• How much will I be reimbursed?

    The Pivot Health short term medical claims reimbursement system is set up to guarantee that no member will be responsible for a balance bill due to the discount taken for charges above the Medicare Reference Pricing amount, subject to the terms outlined in the certificate of insurance.  This insurance plan…

  • How can I verify the benefits for a policyholder?

    1. Your patient will provide you an ID card for their short term medical plan. Pivot Health plans are underwritten by insurance carrier Companion Life Insurance Company. 2. This fully-insured insurance plan has no PPO network restrictions or requirements. All licensed healthcare providers are accepted. 3. Payment is up to…

  • Will I get a receipt of purchase?

    The welcome letter that is emailed to you immediately after enrolling in a Pivot Health plan includes your plan type and your monthly premium amount. This is your receipt of purchase.

  • Do I get prescription discounts?

    Yes. The prescription drug vendor is Cerpass Rx. Every health plan includes prescription discounts for qualified medications. To find a pharmacy near you and learn if you can receive a discount, call the Cerpass Rx prescription drug help desk at 844-636-7506.

  • The doctor do not take my plan/ refused to accept my policy. What should I do?

    Here are benefit verification instructions for providers: 1.Tell your provider Pivot Health plans are underwritten by insurance carrier Companion Life Insurance Company. 2. This fully-insured insurance plan has no PPO network restrictions or requirements. All licensed healthcare providers are accepted. 3. Payment is up to 25% more than what Medicare…

  • How do I submit a claim?

    Your provider can submit a claim to the address on the back of your ID card. Claims can be sent to: Insurance Benefit Administrators c/o Zelis  Box 247  Alpharetta, GA 30009-0247  The claim must include the EDI Payor ID: 07689