Get information about eligibility for benefits. **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.**. Network Solutions Flexible provider networks for member access to quality care at the best value. The revised estimates include the most recent MSHA data available as of the release date of the table. Annual Premiums: Individual - $762; Two-Party - $1,410; Family - $2,139. Take a look at the cost for one year of vision insurance compared with the cost of an eye exam. Get access to thousands of forms. Using the pharmacy mail service program saves your Funds' money too. At present, the Funds provides benefits to over 86,000 beneficiaries. Its important to keep your provider information up to date. Calling all veterans! 18354 Quantico Gateway Drive Services must be provided by an approved hearing aid vendor who has signed a Hearing Aid Vendor agreement and is on the approved list of 29 providers. Suite 200 Handbook, DUI Benefits for necessary repairs and maintenance, except the replacement of batteries, will be provided after the expiration of the warranty period. Medicare supplement insurance coverage can include: Deductibles Coinsurance Foreign travel Medicare Advantage Plans Medicare Advantage may cover: Most Medicare Part A (hospital coverage) covered services (Hospice will remain covered through Medicare) Medicare Part B (medical insurance coverage) covered services Step 3: Use Your Eye Insurance Benefits to Purchase Vision Care Items. You'd have to pay out-of-pocket. To pre-certify, the facility should call our Precertification Department at 1-800-292-2288. When you go to a physician or other non-hospital type of provider (i.e. For more than 100 years, we've been building a different kind of benefits company, and going beyond the needs of our customers. Learn how good dental health contributes to better overall health (PDF). 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. Casualty Claims Warning: usage of this Web site requires acceptance of our Site Usage Agreement. If you are planning to have elective surgery, the following should be pre-certified: Organ transplants, intestinal or gastric bypass for obesity, cerebellar and dorsal stimulator implants, insertion of a prosthesis for cleft palate, plastic surgery including mammoplasty, and reduction mammoplasty. 1993/Pre-Funded Plans Age limit does not apply to Medicare eligible beneficiaries. 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. Copyright 2023 UMHA H & R Funds. 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. Must be a Medicare approved Skilled Nursing Facility and must have a qualifying hospital stay prior to admission. Your information is securely protected, because we keep to the most up-to-date security standards. Yes, the Funds covers routine eye exams, eyeglasses, and contact lenses once every 24 months with payment limitations. Triangle, VA 22172, 2023 United Mine Workers of America. 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. Are you eligible for Medicare? 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. All Rights Reserved. If you need personalized help over the phone, you can call a licensed insurance agent at 888-680-4770 (TTY users 711) Monday through Friday, 8 am 8 pm Eastern Time. More about Voluntary Benefits Please note that the address for the Funds Medical Management office has been changed. Current estimates contain both current EIA original estimates and revised estimates. USLegal fulfills industry-leading security and compliance standards. We extend an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-K with a matching component, Life Insurance, Short-term and Long-term disability, and Wellness & Perks Programs. "I urge Congress to take the necessary steps to quickly pass the PRO Act. Learn More Mission driven to improve lives through healthcare quality and clinical expertise Why does umwa members half to use medicare when they have a health card? YES. All Rights Reserved. Yes. Cigna Dental Insurance. You enjoy extra savings when you see a network provider. We want to thank all of the members of supporters who got on the buses, attended the rallies, and walked the halls of Congress when called upon. Beckley, WV 25802. TopTenReviews wrote "there is such an extensive range of documents covering so many topics that it is unlikely you would need to look anywhere else". Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. UMWA Health & Retirement Funds Our veterans are some of the most dedicated and hard working union members and we thank you for your service and commitment! Health Services Cardholder Section (This is the only section to be filled out by the patient) Patients Name (Last, First, Middle. That is your decision to make. The Funds was created in the White House in 1946 in a contract between the United Mine Workers of America (UMWA) and the Federal Government. If you choose a Fashion or Designer frame from our Davis Vision Exclusive Collection it will be covered in full. Medicare Advantage plans often have dental benefits. