APSCURF Forms and Benefits

APSCURF members are entitled to a myriad of benefits. Below please find information and forms relating to health insurance, special services, and more available to you. If you aren’t a member yet, fill out our membership form (available on the right-hand side of this page) to join.

PASSHE HEALTH PLAN – FLU SHOT OPPORTUNITIES

Please visit our Forms and Benefits area for the current year’s information.

CLAIM FORMS

 

DENTAL AND VISION

Are you newly retired? To read a letter that explains options for COBRA benefits under the PA Faculty Health and Welfare Fund, plus APSCURF’s dental and vision plans, faculty members click here (PDF document). Coaches, click here (PDF document).

If you would like to join, please email Nancy Koutris at nkoutris@apscuf.org. Please provide your name, current address, campus, date of retirement, date COBRA ends for the Fund (if applicable), and your contact number.

The monthly rates for UCCI Dental and the Highmark Vision Plan, Feb. 1, 2017, through Jan. 31, 2018, are as follows:

Dental only Vision only Both
Single $43.47 $10.89 $48.36
Family $99.73 $18.42 $112.15

Premium payments are to be mailed no later than the 15th of each month.

HIGHMARK VISION: If you have a benefits question or claim problem with your vision coverage, please contact Highmark at 1-800-223-4795. For a description of what Highmark Vision has to offer, click here (PDF document). For a Highmark vision claim form, click here (PDF document).

UNITED CONCORDIA DENTAL: If you have a benefits question or claim problem with your dental coverage, please contact United Concordia (UCCI) at 1-800-332-0366. APSCURF’s plan name is UCCI Select, and the provider network is Advantage Plus. For a complete description of the dental insurance coverage, click here (PDF document). To download a copy of the new United Concordia claim form, click here (PDF document).

 

 

LONG-TERM CARE

Looking to purchase long-term care insurance? Click here to download the long-term care info sheet that includes a basic overview, questions to ask when you’re researching, and things to consider.

If you have any questions, contact our direct long-term care expert, Sandy Curlee, today at 866-218-5007 or email her at sandycurlee@comcast.net.

MEDICARE

Read Medicare and You 2017 (PDF download), the official U.S. government Medicare handbook, for what’s new with Medicare, what the program covers and your Medicare rights.

Read about important survivor benefits information.

Read the Medicare benefits summary about regulations for retired faculty members.

Visit www.Medicare.gov to sign up on line for benefits as well as providing what the benefits are once enrollment goes active. The Centers for Medicare and Medicaid Services site also contains useful information for those that are eligible or are becoming eligible for Medicare.

PLANNING TO TRAVEL ABROAD?

If medical assistance/services are required while travelling outside the United States and Medicare does not cover the service(s), secure those medical services and retain all necessary documentation from the provider/facility. Upon returning home submit copies of the bills and documentation to (foreign claims do not have to be submitted to Medicare for a denial prior to submission to Highmark Blue Shield). Medicare members are to use the same claim form for the Highmark Blue Shield submission as they do for their prescription drug submissions.

The members with the alpha prefix ZAL are not eligible for Worldwide services and claims processing. PASSHE members who receive services outside the country can file to Major Medical only and the claim is to be sent to the address on the back of the member’s ID card.

If the members under this alpha prefix need assistance with locating foreign providers they can call Member Services or they can use the www.bcbs.com website.

Those members who are not eligible for Medicare, effective Jan. 1, 2017, international claims are now to be submitted on the BCBS Global Core claim form to the following address: Service Center, PO Box 2048, Southeastern, PA 19399 -OR- claims and relevant forms/information can be submitted via email to Claims@bcbsglobalcore.com. Click here to download a PDF containing more information.

SOCIAL SECURITY

Visit www.ssa.gov to sign up for social security as well as providing eligibility and other information.

The Social Security Administration will provide you with a free estimate of your benefits under current law. To get your free estimate of benefits, call 1.800.772.1213 and ask for a Personal Earnings and Benefit Estimate Statement (PEBES). You may also request your PEBES online at www.ssa.gov. After receiving your online request, the Social Security Administration will prepare a PEBES and mail it to you in about three to four weeks. You can also use the Social Security Administration’s Retirement Estimator to calculate your approximate benefit amount.

SCHOLARSHIP

Visit our Students page for information about the APSCUF scholarship.

GOT QUESTIONS?

For more information about retirement, please contact Nancy Koutris at nkoutris@apscuf.org or 717-236-7486, ext. 3021.

Thank you for your interest in APSCURF. Please click on the links below download an application or renewal form.

 

Phone: 717-233-4713
Mailing address: PARFAC
P.O. Box 60545
Harrisburg, PA 17106-0545