JACL Health Benefits Administrators

Frequently Ask Question

I have a question about my yearly JACL membership dues, who do I call?

The subscriber must call National JACL for questions concerning membership dues. The National JACL number is 415-921-5225.

Can I apply for both JACL and JACL Health Benefits Administrators at the same time?

Yes, a JACL membership form is included in the JACL Health Benefits Administrators application packet.

I plan to have a medical procedure soon, and I want to know exactly what is covered?

The JACL Health Benefits Administrators does not provide detailed medical information on coverage. It is important for the Subscriber to call Blue Shield of California directly (Medical or Dental), or Medical Eye Services (Vision) for detailed answers to their medical questions. The toll-free numbers are as follows:

	PPO:	1-800-331-2001
	HMO:	1-800-424-6521
	Active Choice:	1-888-852-5345
	Dental:	1-888-702-4171
	Vision:	1-800-877-6372

How can I find a Blue Shield Provider?

The Subscriber can call Blue Shield of California directly at 1-800-331-2001 for PPO doctors and 1-800-424-6521 for HMO doctors to ask for a list of Providers in their area. Also, Blue Shield of California has an excellent web site at www.mylifepath.com where a Provider can be located using the computer.

What JACL Health Benefits Administrators health plans are available for Seniors?

There are two plans available for Seniors: the PPO plan and the Basic PPO plan. Please note that we no longer offer an HMO plan for Subscribers over the age of 65 year. Please have the Subscriber call our office for details.

I’m turning age 65 soon, what should I do?

It is important to have the Subscriber call our office three (3) months prior to them turning age 65, so that coordination with Blue Shield of California and Medicare will be trouble free.

Why doesn’t JACL Health Benefits Administrators have a drug card?

JACL Health Benefits Administrators works very hard to keep premium costs affordable by working with Blue Shield in customizing our health plans. Our PPO plans have no drug card because of the additional overhead costs associated with a drug card program. This has allowed us to maintain unlimited prescription drug coverage.
Please note that our HMO and Active Choice 500 plans have drug cards.

What kind of prescription drug coverage do the JACL Health Benefits Administrators plans have?

For PPO Subscribers, after your calendar year deductible is met, the plan reimburses you for 80% of prescription drugs to an unlimited amount. In addition, the plan does not limit you to generic drugs, rather you can buy name brand drugs if you so choose. For HMO and Active Choice Subscribers, the prescription drug co-payment is only $15.00 per prescription for generic drugs Please have the Subscriber call our office for complete details of our prescription drug program.

What are the rules for adding a dependent to my plan?

There are specific requirements for adding dependents. It is a good idea to have the Subscriber call our office immediately if they want to add a dependent to their plan.

What should be done in the event of the death of a Subscriber?

It is important to have a member of the Subscribers family contact the JACL Health Benefits Administrators office as soon as possible for two reasons: if the deceased Subscriber has dependents on his or her policy, they need to be transferred to their own policy; and a refund may be due.

Does JACL Health Benefits Administrators offer Domestic Partner eligibility?

Yes, have the Subscriber call our office for eligibility requirements and details.

How can I transfer to another JACL Health Benefits Administrators plan?

There is a transfer period once a year in November. At that time, a Subscriber can transfer to another plan effective January 1^st of the following year.

Where can I get more claim forms?

Subscribers can call our office to request forms, or they can visit our web site and simply download them.

If you have any questions, please call us at 1.800.400.6633.