Pebtf

PEBTF The CVS Caremark® Performance Drug List - Standard Control for PEBTF is a guide within select therapeutic categories for clients, plan members and health care providers. Generics should be considered the first line of prescribing. If there is no generic available, there may be more than one brand-name medicine to treat a condition.Retired members can get duplicate tax forms and click through to the Pennsylvania Employees Benefit Trust Fund - the PEBTF - for more about your health care. The Pennsylvania State Employees' Retirement System manages the pension benefits of nearly 240,000 employees and retirees for 101 public sector employers . 120 days prior to the month you turn 65: You will receive a packet of information from the PEBTF via certified mail. You must enroll in both Medicare Part A and Medicare Part B to continue medical and prescription drug coverage under the Retired Employees Health Program (REHP). Contact the Social Security Administration at 1-800-772-1213 three ...Gastric Surgery/Therapy/Durable Medical Equipment/Outpatient Procedures: 888-236-6321. Home Health/Home Infusion Therapy/Hospice: 888-567-5703. Inpatient Clinical: 800-416-9195. Medical Injectable Drugs: 833-581-1861. Musculoskeletal (eviCore): 800-540-2406. Telephone: For inquiries that cannot be handled via the online provider portal, call ...News. Important Information Needed to File Your 2023 Federal Taxes. 1/18/2024. PEBTF Introduces Updated Credit Card Payment System. 11/14/2023. Get Four Free At-Home COVID-19 Tests on COVIDTests.gov. 10/26/2023. Now is the Time to Get Your Flu Shot. 10/12/2023.PEBTF Website Visit www.pebtf.org > 2023 Open Enrollment. View the webinar, plan benefits and compare plans in your county of residence. The Summaries of Benefits & Coverage are also available on the website. Contact the PEBTF g. Contact PEBTF Health Advocate Call 1-855-855-4238 to help locate network health care providers. Contact the …Non-Medicare Eligible Open Enrollment. Pennsylvania Employees Benefit Trust Fund. 150 S. 43 rd Street. Harrisburg, PA 17111-5700. You may also call the PEBTF at 1-800-522 …Oct 16, 2023 · Open Enrollment: Enrollment Instructions for Active Members. Visit the Open Enrollment section of this website for more information on your health plan choices. If you have questions about your medical plan options, coverage for services, etc. please contact the PEBTF at 1-800-522-7279. When you are ready to select a medical plan, you can use ... Pennsylvania Employees Benefit Trust Fund 150 South 43rd St., Suite 1 Harrisburg, PA 17111-5700. Postmaster, please deliver between October 11 and October 21, 2023. Local: 717-561-4750 Toll Free: 800-522-7279. PEBTF telephone hours: 8 a.m. – 5 p.m. This newsletter is available in an alternative format.When you enroll in an Aetna ® Medicare plan, here's what you can expect. We'll mail you: A new member Journey Handbook with helpful tools, cost-saving resources and important tips. Read your plan documents to learn more about your plan and how it works. The Evidence of Coverage will tell you exactly what's covered and your out-of-pocket costs.* For more information about limitations and exceptions, see the SPD or plan document at www.pebtf.org. Page 4 of 6 Common Medical Event Services You May Need What You Will Pay Limitations, Exceptions, & Other Important Information Network Provider (You will pay the least) Out-of-Network Provider (You will pay the most) Habilitation services You must be an authorized representative to create a member account or reset an Email/Password. By using or accessing PEBTF.org (the 'Website'), you agree that you will use it for legitimate purposes only, and not for any illegal or unauthorized purpose, including without limitation, in violation of any intellectual property or privacy law. Verify your membership. Please enter the last name, social security number, and birth date of the member's account that you would like to make a payment for and click Next.We advise you to remain enrolled in the REHP medical and prescription drug plan coverage. If you want to opt out of the new plan, you will need to do so by November 10, 2023. Just call the PEBTF at 1-800-522-7279, 8 a.m. to 5 p.m. Keep in mind: If you opt out, you and any covered dependents will be terminated from REHP medical and prescription ...deferred contribution debt to the PEBTF and that the PEBTF Trustees take action against the. Commonwealth to collect the deferred contributions. The Motion ...