We know your benefits are a key part of your well-being, which makes them critical to our mission. Whether you’re new to Banner or a long-time team member, explore this benefits site to learn all about the great benefits and resources available to you. But take it a step further by staying engaged with our educational news, which is all about you, your benefits and well-being.
When life changes
Know when to make changes to your benefits
Whether you’re having a baby or getting married, notify the benefits department when you have a Qualifying Life Event (QLE) so you can make the necessary changes to your benefits elections.
Changes due to a QLE must be made within 31 days of the qualifying event date and are effective the first day of the month following the event. The only exception to this rule is newborns or newly adopted children; QLE changes are effective on their date of birth or adoption.
Common QLEs include:
- Change in marital status (e.g., marriage, divorce, deceased spouse)
- Change in the number of dependents (e.g., birth, legal/ward guardianship, adoption)
- Change in your spouse’s employment status, resulting in a loss or gain of coverage
- Change in your employment status, resulting in a loss or gain of coverage
- Enrollment in Medicare or Medicaid
Note: Before your changes are approved, you’ll need to provide proof of your QLE. Review the Dependent Eligibility Matrix for documentation requirements.
Questions?
Read the QLE FAQs to get answers to many common questions or contact our Benefits Resource Center, 7 a.m. – 7 p.m. (MST),
Monday – Friday, by calling 833-849-9825.
Rx your way: on vacay or off to school
Know when to make changes to your benefits
Banner Family Pharmacy (BFP), our network of retail, home delivery and specialty pharmacies, is a one-stop shop for convenient, expert care and service. Since BFP isn’t located everywhere team members and their dependents need coverage, we offer a way to ensure pharmacy coverage, no matter where you are.
If you, the covered team member, have a home address in a state outside BFP coverage areas (AZ, CA, CO, NE, NV and WY), there’s no action you have to take. Your pharmacy assignment includes access to CVS network pharmacies.
Dependent override
When your dependents reside in non-BFP service locations (e.g., child away at college), you’ll need to obtain an override to allow prescription fills outside of the custom network. Note: A pharmacy override may be required for each prescription and can be approved for up to 12 months through CVS.
Vacation override
Vacation overrides allow members to get one additional retail prescription fill (most commonly a 30-day supply) when using a retail pharmacy. While members can request a vacation override at any time, the medication can be picked up no earlier than five days in advance. To get a vacation override, you must provide three specific dates:
- Departure date
- Date member is picking up medication from the pharmacy
- Return date
Those needing either a dependent or vacation override must contact Banner|Aetna Concierge, 8 a.m. – 6 p.m. (MST), Monday – Friday at 855-788-5803.
Health made simple
Get the best care when you’re sick
When you or a family member is sick or short of breath, do you know where to seek care? Should you go to urgent care, the ED or somewhere else?
Banner|Aetna plans provide several points of access for your health care needs, and receiving care at the right location can even save you time and money. For example, did you know if you use the ED and your condition is determined a non-emergency, the expense might not be covered? We’ve put together a list of services available to get you the care you need, when you need it most.
| Service | Health Issue | Cost | How to Get Care | |||
|---|---|---|---|---|---|---|
| Nurse Call Line (24/7/365) | • Answer health questions • Get care advice | Free | Call the 888-747-7990 number found on back of your medical insurance card | |||
| 98point6 Telecare | • Answer health questions • Diagnose/treat any primary care type visit • Outline care options • Order prescriptions or labs • Refer you to specialists and resources in the Banner|Aetna network | Free | Download 98point6 app, create an account and begin using | |||
| Banner Urgent Care | • Fevers • Flu and cold • Simple fractures and sprains • Work injuries • Sports physicals | Choice Plus: $30 copay for Banner entities; $100 copay for non-Banner entities. Deductible doesn’t apply. Value/Premier: $75 at time of service, then balance will be billed. After deductible for Banner Insurance: · Premier: 15% coinsurance Max Saving tier, 25% standard savings tier · Value: 20% coinsurance Max Saving tier, 30% standard savings tier | Learn more here | |||
| ED | • Any severe or life-threatening conditions • Chest pain • Coughing blood • Loss of consciousness • Shortness of breath | Choice Plus: $150 copay for Banner entities; $400 copay for non-Banner entities. Deductible doesn’t apply. Premier:15% coinsurance Max Saving tier, 25% standard savings tier. After deductible for Banner Insurance. Value: 20% coinsurance Max Saving tier, 30% standard savings tier. After deductible for Banner Insurance. | Visit closest ED for life-threatening conditions. | |||
NOTE: If you use the ED and it’s determined not an emergency, the expense might not be covered. | ||||||
50,000+ pharmacies available
Get your medications from one of many pharmacy options
When you’re not feeling well or simply need to fill a regular prescription, it can be confusing to know where to go. Between Banner Family Pharmacies (BFP) and our network of other pharmacy options, we’ve got you covered.
Teams located within a BFP state (AZ, CO, NE, NV, NM, UT, WY) can explore the details below. Those in non-BFP states should check out your specific pharmacy coverage.
- General prescriptions—Include antibiotics, pain and anti-nausea medications, etc. Controlled substances are also included in this category, even if they’d normally be considered a maintenance medication.
