Insurance Cost Share Begins July 1, 2010

 

Jeff Kennerly

Benefits Representative

UAW Local 5286

In Plant #: 704-868-5646

Fax #: 704-868-5629

     Jeffrey.Kennerly@daimler.com

Knowing your Benefits
Gastonia Recalled Employees - Benefit Explanation
BCBS Contacts & BCBS Website Info for DTNA/UAW Local 5286 Employees

North Carolina and South Carolina Healthcare Options

Dear Union Brothers and Sisters, we all know that our benefits are important to us and our Families. I cannot stress enough how important it is to take time to understand how our benefits work.  You can access Benefits Forms, Plan Comparisons/Summary Plan Descriptions, your 401k Plan, your Pension Plan and Carrier Links (BCBS, EAP Plan, Flexible Spending Accounts, Medco and VSP Vision) online at https://www.truckbenefits.com

Please take the time to review this information and if you have any questions concerning your benefits, do not have a computer or the internet and would like hard copies of this information, please contact me or you can tell your Union Committee person that you have a question concerning your benefits and I will contact you.

In a nutshell you can save yourself money and time correcting insurance issues if you understand your benefits.

In Solidarity,

Jeff Kennerly

Benefits Representative

UAW Local 5286

     

 

BCBS MEDICAL BENEFITS TIPS
  • Use your BCBS card for all Medical, Dental and Vision services. (You will use your Medco prescription card for prescriptions).
  • Employees can access Blue Cross Blue Shield’s Daimler web site at www.hcbo.com (HCBO stands for Health Care Benefits Online), This web site provides easy-to-access to Blue Cross Blue Shield’s Daimler web site that allows members access to claim status, eligibility information, deductible and out-of-pocket maximum data and benefit information. Members can also order additional ID cards and conduct national provider searches. As new enhancements, members may view their Explanation of Benefits online and view/update their Coordination of Benefits information. For ease of use this web site also includes links to Blue Cross Blue Shield’s integrated health care management Web site, BlueHealthConnection®, and their decision-making support Web site, Healthcare AdvisorTM. When you access this website you will need to register and create a user name and password.

 

  • For any Blue Cross Blue Shield (BCBS) medical issues call the 1-800 number on back of Insurance card to take first step to resolve open medical issues. Most of the time this will take care of your insurance problems if your medical claim was not filed properly by your healthcare provider or not processed properly by BCBS.

If you have questions concerning your BCBS medical benefits you will need the following information to help resolve your medical issue.

 

  • Your FHN number, on the front of your Insurance card
  • Your Group number, on the front of your Insurance card
  • Date of birth of card holder
  • Date of service on Insurance bill with total bill amount or your BCBS EOB (explanation of benefits )

 

Once you have called and your medical issue is not resolved you can contact Jeff Kennerly your Union Benefits Representative at ext 5646 or 704-868-5646 for further assistance.

 

  • You can cover your legal and unmarried dependent Children to age 19 (age 26 if the child is a full-time student).
  • You are not required to choose a Primary Care Physician. However, To receive your maximum benefit and to have lower out-of-pocket costs, you should select an in-network Primary Care Physician.
  • To locate an in-network provider, go to www.hcbo.com or call 866-322-4784.
  • You do not need a referral to see a par­ticipating specialist. However, To receive your maximum benefit and to have lower out-of-pocket costs, you should select an in-network BCBS Specialist.
  • To locate an in-network provider, go to www.hcbo.com or call 866-322-4784.
  • Custom foot Orthotics are a covered Benefit, However, only certain medical conditions are covered. Please have your provider contact BCBS with your specific diagnosis and type of custom orthotics you will receive to make sure that your custom orthotics will be covered. Also, if they are covered the company will only pay a maximum of $325.00 for your custom orthotics.
  • Once you have seen a specialist 5 times a $25 copay will be applied to the sixth visit and any future visits instead of the $40.00 copay during that calendar year and it is the only out of pocket cost that will be associated with the visit itself. Also, the first 5 visits can be to 5 different specialists and the $25.00 copay will be applied to the sixth visit and any future visits during that calendar year to any specialist instead of the $40.00 copay. This applies to each Family member.
  • Employees that are considering infertility treatment should see Jeff Kennerly the Union Benefits Representative or contact him at extension 5646.
  • Please be aware the first endoscopic procedure each year for employees and their dependents are paid at 100%.  Any additional endoscopic procedures within that same year will be paid at 85%.
  • Before you pay any Medical bills you should wait for BCBS to send you your EOB (Explanation Of Benefits) for that service to make sure the amount that the provider is billing you for is the amount that your EOB states that you should pay your provider.
  • BCBS mails employees a notice yearly requesting employees to provide information to establish if the employee, the employees spouse or the employee’s dependents have additional health care coverage for coordination of benefits purposes. Once you receive this notice you should respond within 15 days and notify BCBS if you, your spouse or any dependent covered under your Blues plan has additional coverage or does not have additional coverage. If you do not respond within fifteen days the processing of your claims will be delayed and if you never respond the processing of your claims will stop until you do respond.
  • Clink on this link to see BCBS Contacts and BCBS Website information for Daimler Trucks North America UAW Local 5286 Employees.

Important Notice

This Document is intended for informational purposes only. It is general in nature and does not alter or replace any coverage documents or contract language covering Your medical benefits. It is not a contract. every effort has been made to ensure the accuracy of the inforamtion within. However, if statements in this description differ from the applicable coverage documents or contract lanuage, then the terms and conditions of those documents will prevail.

