I have a benefits question, how do I get it answered?
Contact ATRIO Customer Service at 877-672-8620 or visit your local ATRIO
office for assistance. You can also send an email to ATRIO Customer service
by using the
Contact Us form.
Is my doctor in network?
You can view the ATRIO Provider Directory
here. You can utilize our printable directories or our online search tool.
If you need assistance in locating a provider, contact ATRIO Customer Service.
Do I need a referral to see a specialist?
ATRIO does not require members to obtain a referral from their PCP to see
a specialist, however some specialists may require a PCP referral before
accepting a new patient into their practice. If you are a member of our
Special Needs Plan, a prior authorization will be required to see out
of network providers.
Is my medication covered?
You can view ATRIO drug formularies
here. You can search the formulary to see if your medication is covered. For
more information regarding your medication and your cost contact the ATRIO
Customer Service Team.
What is the coverage gap for my Part D prescription drugs?
When the total paid by you and the plan reaches $3,820, you move to the
Coverage Gap stage. Once you are in the Coverage Gap stage you pay generally
no more than 25% of the cost of covered brand name drugs and 37% of the
cost of covered generic drugs until you reach the out of pocket cost of
$5,100. For more information regarding your prescription drug plan please
contact ATRIO Customer Service.
Is the shingles vaccine covered?
Yes, it is a covered benefit for members with Part D prescription drug
coverage. The new vaccine is covered even if you have already had the
old vaccine. You can read more about vaccines
What do I do if I get a bill from my provider that appears incorrect?
Begin by contacting ATRIO Customer Service or stopping by your
local ATRIO office. We can work with you to determine if your bill is inaccurate.
What should I do if a doctor is asking me to pay in full for the care I’m
receiving at the time of my visit?
If you are seeking care at an approved Medicare provider, you should not
be asked to pay for any services at the time of your visit as long as
you are receiving “covered services”. If you are uncertain
whether or not the services you are seeking are covered, or the provider
of your choice participates in Medicare, please contact our customer service
department prior to your visit.
How do I authorize someone to speak on my behalf?
ATRIO has an
Authorized Representative Form available. You can also request one by contacting ATRIO Customer Service
or by visiting your local ATRIO office. Another option is a certified
Power of Attorney which can be provided to you by your legal counsel.
I paid an entire year for my gym membership, can I send the entire receipt
in for reimbursement?
Yes, for members who are enrolled in a plan that includes a Fitness Benefit.
ATRIO will process up to the current month (with a maximum of 12 months),
and any future months as they arrive. The gym reimbursement form is
Why do I get so much mail from ATRIO?
All health plans are required by the Centers for Medicare Services to use
the U.S. Postal Service for certain mailings. You can contact ATRIO Customer
Service or send us an email via our website to ask to be removed from