December 2005 Benefits Report
As most of you are aware there have been some changes in our
Healthcare. These changes, subject to court approval, are expected to
begin in April 2006. It is important that each of you know and
understand these changes. Below are summaries for both hourly employees
and retirees.
UAW Hourly Employees
UAW hourly employees will forego six (.06c) cents of any COLA in
March 2006, six (.06c) cents of any COLA in June 2006, five (.05c) cents
of any COLA in September 2006, 3% raise in September 2006, and two
(.02c) of any COLA starting in December 2006. In addition prescription
Drug co-payment at retail pharmacy will remain the same (up to 34 day
supply) except Erectile Dysfunction medications will be $15.
Prescription Drug co-payment for mail order will change to $10 for
Generic, $15 for Brand name and $18 for Erectile Dysfunction medications
(up to a 90 day supply).There will be additions to maintenance drug
list. (Mail order)
UAW Retirees
The Benefit Section of this Local strongly encourages every retired
member, and surviving spouse who qualifies for the changes to elect to
have the monthly contributions to come out of their pension check. If
you opt out of this plan you will automatically be enrolled into the
Group Catastrophic Plan which could cost you far more money. The
catastrophic plan will be explained later in this article.
No effect on retirees with a Pension income lower than $8000 per year
and a $33.33 Class Code Rate or less.
Monthly Contribution of $10 for a single member or $21 for a family
(2 or more enrolled on policy). There will be a $150 deductible for
single member or $300 deductible for a family. This is the amount that
is paid by the member on covered benefits before the insurance starts
paying, excludes Office Visits, Durable Medical Equipment, Prosthetic
& Orthotic, Mental Health & Substance Abuse, Dental, Vision,
Prescription Co-payments and Emergency Room Co-payments. Also there is a
10% co-insurance (in-network) up to $100 for a single member or $200 for
family (same exclusions as deductible), 30% co-insurance
(out-of-network) up to $1,000 single member $2,000 family (including
deductible with same exclusions as deductible). This will create annual
out-of-pocket maximums of $370 single member, $752 family ( includes
monthly contribution, deductible, and co-insurance when using a
participating provider) Prescription Drug co-payment at retail
pharmacies will change to $5 Generic, $10 Brand name, and $15 Erectile
Dysfunction medications for retirees except those who are below $8,000
annual pension income as stated above.(up to a 34 day supply)
Prescription Drug co-payments for mail order will change to $10 for
Generic, $15 for Brand name and $18 for Erectile Dysfunction medications
(up to 90 day supply) we will have an Emergency Room Co-Payment of $50
per visit which will be waived if admitted to hospital.
Monthly Contributions, Annual Deductible, Co-insurance, Out-of-Pocket
Maximum, Prescription Drug Co-payments, Emergency Room Co-payments
amounts can increase up to 3% per year. If increased 3% each year it
would take 24 years to double. There have been no changes made to our
Durable Medical Equipment, Prosthetic & Orthotic, Mental Health
& Substance Abuse, Dental or Vision.
Group Catastrophic Plan
There will be no monthly contributions which don't mean that this is
better plan. The deductibles and co-insurances are greatly increased
which makes this plan more costly to our members. The deductibles are
$1,250 for a single member or $2,500 family (2 or more on policy). After
the deductible is met, the co-insurance will be 10% for in-network
providers, until you reached $1,250 single member $2,500 family for a
total annual Out-of-Pocket Maximum of $2,500 single member $5,000
family. If you use an out-of-network provider the co-insurance is 30%
plus the annual maximum out-of pocket cost doubles to $5,000 single
member, $10,000 family. With this plan co-payments for Emergency Room
will be $100 per visit which will be waived if admitted to hospital.
Prescription co-payments at a retail pharmacy will be $15 Generic, $35
Brand Name, $50 Erectile Dysfunction medications (up to a 34 day
supply). Prescription co-payments for mail order will be $30 Generic,
$70 Brand Name, $100 Erectile Dysfunction medications (up to 90 day
supply). All dollar-denominated plan design items such as drug
co-payments, deductibles, and out-of-pocket maximums will increase
annually at a rate not to exceed 3%. Even though that there is no
monthly contributions the deductibles, co-insurance, maximum
out-of-pocket, co-payments are much higher than the plan with a monthly
contribution. This is your choice you can have a maximum annual
out-of-pocket $370 single member $752 family with an $10 single member,
$21 family monthly contribution out of your pension check or elect not
to have the contribution taken out of your check and your annual
out-of-pocket maximums will $2,500 single member $5,000 family using an
in-network provider. If you go out-of-network your annual out-of-pocket
maximums will double to $5,000 single member, $10,000 family.
If you have questions about any changes after reading our newsletter,
please come in to see a Benefits Representative for clarification or
call a Benefits Representative. Articles in newspapers are almost always
inaccurate in some way…trust your Local Benefit Representatives to
inform you with correct information. A meeting in Detroit, Michigan was
called on Friday, October 28th to ensure that your Benefits
Representatives are well informed.
To our members who are eligible for Medicare D
Prescription Drug Program:
If you sign up for Medicare D your General Motors Paid Prescription
program will be cancelled, therefore we do not recommend
enrolling. If you have further questions please contact a Benefit
Representative.
New Phone Numbers:
Jerry Johns: 410-631-3064
Holly Brightbill-Stinebaugh: 410-631-3096
Fax: 410-631-3084
The Benefits Office is now located at:
2400 Broening Highway Suite 200
Baltimore, MD 21224
Jim Streets: 443-425-1584
Fax: 443-425-1468
10301 Philadelphia Road
White Marsh, MD 21163
We are asking that members who mail bills or other benefit issues to
us still use the Union Hall address. Please remember to write UAW TRUCK
PLANT BENEFITS on the envelope. The Union Hall address is 1010 South
Oldham Street, Baltimore, Maryland 21224.