 

BCBS Contacts and BCBS Website information for Daimler Trucks North America UAW Local 5286 Employees

North Carolina and South Carolina Healthcare Options

Dear Union Brothers and Sisters, we all know that our benefits are important to us and our Families. I cannot stress enough how important it is to take time to understand how our benefits work.  You can access Benefits Forms, Plan Comparisons/Summary Plan Descriptions, your 401k Plan, your Pension Plan and Carrier Links (BCBS, EAP Plan, Flexible Spending Accounts, Medco and VSP Vision) online at https://www.truckbenefits.com.

Please take the time to review this information and if you have any questions concerning your benefits, do not have a computer or the internet and would like hard copies of this information, please contact me or you can tell your Union Committee person that you have a question concerning your benefits and I will contact you.

In a nutshell you can save yourself money and time correcting insurance issues if you understand your benefits.

In Solidarity,

Jeff Kennerly

Benefits Representative

UAW Local 5286

     

 

BCBS MEDICAL BENEFITS TIPS
  • Use your BCBS card for all Medical, Dental and Vision services. (You will use your Medco prescription card for prescriptions).
  • Employees can access Blue Cross Blue Shield’s Daimler web site at www.hcbo.com (HCBO stands for Health Care Benefits Online), This web site provides easy-to-access to Blue Cross Blue Shield’s Daimler web site that allows members access to claim status, eligibility information, deductible and out-of-pocket maximum data and benefit information. Members can also order additional ID cards and conduct national provider searches. As new enhancements, members may view their Explanation of Benefits online and view/update their Coordination of Benefits information. For ease of use this web site also includes links to Blue Cross Blue Shield’s integrated health care management Web site, BlueHealthConnection®, and their decision-making support Web site, Healthcare AdvisorTM. When you access this website you will need to register and create a user name and password.

 

 

  • For any Blue Cross Blue Shield (BCBS) medical issues call the 1-800 number on back of Insurance card to take first step to resolve open medical issues. Most of the time this will take care of your insurance problems if your medical claim was not filed properly by your healthcare provider or not processed properly by BCBS.

If you have questions concerning your BCBS medical benefits you will need the following information to help resolve your medical issue.

 

  • Your FHN number, on the front of your Insurance card
  • Your Group number, on the front of your Insurance card
  • Date of birth of card holder
  • Date of service on Insurance bill with total bill amount or your BCBS EOB (explanation of benefits )

 

Once you have called and your medical issue is not resolved you can contact Jeff Kennerly your Union Benefits Representative at ext 5646 or 704-868-5646 for further assistance.

 

  • You can cover your legal and unmarried dependent Children to age 19 (age 26 if the child is a full-time student).
  • You are not required to choose a Primary Care Physician. However, To receive your maximum benefit and to have lower out-of-pocket costs, you should select an in-network Primary Care Physician.
  • To locate an in-network provider, go to www.hcbo.com or call 866-322-4784.
  • You do not need a referral to see a par­ticipating specialist. However, To receive your maximum benefit and to have lower out-of-pocket costs, you should select an in-network BCBS Specialist.
  • To locate an in-network provider, go to www.hcbo.com or call 866-322-4784.
  • Custom foot Orthotics are a covered Benefit, However, only certain medical conditions are covered. Please have your provider contact BCBS with your specific diagnosis and type of custom orthotics you will receive to make sure that your custom orthotics will be covered. Also, if they are covered the company will only pay a maximum of $325.00 for your custom orthotics.
  • Once you have seen a specialist 5 times a $25 copay will be applied to the sixth visit and any future visits instead of the $40.00 copay during that calendar year and it is the only out of pocket cost that will be associated with the visit itself. Also, the first 5 visits can be to 5 different specialists and the $25.00 copay will be applied to the sixth visit and any future visits during that calendar year to any specialist instead of the $40.00 copay. This applies to each Family member.
  • Employees that are considering infertility treatment should see Jeff Kennerly the Union Benefits Representative or contact him at extension 5646.
  • Please be aware the first endoscopic procedure each year for employees and their dependents are paid at 100%.  Any additional endoscopic procedures within that same year will be paid at 85%.
  • Before you pay any Medical bills you should wait for BCBS to send you your EOB (Explanation Of Benefits) for that service to make sure the amount that the provider is billing you for is the amount that your EOB states that you should pay your provider.
  • BCBS mails employees a notice yearly requesting employees to provide information to establish if the employee, the employees spouse or the employee’s dependents have additional health care coverage for coordination of benefits purposes. Once you receive this notice you should respond within 15 days and notify BCBS if you, your spouse or any dependent covered under your Blues plan has additional coverage or does not have additional coverage. If you do not respond within fifteen days the processing of your claims will be delayed and if you never respond the processing of your claims will stop until you do respond.
  • Clink on this link to see BCBS Contacts and BCBS Website information for Daimler Trucks North America UAW Local 5286 Employees.

Important Notice

This Document is intended for informational purposes only. It is general in nature and does not alter or replace any coverage documents or contract language covering Your medical benefits. It is not a contract. every effort has been made to ensure the accuracy of the inforamtion within. However, if statements in this description differ from the applicable coverage documents or contract lanuage, then the terms and conditions of those documents will prevail.