There are plans as low as $10/month, but to have any real coverage for major services, such as crowns and bridges, you should expect to pay at least $35/month. Service, Contact Online provider access to member health benefits and claims information With our growing provider base, members have better access to the best care available. While you are not required to use the providers in this database, these providers have agreed to accept the Funds payment as payment in full, less any applicable copayment you may owe. 100% paid medical insurance; Paid Vacation, Personal and Sick Days; Life Insurance; Pension Plan after 18 months; Member of the UMWA; 11 Paid Holidays; Must pass Child Abuse, FBI and Criminal Background Clearances. endstream A healthcare FSA or Flexible Spending Account is a pre-tax account that covers certain medical, dental and vision care expenses that aren't covered by your healthcare plan. Medicare supplement insurance coverage can include: Most Medicare Part A (hospital coverage) covered services (Hospice will remain covered through Medicare), Medicare Part B (medical insurance coverage) covered services, Medicare Part D Prescription drug coverage. 1993/Pre-Funded Plans Age limit does not apply to Medicare eligible beneficiaries. The UMWA provides comprehensive health benefit coverage. 1 / 5. Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. THIS PLAN IS NOT INSURANCE and is not intended to replace health insurance. 2121 K Street, NW
If you are eligible for Medicare and have elected the Funds as your Medicare Part B payer, the Funds will pay any chiropractic services that are covered by Medicare Part B. Integrated pharmacy benefit management, and tools to reduce the high cost of specialty drugs. Benefits for necessary repairs and maintenance, except the replacement of batteries, will be provided after the expiration of the warranty period. You will need to present your Funds health card to your doctor the next time you go to his office. Contact the Funds Call Center (800-291-1425) to inquire about a PCP in your area. Job specializations: Insurance. Medical justification must be provided on a Certificate of Medical Necessity (CMN) for oxygen equipment and supplies to be approved. Incontinence supplies, such as adult diapers and chux are covered, limited to 3 boxes per month. We will then update your information on our website. Medicare supplement insurance coverage can include: Medicare Prescription Drug coverage (Part D) may cover: 18354 Quantico Gateway Drive 3. Planning, Wills United Concordia is offering members dental plans for the individual; two-party; or family. ^ E`:L)/Subject(fY\)\b+"kYyph[%\)eWK)/Title(fY\)\b+"kB%}?v [py\t\r'?jBeX5.6-_g`cp\f+%i)>> If you are Medicare eligible, and have signed up to have the Funds as your Medicare Part B payer and Medicare confirms that transition, your doctors will be required to bill the Funds for all Medicare Part B services, except those furnished by non-facility providers (e.g. Save when you stay in-network. These providers have a relationship with the Funds and will not balance bill you for services after the Funds payment, except for applicable copayments. Ensures that a website is free of malware attacks. Business. Forms, Real Estate In some states, a PPO plan might be your only coverage option. Step 4: Get an Eye Exam Annually. A popular feature of our online services is our free Online Claim Status service available to providers who are contracted with several of our HealthSmart networks. % Members Contact: (888) 982-4748 Claims Questions: (877) 813-6366 Registration and Technical Issues: (800) 638-0968 Electronic Claims Submission: EDI Payor ID 31172 Paper Claims Submission: WTC Claims Administration, PO Box 11064, Charleston, WV 25339 Self Service Tools Provider Registration I need my username Password not working Unlock my account 2016 United HealthCare Services, Inc. A UMR Dental plan provides you and your family with coverage for most common dental services, from cleanings to major services such as crowns and bridges. &Sm`V=%~ USLegal has been awarded the TopTenREVIEWS Gold Award 9 years in a row as the most comprehensive and helpful online legal forms services on the market today. Your doctor can contact our Provider Services department at (888) 865-5290, if they have any questions. This list was formerly published as Part 6 of the administrative and billing instructions in Subchapter 5 of your MassHealth provider manual. Cigna Dental Insurance. A UMR Dental plan provides you and your family with coverage for most common dental services, from cleanings to major services such as crowns and bridges. services, For Small Dental Preferred Provider Organization (PPO) Plan? Precertification is required through the Funds Transportation Precertification Department at 1-800-292-2288. USLegal received the following as compared to 9 other form sites. This is a hypothetical look at a year's worth of preventive care only, assuming your insurance pays 100% for vision exams, as many do. All Rights Reserved. All Rights Reserved. Until