San Antonio Fire and Police Retiree

Health Care Plan

The Fund Health Care Plan provides retired San Antonio Firefighters and Police Officers with comprehensive health benefits for themselves and their dependents. Learn about insurance coverage, benefits, past plan highlights and more by clicking the buttons below.

  • Chapter 1 - Summary Of Medical, Prescription & Accident Benefits
  • Chapter 2 - General Plan Coverage For Eligible Participants
  • Chapter 3 - Cobra Provisions
  • Chapter 4 - Hipaa Privacy
  • Chapter 5 - Definitions
  • Chapter 6 - Covered Medical Expenses
  • Chapter 7 - Exclusions
  • Chapter 8 - Pre-Certification
  • Chapter 9 - Prescription Drug Coverage
  • Chapter 10 - Coordination Of Benefits
  • Chapter 11 - Subrogation/Third Party Claims
  • Chapter 12 - General Provisions
  • Chapter 13 - Claim Filing & Claim Payment
  • Chapter 14 - Review & Appeal Process
WEBTPA

THIRD PARTY ADMINISTRATOR

IMPORTANT NOTE:
Precertification is required
regardless of primary insurance. Precertification guidelines apply to
ALL members.

PRE-CERTIFICATION, ELIGIBILITY
AND CLAIMS INFORMATION

PROVIDER SERVICES
(877) 349-4400

MEMBER SERVICES
(866) 652-4237

TO FILE A CLAIM

  • To file an electronic claims, submit to: 
    WebMD/Envoy Payor ID #75261
  • To mail your claim, the address is:
    WEBTPA
    P.O. Box 99906
    Grapevine Texas 76099-9706
  • To register your Member Portal
    Account, please refer to the
    instructions HERE.

 

WELLDYNE

WELLDYNE PHARMACY BENEFIT MANAGER

ALTERNATIVE THERAPY LIST
Please click to view

WELLDYNE MEMBER SERVICES      
(800) 479-2000

PHARMACY HELP DESK                     
(888) 886-5822

SPECIALTY RX MEMBER SERVICES   
(800) 641-8475

For any issues or concerns
members call  (800) 652-4237