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Announcements


August 29, 2022

FAES Open Enrollment: September 12-23, 2022 for Medical/Prescription, Dental and Vision Plans for the 2022-2023 Plan Year  

Since 1959 the Foundation for Advanced Education in the Sciences (FAES) has been working to support the professional and educational mission of the National Institutes of Health. This support includes a health insurance program for select members of the NIH community. Over the years FAES has made many changes to ensure a robust and sustainable insurance plan for members. 

FAES will continue to offer the Trustmark/Aetna Signature Administrators PPO Medical/Prescription plan and the MetLife Dental/Vision plan for the 2022-2023 plan year. We are pleased to announce that no coverage changes were made to the medical plan for the new plan year. The Prescription Plan will have one minor plan change to limit the prescription fill quantity on certain categories of medications to align with clinical dosing guidelines.

An updated benefit guide and insurance plan video will be posted on the FAES website before the start of our Open Enrollment period. 

Open Enrollment September 12-23, 2022

Open Enrollment is a time when you can make changes to your insurance election. Changes can include switching from individual coverage to family coverage (or vice versa), dropping coverage all together, or enrolling if you previously waived coverage. If you wish to make changes, please contact the FAES Insurance department by phone or email. Changes will take effect with the start of our new plan year on November 1, 2022. 

If you are currently enrolled and choose to remain on the plan for the new plan year, you will automatically be reenrolled in Medical/Prescription and Dental/Vision plans effective November 1, 2022. You do not need to fill out new paperwork.

FAES Insurance will host Open Enrollment Information Sessions via Zoom at 3:00pm EDT daily (Monday-Friday) September 13-23, 2022. 


June 30, 2022

Machine Readable Files Available  

FAES medical in-network rates and out-of-network allowed amounts are available as machine readable files via a new link on the FAES Insurance webpage. To access machine readable files with information specific to participants in the FAES Insurance Plan, please open the Healthcare Bluebook window and click on the link for Aetna Signature Administrators. 


May 23, 2022

New Wallet Card and Provider Information Sheet

Trustmark will mail a new wallet card and provider information sheet to plan participants this spring. Plan participants can share the card and information sheet with providers when seeking care to assist the providers with verifying coverage and submitting claims to Trustmark. The documents also outline the relationship between Trustmark and the Aetna Signature Administrators PPO network. The wallet card can be carried along with your insurance card. An electronic version of both documents is available on the Trustmark portal and the FAES Insurance website.  

At-Home COVID-19 Test Kits

FAES plan participants can get free at-home COVID-19 tests in three ways: 

  1. Expres Scripts (ESI) Pharmacy: Order up to 8 at-home COVID-19 tests every 30 days from Express Scripts Pharmacy. Log in or register to place your order on express-scripts.com. 
  2. Retail pharmacy: You can pick up tests from your local ESI-participating pharmacy. Purchase tests at the pharmacy counter and offer your benefit information for a $0 copay. If you pay for the tests out-of-pocket, ask for a pharmacy receipt. Log in to your account on express-scripts.com for instructions on how to submit a reimbursement claim.
  3. Federal government: With the help of the United States Postal Service (USPS), households can request tests to be delivered for free. Learn more and order at-home tests at www.covidtests.gov. 

May is Mental Health Awareness Month

Mental health impacts every area of our lives. Our mental health affects everything we do, think, or say. Maintaining a positive mental health, and seeking treatment for any mental health condition, is crucial to stabilizing constructive behaviors, emotions, and thoughts. Focusing on mental health care can increase productivity, enhance self-image, and improve relationships.