* For more information about limitations and exceptions, see the SPD or plan document at www.pebtf.org. Page 4 of 6 Common Medical Event Services You May Need What You Will Pay Limitations, Exceptions, & Other Important Information Network Provider (You will pay the least) Out-of-Network Provider (You will pay the most) Habilitation services * For more information about limitations and exceptions, see the SPD or plan document at www.pebtf.org. Page 3 of 6 Common Medical Event Services You May Need What You Will Pay Limitations, Exceptions, & Other Network Provider Important Information (You will pay the least) Out-of-Network Provider (You will pay the most) If you have outpatientPEBTF Website Visit www.pebtf.org > 2023 Open Enrollment. View the webinar, plan benefits and compare plans in your county of residence. The Summaries of Benefits & Coverage are also available on the website. Contact the PEBTF g. Contact PEBTF Health Advocate Call 1-855-855-4238 to help locate network health care providers. Contact the …Apr 1, 2014 ... The PEBTF also provides mental health and substance abuse coverage, as well as prescription drug, vision, dental and hearing aid benefits for ...PPO Bronze Plan (Open Choice) Aetna Customer Service: 1-800-991-9222 PEBTF Benefits - 2024 Network Providers Non-Network Providers** DEDUCTIBLE (Per Calendar Year) Includes costs for medical, mental health and substance abuse benefits and prescription drug costs. $9,450 single $18,900 family $9,554 single $19,108 familyEffective July 1, 2014, the PEBTF provides coverage for the following preventive care benefits under all of its medical plans at 100% for in network preventive care. This chart outlines the preventive care benefits for adults, women, including pregnant women, and children. USPSTF: Evidence-based items or services that have in effect a rating of ... Apr 3, 2023 ... PEBTF is also run quarterly for all CHIP enrollees. PEBTF is not verified upon receipt, caseworker must verify PEBTF eligibility. PACSES. No ...The employee regularly interacts with annuitants, dependents, survivor spouses, employers, SERS' personnel, the OA, and the PEBTF to provide information, ...Business Wire. The Board of Trustees of the Pennsylvania Employees Benefit Trust Fund (PEBTF) today announced the appointment of Kathryn M. Farley to the position of …Jan 1, 2022 ... PEBTF's durable medical equipment (DME) coverage transitioned from DMEnsions to Aetna®. As of January 1, 2022, Aetna provides DME coverage for ...Home; Change Text Size A-| Reset | A+UPMC for Life HMO. UPMC for Life Medicare HMO is available if you live in one of these western Pennsylvania counties: Allegheny ...Enter your last name, date of birth and social security number. On the next screen, you will be able to Select your Payment – either pay in full or make a custom payment. Enter the …The Handbook has been prepared to help you understand the main features of the health benefit coverage provided by the commonwealth. If you have questions about your benefits, please contact the PEBTF at 1-800-522-7279. To view, print, or save the REHP Handbook click here * . To request a printed copy of the REHP Handbook, click here.Retired members can get duplicate tax forms and click through to the Pennsylvania Employees Benefit Trust Fund - the PEBTF - for more about your health care. Online Calculators. Estimate your future retirement benefit or the federal tax withholding from your current pension payments. Sign Up for News. Provide your e-mail address to get …A. Complete the registration process on the Quest Diagnostics website. To access the Quest site, go to www.pebtf.org and click on the Get Healthy logo. Follow the instructions on the website. If you cannot go online, please contact Quest Diagnostics at 1-844-598-7966 to request the Physician’s Results Form. Q.The employer is responsible for notifying the PEBTF if the qualifying event is a reduction in hours, termination