Promoting and protecting the health of our members by highlighting key topics in the healthcare industry.
- HealthChoice Member Contacts
- Medicare Contacts
- HIPAA Contacts
Plan Administrator: Office of Management and Enterprise Services Employees Group Insurance Division
Network Management Unit
2401 N. Lincoln Blvd., Ste. 300
Oklahoma City, OK 73105
405-717-8790
Toll-free 844-804-2642
Fax 405-717-8977
EGID.NetworkManagement@omes.ok.gov
healthchoiceok.com
New Claims, Correspondence and Medical Records
HealthChoice
P.O. Box 99011
Lubbock, TX 79490-9011
Appeals and Provider Inquiries
HealthChoice
P.O. Box 3897
Little Rock, AR 72203-3897
Medical and Dental Claims Administrator
Toll-free 800-323-4314
TTY 711
Hours 7:30 a.m. to 6 p.m., Monday through Friday, excluding state holidays
Payer ID: 71064
Providers are able to submit claims electronically through acceptable clearinghouses as identified by the medical and dental claims administrator using payer ID 71064.
Health Care Management Unit
2401 N. Lincoln Blvd., Ste. 300
Oklahoma City, OK 73105
405-717-8879
Toll-free 800-543-6044, ext. 8879
Fax 405-949-5459 and 405-949-5501
Certification Administrator
P.O. Box 99011
Lubbock, TX 79490-9011
Toll-free 800-323-4314
Fax 855-532-6780
TTY 711
Hours: 7:30 a.m. to 6 p.m., Monday through Friday, excluding state holidays
Pharmacy Benefit Administrator: CVS/caremark
P.O. Box 52136
Phoenix, AZ 85072-2136
Commercial (All non-Part D Plans)
Prior Authorization toll-free 800-294-5979
Customer Care toll-free 877-720-9375
www.caremark.com
SilverScript (Medicare Part D)
Prior Authorization toll-free 855-344-0930
Customer Care toll-free 866-275-5253
www.healthchoice.silverscript.com
Plan Contact Information
Plan Administrator
Office of Management and Enterprise Services
Employee Group Insurance Division
2401 N. Lincoln Blvd., Ste. 300
Oklahoma City, OK 73105
405-717-8780 or toll-free 800-752-9475
healthchoiceok.com
Eligibility and Enrollment – EGID Member Services
Monday through Friday, 8:00 a.m. to 4:30 p.m. Central time
405-717-8780 or toll-free 800-752-9475
TTY 711
Medicare Supplement Plans
HealthChoice
HealthSCOPE Benefits – Claims Administrator
Customer Care for HealthChoice Medicare Supplement
Toll-free 800-323-4314
TTY 711
healthchoiceconnect.com
Claims and Correspondence
P.O. Box 99011
Lubbock, TX 79490-9011
Appeals and Provider Inquiries
P.O. Box 3897
Little Rock, AR 72203-3897
HealthChoice Pharmacy Benefits Manager
CVS/caremark, 24/7, Live operator available 7 a.m. to midnight only
SilverScript Plans 866-275-5253 or TTY 711
Without Part D Plans 877-720-9375 or TTY 711
www.caremark.com
Pharmacy Prior Authorization
SilverScript plans 855-344-0930 or TTY 711
Without Part D plans 800-294-5979 or TTY 711
CVS Specialty Pharmacy 800-237-2767
MA-PD Plans
Blue Cross Blue Shield of Oklahoma
Member Services 855-609-5684
TTY 711
bcbsok.com/state
Generations Healthcare by GlobalHealth MAPD
Member Services / Monday through Friday / 8:00 a.m. to 5:00 p.m., Central time
405-280-5555 or 844-280-5555 or TTY 711
Prospective members 844-322-8422 or TTY 711
globalhealth.com/medicare
CommunityCare Senior Health Plan MAPD
Member Services / Monday through Sunday / 8:00 a.m. to 8:00 p.m., Central time
918-594-5323 or 800-642-8065
TDD 800-722-0353
ccok.com
Humana National MAPD
Member Services / 9 a.m. to 10 p.m. Central time
866-396-8810 or TTY 711
Dental Plans
CIGNA Prepaid Dental
800-244-6224
Hearing impaired relay service 800-654-5988
cigna.com
Delta Dental
405-607-2100 or 800-522-0188
deltadentalok.org/client/OK
HealthChoice
Customer Care 800-323-4314 or TTY 711
healthchoiceok.com
MetLife
855-676-9443
metlife.com/oklahoma
metlife.com/mybenefits
Sun Life
800-442-7742
sunlife.com
Vision Plans
Primary Vision Care Services (PVCS)
888-357-6912
Relay Service 800-722-0353
pvcs-usa.com
Superior Vision Plan
800-507-3800
TDD 916-852-2382
superiorvision.com
Vision Care Direct
877-488-8900
TDD 711
okstate.vision
Vision Service Plan
800-877-7195
TDD 800-428-4833
vsp.com
If a TDD or TTY number is not listed for a plan, hearing impaired members should use a relay service to contact the plan.
Other Helpful Numbers
Oklahoma Public Employees Retirement System (OPERS)
405-858-6737 or 800-733-9008
opers.ok.gov
Medicare
Customer Service, 24/7
800-MEDICARE (800-633-4227) or TTY 877-486-2048
medicare.gov
Website Questions and Answers: http://questions.medicare.gov
Social Security Administration
Customer Service: Monday through Friday 7:00 a.m. to 7:00 p.m. Central time
800-772-1213 or TTY 800-325-0778
socialsecurity.gov
Teachers' Retirement System (TRS)
405-521-2387 or 877-738-6365
oklahoma.gov/trs
Complaints or questions should be addressed to the following:
OMES HIPAA Privacy Officer
2401 N. Lincoln Blvd., Ste. 300
Oklahoma City, OK 73105
Telephone 405-717-8701, Toll-free 800-543-6044
TDD 405-949-2281, Toll-free TDD 866-447-0436.