Nurturing mental health doesn’t just improve daily functioning, it can also help control — or better cope with — some physical health problems that are directly linked to mental health conditions. Other benefits of taking care of your mental health can include:

  • Improving your mood
  • Reducing your anxiety
  • Creating an enhanced sense of inner peace
  • Thinking more clearly
  • Improving your relationships
  • Increasing your self-esteem

Available Mental Health Resources

FAES plan participants have access to mental health resources and providers through the FAES medical plan and Talkspace. The medical plan allows plan participants to seek mental health care from in- or out-of-network providers with office visits at the same $15 copay. Coverage is the same for mental health office visits to in-network providers and out-of-network providers. There are no restrictions when selecting your mental health provider; you can go to any provider using the FAES medical plan. Talkspace is a digital mental health service that connects members to thousands of dedicated providers through a secure, HIPAA-compliant platform. With Talkspace, you can interact with your therapist via text, voice, or video messages—anytime, anywhere—including from the comfort of your home. Talkspace also has a network of licensed prescribers specializing in mental health care and prescription management.

Please see the registration guide on how on FAES plan participants can access Talkspace services at no-cost.


March 30, 2022

FAES Health Insurance ID Card Redesign

All FAES plan participants will be issued a new health insurance ID card by mail in spring 2022. Each plan participant, including spouse and dependent children, will receive their own ID card with their name listed. 

  • Member IDs and group numbers have not changed.
  • The top right quadrant of the card is now titled “Medical Provider Network.” 
  • In accordance with the “No Surprises Act,” the card will now list copayment amounts due for office and specialist visits, in- and out-of-network deductibles, and out-of-pocket maximum amounts.
  • The “Medical Claims Submission” quadrant will now include additional information for providers.
  • The new information “Claim Status Inquiry: Payer ID CRSMD” allows providers to check the status of submitted claims.

If you have an upcoming appointment and have not yet received your redeisgned health insurance ID card in the mail, you can still use your existing card. You can also access the most current health insurance ID card by registering for or logging into your mytrustmarkbenefits.com account.

The FAES Insurance Department is here to assist you with any questions you may have. Please do not hesitate to reach out to us for assistance. We are here to support you. 

301-496-8063 | faesinsurance@mail.nih.gov


March 15, 2022

Clarification Regarding At-Home COVID-19 Test Kits Coverage 

FAES would like to provide clarification on how at-home COVID-19 test kits are covered by the prescription plan with our pharmacy benefit manager, Express Scripts (ESI). When purchasing an at-home COVID-19 test kit, members will either:

  • Purchase the at-home COVID-19 tests directly from an in-network pharmacy
    • Purchase test kits at an in-network pharmacy counter. To find a retail pharmacy in the Express Scripts network please visit express-scripts.com and click “Find a Pharmacy.” You can also use the Express Scripts mobile app. Present your Trustmark/ESI member ID card and have the pharmacist process it thru your pharmacy benefit manager, ESI.  If the pharmacy processes the at-home COVID-19 test kit thru ESI, you will have no copay.  Please note:  The pharmacy is not obligated to process your at-home COVID-19 test kit thru the ESI pharmacy program. If the pharmacy will not process the claim through your ESI prescription coverage, please see the scenario below.
  • Purchase the at-home COVID-19 tests from another retailer or provider
    • You purchase an at-home COVID-19 test kit and pay out-of-pocket.  For example, you may order it online, purchase it along with your other grocery items or purchase them at a store that does not have a pharmacy.  If this is the case, you will need to save your receipt and complete an ESI claim form for reimbursement.  Please note:  Your at-home COVID-19 test kit claim reimbursement will be the lesser of (1) the agreed upon contract rate with the provider per kit or (2) no more than $12 per kit.

Reminder: Each plan participant is allowed to purchase up to 8 at-home COVID-19 test kits every 30 days.

Please view this flyer for additional information.

Thank you.

FAES Insurance
301-496-8063
faesinsurance@mail.nih.gov


February 3, 2022

At-Home COVID-19 Test Kits Now Covered 

As of January 15, 2022, the FAES pharmacy plan through Express Scripts will cover over- the- counter at-home COVID-19 test kits at no-cost for plan participants. Plan participants are eligible for up to 8 at-home COVID-19 test kit(s), per covered participant on the plan, from an in-network pharmacy every 30 days. You may go to any retail pharmacy in the Express Scripts network and obtain COVID-19 test kit(s) at the pharmacy counter. To find a retail pharmacy in the Express Scripts network please visit express-scripts.com and click “Find a Pharmacy.” You can also use the Express Scripts mobile app. If you are not able to obtain at-home COVID-19 test kit(s) at an in-network pharmacy, you can submit your receipt for reimbursement for up to $12 per test. Plan participants can register or login to their Express Scripts account to access a reimbursement form. This flyer has additional information.  

