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CARRIER CONTACT INFORMATION

 
The Benefits Department Staff is available to help you navigate and understand your health insurance plans as a district employee.  The following contact information is a reference tool for you to contact the carriers directly should you have any claims issues, questions regarding an explanation of benefits and coverage information, to verify in-network providers, get a list of available providers, and to utilize the health and welfare benefits to it's fullest potential.
 
For a Printable PDF of the contact sheet click HERE 

 MEDICAL PLAN CONTACT INFORMATION

 

RUSD HEALTH PLAN MEMBERS 

Delta Health Systems (DHS)
Member Services, Eligibility and Claims:  (866) 268-2480
Inpatient Hospital Pre-Certification:  (866) 457-0528
Disease Management:  (866) 440-4429
 
Online Provider Finder:  www.anthem.com/ca  
  • RUSD EPO - "Anthem Select PPO Network"
  • RUSD PPO - "Anthem Blue Cross Prudent Buyer Network
 
CVS CareMark
Pharmacy Member Services, Claims and Provider Finder: (866) 475-0056
Website:  www.caremark.com 
Discount Maintenance Medications:  (866) 440-4429
 
Vision Service Plan (VSP)
Member Services and Claims:  (800) 877-7195
Online Provider Finder:  www.vsp.com 
 
PlushCare (a Telehealth service) - RUSD Health Plan Members ONLY
Member Services:  (866) 460-6205
Download the app to your smartphone! 
 


KAISER HEALTH PLAN MEMBERS

 
Kaiser
Member Services, Eligibility and Claims (800) 464-4000
Website:  www.kp.org 
Psychiatry Department Call Center:  M-TH 8am - 6pm/F 5:30pm (877) 496-0450 
Behavioral Health Care Member Help Line:  After hours/weekends/holidays (800) 900-3277 
 
California Schools VEBA
VEBA Wellness & Advocacy Programs:  M-F 8am - 5pm except major holidays (888) 726-0250
Website:   www.vebaonline.com
 
Best Doctors®:  (888) 362-8677
Website:  www.bestdoctors.com 
 
OptumHealth
Chiropractic Services:  (800) 428-6337
 
Vision Essentials
Member Services/Provider Finder:  (800) 464-4000
 

 DENTAL PLAN CONTACT INFORMATION

 

Delta Dental (PPO)
Member Services and Claims:  (866) 499-3001
Mail Claims:  P.O. Box 7736, San Francisco, CA 94120
Online Provider Finder:  www.deltadentalins.com 
 
Preferred Advantage (managed by Delta Health Systems)
Member Services and Claims:  (866) 268-2480
 
SafeGuard (MetLife) Dental & Ortho
Member Services and Claims:  (800) 880-1800
Mail Claims:  P.O. Box 3594, Laguna Hills, CA 92654
Online Provider Finder:  www.metlife.com 
 
 

 EMPLOYEE ASSISTANCE PROGRAM CONTACT INFORMATION

 

Community Action EAP (Available for ALL benefit eligible employees):
Member Services:  (800) 777-9376
Website:  www.caeap.com
 
VEBA'S Employee Assistance Plan through Optum (Available ONLY to Kaiser Members)
Member Services:  (888) 625-4809
Website:  www.liveandworkwell.com (access code is veba)
 

VOLUNTARY PRODUCT CONTACT INFORMATION
 
 
VOYA Financial (employer sponsored Life AD&D Insurance) - through CSEBA
Member Services and Claims:  Contact RUSD Benefits Department
 
Pacific Educators 
Member Services:  (800) 722-3365
Employee Contact Representative:  Susana Furlong (714)-639-0962 or email Susana@peinsurance.com
 
American Fidelity
Member Services:  (800) 323-3748
Product Information:  (800)943-2231
Claims:  (800) 662-1113 or file online www.americanfidelity.com 
Employee Contact Representative:
 

 VOLUNTARY PRODUCT CONTACT INFORMATION
 
FLEXIBLE SPENDING ACCOUNTS:  UNREIMBURSED MEDICAL & DEPENDENT DAY CARE
 
American Fidelity
Member Services and Claims:  (800) 325-0654 ** Fax:  (800) 543-3539
File Online:  www.americanfidelity.com 
Mail:   American Fidelity Assurance Company
       AFES Flex Account Administration
       P.O. Box 25510, Oklahoma City, OK 73125-0510
 
*When submitting claims for reimbursement, be sure to include claim form with proof of service documents including all evidence of your expense (i.e. receipts, explanation of benefits, etc) 
 
 

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