Saint Alphonsus Health Plan (80840)
Cash Back (HMO)
Member ID
000161522
Member Name
WILLIAM W SCHAEFER
Saint Alphonsus
Health Plan
Health Plan
A Member of Trinity Health
Benefits
| Effective: | 01/01/2026 |
| RXBIN | 004336 |
| RXPCN | MEDDADV |
| RXGRP | RX8732 |
| Payor ID | 95655 |
| PCP: $0 | URG: $40 |
| SPC: $40 | ER: $115 |
| IP HOSP: $45 | |
Saint Alphonsus Health Plan
is a Medicare Advantage Plan
Members Services: 800-240-3851 (TTY 711)
Drug Questions: 866-785-5714
Drug Questions: 866-785-5714
Prior Authorization:
800-240-3870
800-240-3870
24-hour nurse line:
855-638-5842
855-638-5842
3100 Easton Square Place
Suite 300
Columbus, OH 43219
Suite 300
Columbus, OH 43219
Provider Use Only:
Provider Service Center:
800-991-9907
800-991-9907
Pharmacy Technical Help Desk:
1-866-693-4620
1-866-693-4620
Electronic Billing:
800-356-0092
Mail Paper Claims To:
P.O. Box 495901
Cincinnati, OH 45249-5901
P.O. Box 495901
Cincinnati, OH 45249-5901
www.thpmedicare.org/saint-alphonsus