 |
Health Benefits for Retirees <65
and without Medicare
|
MEDICAL INSURANCE:
To reach Excellus directly, please call 1-877-253-4797
Excellus Summary of Benefits | July 1, 2024 - June 30, 2025
Excellus 3 Tier (Commercial) Drug Formulary
DENTAL INSURANCE:
Excellus Dental Blue Options| 800-724-1675
Excellus Dental Benefit Summary Effective July 1, 2024
Excellus Dental Claim Form
List of Providers in Area
DENTAL REFUND INFORMATION:
As you know. Elmira City School District implemented a new dental plan with Excellus effective 7/1/24. We learned after the plan was implemented that the non-participating, out of network dentists, were being reimbursed according to the Excellus dental fee schedule and this was less that what was reimbursed by the previous dental carrier.
As a result, we made a benefit plan update to change to the current dental fee schedule retroactively to July 1, 2024. All services that were provided by a non-participating dentist are being reprocessed under the new fee schedule, and adjusted claim payments are being issued.
These refund payments are being made in the manner in which the claims were paid by Excellus . If the clam was paid to you, the refund will be mailed to you. If your nonparticipating dentist submitted the claim and was paid directly by Excellus, the refund will be sent to them. In the case where your dentist submitted the claim(s) and received reimbursement directly from your Excellus this may result in a credit balance with your provider and we encourage you to contact them for details. We anticipate these payments to be sent out by the end of February. If you have any questions or concerns, please contact…
As a reminder, Excellus has the most participating dentists than any other dental provider. All preventive care provided by a participating dentist is covered at 100%. To find a participating dentist go to Find a Dentist | Excellus BlueCross BlueShield