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Dental

For 2025, Goodville offers one dental plan through Sun Life. It is a PPO plan, which allow you to use in-network or out-of-network benefits. If out-of-network dentists are used, you will be responsible to pay the difference between Sun Life's allowed amount and what the dentist may charge, also known as "balance billing." 

  • Dental insurance carrier contact information
    Ameritas 1-800-487-5553 www.ameritas.com
  • Ameritas portal user guide
    Click here to learn how to register, print an ID card, view your claims, and much more!
  • Search for a Dental provider
    Visit https://dentalnetwork.ameritas.com/ Enter your address Select the "Classic (PPO)" network
  • Search for a Dental provider
    Visit https://member.sunlifeconnect.com/findadentist/#/ and select the Sun Life Dental Network.
  • Dental insurance carrier contact information
    Sun Life 1-800-443-2995 www.sunlife.com
  • How can I find the best price on my medication?
    Use the Find My Meds tool, found at https://member.mysmithrx.com/. Click here to learn more.
  • What information can I access when I register on the SmithRx website?
    When you register for a free account on https://member.mysmithrx.com/, you can look up covered medications new or past-filled medications. You can also find in-network pharmacies from their national network of over 68,000 participating locations. Click here to learn more.
  • I'm looking to use mail order. Where does my doctor send my script?
    Your doctor will send your mail order script to either Amazon Pharmacy, Walmart Pharmacy, or Cost Plus Drugs. You must first be enrolled in mail order: Amazon Pharmacy - click here for enrollment instructions Walmart Pharmacy - click here for enrollment instructions Cost Plus Drugs - click here for enrollment instructions
  • How do I fill a specialty prescription?
    A specialty prescription is for special medicines that may cost more and need extra care, often used for serious health conditions. Follow these required steps to fill a specialty prescription: Initiate the Prescription: Request your doctor to send your prescription to one of the SmithRx specialty pharmacies. Choose between Kroger Specialty Pharmacy or Senderra. Click here for more information and contact details. Kroger Specialty Pharmacy: 888-355-4191 Senderra: 888-777-5547 Prior Authorization: Your physician must complete and submit a prior authorization to SmithRx to obtain approval for your medication under your plan. Connect with Support: Reach out to the SmithRx Connect Team at 1-844-385-7612. They'll assess if you're eligible for any patient assistance programs to help you save on the cost of your medication. If not, they'll guide you through applying for any available manufacturer coupons. This step is required before you can fill your specialty medication.
  • What is the SmithRx Connect program?
    Did you know your local retail pharmacy may not always be the lowest cost option? SmithRx Connect can help you navigate alternative sources and hold your hand through the process. Click here to learn more.
  • Where can I get my prescription filled?
    Many standard prescriptions can be filled at your local retail pharmacy. You can review the national chain options here. Specialty medications are generally filled at Kroger Specialty pharmacy or Senderra Rx. Click here for more information. Do you prefer the convenience and potential cost savings of mail order? You have three options for mail order: Amazon Pharmacy - click here for enrollment instructions Walmart Pharmacy - click here for enrollment instructions Cost Plus Drugs - click here for enrollment instructions
  • What should I tell my doctor if they need to submit a script?
    If you are not using mail order pharmacy, tell your doctor to send the scripts to your preferred pharmacy, like CVS or Walgreens, for example.
  • What medications are covered?
    Click here to determine which medications are covered under your plan and any applicable limitations.
  • When can I make changes to my benefit elections?
    You can make changes to your benefit elections during your healthcare and benefits open enrollment OR if you have a qualifying life event (QLE). A QLE is a change in your situation, like a marriage, divorce, or having a baby, for example, which allows you to make changes to your health insurance. Take a look a this document for more information. You have 30 days to submit your changes online through our benefits enrollment system. Here's an overview of qualifying life events from Healthcare.gov. If you have a QLE, contact your Lacher Benefits Advocate.
  • I think a provider is billing me an incorrect amount for a service, what should I do?
    First, make sure you compare the bill you received with the EOB from the insurance. If you need to locate an EOB you can find one by logging into your account at www.meritain.com. If the bill does not match the EOB, please contact your Lacher benefits advocate for further assistance.
  • Where should I go for medical care?
