If a claim has an accident or injury diagnosis, there may be another plan or entity which should provide benefits. If the injury occurred at work, Workers’ Compensation would cover the benefits. If a third party is liable for the …
Why am I asked for accidental injury information on certain claims? Read more »
The Board of Trustees has designed a comprehensive program of Health Plan benefits for you and your eligible dependents. However, not all services you receive are covered by the Plan. For covered services, you will be responsible for deductibles, co-payments …
Yes. You are required to enroll in Medicare Parts A and B when this Health Plan is secondary. If you fail to enroll in Medicare, the Plan’s benefits may be reduced or denied Medicare-Eligible retirees or dependents are required to …
It is extremely important that you use your HMO when it is your primary plan.
This Plan will coordinate benefits with other plans with whom you have coverage. Before we can process your claim, we must determine which plan should pay first and which plan should pay second. This is based on specific plan rules. …
Why am I asked for information about my coverage with other plans? Read more »
