Member Information

• NETime Services
• ID Cards
• Prescription Drug Coverage
• Claims Procedures

NETime Services

NETime is a self-service tool that is available to members 24 hours a day/ 7 days a week to review their current demographic, eligibility and claim status. NETime is a live link to the LBA HealthPlans claims system that allows participants to retrieve data in a secure fashion. Participants can obtain access by clicking LBA HealthPlans NETime Services link below and then click on "Request username" for a first time user or entering in the user name for returning users. For questions or problems, contact LBA HealthPlans, Inc. by calling 1-800-793-9403 or e-mail customercare@lbax.com.

LBA HealthPlans NETime Services

Identification Cards

You will receive an identification card shortly after enrollment. You will need to show your identification card whenever you obtain health care services. This card serves as your LBA HealthPlans card for all medical services including prescription drugs. If you need a new card, you may use our online form to request a new ID card.

Prescription Drug Coverage

Prescription drug coverage may be provided under the plan through a Pharmacy Benefit Manager (PBM). The PBM allows you to receive covered drugs from selected local pharmacies. It may also operate a mail-order drug program on your behalf. You can find more detailed information about your PBM and what is covered or excluded in your plan's Summary Plan Document (SPD).

If you wish to visit your PBM online to find pharmacies in your area, refill mail order prescriptions online, or view the current formulary drug list, please click on the PBM logo matching the logo on your medical I.D. card. Make sure you click on the correct PBM for your plan, as each operates differently.

 

Claims Procedures

• All out-of-network and member payable claims should be mailed to LBA HealthPlans, Inc.
• Claims are examined and paid according to the plan
• Some physicians will bill LBA HealthPlans directly. If your physician bills directly, payment will be made promptly
• If your doctor requests payment from you at the time of visit, fill out a claim form below and mail it to LBA HealthPlans, Inc. You will be reimbursed promptly according to the benefit schedule. Our address is LBA HealthPlans, Inc., P.O. Box 981801; El Paso, TX 79998-1801.
  English Only Claim Forms
  English Only - Select & Print Claim Form Below Amick Farms (Dental) Amick Farms (Medical) Ascend One Health Care Ventures Celebree Learning Centers Chester River Gray & Son / MD Paving HBP, Inc. Lupin Pharmaceuticals Sheppard Pratt Health Systems Upper Chesapeake Health
  
  English/Spanish Claim Forms
  (Spanish Form is on the second page)
  English/Spanish - Select & Print Claim Form Below Allen's (Dental) Allen's (Medical) Miller + Long (Medical) Miller + Long (Dental) Miller + Long DC (Medical) Miller + Long DC (Dental)
  
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• For claims questions or problems call: 1-800-793-9403, 8:00 a.m.-5:00 p.m. Monday through Friday EST.