    Take a look at this flyer to learn about your choices when it comes to where you should receive care. High level overview: Primary Care Physician - This is your home base. Your doctor knows your history and is a good place to start. Cost to you: In-Network: $15 copay Out-of-Network: After you pay your deductible, insurance pays 50% and you pay the other 50% Emergency Room - Go to an ER when you have a life-threatening issue. Cost to you: In-Network: $200 copay (waived if you are admitted) Out-of-Network: $200 copay (waived if you are admitted) Urgent Care - Consider an urgent care center for non-life threatening condition. You'll save time and money over the ER. Cost to you: In-Network: $75 copay Out-of-Network: $75 copay Telemedicine through Teladoc - Consider using Teladoc for non-life threatening conditions, and when you need 24/7 care. Cost to you: In-Network: $15 copay Out-of-Network: Not applicable Install the Teladoc App on your phone today!
  • How do I change my 401(k) contribution?
    Log in here: https://myaccount.ascensus.com/rplink/account/login Once logged in, go to My Account > Make Changes > Update Savings Rate Payroll will be notified of your change
  • How do I change my plan or enroll my dependents?
    You can make plan changes and enroll dependents during open enrollment, or if you have a qualifying life event, by visiting the Enroll Now section of this website.
  • Why did I get billed for my preventive care visit?
    While regular medical care focuses on treating illness, preventive care aims to keep you from getting sick in the first place by focusing on helping you maintain good health. When you visit your doctor for a preventive care service - like a physical exam or a health screening - you should not be billed. However, if you ask your doctor about a specific health concern while you are at your preventive care visit, it may be billed as an office visit, and not a preventive care visit. Here’s how to be sure your preventive care visit is free for you: Mention prevention upfront – When scheduling your appointment, confirm that you are scheduling a preventive care visit. Know what to discuss with your doctor during the visit – During your visit, keep the conversation focused on how you can maintain a healthy lifestyle. Ask your doctor - If you do ask questions about a specific health concern while at your visit, ask your doctor if that will be treated as an office visit or as a preventive visit. Let your doctor know you are expecting this visit to be of no charge to you. For more information about preventive care, contact your Lacher benefits advocate.
  • Why is the insurance sending me a statement that says, “this is not a bill”?
    After submitting a claim for medical treatment, you may receive an Explanation of Benefits (EOB) from your insurance company. The EOB is a form that insurance companies send to their members to explain what part of a claim was paid by insurance, what part was not paid, and why. It is important to understand what this statement means.
  • Who do I talk to if I have a problem with a claim or questions about my benefits?
    You may contact our Lacher Employee Advocate, Heather Malik at 215-660-0353 or heather@lacherinsurance.com.
  • How can I submit an out-of-network vision claim?
    Click here for instructions.
  • Prescription medicine information through SmithRx
    Covered prescriptions: Click here to determine which medications are covered under your plan and any applicable limitations. Mail order pharmacy information: Click here for enrollment instructions. Other helpful resources from SmithRx, your Prescription provider: Understanding your SmithRx prescription benefits (in English and Spanish) National chain pharmacy listing How to use the SmithRx portal
  • Insurance carrier contact information
    Medical: Meritain 1-800-925-2272 www.meritain.com Prescription: SmithRx 1-844-454-5201 www.smithrx.com Mail order prescription: Amazon Pharmacy (through SmithRx) 1-855-206-3605 www.amazon.com/smithrx Telemedicine TelaDoc 1-800-835-2362 www.teladoc.com/aetna FSA The Harrison Group 1-855-222-5727 www.theharrisongrouponline.com
  • Estimate the cost of a service or procedure
    Click here to learn more about the Meritain Cost Estimator Tool.
  • How do I use Telemedicine?
    When you enroll in our healthcare plan, you have access to use telemedicine by using the TelaDoc app. This allows you to speak with a doctor 24/7 by phone, text, or video chat. Click here to learn more.
  • Meritain Health portal user guide
    Click here to learn how to register, print an ID card, view your claims, and much more!
  • What is the KISx Program?
    KISx (pronounced "Kiss") is a new program that allows you to pay $0 out of pocket for over 400 procedures. So rather than paying your normal copay or deductible on a knee replacement, for example, you could now receive it for free! ​ Click here to learn more.
  • Search for a Medical provider
    Click here and select Aetna Choice POS II (Open Access).
