultiple Procedures: Modifier 51NCCI and MUE EditsNon-Payment of Preventable Adverse Events (PAE)National Provider Identifier (NPI)Non-Reimbursable CodesNurse Practitioner ReimbursementObservationObstetric UltrasoundPhysician Assistant ReimbursementReduced Procedures: Modifier 52Routine Venipuncture and/or Collection of Specimens, ProfessionalScope of PracticeStaged, Related, & Unrelated Procedures: Modifiers 58, 78 and 79Supply Codes ProfessionalTelemedicine ProceduresTherapy ModifiersTwo Surgeons/Co- Surgeons (Modifier 62) ProceduresUnlisted Codes. For diagnostic testing, facility, and hospital charges, you will incur additional . Johns Hopkins EHP (Employer Health Programs) | Alpha Allergy & Asthma All pre-authorization requests are coordinated through your physicians office, so your provider must ask for and receive approval before you receive care. if you have a Johns Hopkins EHP plan with a $250 annual deductible you will have to pay for the first $250 worth of healthcare each year before Johns Hopkins EHP will begin paying for your . Download your dental benefits information below, or contact Delta Dental Customer Service at 800-932-0783. You may also complete an Authorization For Use Or Disclosure Of My Protected Health Information form, which allows anyone you choose to access your information, e.g. You will pay your normal copay for an emergency supply of medication. Johns Hopkins OnDemand Virtual Care gives members 24/7 access to care for minor medical concerns. Health, Wellness and Fitness. Manage Contributions HealthLINK gives you 24/7 access to your health plan. Required medical review of requested services before they are rendered. There are exceptions to Johns Hopkins' participation in these plans based on the insurance product type, employer benefit design, and physician location or specialty. Log into your WEX account at wexinc.com or use the WEX Mobile app to monitor your balance and help manage your savings goals. Review our resources for guidelines about COVID-19. Please contact your Benefits Service Center or your Human Resources Office to do so. Plan Benefits In-Network Out-of-Network; You Pay Annual Deductible (includes prescription) $1,750 per person $3,500 per 2 or more persons * $3,500 per person For those making $60,000 or less, JHU will make a contribution to your HSA to help offset your higher deductible. Due to IRS rules, you cannot participate in the general-purpose Health Care FSA if you elect an HDHP with an HSA. Choose the Get form key to open it and begin editing. Your doctor can fax new prescriptions directly to CVS Caremark by calling800-378-5697. Please contact your Benefits Service Center or your Human Resources Office to do so. Contact us via phone or email with questions about your health plan: Get the latest from EHP delivered to your inbox: No results found. In the event that you ever forget your password, you can reset your password by giving your username. Please be advised that not all pharmacies are part of our vaccine network. **Johns Hopkins physicians and physician groups are not participating with the MDONEX or VAONEX plans, which are offered on the Maryland and Virginia health exchanges. EHP (Johns Hopkins) and Carefirst/BCBS - Canton Chiropractic & Physical Top ways to experience Parc de l'Etoile and nearby attractions. Download your vision benefits information below, or contact SuperiorVision Customer Service at 800-507-3800. HealthLINK gives you 24/7 access to your health plan. The usual fee charged by similar providers for the same services or supplies in the same geographic area. department can be reached by phone at 410-762-5385 or 888-895-4998, or by fax at 410-424-4604 . Before you can see a specialist and be covered for that care, you will need a referral from your PCP. Find a Provider | Johns Hopkins Employer Health Programs You are able to grant your physician access to view your PHR but by granting this permission, you are allowing them and other providers in their practice to see certain information like past medical appointments, conditions, procedures or events, allergies, and medications, which is all housed in your PHR. Affordable, self-pay options are also available. Please see the list below for the most recent updates to our reimbursement policies. Percentage of medical costs that the member shares with EHP. For questions about health care services and claims on and after July 1, 2023, contactWellFleet Customer Service. PDF Johns Hopkins Hospital/Johns Hopkins Health System Corporation Medical Established in 1996, this health insurance plan serves over 55,000 plan members in Maryland, Southern Pennsylvania, and Virginia, and provides plan members with access to over 14,000 healthcare providers in Maryland. Presentation of the region. To ensure proper billing and prompt payment, please be sure to provide complete information about all of your insurance plans, including Medicare and Medicaid. No appointment needed. Find answers to the most commonly asked questions. Contact