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We are pleased to inform you that Calvo’s SelectCare has been selected as the Third Party Administrator (TPA) for the Government of Guam's FY 2024 self-insured medical and pharmacy benefits. You will have choices of the HSA2000, PPO1500 and RSP (must be a retiree enrolled in Medicare Parts A&B).
If you are enrolled with medical, dental, or pharmacy benefits with Calvo's SelectCare or TakeCare for the current 2023 fiscal year, you will be automatically enrolled into the same plan for FY 2024.
As a member of the self-insured plan, you and your eligible dependants will have access to a wide network of providers locally in Guam, in Asia, Hawaii, in Southern California, and the rest of the continental United States through the United HealthCare network of providers.
Please review the new rates, as they apply on October 1, 2023. Rates are provided in the inside back cover of the FY2024 Enrollment Booklet. The annual Open Enrollment (OE) starts on September 11th and concludes on September 26th. OE allows you the opportunity to make any necessary changes to your enrollment including termination of coverage.
Below are some highlights on the benefits and services that will be available to you in the FY2024 coverage year:
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A comprehensive provider network that includes GMH, GRMC, Guam Radiology Consultants, Pacific Cardiology, SDA, IHP, American Medical Clinic and many other local providers. It is reassuring to know the above named medical providers are insured with Calvo’s SelectCare, and this is a great testament to the services that we provide.
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An expanded network with access to over 6,100 hospitals and over 1.1 million medical providers in the Continental USA through our affiliation with UnitedHealthcare PPO.
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Expanded network of our contracted facilities in Hawaii to include Straub Clinic and Hospital, Kapiolani Women and Children Hospital, The Cancer Center of Hawaii, and others.
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Access to our traditional California providers such as: Good Samaritan Hospital, Keck Hospital of USC, Cedars Sinai Medical Center, Sharp system in San Diego, and many others
- Expanded provider network in Asia to include the Philippines, Taiwan, Japan, Hong Kong, and Korea.
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Airfare to the designated Centers of Excellence for qualifying conditions and the life saving Air Ambulance discount continue being important benefits, especially during these uncertain pandemic times.
- Prescription drugs through our Pharmacy Benefits Manager (PBM), Optum RX, is available through any local pharmacy and through most national pharmacy chains like Walgreens and CVS.
- As much as $400 in rewards for staying healthy and obtaining preventive services.
- $500 travel benefit for Services in the Philippines
- Access to popular fitness facilities in the island with full coverage
- Discounted memberships to additional fitness facilities
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Access to doctors through Teladoc with 24/7 service. No co-pays or deductibles apply.
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A 24 hour Nurse line (866-874-3936) to triage, advice, and direct you to the appropriate care when necessary. No co-pays or deductibles apply.
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For FY2024 the dental is also self insured by the Government of Guam and administered by another carrier. You must submit a separate enrollment form to elect dental
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Our web portal and smart App provide you easy access to your I.D. card, schedule of benefits, exclusions, provider directory, claims information, and the UnitedHealthcare guide and UnitedHealthcare web portal for accessing care in continental USA.
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Access our web portal at: www.calvos.net or download our app from the apple or android stores.
It is important that you review the attached OE briefing, which contains the new rates applicable for FY2024. Again, for current subscribers, your medical benefits will automatically roll over if you do not take any action during OE.
Here are some of your Frequently Asked Questions (FAQs) regarding Self-Insurance:
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What is Self-Insurance? Self-insurance is a type of insurance plan whereby the employer assumes the financial risk for providing health care benefits to its employees and retirees.
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What is a Third Party Administrator (TPA)? A Third Party Administrator provides administration to the Self-Insurance Plan including member enrollment and administration, medical and pharmacy network development and management, claims payment administration, and member and provider appeals.
The Government of Guam is the Self-Insured entity and Calvo's SelectCare is the Third Party Administrator.
We will be providing updates and information in the coming weeks so please stay tuned to all of our news and announcements.
For your convenience, we have provided the following:
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