it is confirmed that you are in the Funds Medicare Part B plan, your doctors should continue to bill Medicare Part B for all services. are not covered. Copyright 2023 UMHA H & R Funds. The 15 month Rent-to-Cap period applies to all oxygen equipment rentals. If you have any changes, please email vivaproviderservices@uabmc.edu or call Viva Health Customer Service at (205) 558-7474 or 800-294-7780. Outpatient Hospital, including emergency medical, accident, surgical care, lab & x-ray, chemotherapy, radiation therapy, physiotherapy, and renal dialysis. Employee Contributions Elective Deferrals, Resolution of Disputes re: New Inexperienced Miner Status, Appeal Non-Medicare Eligible Beneficiary, Prescription Drug Plan Benefits Providers. Preventive care services are covered at little or no cost to you. If you have any questions, please call Drummond Customer Service toll-free at 1-866-300-0297 or 205-558-7545 (TTY: 711) or e-mail us at vivamemberhelp@uabmc.edu. Benefits are provided for immunizations, allergy desensitization injections, pap smears, screening for hypertension and diabetes, and examinations for cancer, blindness and deafness and other screening and diagnostic procedures when medically necessary. Unauthorized usage or access will be prosecuted to the maximum extent under the law. Medical Claims Processing, Insurance Claims. Choose any dentist. This plan is not a Qualified Health Plan under the Affordable Care Act. But if you're paying a lower percentage of the costs, you may have a high-dollar copay. Trustmark Voluntary Benefits offers Life, Accident, Critical Illness, Disability, and Hospital insurance solutions that help policyholders achieve greater financial security and well-being. Table 1 summarizes information about the health plans in the 2017 plan year (the most recent information . PPO plans provide benefits for a broad range of covered services/procedures, giving you the flexibility to choose any licensed dentist, in or out of network. The Funds plan is your Medicare Part B plan and will pay your doctors bills and other non-hospital charges. Pharmacy: (800) 294-4741. 222 West Las Colinas Boulevard Suite 500N Irving, Texas 75039 214.574.3546 The United Mine Workers of America Health and Retirement Funds (the Funds) is a group of multi-employer plans that provide health and pension benefits to retired coal miners and their eligible dependents. When you get your maintenance drugs through the Funds pharmacy mail service you will pay a lower co-payment than at retail pharmacies and receive a 90-day supply of your medications. Subrogation support. are not covered. endstream Having dental insurance throughout retirement can keep you on the right track with accessibility to routine dental care and procedures to keep your smile healthy. k%+fm0HsYr You don't need a referral to see a specialist. endobj Copyright 2023 UMHA H & R Funds. Double-check the entire document to make certain you have completed all the information and no changes are needed. In exchange, you'll receive benefits such as discounted vision exams, glasses, and contacts. Covered if under the care of a physician, condition requires skilled nursing care or speech/physical therapy at least once every 60 days, a physician treatment plan exists, and patient is confined to home. This plan covers all or most of your dental exams and cleanings and provides coverage for fillings. 1-877-816-3596. But in the long term, the benefits of a dental or vision plan may pay off. You can also file a civil rights complaint with the Washington State Office of the Insurance Commissioner, electronically through the Office of the Insurance Commissioner . Copyright 2023 UMHA H & R Funds. This is how they make money. Plus 50% coverage for major restorative dental care, up to a yearly maximum of $500. 1. **Note the 1993 Benefit Plan and the Prefunded Benefit Plan do not cover preventive care office visits for non-Medicare beneficiaries between the ages of 6 and 55.**. bathing, housework, day care). Dental insurance premiums. If you keep your other insurance, please call the Call Center (800-291-1425, option 2) to provide information about your other insurance. All beneficiaries are required to use one of the seven Funds Network DME vendors. Medicare beneficiaries are subject to the Medicare cap on outpatient PT and ST. Services beyond this cap must be approved by the Funds Precertification Department at 1-800-292-4488. If you choose a Fashion or Designer frame from our Davis Vision Exclusive Collection it will be covered in full. Hearing aids over $600 require precertification through the Funds Hearing Aid Precertification Department at 1-800-292-2288. Current estimates contain both current EIA original estimates and revised estimates. Please contact our Customer Service Department at 1-800-687-0500 for more information. #1 Internet-trusted security seal. Ifyou believe that this page should betaken down, please follow our DMCA take down process, Ensure the security ofyour data and transactions, Identity For Americans who purchase their own stand-alone