of employment, or death of the employee. For other qualifying events (divorce, termination of domestic partnership, dependent child’s losing eligibility for coverage as a dependent) you must notify the PEBTF in writing (to theDiscounts on fitness, wellness, weight loss programs, etc. Members may visit the PEBTF website for links to the plan's wellness benefits. Click on the Get Healthy Discount Programs button to get started. Discounts on fitness, wellness, weight loss programs, etc. Members may visit the PEBTF website for links to the plan's wellness benefits.Enter your last name, date of birth and social security number. On the next screen, you will be able to Select your Payment – either pay in full or make a custom payment. Enter the card holder name, credit card number, expiration date and security code and click on Proceed to Checkout. Click on Complete Payment.Claim forms are available at a participating provider office. United Concordia also accepts any standard dental claim form. Your dentist will complete an examination and recommend needed treatment. For more information, refer to your Summary Plan Description or contact PEBTF. United Concordia Dental Options (UCCI) www.ucci.com 1-888-320-3321. PEBTF The CVS Caremark® Performance Drug List - Standard Control for PEBTF is a guide within select therapeutic categories for clients, plan members and health care providers. Generics should be considered the first line of prescribing. If there is no generic available, there may be more than one brand-name medicine to treat a condition.Generic drugs (Tier 1) $15 copay/prescription up to 30 days; $22.50. copay/prescription up to 90 days (CVS & mail order) Submit claim form. Covers up to a 30-day supply (retail prescription); 31-90 day supply (mail order prescription and CVS/pharmacy).About Us. The Pennsylvania Employees Benefit Trust Fund (PEBTF), established in 1988, administers health care benefits to approximately 68,000 eligible Commonwealth of Pennsylvania employees and their dependents and 65,000 retirees and their dependents, as well as additional employer groups. The PEBTF is governed by a Board of Trustees ... The PEBTF Board of Trustees has full and complete discretion and authority over all Plan provisions, including their interpretation and application. Pennsylvania Employees Benefit Trust Fund (PEBTF) 150 S. 43rd Street, Suite 1 Harrisburg, PA 17111-5700 Phone: 717-561-4750 800-522-7279 www.pebtf.org . 1 To All Benefit Eligible Members:PEBTF‐2 Rev 01‐2021 EMPLOYEE ENROLLMENT/CHANGE FORM. Important: Changes made on this form will affect your medical, prescription drug, and supplemental benefits. SECTION 1: EMPLOYEE DATA. Social Security # Name (Last Plus Suffix, First, MI) Employee # Street Address Local Municipality (if address change) City/State/Zip County Name PEBTF - Log In. Active Members. Benefit Information. Health Plan Choices by County. Open Enrollment Information. Benefit Comparison.The Handbook has been prepared to help you understand the main features of the health benefit coverage provided by the commonwealth. If you have questions about your benefits, please contact the PEBTF at 1-800-522-7279. To view, print, or save the REHP Handbook click here * . To request a printed copy of the REHP Handbook, click here. 120 days prior to the month you turn 65: You will receive a packet of information from the PEBTF via certified mail. You must enroll in both Medicare Part A and Medicare Part B to continue medical and prescription drug coverage under the Retired Employees Health Program (REHP). Contact the Social Security Administration at 1-800-772-1213 three ...Custom HMOs cover medical services as set forth in the PEBTF Plan Document. Treatment for medical services must be coordinated by a Primary Care Physician (PCP) $5 copayment for PCP office visits (for general practitioners, family practitioners, internists and pediatricians) $150 copayment for emergency room visit (waived if the visit leads to ...We advise you to remain enrolled in the REHP medical and prescription drug plan coverage. If you want to opt out of the new plan, you will need to do so by November 10, 2023. Just call the PEBTF at 1-800-522-7279, 8 a.m. to 5 