  • Search for a Vision provider
    Visit https://online.visionbenefits.com/Search/default.aspx
  • Submitting an out-of-network vision claim
    Click here for instructions and to download the form. Please include the following information when comleting your claim form: Group Name: Goodville Mutual Group #: 7507
  • Vision insurance carrier contact information
    Vision Benefits of America 1-800-432-4966 www.vbaplans.com
  • Vision Benefits of America portal user guide
    Click here to learn how to register, print an ID card, view your claims, and much more!
  • What is a Coordination of Benefits and how often do I need to complete it?
    You are required to update your Meritain Coordination of Benefits information every year so that they can properly process your claims. Coordination of Benefits information confirms whether you and/or your enrolled dependents have insurance coverage other than your employer's and if so, what that other insurance is, so that they can determine proper payment responsibilities for claims. If your Coordination of Benefits is updated yearly or as requested, your claims will be processed. Click here for the Coordination of Benefits form. If you’d like to complete the Coordination of Benefits online, you can do so once you are registered on the Meritain portal.
  • What is Telemedicine and how do I download the app?
    Telemedicine lets your health care provider provide care for you without an in-person office visit. Telemedicine is done primarily online with internet access on your computer, tablet, or smartphone, or by phone. When you are enrolled in our medical plan, you have access to the the TelaDoc mobile app, which is your personalized telemedicine app. With TelaDoc, you can speak with a U.S. board certified doctor 24/7 by phone or video for many non-emergency illnesses. ​ Phone: 1-800-DOC-CONSULT (362-2667) Web: www.teladoc.com ​ Learn more: ​ Setup your account Print an ID card Download the app: For Apple devices For Android devices
  • Can I set up home delivery for my prescriptions?
    Yes. You can access the Amazon Pharmacy (through SmithRx) to set up your mail order prescriptions: 1-855-206-3605 www.amazon.com/smithrx
  • How do I register on the Meritain portal, so I can print an ID card or review my claims?
    When you register on the Meritain portal, you will have access to print an ID card, view your claims, or find an in-network doctor. Visit https://account.meritain.com/Portal/Registration and input your Group ID, which is 17781. You will also need your Member ID, which is located on your ID card. If you do not have your ID card, please feel free to contact your Lacher benefits advocate to obtain your Member ID.
  • Medical
    Medical Plan Summary of Benefits and Coverage Special Enrollments Rights, Marketplace information, Women's Health & Cancer Rights, and CHIP Notices ​ Summary Annual Report Summary Plan Description Plan Document HIPAA Privacy Notice Your Rights and Protections Against Surprise Medical Bills
  • Vision
    Click here
  • Dental
    Click here
  • Passport to Health
    Click here to read a Privacy Notice.
  • FSA
    Section 125 Cafeteria Plan - Plan Document Section 125 Cafeteria Plan - Summary Plan Description FSA Plan Summary
  • Medicare
    Medicare creditable coverage disclosure notice
  • Is there a mobile app?
    Yes! For Apple phones, click here. For Android phones, click here.
  • Is there a new user guide so I can learn more?
    Yes! Click here.
  • What are some eligible expenses?
    Click here
  • How do I register on the Harrison Group website to manage my FSA?
    Visit www.theharrisongrouponline.com and select "I am a Participant" on the main page Go to "Participant Log In" Enter your User ID and Password Your USER ID is the first letter of your first name, followed by your last name, followed by the last four digits of your Social Security number. Your PASSWORD is the last four digits of your Social Security number. To change your User ID and Password, follow the prompts. To create a new Password, the password must have at least 6 characters including: 1 uppercase letter, 1 lowercase letter, and 1 number.
  • How do I file a claim?
    You can file a claim with the app or through the online portal. To do so: Log in to your Online Portal or Mobile App Click the button “Reimburse Myself” Follow the screen prompts to submit claim information and a copy of the receipt
  • How does an FSA work?
    Click here to learn more.
  • How do I substantiate a claim?
    If you have received a letter from The Harrison Group asking for additional documentation regarding a recent FSA transaction, click here for detailed instructions on how to substantiate your claim. The below information is required for receipt substantiation: Date of Service Provider Name Service Incurred Amount Paid
  • Is there a direct deposit form?
    Yes! Click here.
  • Search for a Vision provider
    Visit https://www.vsp.com/eye-doctor.
  • Vision insurance carrier contact information
    Sun Life, using the VSP network 1-800-877-7195 www.sunlife.com
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