- What is a third party administrator (TPA)?
A TPA is the company that processes the claims for NSBSD. It is NOT an insurance company. NSBSD is self-insured meaning that all of the claims are paid directly out of the district budget. The TPA is merely the processor.
- Who is our third party administrator?
PO Box 7186
Boise ID 83707
1.855.265.6465 Fax: 1.208.424.0595
- When will I receive my new cards?
Approximately 10-14 days following enrollment. They will be sent to your site in inter office mail.
- What is a PPO (Preferred Provider Organization) Network?
A PPO network is a group of providers that is linked together to provide greater discounts to those who chose to contract with them. This is a way for your plan to achieve savings that are not possible otherwise; we must use these networks to obtain discounts on services in order to continue to provide coverage to you and your dependents. First Choice Health and PHCS are our networks.
- Who is the PPO network?
- Who do I contact for pre-certification?
Contact AmeriBen Medical Management at 1.800.388.3193 to pre certify hospital admissions and procedures listed in your plan document.
Go to: www.myvrx.com or call 1.877.879.9722. Please dial 0 when the prompts begin. Customer Service center hours are 5AM. to 5PM AKST and 8 am to noon on Sat.
- Who is the vendor for my prescription services?
In Barrow Samuel Simmonds is a preferred provider. Most major retail chains in Alaska and the lower 48 are also preferred providers. Please see the above website for an extensive list.In Barrow Samuel Simmonds is a preferred provider. Most major retail chains in Alaska and the lower 48 are also preferred providers. Please see the above website for an extensive list.
For a 90 day supply, Bernie’s in Anchorage will mail to the villages. Call or mail your prescriptions with a copy of your card to 4100 Lake Otis PKWY 200 Anchorage AK 99508.For a 180 day supply you may use the VRX pharmacy in City Creek, Utah. Call 1.866.793.5337 or ask your physician to fax an RX directly to 801.326.2004. You may also go online through www.myvrx.com, or call VRX customer service for assistance 1.877.879.9722. Please dial 0 for direct assistance when the prompts begin. Please note the pharmacy closes at 5PM AKST. However they are, open Sat 8AM to Noon AKST.
- Mail Order RX
There is no PPO network for vision services. Just present your card at the time of services.
- Vision services
Aetna Dental Administrators is an optional network available to you. By using this network of dentists, you will receive discounted rates. Please check with Aetna Dental at (NovaNet/option#7) to see if your dental provider is part of the Aetna Dental Network. You can also check online @ www.aetna.com/docfind/custom/aetnadentalaccess/.
- Dental network available
AmeriBen has a dedicated customer care team ready to assist you. The NSBSD toll free number for assistance is 1.855.265.6465. The call center hours are 5am to 5pm AKST.You may also access your claims information and/or email customer care at www.myameriben.com.Please contact AmeriBen customer care first for problem resolution. If they are unable to assist you, contact Human Resources at or Robyn Joksic at 907-852-9512.
- Who do I call if I have questions?
This plan is no longer a "grandfathered health plan" under Health Care Reform.Questions regarding the plan's status may be directed to the Plan Administrator. You may also contact the Employee Benefit Security Administrator, U.S. Department of Labor at 1-866-444-3272 or visit www.dol.gov/ebsa/healthreform.
Last Modified on April 20, 2016