Tips for Using Your Benefits
1. Know your benefits effective date. Health and Dental enrollments are generally effective the first of the month following the date (pay period) your enrollment forms were received by the Benefits Office. Flexcash and Health Care/ Dependent Care Reimbursement Account enrollments need to be submitted by the 8th of the month for coverage to be effective the 1st of the following month.
If you are unsure of your benefits effective date, please contact the Benefits Office at x86213. Copies of your enrollment forms will be mailed to your home address once your enrollments have been processed.
2. Allow time for processing. Once your enrollments have been processed by The Benefits Office, your enrollment information can take some time before it reaches the carrier's records. Please allow ample time for your enrollment to fully process. When you see the benefit deductions on your pay warrant, you will know that the enrollment has processed.
NOTE: If you need services during this time, and the provider is not able to confirm your eligibility, it most likely means your enrollments are still being processed. Please give The Benefits Office a call at x86213 for assistance. You may be asked to pay for services up front and submit a claim form to the carrier later for reimbursement.
3. Verify online that your benefit enrollment selections are correct.You are able to view your medical, dental, and vision enrollments, as well as dependent coverage information online through your MySacState account. Should you find any discrepancies, please contact The Benefits Office at x86213. You may also review and update your address and emergency contact information.
- Log-in to MySacState.
- From the Home tab, select Employee Center.
- Select Benefits Summary.
4. Check that all benefit deductions appear on each of your pay stubs. Benefit enrollments are tied directly to your paycheck. If benefit carriers do not receive payment, your benefits may not show as active with the carriers.
Should your benefit deductions not show on your pay stub, it may mean the State Controller's Office is still processing or that an error may have occurred. If this is the case, please contact The Benefits Office at x86213 as soon as possible so that we can work to resolve the error.
5. Make sure you have your ID card issued by the carrier. The doctor's office, dental office, and pharmacy may request a copy when providing services. If you do not have your ID card, you may be asked to pay for services up front and will need to fill out a claim form for reimbursement at a later date. ID cards are issued for all medical plans and DeltaCare USA enrollees only – normally within 7 - 10 business days from when the carrier processes your enrollment. If you have not received your ID card within this timeframe, contact the carrier directly to request an ID card.
6. Find a provider. A provider search can be done on the appropriate benefit carrier's website, all of which are listed on the Benefits Provider Contact page of the Benefits Office website. Providers may change without notice. Please verify with the provider you select that they take your insurance BEFORE scheduling your appointment or utilizing services.
7. Verify eligibility. Have the doctor's office verify your eligibility with the insurance carrier PRIOR to your actual appointment. If there is an issue with your eligibility, please contact The Benefits Office at x86213 for assistance. We can work with the carriers to verify eligibility.
8. Read the FAQ's. If you have a benefits question, most likely others have asked the same question. Please visit the FAQ page of the Benefits Office website for answers to the most frequently asked questions in benefits.
9. When to Use a Claim Form. Following are a list of scenarios that may require you to submit a claim form for reimbursement. Claim forms can be found on the carrier websites.
Medical, Dental, Vision, and Prescriptions
- Anytime you have to pay up front for services.
- Your doctor's office will not bill your insurance for you.
- If you need to use services and you are not yet showing in the carrier's database.
- You have not yet received your ID card. (If this is the case, call The Benefits Office at x86213 for assistance.)
- You obtain services out-of-state or out-of-country.
- You use an out of network dental provider for Delta Dental PPO
Vision Coverage Only
Please bring the appropriate vision claim form with you to your appointment should you meet one of the following scenarios:
- You go to a non-VSP provider.
- You are eligible and are using the Video Display Terminal (VDT) vision benefit.
10. READ YOUR MAIL & E-MAIL. The plans send out important information to you via U.S. Mail. It is important that you carefully read the information that is sent out to your attention. The Office of Human Resources sends out important program updates through e-mail Electronic Broadcast Announcements. It is also important that you read these messages to stay up-to-date.
10. Keep Informed About Your Benefits! Register an Account with Each of Your Benefits Plans. Most benefits plans offer the ability for employees to register an account online. Through the account registration, you can view information about your benefits plans, verify coverage, and find out information about your benefits that you may not have otherwise known. Another benefit of registering an account is that the plans will often send out electronic newsletters with plan updates, changes, and useful information. The only way for the plans to provide these to your attention is to have your e-mail address provided by you upon registration.
Blue Shield Access Plus HMO and Blue Shield Net Value HMO:
PERS Select, PERS Choice & PERS Care:
Delta Dental PPO & DeltaCare USA: