Municipalities, Colleges, Schools Insurance Group (MCSIG)

Oct 7, 2015

Current Plans

MCSIG offers a variety of health plans to fit your specific needs, budget and preferences. Available plans include numerous medical options, a dental plan, a vision plan, telehealth services, and more.

 

CompleteCare Program

What is CompleteCare?

CompleteCare is a plan offered through MCSIG which reimburses the District employee (and their eligible dependents) for their out-of-pocket medical expenses, including co-pays, co-insurance, and deductibles associated with an employee’s enrollment in an alternate group health plan (excluding School Districts who offer MCSIG medical coverage). There is no premium cost to the employee to enroll in the CompleteCare plan. For more information and to learn if you qualify for this plan, please call 877-872-4232 or email us at completecare@catilizehealth.com
CompleteCare Program Frequently Asked Questions
What is CompleteCare, Benefits, and Eligibility
Watch this video about CompleteCare

Dental

Provided by Delta Dental Plan

DENTAL PLAN DOCUMENTS

DENTAL PLAN SUMMARIES


Delta Dental provides, under contract, third-party claims processing and network services for the MCSIG dental plans.
Vision

Provided by Vision Service Plan

VISION PLAN DOCUMENTS

VSP Evidence of Coverage Document

VISION PLAN SUMMARIES

Plan A Summary
Plan B Summary
Plan C Summary

VSP provides, under contract, third-party claims processing and network services for the MCSIG vision plans.

Behavioral Health

Provided by Transcarent

Your MCSIG benefits include mental and behavioral health care. When you or your covered family members need a place to turn for expert care and support, MCSIG gives you options. You can access mental and behavioral health care through Transcarent – at no cost* to you. This includes 24/7 virtual care for adults age 18+ and expert medical support for adults and support for parents to help kids and teens.

Transcarent provides virtual expert medical support, as well as 24/7 immediate on-demand care access to doctors and referral to specialists for behavioral and mental health conditions such as:

  • Anxiety (generalized anxiety disorder, panic disorder, post-traumatic stress disorder, and obsessive-compulsive disorder)
  • Depression
  • Sleep disorders
  • Adjustment disorders
  • Mood disorders

 

Through the Transcarent app, you can interact with providers and specialists virtually by chat and video – anytime, anywhere. To get started, activate your care with Transcarent by downloading the app or registering online. Log in 24/7 to connect with a doctor in under 60 seconds or chat with a Health Guide to find expert medical support.

Activate your account online or by through the Transcarent app:
Online at https://experience.transcarent.ai/mcsig/
Download the Transcarent app: Google Play or Apple App Store

*The Coronavirus Aid, Relief, and Economic Security (CARES) Act waives deductible and coinsurance costs for telehealth care through December 31, 2021. Starting January 1, 2022, members enrolled in HSA plans may need to meet the plan deductible before costs are covered at 100%.

Provided by Teladoc

Teladoc’s Behavioral Health benefit provides access to licensed therapists from the comfort of your home. Get support for anxiety, eating disorders, depression, grief and more. A prescription can be written, if medically necessary. You can choose to visit with a psychiatrist, psychologist, therapist, counselor or social worker. Schedule an appointment for a video or phone session from 7 a.m. to 9 p.m., seven days a week.

Teladoc also provides mental health care for teens ages 13 to 17. Therapists are available by phone or video 7 days a week (7 a.m. to 9 p.m). Please refer to the following flyer on how to schedule a visit for your teen: Mental Health for teens flyer

Toll-Free Number: 1-800- 835-2362
Visit Teladoc.com

Mental Health for adults flyer

Provided by MetLife/LifeWorks

MetLife’s Employee Assistance Program (EAP) provides expert advice for work, life, and your well-being. The program’s experienced counselors provided through LifeWorks, is one of the nation’s premier providers of EAP services.

Toll-Free Number: 1-888-319-7819 (24/7 access)

Employee Assistance Program Flyer

Telehealth

Provided by Transcarent

With virtual care from Transcarent, you can get care in 60 seconds for you and your loved ones covered under your MCSIG Health Plan.

Our Care Team of board-certified doctors, nurses, and Care Coordinators provides care for urgent and routine health and care needs.

Easily text or video-chat with a clinician on-demand through the Transcarent App – 24/7, 365 days a year, at no cost to you.

• Urgent Care – Get care for coughs, colds, rashes, UTIs, and other common illnesses. Our clinicians treat common conditions and can order diagnostic tests or send prescription requests to your preferred pharmacy.
• Primary Care – Get support for managing chronic conditions like diabetes, asthma, and high blood pressure.
• Medication Refills – Talk to our clinicians about short-term medication refills for common medications.
• Mental Health – Our Care Team offers front-line support for common mental health needs like depression, anxiety, and insomnia. They can screen your symptoms, help manage your medications, and make referrals to specialists for behavioral and mental health conditions.
• Pediatric Care – Rest easy knowing that your little one aged 2 and over can get care for common childhood conditions from the comfort of your home.
• Women’s Health – Transcarent offers care tailored to the unique needs of women from adolescence to adulthood.

Facing a serious diagnosis or surgery? Get a virtual second opinion from expert specialists at The Clinic by Cleveland Clinic for peace of mind and clarity in your healthcare decision making.

Activate your account online at http://experience.transcarent.com/mcsig/ or inside the Transcarent App. Download the Transcarent App: Google Play or Apple App Store

Questions about your Transcarent benefits? Talk to a Health Guide: (855) 586-2744

Provided by Teladoc

Teladoc’s U.S. board-certified doctors provide care for medical issues 24 hours a day, seven days a week, 365 days a year — via phone or online video consults.
Talk to a doctor, Anytime, Anywhere – FREE
Dermatology – FREE

Transcarent Surgery Care

Transcarent Surgery Care

Transcarent Surgery Care ( formerly known as BridgeHealth) is available as part of your health plan at no additional charge to you; pay $0* for surgery. The program provides you with access to* *quality providers specific to your procedure, plus a Care Coordinator to manage the process for certain non-emergency surgeries such as knee replacement or back surgery. For a full list of eligible surgeries and details, visit https://experience.transcarent.com/mcsig/ call a health guide at (855) 586-2744. Transcarent Surgery Care flyer

*If you are enrolled in a high deductible health plan with a health savings account, there’s no cost to you after your plan deductible has been met.

Other Providers

EPIC Hearing Service Plan (HSP)

EPIC HSP is the largest hearing care provider network that gives access to name brand hearing aid technology by top tier hearing aid manufacturers at reduced prices. Contact an EPIC hearing counselor to answer any questions you may have about the plan and coordinate a referral to a participating provider at 1-866-956-5400. EPIC HSP Benefit Description Flyer

Chiropractic Health

Provided by CHPC

Chiropractic Health Plan Flyer
Chiropractic Health Plan of California (CHPC) provides, under contract, all chiropractic services for the MCSIG medical plans through their network of providers. To find a chiropractor in your area, please visit www.chpc.com or call (800) 995-2442.

Network Provider Finder
Get 24/7 access to your Blue Shield health plan information through their mobile app and website. Once registered you will be able to:

    • Find a doctor or urgent care center near you
    • View or print your Blue Shield member ID card
    • Check your deductible and copayment/coinsurance year-to-date totals
    • View your claims
    • Review your benefits information
    • To register, visit

blueshieldca.com/register

                • or from your phone, download the Blue Shield of California mobile app.