General
What Portals and Online Access Can I Setup?
1) Online access to Sedera used for your “big stuff” When you visit Sedera.com: 1. Click on "Sign In" 2. Input your Phone Number or Email 3. If you haven't used Sedera.com before you will be prompted to enter an 8 digit pin (will be your password) 4. ...
Are 1095 forms issued for the SALA Healthcare Program
No, they are not. The 1095 forms are usually issued to document participation in a market place plan or an employer sponsored plan. Most members will not need 1095, but in the case that your state does require some proof of participation, SALA can ...
Dermatology and Skin Cancer Screenings
Are routine dermatology and skin cancer screenings covered? Skin cancer screenings are covered under preventive care. However the claim must be coded as a screening. Dermatology claims where they do lesion removals or biopsies where there is a ...
How does the program handle diabetes
Diabetes, regardless of type, will always be considered a pre-existing with Sedera and subject to the pre-existing condition phase-in limitations. Insulin and other maintenance meds will go through the eBenefits side of the program.
How to Reach Citizens Rx
Members can call Citizens Rx directly at 877-532-7912 To log into the Citizens Rx web site please go to: https://ebenefits.member.citizensrx.com/
Where should claims for eBenefits plans be submitted?
Plan Name: SALA Summit or Essential Plan Employee ID or Subscriber ID: This is your Employee ID listed on your card Group: 10503 Claims Mailing Address: ALTRISK PO BOX 21873 EAGAN MN 55121 Claims Phone Number: 800-392-1770 If needed: EDI 63240
How to Setup Sedera Online Account
You can access a variety of functions and resources with online access at Sedera.com. This allows you to manage your Sedera membership, access Needs, upload and view receipts, view videos and webinars, and access Medical Concierge, and services such ...
Completing your Sedera Enrollment (July 2022)
Beginning in July 2022 for August 1 starts and beyond, there is a new process for completing your Sedera enrollment. This relates to Sedera's transition to a non-profit organization. Please refer to the attached PDF for an overview of the process.
How to Get Help for the Recuro App
Instructions on downloading and setting up the app can be download HERE. If you're having any technical issues with the Recuro App please email customerservice@competitivehealth.com for help! Please note you can also access Recuro in a web browser by ...
Setup Account with ARM (TPA for eBenefits)
Setting up an account with ARM takes just minutes. Once setup, you can: Print a Temp ID card and and request a new card View claims Contact ARM via the portal FAQ To setup your account, follow the directions located ...
2022 Changes to Apex Products
On April 1, 2022 there will be some significant changes to the Apex Advantage and Apex Basic MEC products including the addition of a virtual primary care benefit and a robust mobile app that brings all the program components together in a convenient ...
What enrollment changes are needed when a baby is born?
If you're pregnant, we suggest you review this knowledge base article first: https://helpcenter.salahealthcare.org/portal/en/kb/articles/wa Regarding changes to your enrollment here are the steps and some other considerations: Notify SALA ...
How to Register for Teladoc
Teladoc is a complimentary service provided with your Sedera membership. It does require that you register with Teladoc. Here's how! Step 1: Visit https://member.teladoc.com/ click "Get Started" underneath "New to Teladoc?" Step 2: Complete all ...
Home Delivery of Presciptions
Yes, your benefit plan includes a home delivery option through our affiliate pharmacy, Praxis Rx. By using the home delivery / mail order pharmacy, you may also obtain up-to a 90-day supply of your prescription medications. You may visit the Praxis ...
How to find a provider for eBenefits Summit and Essential Plans
If you are enrolled in the eBenefits Summit product: Visit: https://www.multiplan.com/webcenter/portal/ProviderSearch Click on "Select Network" Select "PHCS" Select "Practitioner and Ancillary" Check "Remember my network" You can now use the search ...
How to Submit a Need with Sedera
Here's a quick Sedera video that explains how the Need submission process works: https://vimeo.com/419015848
Immunizations for Foreign Travel
Q: I'm traveling outside the United States and need immunizations for the countries I will visit. Are these covered by eBenefits? A: If the immunization is not listed as a preventive care benefit on the following website, it will not be covered. ...
How to Access Enrollment Portal
Full details about your services are available online. Please click HERE to go to the Login Page. You will need your Last Name and your Zip Code. You will also need your Member ID which you will find on your enrollment confirmation email. If you ...
Can I change my Sedera IUA?
Yes! If you'd like lower your IUA (eg from $1,500 to $1,000) you have a 30 day window of opportunity on your annual anniversary date. So if you enrolled on October 15th for a November 1 start date, each October you could make an IUA change. If you ...
What to do for non-emergency medical procedures
If a Non-Emergency Procedure Is Recommended: During your doctor’s appointment, use the "What to ask your doctor before a Medical Procedure" questions to learn about your potential procedure. These can also be found on the Member Helps page. Call ...
What to do when you need a diagnostic procedure
As you know, Sedera Members have the freedom to choose their own medical providers, hospitals and services. If you plan to have a diagnostic procedure: Please notify a Member Services Advisor as soon as possible. Take advantage of our Medical ...
What to do in the case of an urgent medical event
If you know you are facing an urgent medical event, immediately seek the appropriate care. In the past, emergency rooms were the main place people knew to access urgent care. Now, in almost any town across the country, there are urgent care ...
What to do if you're pregnant?
Congratulations! We are super excited for you. As a Sedera Member, here is what you need to do: Obtain medical care as soon as you suspect you are pregnant. Communicate with your provider that you are a cash pay patient. Request a global fee ...
Pre-tax Considerations
100% of your eBenefits contributions can be paid pre-tax. All eBenefits plans exceed the requirements employers/employees are under to meet Penalty A of the ACA. All plans are Section 125 self-funded plans. For Sedera here are the allowable ...
Is COVID testing covered?
Yes! COVID-19 testing is 100% covered. Please visit a nearby COVID testing site and show them your eBenefits Member ID Card.
General Information for SALA Healthcare Program
Interested in learning about the SALA Healthcare Program? The best place to start is by viewing our overview video: https://youtu.be/ymOv5xDyymg The first component of the healthcare program is preventive care through eBenefits. While it is an ...
Essential Information - what to know and who to call
Thank you for enrolling in the SALA Healthcare Program provided through your membership organization. As a reminder, the program is not insurance but a self-funded Association Sponsored plan from eBenefits and Medical Cost Sharing through Sedera. ...
At what age can I get a Mammogram?
Breast cancer mammography screening are covered every 1 to 2 years for women over the age of 40 for eBenefits plans.
Is a Colonoscopy is considered preventive or diagnostic?
This question has come up a few time recently and the answer is a bit nuanced. It depends! If it's time for your first colonoscopy (min age is 50 for eBenefits plans), it will most certainly be considered preventive with your eBenefits Summit or ...
How to get help for you eBenefits Plan
eBenefits Plans are administered by ARM. To reach ARM in the Continental U.S. For the fastest service, dial the toll-free number on the back of your ID Card or Call toll-free (800) 392-1770* *This is a general line, you may experience hold times ...
How to reach member services at Sedera
If you have questions regarding your Sedera membership or need help with a need, here's how you can reach Sedera for help: Email: memberservices@sedera.com Phone: 855.973.3372
eBenefits/Sedera Enrollment Walk-Through Video
This is the enrollment video that shows how to enroll in eBenefits and Sedera through 1Enrollment (E123). The direct link to the video is here: https://youtu.be/I_FeHzO95zo