Worcester Academy employees - resources and information
Benefits and coverage
FCHP offers you three options: FCHP Direct Care (our plan with a limited provider network), FCHP Select Care and FCHP Flex Care Select. No matter which FCHP plan you choose, you’ll get:
-
$0 copays for routine physical exams
-
$0 copays for annual vision exams
- $35 copayments for specialist visits
-
Prescription coverage around the country
-
Emergency care coverage around the world
-
Chiropractic services coverage
- Up to $500 reimbursement ($250 for a individual contract) for fitness center memberships, town and school sports leagues and other healthy activities
- A variety of health education and healthy extras, such as smoking cessation and more!
FCHP Direct Care and FCHP Select Care benefit summary (pdf, 95 KB)
FCHP Flex Care Select benefit summary (pdf, 84 KB)
For answers to your questions
FCHP Customer Service 1-800-868-5200 (TTY users please call TRS Relay 711.) |
Contact our Customer Service Department if you have general plan benefit or provider network questions. |
Find a doctor online tool http://www.fchp.org/FindPhysician |
Use our "Find a doctor tool" to find primary care providers, dentists, behavioral health providers, specialists and other providers. You can search by the provider's name, by location or by other criteria such as languages spoken. |
Covered medications list http://www.fchp.org/viewformulary |
Use our searchable listing of the prescription drugs that FCHP covers to see if your medications are covered or if they require prior authorization. |
My FCHP http://www.fchp.org/memberportal
|
Log into My FCHP, our secure member area, to change your address, to change your primary care provider or to access exclusive wellness tools. |
Melissa Hadley – FCHP Senior Account Advocate 1-508-368-9203 1-800-333-2535, ext. 69203
|
Melissa is available to aid benefit administrators with problems that may require high-level attention, or that may have privacy implications. |
Roberta Jones 1-866-858-7223 ext. 104 roberta@ultrabenefits.com |
Contact Roberta with your HRA questions. |
Deductibles and common costs
Our plans have a deductible, which is a dollar amount that you have to pay before FCHP starts to pay for certain covered services. For example, if your plan has a $1,000 deductible, you'll pay the first $1,000 for certain services, and then FCHP will begin to pay for those services.
To learn more about deductibles and common costs for typical medial services:
Peace of Mind Program™
The Peace of Mind Program is a referral program which allows FCHP members to receive certain types of specialty care at one of the following affiliated medical centers in Boston:
- Beth Israel Deaconess Hospital
- Brigham and Women’s Hospital
- Children’s Hospital*
- Dana-Farber Cancer Institute
- Massachusetts General Hospital
- Tufts Medical Center*
How to get services through the Peace of Mind Program
- You must first see an FCHP in-plan specialist for your medical condition.
- Within three months of seeing the FCHP in-plan specialist, you may request a Peace of Mind Program preauthorization from your PCP to one of the Peace of Mind Program facilities.
- The request must be for the same type of specialist and for the same medical condition in step 1 (above).
- Your referring physician sends in a request for preauthorization to FCHP for approval.
- Your referring physician should provide assistance to you in selecting a specific Peace of Mind Program provider. If your referring physician is unfamiliar with Peace of Mind Program options, he or she may direct the member to call our Care Services Department for assistance at
1-508-799-2100 or 1-800-333-2535, ext. 69138. - You will receive a letter from FCHP notifying you if the Peace of Mind Program preauthorization has been approved.
Wellness resources
Stay healthy and fit by taking advantage of our health and wellness programs.
- It Fits! fitness reimbursement program
Get up to $500 ($250 for a individual contract) to use toward gym memberships, town and school sports leagues, Weight Watchers, and other healthy activities. Download the It Fits! Form (pdf, 120 KB) - Oh Baby!
A health and wellness program for birth and baby that offers free prenatal vitamins, a free car seat or breast pump, and other “little extras” for expectant parents. - Quit to Win—FCHP's tobacco treatment program
Quit smoking with individualized stop-smoking plans, support meetings and telephone counseling. - Naturally Well (alternative and complementary health care discounts)
Discounts on acupuncture, chiropractic care and massage therapy.
* FCHP Direct Care members have access to Children's Hospital and Tufts Medical Center through the Peace of Mind Program. Children's Hospital and Tufts Medical Center are contracted FCHP Select Care hospitals and are available to FCHP Select Care members at any time.