p.m. Keep in mind: If you opt out, you and any covered dependents will be terminated from REHP medical and prescription ...120 days prior to the month you turn 65: You will receive a packet of information from the PEBTF via certified mail. You must enroll in both Medicare Part A and Medicare Part B to continue medical and prescription drug coverage under the Retired Employees Health Program (REHP). Contact the Social Security Administration at 1-800-772-1213 three ...The PEBTF complies with applicable Federal civil rights laws and does not discriminate ... Contact the PEBTF at 717-561-4750 or. 1-800-522-7279 or visit www.pebtf ...Jan 1, 2013 · Medicare Part D Prescription Drug Plan. Three-Tier Copayment Plan - Generic, Preferred Drugs and Non-Preferred Drugs. Retail Prescriptions (up to 30-day supply) - Generic drug: $12; Preferred brand-name drug: $30, plus the cost difference between the brand and the generic, if one exists; Non-preferred brand-name drug: $60, plus the cost ... The Bronze Plan is offered by Aetna and is administered by the PEBTF. The Bronze Plan provides minimum essential coverage and is considered affordable under the ACA. If you are eligible for the Bronze plan, and you elect to purchase a private health plan through the Health Insurance Marketplace, ...Call 1-800-522-7279 or email [email protected]. Contact PEBTF Health Advocate. Contact the HR Service Center (or your local HR office if your agency is not supported by …SilverScript. Evidence of Coverage Evidence of Coverage January 1, 2024, and December 31, 2024.contact the Pennsylvania Employees' Benefit Trust Fund (PEBTF} at (717) 561-. 4750 or toll-free at (800) 522-7279, or at www.pebtf.org. Benefits, benefit ...A: If such an unfortunate event should occur, Active members should contact the HR Service Center or their local HR Office if their agency is not serviced by the HR Service Center. Retiree members may contact the State Employees' Retirement System (SERS) at 800-633-5461. Once you provide the necessary documentation, this information will be ... Retired members can get duplicate tax forms and click through to the Pennsylvania Employees Benefit Trust Fund - the PEBTF - for more about your health care. Online Calculators Estimate your future retirement benefit or the federal tax withholding from your current pension payments. Pennsylvania State Employees Retirement System. By clicking on the links provided, you are being redirected. Empower Retirement, its parent company and/or any of its subsidiaries are not responsible for the content provided and/or updates with respect to the materialCore securities, when offered, are offered through GWFS Equities, Inc. and/or ...PEBTF Custom HMO Aetna Member Services 1-800-991-9222 PEBTF Active Members 2023 Everyone is on the same page When you get care from doctors and hospitals in the PEBTF Custom HMO network, your health history is in one place. So your care team can be on the same page, too. Your team can: • Keep tabs on your prescriptions and lab resultsOct 16, 2023 · Open Enrollment: Enrollment Instructions for Active Members. Visit the Open Enrollment section of this website for more information on your health plan choices. If you have questions about your medical plan options, coverage for services, etc. please contact the PEBTF at 1-800-522-7279. When you are ready to select a medical plan, you can use ... The Summary Plan Description (SPD) summarizes the main terms of the benefits provided to Members and their eligible Dependents under the Pennsylvania Employees Benefit Trust Fund Plan. This SPD replaces all previous Summary Plan Descriptions for the Plan. The SPD has been prepared to help you understand the main features of the health benefit ... You must be an authorized representative to create a member account or reset an Email/Password. By using or accessing PEBTF.org (the 'Website'), you agree that you will use it for legitimate purposes only, and not for any illegal or unauthorized purpose, including without limitation, in violation of any intellectual property or privacy law. Teladoc and telemedicine visits with your Behavioral Health doctor. $0 copay under the Optum Mental Health & Substance Use benefit. COVID-19 test (processed at a pharmacy, doctor’s office or other location) Copay applies. PPO: $0 if at a Quest Diagnostics or LabCorp; subject to your deductible elsewhere. Over the counter COVID-19 test kits.PEBTF - Benefit Comparison. Active Members. Benefit Information. Health Plan Choices by County. Open Enrollment Information. Benefit Comparison.pebtf The CVS Caremark ® Performance Drug List - Standard Control for PEBTF is a guide within select therapeutic categories for clients, plan members and health care providers.Jul 1, 2012 ... PEBTF and REHP Members. Below is a list of medicines by drug class that will not be covered without a prior authorization. If you continue ...News. Important Information Needed to File Your 2023 Federal Taxes. 1/18/2024. PEBTF Introduces Updated Credit Card Payment System. 11/14/2023. Get Four Free At-Home COVID-19 Tests on COVIDTests.gov. 10/26/2023. Now is the Time to Get Your Flu Shot. 10/12/2023.Enter your last name, date of birth and social security number. On the next screen, you will be able to Select your Payment – either pay in full or make a custom payment. Enter the card holder name, credit card number, expiration date and security code and click on Proceed to Checkout. Click on Complete Payment. PEBTF 2023 Open Enrollment Webinar for Active Members.PEBTF May Cancel Your Coverage For Fraud, Non-payment or Intentional Misrepresentation. IMPORTANT: If you intentionally provide false or misleading information about eligibility for coverage under the PEBTF Plan (or about a claim) or you fail to make a required contribution on time, your coverage may be terminated retroactively. This may occur ... PEBTF Specialty Pharmacy Drug List Providing one of the broadest offerings of specialty pharmaceuticals in the industry The Specialty Pharmacy Drug List is a guide of medications available through CVS Specialty®. Our goal is to help make your life better. With more than 40 years of experience, CVS Specialty provides quality care and service.Jun 17, 2010 ... Harrisburg – The Pennsylvania Employees Benefit Trust Fund (PEBTF) announced today that Highmark, Aetna, Capital Blue Cross, ...Please update your bookmarks. The page you requested has been moved to https://www.aetna.com/index.htmlPEBTF‐2 Rev 01‐2021 EMPLOYEE ENROLLMENT/CHANGE FORM. Important: Changes made on this form will affect your medical, prescription drug, and supplemental benefits. SECTION 1: EMPLOYEE DATA. Social Security # Name (Last Plus Suffix, First, MI) Employee # Street Address Local Municipality (if address change) City/State/Zip County Name Retired members can get duplicate tax forms and click through to the Pennsylvania Employees Benefit Trust Fund - the PEBTF - for more about your health care. Online Calculators Estimate your future retirement benefit or the federal tax withholding from your current pension payments. PEBTF: Basic PPO Coverage for: Individual + Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be providedPartners under the PEBTF’s benefit plans. 4. We understand that we may be required from time to time to furnish any further documentation that the PEBTF may request for purposes of treatment as Domestic Partners. 5. We understand that certain benefits provided to an employee’s Domestic Partner or to theSERS is the retirement system for public employees in Pennsylvania, offering pension and health care benefits. The PEBTF is the Pennsylvania Employees Benefit Trust Fund, the …You must be an authorized representative to create a member account or reset an Email/Password. By using or accessing PEBTF.org (the 'Website'), you agree that you will use it for legitimate purposes only, and not for any illegal or unauthorized purpose, including without limitation, in violation of any intellectual property or privacy law. When you enroll in an Aetna ® Medicare plan, here's what you can expect. We'll mail you: A new member Journey Handbook with helpful tools, cost-saving resources and important tips. Read your plan documents to learn more about your plan and how it works. The Evidence of Coverage will tell you exactly what's covered and your out-of-pocket costs. Apr 1, 2014 ... The PEBTF also provides mental health and substance abuse coverage, as well