SCHOOL CLAIMS SERVICE, LLC

Serving the best interests of Pennsylvania's public schools

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Self-Funded Dental and Vision

School Claims Service, LLC offers an alternative to school entities that self-fund dental and vision benefits rather than purchase insurance.  Using the self-funding concept, SCS, LLC incorporated several cost-saving features when developing this premiere third-party claims administrative program.  The program focuses on reduced benefit cost, improved cash flow, and properly and timely administered claims.  The goal of the program is to save districts and their taxpayers money, while maintaining sound, high-quality benefit programs.

Benefits of SCS, LLC Self-Funded Dental and Vision Administration:

For more information on the premier claims administration program, call (866) 403-7700.   

COBRA Administration/Premium Collections

School Claims Service was excited to launch in 2004 our newest product, COBRA Administration/Premium Collection Services. Since 1991 public schools have come to know us for our claims administrative services for schools who self-insure their dental and/or vision benefits. Now it is time to know SCS for our administrative services in regards to COBRA benefits. Whether you currently contract with a vendor to handle your COBRA needs or are doing this work in house, School Claims Service can meet all of your needs without costing your district any additional money.

For less than the 2% surcharge of premium that districts can charge to administer COBRA benefits, SCS will handle the notification process as well as the tracking and remittance of premium. Any follow-up required on collection issues is dealt with by SCS, which removes the district from this most uncomfortable situation. Our fees are lower than our competitors and are covered by the 2% surcharge, therefore, not costing districts any additional money.

Some of our key features are:

1. Prompt notification process.

2. Tracking and collection of premium.

3. Remittance of premium to district/carrier.

4. Collection of late or insufficient funds.

5. Detailed reports.                                               

6. And MORE!

For more information on how these programs can assist your district in the administration of COBRA benefits or the collection and tracking of premium for retirees and/or part-time employees, give us a call at 1-866-403-7700.

Opti-Vision Discount Program

SCS, LLC has been administering vision benefits for public schools since 1991 and as an innovative leader in the field of vision care administration, SCS has teamed with NVA (National Vision Administrators) to design a program that can offer significant discounts off vision services. 

The Opti-vision plan serves two needs for public schools. First, if you currently offer a reimbursement scheduled benefit, the Opti-vision plan will reduce the out of pocket expenses that your employees and their dependents must pay. Most vision benefits found in public schools are minimal so by using SCS and our Opti-vision plan, you are actually expanding your current benefit plan by making the NVA nationwide network of providers and their discounts available to your employees. 

The second way that the Opti-vision plan can work for a district is when you do not have a reimbursable vision plan but need to offer something, at the negotiations table. For $15 per employee, per year, your employees and their dependents can have the network of providers available to them so that their costs are greatly reduced. Example: An employee gets an eye exam without the Opti-vision plan – this individual would pay $50 - $70 for an eye exam. If they had access to the Opti-vision plan and needed a regular eye exam, that cost would only be $38! For more information on how this cost-reflective program can benefit you and your employees, contact SCS at 1-866-403-7700.

IMPORTANT: Please review your identification card carefully for accuracy. If the card contains any errors, please contact SCS immediately.

SCS/NVA participating providers will service you and all of your dependents who are eligible, according to the following schedule of benefits:

SCHEDULE OF BENEFITS

Standard Lens Options Include:
Photochromatic, Scratch Resistant, Fashion or Gradient Tints, Progressive or No-line Multifocals, Anti-reflective, Polycarbonate and Prescription Sunglasses.

Frames
The participating provider will charge you up to the wholesale cost for frames, plus 50%, or their usual, customary and reasonable fee, whichever is less. This pricing structure greatly reduces your out-of-pocket expenses. Eye-care providers' normal retail prices on frames often are as much as three times the wholesale cost.

Contact Lenses
The participating provider will charge his or her usual, customary and reasonable fee, less 25% for contact lenses, including the contact lens examination. Disposable Contact Lenses are limited to a “one time per year only” discount.

IMPORTANT: Optical chains that have discounted prices due to volume purchasing do not apply the discount of 25% to their retail fees.

Lenticular Lenses
The participating provider will charge his/her usual, customary and reasonable fee, less 25%.