Insurance

Effective July 1, 2020, the Darien Public Schools has transitioned our health insurance from
Connecticare to Anthem.  You should have received your new insurance cards in the mail.

If you signed up for Anthem during the open enrollment window, you should have already received an email from Anthem. The email serves as a verification that Anthem has your name, information, and that you are signed up to receive insurance.

In Connecticare to Anthem Transition Information, you can find the list of providers that are IN NETWORK for Connecticare but are OUT OF NETWORK for Anthem. You should absolutely look at this list to see if your doctors are covered. The carry over rate of providers from Connecticare to Anthem was very high, so this impact is small, but important to some members. There are other doctors who were out of network with Connecticare who will now be in network--that list can also be found under the transition information link.

If you are currently seeing a Connecticare in network doctor that is out of network with Anthem, see the Transition of Care Form link below. This form should be filled out as soon as possible to ensure that you are covered by this provider through Anthem for at least the first 90 days of our new plan. We have been assured that Anthem looks at transitions of care on a case by case basis and will work with us and Adrienne from Brown and Brown to ensure that members are taken care of. To be clear, we don't yet have a guarantee that we can have care from out of network providers throughout or after the first 90 days, so please be sure to fill out this form ASAP. Again, you have to be currently seeing a doctor who is in network with CTCare and out with Anthem to be covered under the transition of care plan. 

Connecticare to Anthem Transition Information also includes a list of the names of prescriptions that were covered under our old plan that will no longer be covered under the new plan. Many of these formularies have generic options.  
If you find out that your prescription is not covered under Anthem and was previously by our old provider, and for whatever reason you are unable to take any generic option or there is no generic available, you will need to get a prior authorization. The process for the authorization is listed below:

Prior Authorization process: 

 

If a drug requires a PA (this would be noted in the drug look up tool) – a member’s provider will have to initiate a prior authorization.  A prior authorization is also needed if the member needs access to a non-formulary drug.  There are three ways for providers to initiate a PA: 

 

Online: https://www.covermymeds.com/main/prior-authorization-forms/

Phone:  833.293.0659

Fax:  844.474.3350

 

Actions required for new members on/after go live date: 

  • Members must login to anthem.com to update payment and shipping information for home delivery and specialty medications. 
  • In the absence of files, members will need to have their providers send in new prescriptions for home delivery and specialty medications.  
  • Members will need to provide their new card at the pharmacy after go live.
  • Member questions should be directed to the 24/7 Pharmacy Member Services line on the back of ID cards. 

With getting prior authorization- the sooner you do it, the better. 

If you have any questions about this transition, please do not hesitate to reach out to us: dea4teachers@gmail.com

Our Health Savings Accounts (HSAs) are still with People's United Bank.

The following links will provide you with useful information regarding the DEA HSA (Health Savings Account) as well as district insurance information.  You will also find a direct link to the Anthem website.


Connecticare to Anthem Transition Information

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