Enrollment
Open enrollments for HMR often begins in November and remains open for two weeks. Contact Human Resources for more information.
After you are hired, you will qualify for benefits on the first of the month following 60 days of full-time employment.
You may sign up for HMR’s health plan mid-year only if a “qualifying event” occurs. Because this is a Pre Tax benefit (health, dental, and vision), you also need a “qualifying event” to drop coverage in the mid- year. See Human Resources for details.
Contact Human Resources at your facility for information or online access.
You may also contact Cavalry Partners at 1-844-4321-CAV or via email at Help@cav.partners
The Health Plan
Show them your card and let them know that “my company has a self-funded health plan and they will pay.” Call 1-888-330-72950(ClaimDoc) for more information. Use your ClaimDOC health plan member advocate prior to seeing any new provider for the most convenient customer service.
Call your ClaimDOC health plan member advocate at 1-888-330-7295 or download their app here. They will call ahead for you and explain your benefits to your new provider.
There are many resources afforded to you. To learn more about available benefits for a major diagnosis or surgery covered by the Centers or Excellence Program (Edison Healthcare), please call 1-866-982-7988. Not all diagnoses are covered under this program.
Call your ClaimDOC health plan member advocate at 1-888-330-7295!
Of course there is! Follow this link! … Roadmap
Your ClaimDOC health plan member advocate may be able to help you find this information. Give them a call at 1-888-330-7295 or download the app on the ClaimDoc page.
Billing
Your ClaimDOC health plan member advocate may be able to help you with this. Give them a call at 1-888-330-7295 or download the app on the ClaimDoc page.
Look at your most recent EOB (Explanation of Benefits) from a provider or call Edison Health Solutions at 1-800-967-2077. The Edison app is also a very helpful resource. Lookup Edison Gateway in your app store. The download is free and there is a lot of GREAT information.
Do not pay a provider more than you believe you owe! If you have any questions about a bill, please call your health plan member advocate (ClaimDOC) before you pay!
Pharmacy
Yes! Please take a look at www.drexi.xom/search for a way to find less expensive medications. You will be surprised at how much you can save just a mile away.
Yes! Please take a look the Cavalry Partners page on this site for an annimated video about Drexi and the Specialty Prescription program by AroRx.
Yes! CVS and Walgreens are both in the network. Please have your pharmacist call Drexi at the phone number provided on the back of your card or 1-844-728-3479.
Maybe! Most prescriptions are covered but they may require step therapy or prior authorization. You may also want to ask if there is a generic version available.
Certain “specialty medications” are available through a mail order program that we have partnered with. Please email Jaclynn at Jaclynn@cav.partners for more information.
Telemedicine
Yes! HMR has enrolled you in a text-based telemedicine app and pays for your subscription monthly. There are no co-pays and prescriptions can be sent to the pharmacy of your choice. Download this today! 98point6 is the name of the service and the app can be downloaded here.
Contact your human resources department or call Cavalry at 1-844-4321-CAV.
Imaging
Centers of Excellence
The Centers of Excellence Program by Edison Healthcare is a way for HMR to provide world class medical resources to employees who may need it. Only certain diagnoses will apply. For more information call 1-866-982-7988.
Second opinions and surgery is available for certain types of these diagnoses:
Spine (back and neck), Joint and Orthopedic (knee, hip, and shoulder), Cancer, Heart, and Transplant.
Edison Healthcare can be reached at 1-866-982-7988