Another method to order at-home COVID-19 test kit(s) is through the Express Scripts Pharmacy delivery service. Plan participants can register or login to their Express Scripts account to place their order.

In addition, the Federal government, with assistance from the United States Postal Service (USPS), is providing households a total of 4 tests to be delivered free of charge by request. You can learn more and order at-home COVID-19 test kit(s) by visiting www.covidtests.gov

Benefit Plan Highlight: Mental Health Resources

FAES is committed to supporting the mental health and overall well-being of our plan participants. FAES offers access to Talkspace online therapy and psychiatry, as well as Lasting (relationship support) from Talkspace at no-cost to plan participants.

Therapy can benefit everyone. It isn’t solely beneficial after experiencing a traumatic event, ongoing anxiety, or a major life change; it can help in everyday life too! A therapist may provide new techniques for problem solving, help challenge irrational habits and incorrect assumptions, reframe long-held views, or help you grow and change. A therapist can also assist you overcome mental health conditions like depression and anxiety.

Primarily a therapist can help you:

  • Understand your feelings- Learn what emotions are common for a condition or circumstances.
  • Get immediate support- While deep-seated issues can be addressed down the line, counseling can benefit you in situations where you need help urgently.
  • Plan your future-Therapists can assist to create a game plan and set goals for the future in a safe environment and keep you accountable.
  • Relieve the pressure with a therapeutic relationship- Often, simply getting things “off your chest" in a safe space can be healing. If serious problems arise again, the on-going therapeutic relationship will keep you strong.

The most important thing is that a therapist is always there for you. They’re an impartial ally who will support you without judgment.

Talkspace therapy includes 4 live video sessions per month. Talkspace psychiatry includes 13 live sessions. FAES plan participants also have access to Lasting from Talkspace (relationship support). Please view the Registration Guide on how to get started.

The Talkspace program is a supplement to the comprehensive mental health benefits offered through the current FAES medical plan. The medical plan allows plan participants to seek mental health care from both in and out-of-network providers for office visits at the same $15 copayment. Plan participants will have the same coverage for mental health office visits when going in or out of the network. There are no restrictions when selecting your mental health provider since you can go to any provider nationwide using the FAES medical plan.

Insurance Claims and Verification Info Sheet

FAES compiled an info sheet about claims processing and insurance verification. We 'hope this will be a useful tool in navigating your health insurance.

The FAES Insurance Department is here to assist you with any questions you may have. Please visit our FAQ section for common questions. If you have questions or need additional assistance, please do not hesitate to reach out to us. We are here to support you.

Thank you.

FAES Insurance
301-496-8063
faesinsurance@mail.nih.gov


November 23, 2021

Reminder: Talkspace is Now Available

FAES plan participants have no-cost access to Talkspace online therapy and psychiatry and Lasting from Talkspace.

Talkspace is a digital mental health service that connects members to thousands of dedicated providers from a secure, HIPAA-compliant platform. With Talkspace therapy, you can send your therapist text, voice or video messages—anytime, anywhere—including from the comfort of your home. Talkspace also has a network of licensed prescribers specializing in mental health care and prescription management. Psychiatry appointments are only available via live video.

More information is available on the FAES “Explore Insurance Plans” page. Please visit the links below for information on registering, therapy, psychiatry or Lasting (relationship support):

The Talkspace program is a supplement to the comprehensive mental health benefits offered through the current FAES medical plan. The medical plan allows plan participants to seek mental health care from both in and out-of-network providers for office visits at the same $15 copayment. Plan participants will have the same coverage for mental health office visits when going in or out of the network. There are no restrictions when selecting your mental health provider since you can go to any provider nationwide using the FAES medical plan.

If you have any questions about Talkspace, you can reach out to the FAES Insurance Department for more information.


