Group Health Plan
Health Plan Benefit Coverage
Ashland School District Benefits Hub
Detailed group plan coverage information can now be found on the new Ashland School District Insurance Hub.
The hub contains easily accessible information about medical, dental and vision coverage, as well as information about HealthEquity FSA, Metlife Long-Term Disability, and more.
Medical coverage is provided by HMA (Healthcare Management Administrators). HMA provides access to claims and benefit information through our member portal, myHMA. Upon receipt of your ID card you can access HMA by going to www.accesshma.com and selecting the myHMA Member login button and then clicking on the “register now” link. For step by step directions on how to register in the member portal, CLICK HERE. For step by step directions on how to find a provider, CLICK HERE.
Benefit Eligibility
Deductibles - Changes for 2025
In Network Deductible will now be $300/$900 (Individual/Family)
Out of Network Deductible will now be $700/$2100 (Individual/Family)
Premiums - Changes for 2025
Premiums will increase slightly for 2025
Dental Coverage - No changes to dental benefits
Benefits will be administered by HMA.
HMA has a network of dental providers. Out of network dental providers will be reimbursed at 85% of the usual and customary rates. To find an in-network dentist go to www.accesshma.com. View the In-Network Dental Providers Guide
Vision Coverage - no changes to vision benefits
To find an in-network provider www.accesshma.com. View the In-Network Vision Provider Guide.
Pharmacy Coverage:
Navitus Health Solutions is our pharmacy provider. Member Brochure
You can register online with Navitus Health Solutions https://memberportal.navitus.com/landing
Navitus also has a mobile app for your convenience
List of drugs qualifying for the copay max program, which offers members very low or no copay – Copay Max Drug List 2023
Mail Order Pharmacy
Please send mail order prescriptions to Costco Pharmacy. It is easy to begin using Costco Pharmacy. You can register online at pharmacy.costco.com. Please allow 10 to 14 calendar days from the day you submit your order to receive your medication(s). You do not need to be a Costco member to use Costco Pharmacy.
Specialty Pharmacy
Navitus SpecialtyRx serves members who are taking medication(s) for certain chronic illnesses or complex diseases such as rheumatoid arthritis, multiple sclerosis, cancer and hepatitis C. To receive specialty medications through the pharmacy benefit, you will need to fill these prescriptions at Lumicera Health Services. Ordering new prescriptions through our specialty pharmacy partner, Lumicera Health Services is simple. Just call a patient care specialist at 1.855.847.3553 to get started. They will work with you and your prescriber to get your prescription set up.
$30 for generic products (90 day supply)
$60 for preferred brand products (90 day supply)
$90 for non-preferred brand products (90 day supply)
$120 for specialty products (90 day supply)
Active & Fit Direct Program