Kalispell Public Schools

Employee Benefits Guide

Information on this page is intended for Kalispell Public Schools employees. 

KEY LINKS & CONTACTS

Click the image below to access detailed information to help you better understand your benefits.

  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • and much more!

Allegiance Welcome Booklet

Click the image below to access detailed information about Allegiance, which administers your health benefits. Customer service is available at 1-855-999-1528 and online access to your account is available at www.AskAllegiance.com/KPS.

  • Identification Cards
  • Network Providers
  • Online Services
  • and much more!

Judi Rx (formerly Capital Rx) Welcome Booklet

All Bridged members will receive prescription drug benefits through Judi Rx (formerly Capital Rx). Judi Rx is a modern, full service PBM known for its transparent, pass-through pricing model.

Prior to your plan’s effective date, you can access important information at this link.

Beginning after your plan’s effective date, members can register and log in at app.cap-rx.com/login. Customer service can be reached at 1-833-395-7211.

  • Network Pharmacies
  • Mail Order
  • Online Services
  • and much more!

Frequently Asked Questions

Benefit Information

We partner with Allegiance Benefit Plan Management as our third-party administrator (TPA) for both Tier 1 and Tier 2 districts to provide administrative services, claims processing, member support, and access to a robust provider network backed by Cigna.

  • Register at askallegiance.com/KPS to access the member portal, review benefits, view digital ID cards, find in-network providers, download forms, and more.
  • Access Digital ID Cards: Beginning July 1, you can quickly and easily access your new ID cards online at askallegiance.com/KPS or through the mobile app. These electronic cards can be downloaded, printed, and are accepted by pharmacies and healthcare providers.
  • Watch for Physical ID Cards: Physical ID cards will begin arriving during the first week of July. In the meantime, you can use your digital ID card for any healthcare or pharmacy needs.
  • Customer service is available toll free by calling 1-855-999-1528
New members: If you are new to Allegiance and are the primary account holder, you can create an account at www.askallegiance.com/KPS simply follow these instructions:
  • Click “Create your account” and enter the information requested.
  • Verify your identity.
  • Create a username and password.
  • Log in to access claims and EOBs, deductible/out-of-pocket status, digital ID card, and more.
  
Dependents: All dependents 18 and older will need to create their own login to access claims and EOBs, deductible/out-of-pocket status, digital ID card, and more. If a dependent is creating a account, they can use their social security number to verify their identity.
 
If you have any trouble logging in or accessing your information, please call customer service at 855-999-1528.

Allegiance will mail two ID cards to you. If you need additional cards, create or sign in to your account at www.askallegiance.com/KPS. You can download a digital ID card or request additional printed cards through the member website or mobile app.

Dependents can also sign up and receive a digital ID card. They will simply need to check the box that says “I am registering as a dependent” on the “Verify Your Identity” page.

Yes. If your previous health plan was administered by Allegiance, you can use your existing username and password to access your Bridged member account.

All Bridged members will receive prescription drug benefits through Judi Rx (formerly Capital Rx) for both Tier 1 and Tier 2 districts. Capital Rx is a modern, full service PBM known for its transparent, pass-through pricing model. Beginning July 1 or after your plan’s effective date, members can register and log in at app.cap-rx.com/login

This partnership includes:

  • Access to a national network of 60,000+ retail pharmacies with consistent pricing
  • Specialty and clinical programs, including specialty medication coordination and step therapy
  • 24/7 member support, a mobile app, and prescription management tools
  • Customer service will be available beginning July 1 and can be accessed toll free by calling 1-833-395-7211

Judi Rx and Bridged Health Alliance are working together to offer you affordable prescription medications delivered right to your home. If you are prescribed a 90-day prescription for maintenance medications, you can fill at Ridgeway Mail Order Pharmacy or with Costco Mail Order. Please reach out to your prescriber and update your mail order pharmacy provider to Ridgeway Pharmacy or Costco Mail Order. 

Mail Order Customer Support at 1-833-395-7211 is available Monday-Friday 6:00 am to 8:00 pm MT and Saturday 10:30 am-3:00 pm MT.

Ridgeway Mail Order Pharmacy

2824 US Hwy 93 N

Victor, MT 59875

Phone: 800-630-3214

Fax: 406-642-6050

Hours: Monday-Friday 9:00am to 5:00pm MT

Online: https://www.ridgewayrx.com/

Getting Started with Costco Mail Order:

Online: Go to rx.costco.com and create a patient profile.

Phone: Call Judi Rx at 1-833-395-7211 and follow the prompts for medications delivered to your home to provide patient and payment information.

Choose one of the following options to request refills of current prescriptions or send new prescriptions to Costco Mail Order:

  • Mail: Go to rx.costco.com and access your patient account. Select refill prescriptions or new prescriptions. Follow the prompts to complete the request and mail your paper prescription to Costco Pharmacy, 260 Logistics Ave, Suite B, Jeffersonville, IN 47130.
  • E-prescribe: Have your prescriber electronically send your prescription to Costco Pharmacy, #1348, Zip Code 47130.
  • Fax: Have your prescriber fax your prescription to 1-877-258- 9584. Faxed prescriptions may only be sent by a doctor’s office and must include patient information.

Costco Specialty Pharmacy provides a patient-centric model that drives improved clinical outcomes, positive experiences and saves money. A personalized and caring approach is designed to empower and inspire patients to choose healthy behaviors and live better.

Getting started with Costco Specialty:

Please reach out to your prescriber and update your specialty pharmacy provider to Costco Specialty Pharmacy.

  1. Have your prescriber e-prescribe to Costco Specialty Pharmacy #1710, Zip Code 53717 or fax your prescription to 1-855-213-0125. Make sure your prescriber includes your contact information. If prior authorization is required, your prescriber may need to take extra steps to submit your prescription. To review more
    information related to prior authorizations, visit https://cap-rx.com/members/ or call Judi Rx Customer Care at 1-833-395-7211.
  2. A representative from Costco Specialty Pharmacy will call you to obtain more information and schedule your first delivery. Additionally, you may call Capital Rx Customer Care to confirm receipt of the prescription from the prescriber. When calling, please follow the prompts for specialty pharmacy.
  3. Your prescription will arrive when and where you’ve requested.
 
Costco Specialty Pharmacy offers specialty services and programs to support your needs.
  • Education and support programs to help manage your condition.
  • Delivery to your home or another address within two days of ordering at no cost.
  • Highly trained pharmacists and nurses
  • available to answer any questions.
  • Insurance specialists to help you get the most out of your benefits.
  • Therapy-related ancillary medical supplies provided at no additional cost.
 
Note: You do not need a Costco membership to use Costco Pharmacy Services. Both members and non-members can purchase prescription medications at Costco pharmacies, whether in-store or online.

Please reference these helpful FAQs for Bridged members from Judi Rx.

Kalispell Public Schools dental program is with MetLife. You can access information about your dental benefits at www.metlife.com/mybenefits.

Vision is administered through Allegiance and information about your benefits can be accessed by visiting askallegiance.com/KPS and logging into your account.

Yes. The bswift mobile app allows you to view benefits, upload ID cards, manage dependents, and pay bills securely. Search “bswift Mobile” in the Apple App Store or Google Play Store.

Benefit changes are only allowed for qualifying life events (e.g., marriage, birth, loss of coverage, Medicare eligibility) and must be reported within 60 days. Documentation may be required. Mid-year drops are only allowed under certain conditions like divorce, death, or other coverage eligibility.

Benefits Information
Bridged
Medical
Allegiance
COBRA
  • Phone: 1-800-259-2738, ext. 5418
Pharmacy
Capital Rx
Dental and Vision

Kalispell Public Schools dental program is with MetLife. You can access information about your dental benefits at www.metlife.com/mybenefits.

Vision is administered through Allegiance and information about your benefits can be accessed by visiting askallegiance.com/KPS and logging into your account.

If you are currently receiving care or have services scheduled to begin in July that required prior authorization or precertification and were approved by your current insurance carrier, taking a few simple steps now can help support continuity of care. Examples include, but are not limited to:

  • Ongoing treatments such as immunotherapy infusions
  • A surgery or procedure scheduled for early July
  • An approved exception or authorization to see a provider not typically covered or who is being covered at a higher benefit level
 

What you can do next:
Please let your provider know about your upcoming plan change and ask them to send a copy of any relevant approval letter(s) to Allegiance. Once we receive this information, we’ll make a note on your account and work with the Allegiance Care Management team to review and update any authorizations already on file.

How your provider can submit the information:

  • Fax: 866‑201‑0522
  • Mail:
    Allegiance
    PO Box 21074
    Eagan, MN 55121

The Essential Access Plan is not comprehensive major medical insurance. It is not an employer-sponsored plan and is offered by Bridged Health Alliance at no cost to you or your employer.

This plan is designed as a limited healthcare access benefit for employees who waive district-sponsored medical coverage, typically because they have other coverage available or are otherwise not eligible for the district medical plan.

Bridged Essential Access is a limited benefit that provides:

  • Unlimited Primary Care Visits – $75 Copay Access to primary care with predictable cost for all in-person visits.
  • Affordable Prescriptions – $5 Generic Drugs Low-cost generics help keep everyday medications accessible and budget-friendly.
  • 24/7 Telemedicine – $0 Copay Connect with a provider by phone or video anytime for urgent care services at no cost.

 

Bridged Essential Access IS NOT:

  • Comprehensive health insurance (not an MEC plan).
  • A replacement for major medical coverage.

 

Bridged Essential Access does not provide major medical coverage for things like hospitalization, surgery, specialty care, or significant medical events.

Who is eligible?

Employees of participating districts who work at least 20 hours per week are eligible for the Bridged Essential Access benefit, even if they are not eligible for district-sponsored health insurance.

Who is not eligible?

Employees who are covered under a High-Deductible Health Plan (HDHP) through a spouse or a parent are not eligible for this benefit.

No cost to the employee or district.

The Essential Access benefit is provided at no cost to both the employee and the district and is administered directly through Bridged, separate from the district’s medical plan.

If you were enrolled in the Bridged Essential Access Benefit, you will soon receive or may have already received an Allegiance ID card. Please keep this card and present it when accessing services under this plan. In the box to the top right of the card, the Plan Option should be “Essential Access.”

We are excited to provide this limited healthcare access benefit available to employees working 20+ hours per week who waive district medical coverage. It provides simple, predictable access to certain healthcare services:

  • Primary Care Visits – $75 copay
  • Generic Prescriptions – $5
  • 24/7 Telemedicine – $0

 

It is important to note that this plan is not comprehensive major medical insurance, nor is it a replacement for traditional health insurance. It does not cover hospitalizations, surgery, specialty care, or major medical events.

If you have questions or wish to remove this gratuitous coverage provided at no cost to you and the school district, please contact [email protected].