Below you’ll find some frequently asked questions (FAQs) about the benefit programs available to our employees and their enrolled family members.
The information described on this site is a general overview of the benefit plans at A.L. Gilbert. This is not a promise of benefits.
Login to Healthview for 24/7 access to detailed information about your benefits, eligibility, and claims:
Greetings to our valued employees,
At A.L. Gilbert, we prioritize your well-being. Our comprehensive health benefits reflect our commitment to your health, happiness, and success. From top-tier medical care and wellness programs to mental health resources and family support, we’re dedicated to providing the tools and assistance you need for a fulfilling life. As you explore our health benefits FAQs, remember our HR team is here to help. Your well-being drives our innovation, and we’re proud to stand with you as you thrive at A.L. Gilbert.
A.L. Gilbert Leadership
Open Enrollment is from December 7th to December 17th. This is the time of year when you can enroll in health insurance, make changes to your coverage, or cancel your plan.
In California, your plan has access to a network of doctors, hospitals, and providers from Anthem Blue Cross of California.
In all other states, your plan has access to a network of doctors, hospitals, and providers from FirstHealth.
Click the button below to Search for a Provider. Select First Health Network and click the “Start Now” button.
A robust dental network offering a comprehensive range of dental providers ensuring high-quality care broad coverage.
SmithRx manages our pharmacy benefits to help you with your prescription needs. For more information or assistance, you can visit their website at https://member.mysmithrx.com/login or call their customer service at 1-844-385-7612.
Doctor On Demand gives you the peace of mind of seeing a board-certified physician right away through your smart phone, tablet or any desktop computer with a front-facing camera. The U.S.- based doctors treat hundreds of issues using a live, secure video chat, including 18 of the top 20 reasons people visit urgent care and the E.R. Mental health counseling is also available. Doctor on Demand doctors can send prescriptions to the pharmacy of your choice and can coordinate lab services as needed.
Doctor on Demand is available from the App Store, Google Play or online.
A.L. Gilbert and Pinnacle offer a support program available at no cost to you. This service helps you manage your diabetes, asthma, high cholesterol (hyperlipidemia) and high blood pressure (hypertension) more effectively, helping you to live a healthier life. A.L. Gilbert covers all expenses associated with this program as part of their commitment to participant’s well-being.
A.L. Gilbert offers a Basic Life and AD&D Insurance benefits to all active full-time employees, providing crucial financial protection for your loved ones in the event of your passing. Additionally, our Accidental Death & Dismemberment (AD&D) coverage, provided through Reliance Standard, offers extra security if an accident results in the loss of life, limbs, or senses. Both benefits are provided at no cost to you, ensuring that you and your eligible dependents are well-protected.
A.L. Gilbert provides an Employee Assistance Program at no cost to employees. The EAP program includes access to professional and confidential services to help employees and family members address a variety of issues. Access includes unlimited telephonic assessments and referrals and up to three in-person sessions.
The Benefit Guide is a document that explains your health insurance plan’s benefits, coverage, and costs. It also includes information on how to use your plan and how to find a provider.
Access your Summary of Benefits Coverage here.
Providers can submit claims electronically using Envoy Payer #24735 or to the following address for processing:
Pinnacle Claims Management, Inc.
PO Box 2220
Newport Beach, CA 92658
For providers to check eligibility, benefits, and claims status, please contact:
Medical and Dental Customer Service 833-586-9733
Utilization Review 800-274-7767
SmithRx (Prescription Drug) 844-385-7612
Pinnacle works with health care providers and give them direct access to patient information via our convenient and proprietary online tool Online Provider Information System (OPIS).
You can see an in-network provider of your choice without a referral. Authorization is required for inpatient admissions and may be required for other services, depending on your plan. Refer to your Summary Plan Description (SPD) for a complete list of services requiring authorization. SPDs are available in our secure member portal HealthView, under the “Benefit Materials” tab.
Customer service representatives are available to assist you Monday through Friday, 7 a.m. to 5:30 p.m. P.T.
Phone: 800-649-9121
Email: customerservice@pinnacletpa.com
For 24/7 access to detailed information about your benefits, eligibility, and claims: