PSM Quick Reference Guide for Self-Employed

 Monday - Friday 7:00AM - 5:00PM (CST)

General Questions:

HR: needs to add a new employee or terminate an existing employee. 

Qualifying Life Event: Marriage, divorce, birth, child adoption, loss of employment, etc. 

https://guidecm.com/

Monday - Friday 8:00AM - 5:00PM (CST) 

Precertification: We work with doctors to make sure procedures, imaging, and therapy are necessary.

Coordination with Green Imaging: CT, MRI, Mammograms, etc.

Case Management: Provides support to members with medical issues.

https://naviclaim.com/

Monday - Friday (866) 837-1436 8:00AM - 5:00PM (CST) 

Advocates and Claims Questions: Single Case Agreements and General Benefit Questions. Why was my claim processed this way?

Email NaviClaim: info@NaviClaim.com 

Call NaviClaim:  (866) 837-1436 

HealthSmart Network

24/ 7 / 365

Click on your plan’s Network to find a provider (Primary, Mental Health, Specialists) in your area. Note: Your Plan’s Network can be found on your ID Card.  

PPO Plans: 

First Health Network Provider Finder for:

500 Titanium 

1,000 Diamond

1,500 Platinum

2,500 Gold

3,500 Silver

5,000 Bronze

7,300 Copper

PHCS ( Private Healthcare Systems ) Network Provider Finder For:

500 Titanium 

1,000 Diamond

2,500 Gold

5,000 Bronze

7,300 Copper

HealthSmart Network Provider Finder:         

500 Titanium 

1,000 Diamond

2,500 Gold

3,500 Silver

5,000 Bronze

 24 / 7 / 365

Locate In-Network Pharmacies:

Click on your plan’s PBM to find a pharmacy in your area. Note: Your Plan’s Network can be found on your ID Card. 

Medalist

Ventegra

Monday - Friday 8:00AM - 5:00PM (CST)

https://scriptaide.com/

Prescription Access Assistance: We help members get medications not covered by insurance and find covered medications at a lower cost .

Email ScriptAid:  info@ScriptAide.com

Call ScriptAide:  (866) 837-1515 

 24 / 7 / 365 

Questions: Call or email MyLiveDoc regarding Telehealth. 

Prescription Access Assistance: We help members get medications not covered by insurance and find covered medications at a lower cost .

Call My Live Doc:  (855) 226-6567  

704-940-6654

704-360-0462 

Calendar

team@smartinsurancestrategies.com