as prescription drug, vision, dental and hearing aid benefits for ...The following details the Copayments under the Prescription Drug Plan. Prescriptions at a Network Pharmacy – up to a 30 Day Supply. Your Copayment. Tier 1: Generic drug. $12. Tier 2: Preferred brand-name drug. $30, plus the cost difference between the brand and the generic, if one exists. Tier 3: Non-Preferred brand-name drug.Please note: This PEBTF Specialty Pharmacy Drug List is a list of drugs that must be filled through the pharmacy benefit plan. Exceptions are noted below, particularly injectable products used for oncology indications which may be billed under the medical benefit.View Nancy Murphy's profile on LinkedIn, the world's largest professional community. Nancy has 5 jobs listed on their profile. See the complete profile on ...The following details the Copayments under the Prescription Drug Plan. Prescriptions at a Network Pharmacy – up to a 30 Day Supply. Your Copayment. Tier 1: Generic drug. $12. Tier 2: Preferred brand-name drug. $30, plus the cost difference between the brand and the generic, if one exists. Tier 3: Non-Preferred brand-name drug.The employer is responsible for notifying the PEBTF if the qualifying event is a reduction in hours, termination of employment, or death of the employee. For other qualifying events (divorce, termination of domestic partnership, dependent child’s losing eligibility for coverage as a dependent) you must notify the PEBTF in writing (to theAppointments are available the last Thursday of each month (except on holidays). Please call the PEBTF to schedule. Appointments must be scheduled in advance. Unscheduled walk-ins are not accepted. Secure Dropbox: For your convenience a locked drop-box is located just inside the main doors of the PEBTF offices. You may drop off a check payment ... Dec 31, 2014 ... Wellness screenings are offered to employees and covered spouses/ domestic partners enrolled in PEBTF medical and/or supplemental benefits. The ...Your physician should be the only one prescribing medications for you. If you should happen to receive a call similar to what was reported above, please contact the PEBTF’s Fraud area via the Contact the PEBTF section of www.pebtf.org or call the PEBTF at 1-800-522-7279.The official Maryland EBT/P-EBT customer service phone line is 1-800-997-2222. This is the only number that should be used for inquiries related to your card. The customer service call center can be reached 24 hours a day, 7 days to order a new card, inquire about your balance or change your Personal Identification Number (PIN).Dec 31, 2014 ... Wellness screenings are offered to employees and covered spouses/ domestic partners enrolled in PEBTF medical and/or supplemental benefits. The ...TTY users should call 1-877-486-2048. Or visit www.medicare.gov. SilverScript’s Formulary. The formulary that begins on page 1 provides coverage information about the drugs covered by our plan. If you have trouble finding your drug …Appointments are available the last Thursday of each month (except on holidays). Please call the PEBTF to schedule. Appointments must be scheduled in advance. Unscheduled walk-ins are not accepted. Secure Dropbox: For your convenience a locked drop-box is located just inside the main doors of the PEBTF offices. You may drop off a check payment ... Open Enrollment: Enrollment Instructions for Active Members. Visit the Open Enrollment section of this website for more information on your health plan choices. If you have questions about your medical plan options, coverage for services, etc. please contact the PEBTF at 1-800-522-7279. When you are ready to select a medical plan, you …Join to see who you already know at Pennsylvania Employees Benefit Join now Sign inThe PEBTF’s medical plans now offer free DPPs to members who are identified as having prediabetes or score as high risk for developing type 2 diabetes. A DPP is a year-long program consisting of 16 weekly lessons, followed …pebtf.com has been informing visitors about topics such as Health Insurance for Retirees and Universities. Join thousands of satisfied visitors who ...The PEBTF Drug List is a guide within select therapeutic categories for clients, plan