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Contact

Benefits Management
Supervisor:  Anne Dorman
714-424-5010 general line
714-424-8946 fax

Anne Dorman
Benefits Analyst
Health Benefits L
Supervisor
714-424-8914
adorman@nmusd.us

Linda Dunkelberger
Benefits Technician
Health Benefits A - K
714-424-5013
ldunkelberger@nmusd.us

Cheryl Hosman
Benefits Technician
Health Benefits M-Z
714-424-8982
chosman@nmusd.us

OCAP

Employee Health Benefit Over Cap Contribution

The cost of the health benefits exceeds the Benefit Unit Cap.  Information and questions about your over the cap contribution and the rate tables....more 

View your contribution: OCAP Calculator

HEALTH BENEFITS OFFERED

Newport-Mesa Unified School District offers health care benefits to all eligible employees with the completion of enrollment forms and attendance at a New Employee Benefit Orientation.

Summary of Benefits

YOUR HEALTH BENEFIT COVERAGE


View your personal health benefit selections.  View the dependents you have currently enrolled.  Add or delete dependents.

www.nmusd.us/mybenefits

Health Benefits for Employees

Anthem POS Presentation

 (Give video a moment to load and turn your speakers on to hear the presentation. Once open, click the screen icon in the lower right corner to see it full screen.)
If a screen pops up that says restricted - click continue.

We hope this 11 minute review of your Anthem POS health plan will help you make informed decisions in seeking the best and most cost-effective care for you and your family.

If you cannot hear the presentation, you may open the dialog here and read along with the presentation.

Anthem Summary of Benefits and Coverage

NEWS & NOTICES

24/7 NURSELINE

Ever been  a little nervous or have questions about your health after doctor's office hours?  Check out the back of your Anthem Blue Cross card for the 24/7 NurseLine at 1-800-977-0027.

  • Speak to a registered nurse who is trained to help you make informed decisions about your health situations.
  • Access the Audio Health Library for confidential recorded messages about hundreds of health topics.  Available in English and Spanish.
  • 24/7 NurseLine is not a substitute for medical emergencies.

URGENT CARE

URGENT CARE –  If your injury or illness is not life threatening, consider going to an urgent care center.  Using urgernt care centers is much more cost effective than going to the emergency room.   There are many urgent care centers in the area.  Only those referred by your primary care doctor would be under the HMO tier of the plan.  Others would be PPO.  Do some research, so that you have the information at hand should you need it. 

  • Your first step is to discuss the issue with your primary care physician (named on your Anthem card) to find out where you should go if you need care and cannot get in to see your doctor. Ask about steps for obtaining an urgent care referral.  Going to the urgent care is most cost effective under the HMO tier of your plan.
  • You can also go to www.anthem.com/ca/nmusd and click on Urgent Care Centers to research PPO centers in your area.  Always call them before you go to verify hours and confirm they are equipped to deal with your issue. Verify also that they are still an Anthem PPO provider.

SAVE TIME AND MONEY $$$$

Use Express Scripts Mail Order Pharmacy to save money on your maintenance medications.  Receive a 90-day supply for the same co-pay as a 30-day supply at your local pharmacy.  To have a form sent to your work site or home, email your request to Benefits Management at adorman@nmusd.us or chosman@nmusd.us.
 

      90-Day            
 GENERIC         

   90-Day     
BRAND NAME    

90-Day
NON-FORMULARY

$5.00         $35.00 $50.00
$1.67/Month         $11.67/Month $16.67/Month

360 DEGREE HEALTH & WELLNESS FROM ANTHEM BLUE CROSS

360 Degree Health and Wellness - Surrounds you with the right resources, guidance and support to help improve your health.  Access information you need to live healthier and feel better. You'll find everything from treatment options for diseases and conditions to basic tips on general health and wellness.  You can also view health videos

Special Offers - Check out the special discounts and offers available to you through this program.
 

CIGNA Dental Health

We offer either Cigna HMO or Cigna PPO dental coverage.  Click here to view a brief comparison of the two plans.  More information is available at www.mycigna.com or 1-800-Cigna24.

Did you know that your oral health could be an indicator of your overall health?  See these tips for Keeping Your Teeth Healthy.   See also Your Guide to Good Oral Health. In addition CIGNA offers information about Caring for Your Child's Teeth and Gums.

VISION SERVICE PLAN (VSP)

Keep your eyes healthy with VSP Vision Care.  Get your WellVision Exam every 12 months for just a $20 Copay.

To view the VSP Benefits Summary, click here.

To find a VSP doctor, visit www.vsp.com or 1-800-877-7195.

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FAQ's

Have questions? Check out these Frequently Asked Questions .

FORMS

RESOURCES

LINKS

Retirement Health Benefits

Health Benefit Information for N-MUSD Employees Retiring

What to do:
  1. If you belong to N-MFT or CSEA, review your Bargaining Unit Contract. If you belong to NMAA, NMAA Confidential, or Supervisors, ...more

EAP - RESOURCES

Contact the Employee Assistance Program at 1-866-828-6049.

Our Employee Assistance Program website www.liveandworkwell.com  (access code 11670) includes Life Stages Center with resources to help during these challenging economic times such as Financial Fitness Center, Workforce in Transition Center and Coping with Stress.  Wellness Monthly newsletters provide focus on individual subjects.  See Wellness Newsletters.

Name Change - The company providing your EAP was formerly called United Behavioral Health Plan.  The new name is OPTUM Health.  Same plan - just a company name change.