Member Support and Eligibility Questions

Call: 844.287.3865
member.accolade.com

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Member EPO Plan - In Network Only

Group #: 16404 Coverage: Employee + Domestic Partner

Member: GUSTAVO STOR DE AGUIAR

Member ID: 5234630820 Network: Aetna Choice POS II

Division: 002 Claims Payer: Meritain Health. For submission,
Dependent: see reverse
Office Visit $10 Specialist $10
MATHEUS H STOR Urgent Care $20 Emergency Room $100
Pharmacy Plan
RXBIN: 004336
RXPCN: ADV
RXGRP: RX2334 www.caremark.com
Member: 844.246.4511
Pharmacy: 800.364.6331

Generic $5 Preferred $20 Non-Preferred $35

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Member Support Claims Submission/ Appeals
Call Accolade at 844.287.3865, visit Mail All Claims & Correspondence to:
Meritain Health
member.accolade.com or download PO Box 853921
Accolade Mobile to send a secure Richardson TX 75085-3921
message with questions about eligibility, EDI: WebMD/Emdeon/Change Healthcare 41124 or
McKesson/ Relay Health 1761
claims, and plan benefits. Nurses
available by phone 24/7. Mail All Appeal Correspondence to:
Meritain Health
PO Box 27881
Golden Valley, MN 55427
Elected into the NY Pool
Precertification Aetna participating Doctors and Hospitals are
independent providers and are neither agents nor
You do not have to choose a primary care doctor. employees of Aetna.
Referrals are not required. However, some services
may require precertification. Without pre-approval, PROVIDERS: call Meritain at 866.761.3018 or visit
you may pay more or even full price. PROVIDERS: www.meritain.com for claims and appeals questions,
For precertification call Meritain at 866.415.6831. or for general support.
Failure to comply with your plan's precertification
requirements may result in a reduction of benefits.
Call Progyny at 844.734.8366 to pre-certify and
authorize any fertility services.