Plan Providers

ORNL Benefits Service Center

PO Box 32290
Louisville, KY 40232

Website: https://portal.adp.com
Phone: 1-800-211-3622
TTY Service: 1-800-855-2880 (http://relayservices.att.com)
Fax: 1-866-265-8283
E-mail: [email protected]

ORNL Benefits Office

PO Box 2008
MS 6465
Oak Ridge, TN 37831-6465

865-574-7474

Medical-UHC Plans

(Under age 65 retirees)

UnitedHealthcare (UHC)

Member Services: 1-844-234-7925

To file a claim, mail your completed claim form to the address shown on your ID card

Website: www.myuhc.com

Hospital Precertification

(for the UHC Indemnity Plan)

UnitedHealthcare (UHC)

Member Services: 1-844-234-7925

Prescription Drugs

(Under age 65 retirees)

Express Scripts

Member Services: 1-866-749-0097

To mail order forms for new prescriptions:

Express Scripts
PO Box 650322
Dallas, TX 75265-0322

To order or manage your prescriptions online: www.express-scripts.com

For the automated refill system:
1-800-473-3455

For instructions on how to fax your prescription, have your doctor call:
1-888-327-9791

Vision

(Under age 65 retirees)

Vision Service Plan

Member Services: 1-800-877-7195

To file a claim, mail your claim to:

Vision Service Plan
Attn: Out-of-Network Provider Claims
PO Box 997105
Sacramento, CA 95899-7105

Website: www.vsp.com

Dental

(Under age 65 retirees)

Delta Dental

Member Services: 1-800-524-0149

To file a claim, mail your claim to:

Delta Dental
PO Box 9085
Farmington Hills, MI 48333-9085

Dental

(Under age 65 retirees)

MetLife

Member Services: 1-800-942-0854

To file a claim, mail your claim to:

MetLife Dental Claims
PO Box 981282
El Paso, TX 79998-1282

Website: www.metlife.com

Prescription Drugs

(Over age 65 retirees)

Express Scripts

Member Services: 1-877-701-9946

TTY Service: 1-800-716-3231

To mail order forms for new prescriptions:

Express Scripts
PO Box 30493
Tampa, FL 33633-0561

To order or manage your prescriptions online: www.express-scripts.com

Telephone refills: 1-877-701-9946

For instructions on how to fax your prescription, have your doctor call:
1-888-327-9791

Long-Term Care

Current participants only

MetLife

Member Services: 1-800-438-6388

Mailing Address:

Metropolitan Life Insurance Company
PO Box 937
Westport, CT 06881-0937

Website: http://utbattelle.metlife.com

Life Insurance

MetLife

Statement of Health Unit:
1-800-638-6420, prompt 1

For Life Insurance conversion information: 1-877-275-6387

Savings Plan

ORNL Savings, Retirement, and Investment Committee

Charles Schwab Savings Information Line

Mailing Address:

UT-Battelle
c/o Plan Administrator’s Office
PO Box 2008
Oak Ridge, TN 37831

United States: 1-800-724-7526

International: 1-330-908-4777

TTY Service: 1-800-345-2550

Website: https://workplace.schwab.com

Medicare Medical Supplement Program, including the Health Reimbursement Arrangement (HRA)

(Over age 65 retirees)

Via Benefits

Member Services: 1-888-592-8348
TTY Service: 1-866-508-5123

Mailing Address:

Via Benefits
PO Box 981155
El Paso, TX 79998-1155

Website: https://my.viabenefits.com/ornl

Disease Management Program

(Under age 65 retirees)

Clinical support for specific chronic conditions: asthma, chronic obstructive pulmonary disease, coronary artery disease, diabetes, heart failure.

UnitedHealthcare (UHC)

Disease Management Program
1-844-234-7925

The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA)

ADP

Member Services: 1-800-211-3622

Mailing Address:

ADP Benefit Services
PO Box 2968
Alpharetta, GA 30023-2968

Social Security Administration

Toll-free number: 1-800-772-1213

Oak Ridge Office: 1-800-999-1118

Direct Billing

Direct Billing for medical, dental, and life insurance coverage for Retirees under age 65, Displaced Defense Workers, and employees on Long-Term Disability.

PayFlex

Member Services: 1-855-899-5049

Billing Address:

PayFlex
Benefits Billing Department
PO Box 2239
Omaha, NE 68103-2239