If you're using insurance for your order, it can be hard to read your insurance card and understand what information we need. The below guide shows you what each piece of information refers to and where you might find it on your insurance card:
Plan Name: The plan name is the name of the health plan offered by the insurance company. There are numerous health insurance plan names. Some common plan names include Blue Cross Blue Shield, Aetna, Cigna, Humana and Kaiser. You can find your plan name listed on your health insurance card, on your e-health portal or by calling your insurance provider.
Member Name: The member name is the name of the individual on the card who is the policy holder. The member name could be your name or could be your spouses/parent's name if you are under their health insurance plan. You can find your plan name listed on your health insurance card, on your e-health portal or by calling your insurance provider.
Member ID: Each person covered by a health insurance plan has a unique ID number that allows healthcare providers and their staff to verify coverage and arrange payment for services. If you are not the policy holder, your member ID may be different from the policy holder's ID. Your member ID could be anywhere from 5-12 digits long and should be listed on your health insurance card. It can also be listed under numerous headers, such as "Member ID", "ID #" or "Membership #". You can find your Member ID listed on your health insurance card, on your e-health portal or by calling your insurance provider.
Rx Group: Pharmacies often use Rx Group Numbers to process prescription benefits. RX group numbers can be alphanumeric or numeric. Not all health insurance cards have RX Group numbers. It can be listed under the name "RxGrp" or "Prescription Group". Occasionally, health insurances also have separate cards for physician benefits and for pharmacy benefits. If your Rx Group is not available on your card, you can check by calling your health insurance provider. Otherwise, you may leave this section blank.
Rx Bin: The RX Bin is used to identify how a prescription drug will be reimbursed and where a pharmacy can send a reimbursement claim to.Your RX BIN is a 6 digit number. In order to be pay for your medications with your health insurance, you must have a RX Bin number. If you cannot find a Rx BIN on your health insurance card, please give your health insurance a call!
PCN: A processor control number (PCN) is another identifier used to route pharmacy reimbursements. PCNs may be alphanumeric or numeric. Not all health insurance plans use PCNs, so it is okay to leave this blank if you don't see it on your health insurance card. If you don't see your PCN on your health insurance card, you can also give your health insurance a call to double check your number.
If you would like to talk to your insurance provider about your health insurance information, or if you're having trouble finding some information, the contact information of some major health insurance providers is located below.
Plan Name - Contact Website - Contact Number
Aetna - https://www.aetna.com/about-us/contact-aetna.html - 800-872-3862
Cigna Health - https://www.cigna.com/about-us/contact-us/ - Individual Insurance: 866.494.2111 Insurance through Employer: 800.244.6224
Coventry Health - http://coventryhealthcare.com/contact-us/ - 301-581-0600
Emblem Health - https://www.emblemhealth.com/Contact-Us/Customer-Service/HIP-Contacts - 800-447-8255
Humana - https://www.humana.com/individual-and-family-support/contact-us - Individual Insurance: 800-833-6917
Insurance through Employers: 800-448-6262
Kaiser Permanente - http://info.kaiserpermanente.org/html/kpic/contactus.html - HMO: 800-464-4000 PPO: 800-788-0710
United Health - https://www.unitedhealthgroup.com/contact-us - 800-328-5979
Wellpoint Inc. Group (Anthem) - https://antheminc.com/ContactUs/index.htm - 800-331-1476
If your health insurance provider is not on this list, you can also find a contact number on the back of your health insurance card. Otherwise, feel free to contact us and we will help connect you to your insurance provider.