- Fill these prescription types at any in-network pharmacy; however, you’ll receive the lowest cost when utilizing a BFP.
- Maintenance medications*—A small list of medications taken regularly for long-term (chronic) conditions, including birth control, high blood pressure, diabetes, high cholesterol medications, etc. For member convenience, your plan covers the first two fills at any network retail pharmacy location, but subsequent fills need to be via BFP location or home delivery.
- Specialty medications —Treat complex, chronic conditions and include drugs classes such as antiparkinsonian and multiple sclerosis agents, antivirals and more. These must be filled via BFP Chandler Specialty Pharmacy for home delivery only. Contact them at 844-747-6441.
Network of pharmacies
Enjoy a broad network of in-network pharmacies, including CVS, BFP, Safeway, Walmart, Kroger, Albertson’s and more. There are approximately 53,000 locations.
- Find an in-network pharmacy near you when you enter your ZIP code and select Aetna Managed Network.
BFP resources
- Banner Home Delivery—This is the most convenient method to receive your medications, allowing for up to a 90-day supply to be sent to you directly and minimizing your out-of-pocket costs.
- Download the BFP app or visit the BFP website for prescriptions made easy.
*The list isn’t all-inclusive, and the information is subject to change. Some prescription benefit plans may not cover certain categories of medicines, regardless of their appearance in this document. To check coverage and copay information, visit Aetna.com and log in to member website. For questions, please call the toll-free number on your member ID card.
Dental care at home
Receive a free oral health screening
Are you enrolled in a dental plan but don’t use it? If you’re avoiding dental visits due to costs, inconvenience or dental anxiety, SmartScan* provides a fast, free and painless way to stay on top of your dental needs.
SmartScan is a unique, at-home dental screening tool that lets you use your smartphone to take a series of guided dental photos. Within minutes, you’ll receive a professional assessment from a Cigna Healthcare dentist. However, this isn’t a replacement for a full exam and X-rays done in a dental office, which are important ways to protect your teeth, gums and oral health.
*SmartScan screenings are available at no additional cost to those enrolled in a Cigna dental plan.
How it works
- Take guided dental photos of your teeth/mouth
- Upload your photos to dental.com, where artificial intelligence and a Cigna Healthcare network dentist examine your teeth and gums
- You’ll receive a report with an overall rating indicating your oral health status
If your oral rating is green, you’ll have peace of mind knowing your mouth is healthy. If your rating is yellow or red, you can book a teledentistry appointment through Cigna Healthcare Dental virtual care or be referred to a Cigna Healthcare Dental in-network provider.
Questions? Visit mycigna.com or call 800-244-6224.
Takin’ care of business
Take charge of your health virtually with 98point6
With no waiting rooms, no time off work and no uncomfortable face-to-face conversations, 98point6 is a more convenient, affordable way to take charge of your health through Banner|Aetna, right from your mobile device.
For common conditions such as flu and hypertension to more specific concerns like COVID-19, fungal infections and prostate and menstrual health, 98point6 has board-certified physicians available on-demand, 24/7, who can:
• Answer health-related questions
• Diagnose and treat
• Outline care options
• Order prescriptions and labs as appropriate
• Refer you to specialists and resources in the Banner|Aetna network
98point6 is for team members and dependents ages one and older enrolled in the Banner|Aetna employee plan. There’s $0 out of pocket per visit for Choice Plus Plan members and $5* out of pocket per visit for Value and Premier Plan members.
*The $5 cost share for Banner|Aetna members, with HSA-compatible plans, will be waived for all 98point6 virtual care visits through Dec. 31, 2024, in response to provisions of the Consolidated Appropriations Act, 2023.
Consider Banner Telehealth
Additionally, Banner Telehealth also offers quality health care from your primary and specialty doctors in the comfort of your own home using a video-enabled device such as a laptop, tablet or smartphone. Nearly all Banner doctors and health care providers can provide telehealth care.
Questions?
• Learn more about 98point6
• Learn more about Banner Telehealth
Winning in trust, innovation, places to work
Celebrate three major recognitions we earned as One Team
Thanks to you—our amazing teams—Banner was recently included in three widely recognized lists that prove the impact of your hard work. Together as One Team, we’re making life easier for our communities and earning Sofia’s trust all while striving to make this a great place not only to receive care but to work.
2024 Most Innovative Companies—Fortune
Out of 200 companies on Fortune’s list, 21 of those health systems, we’re honored to be included for the second year in a row. Ranking was based on three dimensions: product innovation, innovation culture and process innovation. Read more.
Most Trustworthy Companies in America—Newsweek
Everything we do is centered around making health care and life easier for Sofia—and as our Vision states, we aim to become her most trusted health partner. That’s why it means so much to be included in Newsweek’s list of companies that customers said they could trust based on an independent survey. Read more.
150 top places to work in healthcare 2024—Becker’s Hospital Review
We’re focused on being a great place to work and receive care, so we’re proud to be included in this list among other hospitals, health systems and health care companies prioritizing workplace excellence and the happiness, satisfaction, well-being and fulfillment of their teams. Read more.
