Medical Program

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Medical Program

New Medical Benefits Program Administrators

As announced to all IDB Group staff and retirees by e-mail, the IDB Group replaced Cigna and Cigna IGO, with new administrators of our Medical Benefits Program. Aetna International is the new administrator of the medical, dental, and vision program for all members residing in the U.S. and outside the U.S.  Members residing outside the U.S. have access to Aetna network dentists and vision providers when in the U.S.

Express Scripts is the new administrator for prescription drugs received in the U.S. and Puerto Rico. For prescriptions received outside the U.S. and Puerto Rico, Aetna International is the new administrator. Members residing outside of the U.S. and Puerto Rico have access to prescription drugs through Express Scripts when in the U.S. or Puerto Rico.

Please explore the sections below to learn more about the transition. If you have any questions, contact the IDB Group Health and Life Insurance Group at hrd/ins@iadb.org or at +1 (202) 623-3090. 

 

Please CLICK HERE  for following information:

  1. TRANSITION BASICS
  2. FAQs
  3. ACTIONS TO TAKE
  4. WELCOME KITS AND FORMS
  5. TOWNHALLS AND WEBINARS
  6. CONTACT INFORMATION

HRD/INS

Our main goal is to promote the health and well-being of our plan members.

The IDB Health Plan provides coverage for medical, dental and vision for IDB Group Retirees and their eligible dependents. The plan is self-funded. The IDB and plan members' contributions are placed in a fund for the sole purpose of paying members' medical bills. The IDB pays a third-party, namely AETNA INTERNATIONAL, an administrative fee to process claims and access its network of credentialed providers.

For detailed information about your benefits, please visit the section for Medical Benefits Progam Handbooks.

HANDBOOKS

The Medical Benefits Handbooks provide detailed information about the medical, dental and vision plans. 

Annual Report

Annual Report - Review Commitee of the Medical and Life Insurance Programs

Forms

Medical/Dental/Vision Claim Form: AETNA

 

Pharmacy Claim Form (In U.S.): Express Scripts

 

Pharmacy Claim Form (Outside U.S.): AETNA

 

Life Insurance (Retirees Death Benefit)

  • To obtain information about the retiree death benefit program for retirees, please contact a pension officer
Financial Statements

Annual Reviewed Financial Statements

Quarterly un-reviewed financial statements

Medicare

The IDB Medical Plan reimburses Medicare Part B premium to eligible participants. 

P&A Group handles Medicare Part B reimbursements for enrolled participants and their eligible dependents on behalf of the IDB.  Enrollment is mandatory at age 65 for US citizens and residents. 

Reimbursement Process 

To receive reimbursement you must send to P&A Group a copy of the letter from the Social Security Administration which indicates your 2015 Medicare Part B monthly premium. You may send a copy of this letter by mail or fax. For contact information, please click here.

2019 Form: Medicare Part B Reimbursement Form

P&A Group also offers:

  • Online account to manage and monitor your reimbursements
  • Online access to your account 24/7 at www.padmin.com (not mandatory to create account)
  • Step by step on how to access your benefits
  • Customer Service Monday to Friday, 8:30 am to 8:00 pm EST
  • Email account notifications on refund status and other information
  • Online refund premium request

Please note:

  • Once you receive your yearly Medicare Part B premium information, please submit to the P&A Group in order to receive your reimbursement
  • There is no deadline. However, the earlier you submit your Medicare premium information, the faster you will receive your reimbursement. Retroactive payments apply for late submissions
  • P&A Group will deposit your reimbursement on a monthly basis in the same account which the IDB deposits your pension
  • Incomplete documentation may delay reimbursements 
Best Doctors

Best Doctors is an expert second opinion service that gives you access to over 53,000 of the world's leading physicians to ensure you get the right diagnosis and treatment for serious conditions. With Best Doctors, you can have an expert physician review your diagnosis and treatment plan, ask basic medical questions, and even get help finding a local physician who is right for you. Note that this is a program separate to your Medical Benefits plan

The IDBG is offering Best Doctors as a one-year pilot throughout 2017. We ask you to read and familiarize yourself with everything Best Doctors has to offer and reach out to utilize the following services as needed:

InterConsultation

The InterConsultation process is an in-depth medical review of your diagnosis and treatment plan from a renowned expert physician. With your consent, your medical records will be collected for you and sent for review by the selected medical expert. That expert will provide an easy to understand report that confirms your diagnosis and treatment or recommends a change.

Learn More →

Medical Records eSummary

Be proactive when it comes to your health. Even if you're not facing an immediate medical need, Best Doctors can collect and organize all your medical records and provide them to you on an easy-to-access USB drive. Best Doctors will also provide you with a helpful health alert that will highlight vaccinations or screenings you should consider.

Learn More →

Find a Best Doctor

Best Doctors offers the ability to locate one of the over 53,000 expert physicians from their proprietary, Gallup ® certified, list of physicians to find the right specialist for you. Best Doctors will make sure that the selected physician is within your medical network and contact their offices to inquire about available appointments.

Learn More →

Critical Care Support

Best Doctors helps ensure that you have the right diagnosis and treatment when it matters the most; after an acute or catastrophic medical event. Their renowned emergency medical experts can provide early intervention along with your treating medical team for some of the most serious cases, significantly improving outcomes while reducing unnecessary expense.

Learn More →

Ask the Expert

If you still have questions about a medical condition or treatment plan, the Best Doctors Ask the Expert service can help. You will be put in touch with a Member Advocate nurse who will listen to your questions and concerns and then ensure that question or concern is quickly reviewed by a Best Doctors expert physician. You will receive an easy-to-understand report addressing your questions.

Learn More →