Health Insurance

Oklahoma State and Education Employees Group Insurance Board (OSEEGIB) provides the health insurance program for SWOSU. Each eligible employee may choose between two State indemnity plans (HealthChoice High, and HealthChoice Basic) or two available Health Maintenance Organizations (HMOs) eligible in the area where the employee lives or works. Employee and any dependent coverage become effective on the first day of the month following the date of employment. If one dependent is covered, all eligible dependents must be covered, unless other group insurance verification is provided. SWOSU pays the premium for the eligible employee; dependent coverage is optional at the employee's expense. For additional information regarding the Oklahoma State and Education Employees Group Insurance Board, refer to the Benefits Options Book.

The Oklahoma State and Education Employees Group Insurance Board web site provides the information on the following Resources and Programs.

Network Providers
Advisory Council
Member Handbooks
Phone Numbers
Health Voice Newsletter
Maternity Program
Wellness Program
FAQ (Frequently Asked Questions)

Important Address and Phone Numbers

Oklahoma State and Education Employees Group Insurance
3545 NW 58th Street, Suite 1000
Oklahoma City, OK 73112

State Plan Helpful Numbers

HealthChoice (Member Service)
Other Areas: (800) 752-9475
Oklahoma City Metro: (405) 717-8780

HealthChoice Dental Plan (Member Service)
Other Areas: (800) 752-9475
Oklahoma City Metro: (405) 717-8780

Pre-Certification for All Outpatient Facility Surgery, All Inpatient Admissions, On-Line
Provider Directory (CARE Programs and Optum)**: (800) 848-8121

HealthChoice Pharmacy Claims or Reorder
Health/Dental/Pharmacy Identification Card: (800) 903-8113

HealthChoice Claims-Health & Dental Benefits, Verification of Coverage (HealthPlan Services, Inc.)
Oklahoma City Area: (405) 499-4920
Other Areas: (800) 782-5218

**Provider Directories (Available on Internet)

• HealthChoice and State Dental plan through OSEEGIB at: www.healthchoiceok.com.
• HMO and Other Dental Plans through the Employees Benefits Council (EBC) at: www.ebc.state.ok.us.

Health Maintenance Organization (HMO) Information

The employee must live or work in an eligible zip code area if an HMO is chosen for health coverage. All family members must enroll in the same health plan. With an HMO, there are no deductibles or claims to file. A Primary Care Physician (PCP) must be selected for each family member or one PCP for the entire family. Your PCP is your health care manager. It is important to always consult with your PCP for your medical care.

State Approved HMO Medical Plans and Helpful Numbers

CommunityCare HMO
All Areas: (800) 777-4890

PacifiCare HMO (New enrollments not being accepted.)
All Areas: (800) 825-9355