Plan year 12-1-2022 to 11-30-2023
How to Enroll
The Benefit choices you make during your initial enrollment or annual open enrollment remain in effect for the entire year.
You can, however, modify your elections under certain circumstances, called "Qualifying Events". These are events such as marriage, divorce, birth or adoption of a child, loss of eligibility under another plan. If you experience a qualifying event, you may make changes to your benefits within 30 days of the event or 60 days if the event is due to birth or adoption of a child.
EMPLOYEE ELIGIBILITY
Full time and Part-time employees are eligible to participate in the plan. Aztec will contribute up to $275 a month per full time employee and up to $150 a month per part time employee. Your coverage will be effective on the 1st of the month, following 60 days from your date of hire.
STEP 1
All employees should complete an election form to confirm their benefit elections that will be effective 12-1-2022. CLICK TO DOWNLOAD THE ELECTION FORM (on the right).
STEP 2
If you are enrolling in Sedera:
Existing Members: This year there are no changes! It will be a very simple process. You do not need to reenroll on the Sedera portal if you want to continue your memberships as it is today. All memberships will be renewed based on Members’ current selections if they do not take any action. If you need to make a change to your current membership, you will follow the link you will receive from Sedera the first week of December.
New Members:
Click the following link and enter the Employer code below.
https://sederamcs.org/?trackingEntity=f5d35d17-bf57-4ed6-b464-b89f51dde00c
Employer Verification Code: 4710
New Sedera Members - In addition to completing the election form, new Sedera members must complete their enrollment through the Sedera portal before the 19th of the month to ensure a first of the month effective date. If you do not do this your enrollment may be pushed to the following month.
Sedera Select +
Cost Sharing
Sedera is a cost sharing community that will share the cost of the large events in life.* The Sedera plan doesn't have a network. Please reference the Sedera materials and view the video presentations below for details.
There is no ID for this plan and no network. You will present yourself as a cash payer and start a "Need" on the member portal if the total goes over your chosen IUA (Initial Unshareable Amount). See "Sedera Select + Presentation" link below.
*Pre-existing limitations apply.
Telemedicine is included with your Sedera membership.
Teladoc gives you access 24 hours, 7 days a week to a U.S. board-certified doctor through the convenience of phone, video or mobile app visits.
GET THE CARE YOU NEED
Teladoc doctors can treat many medical conditions, including:
• Cold & flu symptoms
• Allergies
• Pink Eye
• Respiratory infection
• Sinus problems
• Skin problems
• And more!
Teladoc.com
1-800-Teladoc (835-2362)
MEC
ASi MEC Plus (Minimum Essential Coverage)
This is the part of your combo that covers your preventative care at 100%. When you enroll in Sedera you are automatically enrolled in this plan.
You will receive an ID card for this plan.
PHCS network search instructions:
●Go to www.multiplan.com
●Click on Find a Provider in the upper right corner
●Click on the green Select Network button & choose PHCS
●Click the green Select Network box
●Choose PHCS in the pop-up box
●Select Preventive Services Only
TIPS:
- In order to make sure that everything is coded for Preventative, do not use this time to ask about a recent back issue or other problem. Reserve that for a separate doctor's appointment or the code will shift to "diagnostic" and will result in balance billing.
- Remember that this plan does not cover any services billed by a hospital. Mammograms, colonoscopies, and labs need to be done in a freestanding facility.
Dental
Ameritas Dental
Your Ameritas Dental Plan provides comprehensive coverage to help you and your family maintain good dental health. Providers are part of the Ameritas network, or you may see an out-of-network dentist of your choice. Be aware if you go out-of-network, your costs could be higher.
To find out if your provider is in-network, please visit the Ameritas website below.
Vision
Ameritas Vision Plan
DID YOU KNOW?
Eye exams can help detect serious eye and general health conditions sooner: high blood pressure, diabetes, heart disease, high cholesterol
Babies should receive their first professional eye exam at 6 months
80% of learning in the first 12 years comes through the eyes
Aztec Bolting offers vision coverage through Ameritas to help pay for eye exams, prescription glasses and contact lenses. You receive a higher level of benefits when you see a provider in the Ameritas Classic (PPO) & Choice Network. Review your coverage details in your Benefit Guide.