Forms/FAQs

Here is your one-stop link to Forms and Frequently Asked Questions.

If you are looking for a particular form that you cannot find; or, if you have a question that is not answered here, please email Client Services at mibenefits@ebms.com, and we will handle your request, promptly!

 

Provider Resources

For Provider inquiries or to learn how you can participate in a Provider network that is administered by EBMS, email us at providers@ebms.com

EBMS and partner Pay-Plus® Solutions are introducing new electronic payment processes to bring providers the latest in secure ePayment technology, adding speed and efficiency to our claims payment process. For additional information or questions, please contact the Pay-Plus® Customer Service Department at (877) 828-8770. Click here to read explanatory letter.

miBenefits

Don't forget: many forms and other benefit resource materials are posted in miBenefits. Login to your personal account to access all forms, review plan documents or other benefit resources today!

miBenefits

Don't forget: many forms and other benefit resource materials are posted in miBenefits. Login to your personal account to access all forms, review plan documents or other benefit resources today!

For Members whose Employers offer miRx

miRx

miRx mail order pharmacy (Brochure, Website) is a fast, convenient way for you to save time and money by having your maintenance medications delivered to your home or office. By choosing miRx pharmacy, you are able to receive up to a 90-day supply of a lower cost, FDA-approved prescription drug. Every prescription is evaluated and filled by highly trained, registered pharmacists who ensure the quality, quantity and potency of the medication is accurate before it is mailed. To make certain there are no adverse interactions with other prescriptions you may take, the pharmacist references your patient profile which lists any other medications you are taking. When necessary, our pharmacists will contact your doctor with any questions or concerns.

What prescriptions are covered?

The program covers any drug which by Federal law requires a doctor’s prescription and is covered by your employer’s benefit plan. Please refer to your plan document for specific drug inclusions and exclusions. Due to specific handling requirements, some prescriptions will not be available through miRx Pharmacy. These prescriptions include insulin and most specialty pharmacy drugs. To identify whether miRx will carry your maintenance prescription, please contact one of our friendly customer service representatives at 866-894-1496.

View List of Maintenance Medications Available Through miRx

How to get started

If this is your first order with miRx, you must fill out the Patient Profile and Prescription Order Form. It is important to make sure that you update your patient profile form each time you have a change to your prescription/medical history.

Complete your enrollment today!

Download the Patient Profile and Prescription Form.
Download the Prescription Transfer Form
Learn how you can take advantage of the convenient, low-cost maintenance prescriptions available through miRx!
New! Click here for online refills.
For additional questions, please call the miRx Pharmacy at 866-894-1496.

For Members whose Employers offer a miCare Health Center

What is miCare?

miCare is an onsite health center sponsored by your employer. The miCare Health Centers allow employees and their dependents (covered by the health plan) to make 20-minute appointments with no waiting, no paperwork, and no hassle - just care, when you need it. The health center is staffed by MDs, PAs or FNPs, and licensed nursing staff. Learn more at miCare Health Center's website.

Sign me up! How do I make an appointment?

Employees can login to the miCare online scheduler from their personal account on miBenefits - you can login with this link. On your personal home page, you will see the miCare logo.

What types of services can be received at miCare?

You can schedule 20-minute appointments to receive the same primary care services available at other Family Practice clinics including:

  • Wellness/Annual Exams*
  • Sick Care
  • Chronic Illness
  • Injuries
  • Health Education/Consultation
  • Lab Tests
  • Preventative Screening
  • Annual Health Risk Appraisal/Follow Up

miBenefits

Don't forget: many forms and other benefit resource materials are posted in miBenefits. Login to your personal account to access all forms, review plan documents or other benefit resources today!