members and health care providers. Generics should be considered the first line of prescribing. If there is no generic available, there may be more than one brand-name medicine to treat a condition.Generic drugs (Tier 1) $15 copay/prescription up to 30 days; $22.50. copay/prescription up to 90 days (CVS & mail order) Submit claim form. Covers up to a 30-day supply (retail prescription); 31-90 day supply (mail order prescription and CVS/pharmacy).Pennsylvania Electronic Benefit Transfer (EBT) Welcome to the PA EBT website! EBT stands for Electronic Benefits Transfer. If you have been approved to receive benefits from one of the programs listed below, you can use this website to view your benefit balance (s). Food Assistance (formerly Food Stamp) - Supplement Nutrition Assistance Program ...PEBTF-14 Adult Dependent Coverage Form. PEBTF-36 Active Employer Benefit Verification Form for Active Members. PEBTF-40 Direct Payment Authorization Form. PEBTF-41 Enrollment in PEBTF Prescription Drug Plan Without PEBTF Medical Plan Coverage. PEBTF-44 Attesting to Other Coverage Due to a Plan Change Effective 4/1/2021 …Summary. In-network deductibles differ between the Choice PPO and the Basic PPO. – Choice PPO – Annual in-network deductible is $400 single/$800 family. – Basic PPO – Annual in-network deductible is $1,500 single/$3,000 family. PPO option covers medical services as set forth in the PEBTF Plan Document. PPO option offers both an in ...PEBTF - Benefit Comparison. Active Members. Benefit Information. Health Plan Choices by County. Open Enrollment Information. Benefit Comparison. The Handbook has been prepared to help you understand the main features of the health benefit coverage provided by the commonwealth. If you have questions about your benefits, please contact the PEBTF at 1-800-522-7279. To view, print, or save the REHP Handbook click here * . To request a printed copy of the REHP Handbook, click here.Join to see who you already know at Pennsylvania Employees Benefit Join now Sign inAs an insurer for 74,000 Pennsylvania public employees and 64,000 retirees (as well as for some dependents), the Pennsylvania Employees.Visit www.pebtf.org > 2023 Open Enrollment. View the webinar, plan benefits and compare plans in your county of residence. Call 1-800-522-7279 or email [email protected]. The representative can answer questions about your benefits, costs and how to change plans. Call 1-855-855-4238 to help locate network doctors. PEBTF Website Contact ...If you have any questions, please contact a PEBTF Benefit Services Representative at 1-800-522-7279. 3. Pennsylvania Employees Benefit Trust Fund 150 South 43rd Street, Suite 1 Harrisburg, PA 17111-5700. Local: 717-561-4750 Toll Free: 800-522-7279. PEBTF telephone hours: 8 a.m. – 5 p.m. Monday through Friday.pebtf The CVS Caremark ® Performance Drug List - Standard Control for PEBTF is a guide within select therapeutic categories for clients, plan members and health care providers.Access – PA Medicaid (must have medical insurance); Aetna (except PEBTF plans); AmeriHealth; AmeriHealth Administrators; Blue Cross Blue Shield; Cigna ...Open Enrollment Newsletter for 30 Hour Week Employees – Bronze & Other PEBTF Plans CVS ® ExtraCare Plus (free for Aetna subscribers) Plan Web Site: www.aetna.com PEBTF - Benefit Comparison. Active Members. Benefit Information. Health Plan Choices by County. Open Enrollment Information. Benefit Comparison.P-EBT helps families cover the cost of food for school-age children For more information about Aetna plans, go to PEBTF.AetnaMedicare.com or call Member Services at toll-free at 1-888-272-5651 (TTY: 711). Hours are 8 a.m. to 9 p.m. EST, Monday through Friday. The provider network may change at any time. You will receive notice when necessary. In case of emergency, you should call 911 or the local emergency hotline. PEBTF‐2 Rev 01‐2021 EMPLOYEE ENROLLMENT/CHANGE FORM. Important: Changes made on this form will affect your medical, prescription drug, and supplemental benefits. SECTION 1: EMPLOYEE DATA. Social Security # Name (Last Plus Suffix, First, MI) Employee # Street Address Local Municipality (if address change) City/State/Zip County … | Crwhlxxtrj (article) | Mxkgty.