Benjamin Moore Employee Urgent Care

ADVANCE Plan Care Delivered to You

Benjamin Moore Employee Urgent Care

ADVANCE Plan Care Delivered to You

When you or a family member becomes sick, finding time to travel to a clinic can make an already stressful day feel more difficult. UrgentCare2go™ helps bring professional medical care directly to patients at home, work, or another eligible location.

Benjamin Moore employees enrolled in the ADVANCE Medical Plan may be able to receive covered care through UrgentCare2go. Before scheduling, review the Benjamin Moore Insurance Page and confirm your eligibility and benefits.

What Does the Benjamin Moore ADVANCE Medical Plan Cover?

The Benjamin Moore ADVANCE Medical Plan is administered by Centivo. According to the available plan information, members have:

• A $0 copay for primary care visits
• A $40 copay for specialist visits

Your exact financial responsibility may depend on your eligibility, remaining benefits, and the medical services provided. Always confirm your coverage before receiving care because an insurance card does not guarantee payment.

For help reviewing your UrgentCare2go coverage, visit the Insurance Page or call (817) 508-8169.

Can UrgentCare2go Treat Benjamin Moore Employees at Home?

Eligible patients can use UrgentCare2go for convenient mobile medical care without making an unnecessary trip to a traditional clinic. A medical professional can travel to your location to evaluate many non-life-threatening illnesses and injuries.

Visit the UrgentCare2go Website to learn more about mobile services and eligible Texas service areas.

UrgentCare2go may be helpful for concerns such as:

• Cold and flu symptoms
• Cough, congestion, or sore throat
• Fever and body aches
• Minor infections
• Nausea, vomiting, or diarrhea
• Headaches or migraines
• Minor allergic reactions
• Urinary symptoms
• Minor injuries
• General medical concerns requiring timely evaluation

UrgentCare2go is not a replacement for emergency care. Call 911 or go to the nearest emergency room for chest pain, severe breathing difficulty, signs of a stroke, major trauma, uncontrolled bleeding, or another life-threatening emergency.

How Do I Verify My Benefits?

Centivo manages benefit information, prior authorization, and claim-status assistance for the Benjamin Moore ADVANCE Medical Plan.

Members and providers may:

• Visit the Centivo Provider Portal
• Call Centivo Customer Service at (855) 221-2421
• Use the Centivo Member Portal to locate participating providers
• Contact BSWQA Care Navigation at 1-844-279-7589

It is best to verify benefits before your appointment. Ask whether the requested service is covered, whether UrgentCare2go is participating for your specific plan, and what copay or cost-sharing amount may apply.

Does the ADVANCE Medical Plan Require Specialist Referrals?

Yes. The Benjamin Moore ADVANCE Medical Plan generally requires a provider referral before beginning new specialist care.

Referral exceptions include:

• OB/GYN care
• Behavioral health services
• Laboratory testing
• X-rays
• Occupational therapy
• Physical therapy
• Speech therapy

If a required referral is not submitted, the member may be responsible for the full cost of specialist care. Providers can submit referrals through the Centivo Provider Portal.

What Should I Have Ready When Scheduling?

Having the following information available can make registration and insurance verification easier:

• Your Benjamin Moore insurance card
• The patient’s full name and date of birth
• The subscriber or member identification number
• A list of current medications
• Known allergies
• A brief description of the medical concern
• The address where care is requested

If you are unsure whether mobile care is appropriate, call (817) 508-8169 for assistance.

Claims Information for Providers

Benjamin Moore ADVANCE Medical Plan claims are administered through Centivo.

Electronic claims: Payor ID 45564

Mailed claims:

Centivo
P.O. Box 211681
Eagan, MN 55121

Providers should verify current claim-submission information before sending a claim.

Convenient Care When You Need It

Getting medical care should not add more stress to your day. UrgentCare2go brings compassionate, convenient care to eligible Benjamin Moore employees and their families across participating Texas service areas.

When you are ready, Book Today or call (817) 508-8169. Please have your insurance information available so your benefits can be reviewed before the visit.