FAQs

If a member lost/forgot their prescription, or will not have enough medication for a trip, they should contact Navitus at 855-673-6504 to authorize an additional refill.

Normally the pharmacy will notify your doctor to request additional medical information be sent to Navitus at 855-673-6504 because a prior authorization is required for some medications.

The hospital may have been in network but it could be the doctor that rendered services was not in network with BC/BS. Please contact the OU Health Plan at 845-781-4890 as the Surprise Bill legislation may apply allowing the claim to be considered in network.

Under the OU Plan referrals are not required and you do not need a pre-certification for an MRI or CAT scan,

Yes, by completing and returning the form to Luminare, it will avoid delays in claims processing. 

A recent claim was received with a code which indicates a possible accident/injury.  By completing and returning this form, it will avoid delays in claims processing.

When a Medicare eligible member goes to a provider, the provider will submit the claim to Medicare and the claim will automatically crossover to Luminare for the secondary payment from OU Health Plan.

You should reach out to the school district that you work at, or retired from, to have your address and personal information updated for the health plan. 

For health insurance cards, please reach out to Luminare at 855-656-3261.  
Prescription cards for Active & Pre-65 members: contact Navitus at 855-673-6504. 
Prescription cards for Medicare Primary members: contact Navitus at 866-270-3877.

You can reach out to the OU Health Plan at 845-781-4890 for any additional questions you may have.  Please be sure to leave a message in case we are on another call or in a meeting. You can also use the contact form below: