Stateside & Overseas Management

Highmark Blue Cross Blue Shield

• You will need your Highmark BCBS Group and Member number when registering for BCBS Global Core.
• GuideStone group number — CQM363
• Member number — (your Social Security number)

BCBS Global Core (International Coverage)

Please download the handout below for additional guidance.

Prescription Benefits — Express Scripts

• Member Services — 1-800-555-3432
• GuideStone group number — ABSBC01
• RX Bank Identification Number (BIN) — 610014

For prescription information:

Call 1-800-555-3432
Visit Express-Scripts.com
Download the Express Scripts mobile app.

Dental — Cigna Dental - Total Cigna DPPO

• Customer Service: 1-800-253-7052
• CignaEnvoy.com

An advance supply of your medication may be filled through Express Scripts prior to departure or shipped at any time to a stateside address (please allow at least two weeks for processing and shipping). Call 1-800-555-3432 or email Member Services at Express-Scripts.com to place the order. Express Scripts requires verification from your physician before sending the prescription.

An extended prescription supply is available for six months to one year, either via home delivery or a retail pharmacy.

• Co-pays are multiplied by the day supply needed. Example: If obtaining a 1-year supply, the member will pay twelve 30 days co-pays at a retail pharmacy or four 90-day co-pays from home delivery.
• The request will be subject to all plan provisions, including coverage management and prior authorization edits.

If you need to file an international prescription drug claim, complete the Express Scripts prescription claim form (download below) and email it to GS-ForeignClaims@Express-Scripts.com. To ensure completion of the claim, tape receipts and important claim information to the form. Include the following information with your form:

• Date prescription filled
• Name and address of the pharmacy
• Doctor name or identification number
• National Drug Code (NDC) number
• Name of drug and strength
• Quantity and days' supply
• Prescription number (Rx number)
• Dispense as Written (DAW) authorization
• Amount paid

If you have any questions, contact Express Scripts directly at 1-800-497-4641 with an AT&T USADirect^® access number or call collect at 1-804-673-1177.