dental coverage, premiums are most commonly in the range of $20 to $50 per month. Dental Insurance 101 FAQs Contact us Give us a call at (866) 569-9900 Mon-Fri 9am-9pm ET Send us an email at direct_support@glic.com Important product disclosure Read our current newsletters for Medical, Dental or Behavioral providers. <>stream Dentists can detect signs of disease just from looking at your teeth and gums. Get answers to you vaccination and testing questions. For more information on signing up for Medicare, visit the site below: There are approximately 17,000 Cooperating Funds' Providers representing a full range of services. Optional dental coverage of 80% for preventive dental care costs , up to a yearly maximum of $750. O4 Text Component. Online/Remote - Candidates ideally in. I was very impressed by her professionalism and dental skills. Nashville, TN 37229, This address change applies to Claim Appeals, Pharmacy Appeals, Precertification and Case Management. If in excess of guidelines, claims will suspend for medical review. PO Box 292167 Please visit the Mercer Marketplace to learn more about the plans and benefits that your employer is making available to you. If you decide to terminate your other coverage you will need to mail the Funds a copy of the termination letter from your other insurance plan to: Funds Health Call Center Home Health Care, including nursing visits by a registered nurse and home health aides. <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page/Parent 22 0 R>> Get your online template and fill it in using progressive features. Call Fast. login.cignaResources.newsTitle . Get information about eligibility for benefits. If you go to a hospital, a skilled nursing facility, or have home health care, these providers must bill Medicare Part A for all services and then bill the Funds plan as the secondary payer. At present, the Funds provides benefits to over 86,000 beneficiaries. 18354 Quantico Gateway Drive Suite 200 Triangle, VA 22172 703.291.2400. info@umwa.org 2023 United Mine Workers of America. Benefits are available if the medical care is not available near the beneficiarys home and the beneficiary must be taken out of area, or if the beneficiary requires frequent transportation, such as for radiation or physical therapy. Your information is securely protected, because we keep to the most up-to-date security standards. Once enrolled, you'll be able to start using your VSP benefits within five days. All Rights Reserved. Please confirm your provider is in the network once you enroll. With our platform submitting Umwa Vision Benefits usually takes a couple of minutes. Non-Medicare beneficiaries must have services approved by the Funds' Precertification Department at 1-800-292-2288. Experience a faster way to fill out and sign forms on the web. Our office hours are . Job Type: Full-time. Privacy Policy, UMWA Urges Swift Action to Pass the Richard L. Trumka Protecting the Right to Organize Act, UMWA Mourns Miner Killed at Central Appalachian Mining, West Virginia HB 3270 is Bad for WV Workers. Suite 200 Eligibility: Group Health, Life, and Dental: Regular non-instructional employees who work a minimum of 30 hours per week are eligible for enrollment in these insurance plans; instructional staff members hired to teach the equivalent of 12 undergraduate hours or 9 graduate hours a semester for the full academic year are also eligible for insurance enrollment. Medicare Prescription Drugcoverage (Part D) may cover: Generally does not cover over-the-counter medications, 18354 Quantico Gateway Drive Main Administration Number: (202) 521-2201. You may go to providers outside the Funds Cooperating Provider Network, but those providers may attempt to balance bill you for amounts in excess of the Funds payments. Take a look at the cost for one year of vision insurance compared with the cost of an eye exam. The new address is: UMWA Health and Retirement Funds The United Mine Workers of America Health and Retirement Funds (the Funds) is a group of multi-employer plans that provide health and pension benefits to retired coal miners and their eligible dependents. . All Rights Reserved. Maximum allowable of $150 per month per benefit. Durable Medical Equipment (DME) and Supplies. Oxygen requires precertification and must be recertified annually. Be a part of our Union Veterans Leadership Council! Annual Premiums: Individual - $762; Two-Party - $1,410; Family - $2,139. The Funds will process these claims as a Medicare benefit at 80% of Medicare allowable. Original Medicare usually doesn't cover dental care such as cleanings, fillings, tooth extractions, or dentures. The United Mine Workers of America (UMW or UMWA) is a North American labor union best known for representing coal miners. Please call the Call Center (800-291-1425, option 2) to provide information about your other insurance. Our veterans are some of the most dedicated and hard working union members and we thank you for your service and commitment! Complete all of the requested boxes (they are yellowish). Also included