New NALC Health Benefit Plan Insurance Cards

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					           NALC Health Benefit Plan
               20547 Waverly Court, Ashburn, VA 20149
                     www.nalc.org/depart/hbp

       William H. Young, President   Timothy C. O’Malley, Director
                                                                                                            New NALC Health Benefit Plan
Carrier Code: 32




Member # 3299 9999 999
                                       NALC CareSelect Pharmacist input:
                                                Plan Field: CRK
                                              Group Field: NALC
                                                                                                             Insurance Cards
Member          JOHN Q SAMPLE

   HEALTH INSURANCE AND PHARMACY ID CARD




                                                                                                                           Our new card features logos from our business
                                          Member Services                                    888-636-NALC (6252)           partners to guarantee you receive the lowest
                                                                                                                           NALC negotiated rate available when presented
                                          Precert, PPO Provider Locator                      800-622-NALC (6252)

                                          Prescription Drug Program                          800-933-NALC (6252)
                                          Mental Health Program                              877-468-1016

                                          Submit Hospital Claims:                            Submit Mental Health
                                                                                             Claims:
                                                                                                                           to participating providers.
                                          First Health                                       United Behavioral Health
                                          PO Box 9668                                        PO Box 30755
                                          Scottsdale, AZ 85252                               Salt Lake City, UT 84130

                                                                       -business partners-
                                                               Submit all other claims to the Plan.
                                                        When submitting electronically, use our Payor 53011.

                                                                                                         11338-ID01-1205




                                                                                                                                                                  11338-STF02-0106