November 1, 2021

Talkspace Effective November 1, 2021

FAES is committed to supporting the mental health and overall well-being of our plan participants. Starting November 1st, FAES will provide access to Talkspace online therapy and psychiatry, as well as Lasting (relationship support) from Talkspace at no-cost to plan participants.

This is the registration guide to begin using Talkspace on November 1st. Please make sure to register using the talkspace.com/FAES website. After you register, you can start using the app. This Talkspace Overview Video provides information on how to get started.

Talkspace is confidential and secure. FAES will never know who uses the service or for what purpose. If you have any questions about Talkspace, you can reach out to the FAES Insurance Department for more information.

Note: if you are already using Talkspace with a self-pay account, contact partners-support@talkspace.com for assistance with moving your account to the FAES plan as of November 1st. You should specify if you want to continue working with your current provider.


October 22, 2021

Starting November 1, 2021, FAES will provide access to Talkspace online therapy and psychiatry, as well as Lasting (relationship support) from Talkspace, at no-cost to plan participants. See “Getting Started with Therapy” for more information, and visit talkspace.com/FAES for FAQs and further details.

Talkspace ad

Talkspace is confidential and secure. FAES will never know who uses the service or for what purpose. If you have any questions about Talkspace, you can reach out to the FAES Insurance Department for more information.

Note: if you are already using Talkspace with a self-pay account, contact partners-support@talkspace.com for assistance with moving your account to the FAES plan as of November 1st. You should specify if you want to continue working with your current provider.


October 15, 2021

FAES Health Insurance: Announcement for Plan Participants

Introducing Talkspace Effective November 1, 2021

FAES is committed to supporting the mental health and overall well-being of our plan participants. We are excited to provide FAES plan participants with no-cost access to Talkspace online therapy and psychiatry, and Lasting from Talkspace.  

Talkspace is a digital mental health service that connects members to thousands of dedicated providers from a secure, HIPAA-compliant platform. With Talkspace therapy, you can send your therapist text, voice or video messages—anytime, anywhere—including from the comfort of your home. Talkspace also has a network of licensed prescribers specializing in mental health care and prescription management. Psychiatry appointments are only available via live video. 

As of Nov. 1st, FAES plan participants and their dependents, ages 13 and older, will have access to online therapy, which includes unlimited messaging and four 30-minute video appointments per month. Additionally, Talkspace psychiatry will be available to plan participants and dependents, ages 18 and over, and includes up to 13 live video sessions. Please visit talkspace.com/FAES starting November 1, 2021. In addition to Talkspace therapy and psychiatry, plan participants will have no-cost access to self-guided relationship counseling with Lasting from Talkspace effective November 1.

Talkspace is confidential and secure. FAES will never know who uses the service or for what purpose. If you have any questions about Talkspace, you can reach out to the FAES Insurance Department for more information. 

Note: if you are already using Talkspace with a self-pay account, contact partners-support@talkspace.com for assistance with moving your account to the FAES plan as of November 1st. You should specify if you want to continue working with your current provider.

Additional registration information will be sent to plan participants in the upcoming weeks. Please see the Talkspace Overview for more details.


September 28, 2021

FAES Health Insurance: Announcement for Plan Participants

Thank you to all who attended our Open Enrollment sessions! Below are 2 announcements we would like to share with all of you:

  • Updated Trustmark Health Claim Form: Trustmark has updated the Medical Health Claim Form with instructions on how to fill out the form for out-of-network claim reimbursements. We have worked diligently with Trustmark in an effort to reduce the reimbursement timeframes.
  • Coverage while Abroad: This memorandum has information on coverage for FAES plan participants when traveling abroad.

August 27, 2021

FAES Open Enrollment September 13th to 24th

Medical/Prescription, Dental and Vision Plans | 2021-2022 Plan Year
Effective November 1, 2021

Since 1959 the Foundation for Advanced Education in the Sciences (FAES) has been working to support the professional and educational mission of the National Institutes of Health. This support has included a health insurance program for select members of the NIH community over the past several decades. We have made many changes over the years with the end goal of ensuring a robust and sustainable plan.

