General Questions
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| How can I verify that my coverage is current? |
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| Please contact the plan administrator at your employer, or you can go online and visit our Medical Claim, Eligibility and Benefits Look-Up system. |
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| How do I check the status of my claim? |
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| You may either call the claim office at the Eligibility/Benefits phone number listed on the back of your ID card or visit our Medical Claim, Eligibility and Benefits Look-Up system. |
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| I lost my ID card. How do I get a replacement? |
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| Contact your plan administrator. |
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| How do I change my beneficiary? |
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| Download a Beneficiary Change Form, or contact your plan administrator. |
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| Where can I get a copy of my group certificate? |
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| Your plan administrator should have a supply of certificate booklets. |
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| Where can I get claim forms? |
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A medical claim form is not required in order to submit a claim. In most all instances, your doctor or other healthcare provider will bill Trustmark directly for healthcare service and supplies you receive.
If you need to file a claim, please mail a copy of the claim to the address found on the back of your ID card. If you prefer, you may access claim forms by contacting your plan administrator at your employer or download a claim form. |
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Questions related to managed care networks
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| What is a provider network? |
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| A provider network is comprised of a group of doctors, hospital and other healthcare providers. The network has an agreement with Trustmark to offer services to our insured members at discounted rates. |
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| How do I know if my doctor or hospital participates in the network? |
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| Am I limited to only my network of hospitals and physicians? |
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| An important feature of the Trustmark Group Benefits PPO plan is the freedom to choose any hospital or physician. However, when you choose a provider participating in the network, your out-of-pocket expenses are reduced. |
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| When do I need to precertify? |
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| Precertification is needed for any inpatient hospitalization (for any medical services including maternity, transplants, mental illness, mental or nervous disorders, or for alcohol and chemical abuse treatment). STATE MANDATES MAY APPLY Precertification is now required for the following: - Skilled nursing facility admissions
- Home health care services, such as home infusion and in-home physical, occupational or speech therapy
- Sub-acute medical and rehabilitation inpatient admissions
- Hospital care services
- Residential Behavioral Health Services (Mental/Nervous and Chemical & Alcohol)
Precertification is no longer required for any outpatient surgery. You or your physician must call the precertification number on your ID card prior to admission to obtain precertification. |
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| Where can I get information regarding my prescription drug benefit? |
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| Please refer to your Insurance Booklet to review your prescription drug benefit. To access other information, please look through the Prescription Drug Benefit section of this website. |
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