with no waiting period: Periodontal maintenance (limit 2 per year) and periodontal scaling and root planing (limit 1 per quadrant every 3 years). In-House services n't need a referral to see a specialist covered at little or no cost to.... - $ 762 ; two-party - $ 762 ; two-party - $ 2,139 compared... They are covered, limited to 3 boxes per month per benefit 18354 Quantico Drive... Medications are delivered directly to your doctor the next time you go to his office of! Have completed all the insurance billing and I was very happy with my experience lodging may be in! 762 ; two-party ; or family 558-7474 or 800-294-7780 covered by the Funds will process these as. You have any changes, please email vivaproviderservices @ uabmc.edu or call Viva Customer. Your card double-check the entire document to make certain you have completed all the and... Efficient Service, please have your member ID number handy - you can it...: 18354 Quantico Gateway Drive 3 to provide information about the health in. To reduce the high cost of the W-9 to 214-574-3599 inquire about a PCP in your area cost! Be a Part of our union Veterans Leadership Council American labor union best known for coal. Boxes ( they are yellowish ) 292167 please visit the Mercer Marketplace to learn about... Your Provider is in the Network once you enroll to be approved start using your VSP benefits within days. Next time you go to his office to pre-certify services but in the 2017 year. In the long term, the benefits of a dental or vision plan may pay off and! 800-291-1425 ) to provide information about your other insurance plan via the doctor! Other form sites Funds provides benefits to over 86,000 beneficiaries responsibility to pay for medical treatment, I! Plan year ( the most recent information vision exams, glasses, and other changes please... And contacts just from looking at your teeth and gums please confirm your Provider is in Network... Required to Use one of the warranty period might be your only coverage option adult diapers and chux are at. Exams and cleanings and provides coverage for fillings Network once you enroll security standards you. Dme vendors 600 require Precertification through the Funds call Center ( 800-291-1425, option 2 ) to provide information the! A copy of the most recent information Organization ( PPO ) plan other party or carrier! Will then update your information is securely protected, because we keep to the most dedicated and hard working members! Not insurance and is not a Qualified health plan under the Affordable care Act if they have any.... 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United Concordia is offering members dental plans for the individual ; two-party ; or family services! Of a dental or vision plan may pay off as compared to 9 other form sites Medicare insurance! A yearly maximum of $ 750 to a yearly maximum of $ 750 10/10, Ease of Use 10/10 Customer. And Case management and cleanings and provides coverage for fillings your card Part 6 of the boxes! And maternity is a North American labor union best known for representing miners... It will be prosecuted to the maximum extent under the law it will be covered full. Patients purchase Marchon products because they are covered, limited to 3 boxes per month benefit... 292167 please visit the Mercer Marketplace to learn more about the health plans in the long term, benefits. Ppo plan might be your only coverage option serious problems elsewhere in your body the 15 month Rent-to-Cap applies... Summarizes information about the health plans in the Network once you enroll, Features Set 10/10 Ease! Your MassHealth Provider manual be your only coverage option changes are needed a faster way to out... Eligible beneficiaries or vision plan may pay off of Use 10/10, Customer 10/10. Claim Appeals, pharmacy Appeals, Precertification and Case management the Mercer Marketplace to learn more the. Disease just from looking at your teeth and gums, phone number, and other non-hospital charges if in of. 9 other form sites for fillings process these claims as a Medicare benefit at 80 % of Medicare allowable by... The in-network doctor of medical Necessity ( CMN ) for oxygen equipment rentals phone number, and.. Medicare benefit at 80 % for preventive dental care costs, you may responsibility... Exchange, you may have responsibility to pay for medical treatment, 703.291.2400. @... Teeth erupt upright, perfectly aligning of medical Necessity ( CMN ) for oxygen equipment rentals at 80 for... Not insurance and is not a Qualified health plan under the law need present... And contacts some of the costs, you save money on gasoline because your medications are delivered directly your! Original Medicare usually doesn & # x27 ; t cover dental care costs, up a! Suite 200 triangle, VA 22172, 2023 United Mine Workers of America services, for out-of-area transports is! Entire document to make certain you have completed all the insurance billing and I was happy... Management, and other non-hospital charges VA 22172, 2023 United Mine Workers of America for Non-Medicare this...