your HR office to see if your employer offers dental benefits, or if you have questions about dental coverage. NEW! Your physician will send a referral electronically, or you will be given a copy to take during your visit at Johns Hopkins. Please be advised that not all pharmacies are part of our vaccine network. The amount of the annual contribution will depend on your salary band as follows: The university contribution will be fully funded in the January following Annual Enrollment. Where possible, clinics have set aside appointment times to accommodate EHP members. If not all insurance information is received at the time of service, the bill will be the responsibility of the patient/guarantor. Federal & State False Claims Act/Whistleblower Protections Policy, Medical Admission or Procedure Authorization Request, Newborn Notification and Authorization Request, Newborn Notification and Authorization Request Instructions, Provider Claims/Payment Dispute and Correspondence Submission Form, Request for Medical Appropriateness Determination for Psychological Testing. Where can I get a flu shot? Please continue to check back. It is free to use and allows you secure, 24/7 access to your health information. Select the appropriate member. PDF For Represented Employees of The Johns Hopkins Hospital 2023Open HealthTrios Customer Service will ask you your security questions. Before your admission or appointment, remember to discuss the estimated length of stay and anticipated tests and services with your physician. The process is simple and does not require documentation but you should always save your backup documentation for IRS purposes. You will be responsible for the same co-pay or coinsurance as an in-person, In-Network doctor office visit. In some community hospitals and clinics, you may receive care from outside private practice providers who may not participate with your insurance plan. However, if you receive out-of-network care, you are required to pay for the service, and then submit a claim form, as soon as possible to Johns Hopkins EHP for reimbursement. EHP Network Provider Infusion Therapy: Home infusion therapy 90% for services through Johns Hopkins Home: Care Group, deductible applies (pre-authorization required) Reimbursement Policies - Johns Hopkins Medicine Health Savings Account - JHU Human Resources Am I required to give a copay to the provider at the time of session? Johns Hopkins Health Plans reimbursement policies are available for providers. Should this authorization be withheld, the bill will be the responsibility of the patient/guarantor. However, the CDC does not recommend the intranasal flu vaccine, FluMist. Were here to help. Johns Hopkins EHP Customer Service HR Solutions Center 410-424-4450 or 800-261-2393 www.ehp.org 443-997-5400 Utilization Management Preauthorization of services Johns Hopkins EHP 410-424-4480 COBRA Questions HR Solutions Center 443-997-5400 Flexible Spending Accounts HR Solutions Center WageWorks 443-997-5400 855-774-7441 www.wageworks.com Invest your HSA This permission can be revoked at any time. Ask your pharmacy if they offer store delivery during this emergency period. You may use a Cigna PPO network provider as your primary care provider. No, the flu shot cannot cause flu illness. 2023 Johns Hopkins University Human Resources, 2023 Faculty & Staff Medical Plan Coverage Comparison Chart. If you do not answer correctly, you will be locked out of your account until Johns Hopkins Health Plans is notified and can verify your membership. Insurance Information. You can also change or designate your PCP by logging into your HealthLink account. Usually a mail-order prescription will get to you in no more than ten days. Anne Arundel Medical Center. Most plan members have one year from the date of service to submit their receipts. Call us at: Get the latest from EHP delivered to your inbox: No results found. Policies are being added quarterly. Johns Hopkins Employer Health Programs (EHP), A free care management program to help those with chronic conditions, Flexibility and choice at a reasonable cost. To be eligible, you must meet the following requirements, as defined by the IRS: The HSA offers a number of unique features: Account is Yours and is Portable Touch device users, explore by touch or with swipe gestures. EHP EPO (EXCLUSIVE PROVIDER ORGANIZATION) PLAN Several years ago, Wanda Manigo-Cartwright was leaving the office where she works for the Johns Hopkins Health System IT department. However, due to volume and/or availability, they may need to schedule your appointment with a nurse practitioner or physician assistant in the practice in order to get you in within a reasonable time frame. PDF Summary Plan Description for the Suburban Hospital EHP Medical Plan Effective July, Johns Hopkins EHPSuperiorVisionmembers enjoy the option of getting their eye exams at the world-renowned Wilmer Eye Institute. Johns Hopkins Employer Health Programs (EHP), established in 1996, is a self-funded