FAES will continue to offer the Trustmark/Aetna Signature Administrators PPO Medical/Prescription plan and the MetLife Dental/Vision plan for the 2021-2022 plan year. We are pleased to announce that no coverage changes were made for the new plan year.

2021-2022 Insurance Plan information can be found on the FAES Insurance “Explore Insurance Plans”  webpage.

Open Enrollment September 13-24, 2021

Open Enrollment is a time when you can make changes to your insurance election. Changes can include switching from individual coverage to family coverage (or vice versa), dropping coverage all together or enrolling if you previously waived coverage. If you wish to make changes, please contact the FAES Insurance department by phone or email. Changes will take effect with the start of our new plan year on November 1, 2021.

If you are currently enrolled and choose to remain on the plan for the new plan year, you will automatically be reenrolled in Medical/Prescription and Dental/Vision plans effective November 1, 2021. You do not need to fill out new paperwork.

FAES Insurance will host daily (Monday-Friday) Open Enrollment Information Sessions via Zoom, September 13-24 at 3pm.

If you have recently moved, please remember to email us your new mailing address.  Please send all inquiries to faesinsurance@mail.nih.gov


June 7, 2021

FAES Insurance Office: Open For Appointments

Beginning Monday June 7th, the FAES Insurance Office (Building 10 RM 1N241) will be open for appointments Monday to Thursday 10AM to 4PM. Please contact FAES by phone 301-496-8063 or email faesinsurance@mail.nih.gov to schedule an appointment.

FAES Insurance representatives will continue to be available by phone or email Monday to Friday 9AM to 4PM. We will continue to process new enrollments, renewals and terminations via email as well. For your convenience, we also continue to offer Virtual Video Health Insurance Consultations. Please email to schedule a virtual meeting.


November 1, 2020

FAES New Plan Year Starts 11/1/2020

The FAES new insurance plan year begins 11/1/2020. New cards are available for plan participants on mytrustmarkbenefits.com and via the myTrustmarkBenefits mobile phone app. Plan participants will receive these cards in the mail within 7-10 business days. Cards will include the new MetLife Dental and Vision information.

Plan participants can also create an account on metlife.com/mybenefits. Please enter employer name “FAES” to register.

Please contact FAES insurance via email or phone for any questions.
 


September 1, 2020

FAES Open Enrollment September 14th to 25th

Medical/Prescription, Dental and Vision Plans | 2020-2021 Plan Year
Effective November 1, 2020

Since 1959 the Foundation for Advanced Education in the Sciences (FAES) has been working to support the professional and educational mission of the National Institutes of Health. This support has included a health insurance program for select members of the NIH community over the past several decades. We have made many changes over the years with the end goal of ensuring a robust and sustainable plan and continue to review options to enhance our plan offering. 

NEW MetLife Dental and Vision Plans

We are pleased to announce the addition of robust and comprehensive dental and vision plans through MetLife effective November 1, 2020 for all FAES insurance subscribers. The new dental and vision plans will be bundled with the medical plan and Fellows will not pay for the monthly premiums.  Plan details can be found in the 2020-2021 Benefit Guide.  

Previously, an optional MetLife TakeAlong Dental plan was available for Fellows to purchase and monthly premiums were paid by the Fellows directly to MetLife. Please note, if you elected to purchase the optional dental coverage you will need to make sure to cancel your policy effective October 31, 2020. 

FAES will continue to offer the Trustmark/AETNA Signature Administrators PPO plan for the 2020-2021 plan year and we are happy to announce that no coverage changes were made for the new plan year.

If you are currently enrolled and choose to remain on the medical plan for the new plan year, you will automatically be enrolled in the dental and vision plan effective November 1, 2020; you do not need to fill out new paperwork.  Since this is bundled coverage in all three plans: Medical/Prescription, Dental and Vision, there is no option to opt out of any one portion of the plan. 

Open Enrollment Sessions

Open Enrollment will be from September 14 to 25, 2020. FAES will be hosting daily virtual Open Enrollment sessions via Zoom. Please attend one of these sessions to learn about the plan offerings.