For our voluntary lay off members – ensuring you receive your check
each week is easy! Every Monday fax your paperwork to CISA
On Tuesday go to the website, www.layoffbenefits.com
Type in your social security number
Click view paid and pending history
Your pending payment for the form you mailed yesterday should be on
the bottom
If it does not show by Wednesday morning be sure to fax it again,
chances are they did not receive your fax
For our members who transfer – Please remember to change your
address and phone number with plant personnel. To ensure that we have
your correct information you can also email us at
local239benefitsreport@hotmail.com
We will need to contact you if you are laid off at your new plant and
are eligible for Maryland Unemployment.
Problems with the Benefit Administrator Fidelity continue to erupt on
a daily basis. Please remember that if find a problem with your benefits
to contact your benefit plans representative immediately. Do not assume
that the situation will work itself out.
We are still experiencing problems with United Healthcare processing
hearing aid claims. If you are in need of a hearing aid you MUST
use a participating provider in order to receive ANY benefits.
Please contact United Healthcare at 1-800-241-9964 or a Benefit Plans
Representative for a participating provider listing and the five steps
you must take.
In order to receive the highest level of benefits for Physical
Therapy Traditional Care Network you must use an in-network provider.
Remember, under our plan we have NO COVERAGE for services rendered by a
chiropractor. A Participating licensed Physical Therapist must render
physical therapy. For Physical Therapy we have coverage for up to 60
visits per calendar year per condition by a participating provider.
As a reminder to those with Diabetes; Glucose monitors, lancets, and
test strips are covered (subject to Medicare/GM guidelines). You may
obtain them at no cost to you only at participating Northwood NPN
providers. Northwood NPN may be contacted at 1-800-936-9314.If you are a
member who is in need of any Durable Medical Supply please contact
either Northwood at the above number or your Benefit Plans
Representative to ensure you use a participating provider. You are
sanctioned if you do not use a participating provider.
Check with Cole Managed Vision at 1-800-638-0166 or your Benefit
Plans Representative for providers near you. A provider listing may be
obtained at the Cole Managed Vision website at https://www.eyemedvisioncare.com/memweb/Login
Group #80140.
Claims that the provider is submitting for lab work with ROUTINE or
SCREENING as the diagnosis or no diagnosis at all will be denied. Lab
work must be submitted with a MEDICAL DIAGNOSIS, by the Doctor, which
justifies the test before it will be considered for coverage.
Under Supplemental Agreement Exhibit C (Health Care Program) we are
allowed one PAP, PSA (over the age 40) every year, and Mammograms
(baseline at age 40, 1 to 2 per year between ages 40 through 49
depending on risk factors and physician recommendations, each year after
age 50) these tests may be submitted with the screening diagnosis. UAW
International Bargaining Committee successfully negotiated the addition
of the following screenings which went into effect July 1, 2004 for
Traditional Care Network enrollees, when a Network provider provides
such services: One fecal occult blood test per year, beginning at age
50; one flexible sigmoidoscopy exam, or one barium enema, every 5 years,
or one colonoscopy every 10 years, beginning at age 50 and one total
serum cholesterol with low density lipoprotein test every 5 years
beginning at age 20. These tests may be submitted with the routine or
screening diagnosis.
Members under the Delta Dental Plan are encourage to ask for a
predetermination from the carrier through your participating provider
for any services which cost is estimated to go above $200.00. A
Predetermination letter will be mailed to both you and the provider
showing patient responsibility for services rendered. Our contract
allows for a maximum payment of $1,700 per person total per year and a
lifetime orthodontic maximum of $2,000.You are encouraged to
register at http://www.deltadental.com/ you may view claims
online, search for dentists, download claim forms and this site has lots
of information pertaining to oral health.
Please be aware that you have the same ability to get almost any
prescription drug by mail order. The savings and ability to get a 90-day
supply for $5.00 without going to the drug store every month is a
great incentive to begin using the mail order program. You can receive
up to 90 day supply with this option. As a reminder, refills should be
called in when you have 14-21 days worth of medication left to ensure
you receive your medication in time. If you have ordered mail order
prescriptions and are about to run out due to a shipping problem please
contact a Benefit Plans Representative immediately. Please continue to
use participating pharmacies for short-term prescriptions that you need
right away (ex. Antibiotics, newly prescribed drugs) The Medco-Health
website is www.medcohealth.com
Beneficiary changes are not taken over the phone. To make a
beneficiary change call GM Benefits & Service Center at
1-800-489-4646 to request a beneficiary form. Once completed the form
must be returned to that center in the provided pre-addressed envelope.
You may also go online to www.gmbenefits.com to update beneficiary
information.
If you would like to have the Monthly Report emailed to you or have a
general question about your Benefits that you would like answered in a
future Report please email us at local239benefitsreport@hotmail.com.
This is a great way for us to know which areas of our Benefit Plan we
need to highlight in our Report. Please note that individual issues will
not be addressed by Electronic Mail, only general questions will be
accepted.
A Notary Public is available to you at no cost in the
Benefits Office at Point Breeze, please see Holly.
Please remember that the Benefits Office at Point
Breeze will close from December 24th thru January 2nd.
Have a happy and safe Holiday.
Fraternally
Holly Brightbill-Stinebaugh
Jerry Johns
Francine Jenkins