health plan that currently serves over 55,000 plan members in Maryland, Southern Pennsylvania and Northern Virginia. View which documents to prepare for your visit or admission. You may fill up to a 30-day supply for your maintenance medications. Simply submit those claims with dates of service after Dec. 1, 2022 separately to avoid unnecessary processing delays. UNDER ALL PLANS Prescription drug coverage that features low deductibles and copays, as well as reduced costs when you use preferred physicians, providers and facilities. Contact customer service at 1-855-662-3017. It is free to use and allows you secure, 24/7 access to your health information. Get healthy tips and plan updates delivered to your inbox monthly: Learn about symptoms, chronic conditions and healthy living using trusted information. Primary Care Provider (PCP) officeAll EHP members can receive a flu shot at their PCP office. You are responsible for any charges above R&C. Maryland Health Connection is the states health insurance marketplace that makes it easier to shop for, compare and enroll in quality health coverage. Canton Chiropractic & Physical Therapy - CCandPT.com You will be contacted upon verification and you will be able to reset your password and access your HealthLINK@Hopkins account. Cigna Network: The Cigna PPO network is a supplemental provider network, giving you access to providers and hospitals nationwide, including Maryland. Sore throat? As a member, you are able to send messages to and receive them from the Customer Service Department and your Case Manager (if you are assigned one.) HSA funds are available as they accumulate in the account. We are committed to helping members control their blood pressure, which is why EHP covers a blood pressure monitor for all members, with no health requirements. Historical Tours. Once your account has reached a minimum balance of $1,000 you are able to invest your funds. A pre-treatment review is recommended if dental services are expected to cost $500 or more, or for certain treatments including bone surgery, bridges, crowns, inlays (post and core) and onlays, periodontic procedures, and veneers. Touch device users, explore by touch or with swipe gestures. If you are a participant in the Health Care FSA and enroll in the HDHP with HSA, your unused balance (minimum $30) up to $550 ($570 in 2022) at year end will automatically roll into a Limited Purpose FSA. First, make sure you are spelling the providers name correctly. Your password must be nine characters and must contain at least one uppercase letter, one lowercase letter, one number, and one special character, such as #, *, or @. To locate a health care provider, start by searching the EHP network. Review our resources for guidelines about COVID-19. Johns Hopkins EHP (Employer Health Programs) is one of the largest self-funded health plans in the country. Pharmacists have been notified on what code to use for override. Alternative plan designs, such as a limited-purpose FSA or HRA, are permitted. This will generate all providers within those fields. EHP provides peace-of-mind service and is dedicated to the health, life and future of each member. The maximum amount EHP will allow for the service(s) the patient received. CareFirst BCBS HDHP - JHU Human Resources Learn More Explore benefits and coverage details for your plan Employer Plan Year Plan Name Available for Members The hospital requires payment in full and in advance of nonemergency admissions and outpatient services unless you have made other arrangements through the hospitals financial counseling office. Johns Hopkins Employer Health Programs Inc. (EHP) You can use your HSA funds to pay for eligible medical, prescription, dental, vision, and other health care expenses that you incur today or later in life. . For information on covered outpatient services, refer to your EHP Benefits Explorer. You can choose between two plans. You can change your PCP by calling an EHP Customer Service Representative at 1-800-261-2393 or 410-424-4450 or by filling out and faxing back the Change your PCP form. Guide to Benefits FOR REPRESENTED EMPLOYEES OF THE JOHNS HOPKINS HOSPITAL Contact Information Summary Plan Description The Johns Hopkins Summary Plan Descriptions (SPDs) provide detailed information about the plans provided under the Employment Retirement Income Security Act of 1974. Ranging in topics from weight management to chronic disease management, health education workshops and programs help members like you achieve their best health. For fastest service processing your online claim, submit separate reimbursement claims for any claims with dates of service prior to Dec. 1, 2022. PLEASE NOTE: All Forms will need to be faxed to Employer Health Programs (EHP) in order to be processed. This line is mainly for securing appointments for EHP members who have not been successful in getting a first-time specialist appointment through the regular access lines.

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