If you have recently moved, please remember to email us your new mailing address.  Please send all inquiries to faesinsurance@mail.nih.gov


August 13, 2020

FAES Open Enrollment September 14th to 25th

FAES Open Enrollment | 2020-2021 Plan Year
AETNA Signature Administrators-PPO
Effective November 1, 2020

Since 1959 the Foundation for Advanced Education in the Sciences (FAES) has been working to support the professional and educational mission of the National Institutes of Health. This support has included a health insurance program for select members of the NIH community over the past several decades. We have made many changes over the years with the end goal of ensuring a robust and sustainable plan.

FAES will continue to offer the AETNA Signature Administrators PPO for the 2020-2021 plan year. We are pleased to announce the addition of a bundled dental and vision plan through MetLife effective November 1, 2020 for all FAES insurance subscribers.

If you are currently enrolled your membership in the medical plan will renew and you will automatically be enrolled in the dental and vision plan effective November 1, 2020.

Open Enrollment will be from September 14 to 25, 2020. FAES will be hosting daily virtual Open Enrollment sessions beginning September 14th through September 25th at 3pm. Please attend one of these sessions to learn about the plan offerings. The virtual meeting link along with additional information will be sent out closer to the Open Enrollment dates. The information will be posted on the FAES website.

If you have recently moved, please remember to email us your new mailing address.  Please send all inquiries to faesinsurance@mail.nih.gov


May 20, 2020

Virtual Health Insurance Consultation

FAES Now Offering Virtual Health Insurance Consultations

Schedule an appointment today.


March 24, 2020

FAES Health Insurance Plan: COVID-19

All FAES onsite offices are closed. FAES Insurance is working remotely during our normal operating hours, Monday to Friday 9am to 4pm. We are processing all new enrollments, renewals and terminations via email.  FAES is committed to continue providing excellent customer service virtually to ensure that all your health insurance needs are addressed.

 

FAES is covering the COVID-19 test at 100%, in and out of network, regardless of place of setting (including telemedicine visits). This will leave members with no deductible, copayment or coinsurance should they need to have this testing done. Information on COVID-19 insurance coverage in accordance withThe Families First Coronavirus Response Act”. Telemedicine Coverage: With the COVID-19 pandemic, many providers are transitioning traditional office visits to telemedicine visits. The FAES insurance plan covers in-network telemedicine visits at 100% after a $15 copayment for Primary Care and a $25 copayment for Specialist. Out-of-network telemedicine visits are covered at 70% after the out-of-network deductible. Please consult with your provider if they are capable of telemedicine visits. For any questions, please contact FAES Insurance at 301-496-8063 or faesinsurance@mail.nih.gov


January 1, 2020

New Pharmacy Benefit Manager - Express Scripts

All FAES Insurance members will be transitioning to a new Pharmacy Benefit Manager (PBM), Express Scripts for which you will receive a card with the updated information by the third week of December (Trustmark-Medical/Express Scripts-Pharmacy) to be used beginning January 1, 2020. During the transition, any remaining refills on prescriptions should transfer automatically and CVS pharmacies will remain part of the network of locations to fill prescriptions. There will be some changes in which subscribers will need to move from a brand drug to a generic equivalent for which affected members will be notified and there will be assistance provided by the Express Scripts Member Services option in their online portal for anyone in need of help beginning January 1, 2020.

Transitioning to Express Scripts- Frequently Asked Questions
    
CoreSource is changing their brand name to Trustmark Health Benefits effective January 1, 2020.  They are still the same company, but you will see a new Trustmark logo on all related insurance materials. The CoreSource member web portal, myCoreSource.com will automatically redirect to myTrustmarkBenefits.com. This change does not affect your medical benefits, for more information on your medical coverage, please visit Benefits Guide. Beginning January 1, 2020, please show your new member ID card to your pharmacist when filling a prescription for yourself or a covered family member. You will also be able to access your pharmacy ID information anytime from your mobile device if you download the Express Scripts mobile app beginning January 1, 2020. If you have recently moved, please remember to email us your new mailing address. If you have any questions, please feel free to contact the FAES Health Insurance Department via email at FAESINSURANCE@mail.nih.gov.