Member

Your employer has chosen Group Plan Solutions to help guide them through the maze of health care reform while providing direction to finding the optimal solution to employee benefit needs.

Member Information Group Plan Solutions

You might be wondering what is self-insurance? It is a health care plan where the employer has directly assumed the major cost of employee benefits coverage for their employees. Group Plan Solutions understands that your employer has entrusted us to provide you with a positive experience in the settlement of employee health care coverage claims for you and any covered members of your family. You can be assured that we are using the most effective and innovative measures available to give you the best administration of your employee benefit claims.

With just a few clicks on the desktop version of the website, you have access to critical information regarding your employee benefits. Should you have questions concerning the usage of the proper provider, you will find a complete and detailed listing of your approved providers. With proper knowledge and understanding of how your health care coverage claims are being handled, you will be better able to manage your employee health benefits. You can also gain beneficial knowledge from our library of wellness information that you can apply to your everyday living.

Please don’t hesitate to contact a Group Plan Solutions representative for assistance with any benefits administration questions you might have. Our focus is on giving you the personal service you need in the administration of your employee benefit claims. Call 888-301-0747.

 

Find a Provider

We want you to get the most from your health benefits. Choosing the correct in-network provider will assure that you get the highest level of benefit under your plan.

Click on the Find a Provider button below to view the different networks GPS offers. Not all networks are available in all areas. Be certain to reference your ID card to determine your correct network. Only the network you or your employer chose can be accessed at the in-network rate. If you are unsure of your network, please call GPS to confirm your network at 888-301-0747. Failure to use the correct network will greatly reduce your benefits.

Claim Inquiry

When you have medical claims, keeping track of all of your bills and claim payments can be overwhelming. To help track your claims, we provide 24-hour online access to claim information. You can review all of your claims that have been filed under your Group Plan Solutions Medical and Dental Plans, or Flexible Spending Plans for medical or dependent care.

Feel free to contact the Claim Department with any questions you may have at 888-301-0747 or email.

Prescription Info

For most of our health plans that offer a prescription drug card, the prescription benefits are managed by Magellan RX. Group Plan Solutions and Magellan RX are committed to providing our insureds with access to the safest, highest-quality, and most effective prescription plans. We want to help you and your family to be informed and involved health care consumers. There are many online resources now available to you from Magellan RX.

VISIT MAGELLAN RX ONLINE!

If you are having trouble logging in, feel free to contact Group Plan Solutions at (800) 371-9622, Extension 3281, for assistance.

Forms

Welcome Booklet

Mail Order Form

Preferred Drug Summary (Formulary)

Preferred Drug Full List (Formulary)

Contacts

Group Plan Solutions:

Customer Service – (888) 301-0747

Magellan Rx:

Member Customer Service – (800) 424-5828
Mail Order Customer Service – (800) 424-5828
Pharmacy Customer Service – (800) 424-5828
Physician Line – (800) 424-5828

If your health plan has chosen another prescription benefit manager besides Magellan RX, such as OptumRx, TrueRx, or ProAct, please contact Group Plan Solutions at 1-800-371-9622 extension 3281 for more details.


To request a new ID card, click on the link below.

If you need assistance, please contact us at 888-301-0747 or email us.

You can receive the best quality health care at the best price by being an informed health care consumer. Online tools allow you to research the quality and cost of health care services in your area. Before choosing a doctor or hospital, find out how well their patients recover after surgery and know why patients would (or would not) recommend them. You can also find cost estimates for medical services or equipment so you won’t overpay for your medical care. Follow the helpful links below to ensure that you receive the best quality health care at the best price.

Health Care Price Comparison
http://www.healthcarebluebook.com/page_Default.aspx

Provider Quality Ratings
http://www.hospitalcompare.hhs.gov/
http://www.medicare.gov
http://www.rwjf.org/qualityequality/product.jsp?id=71857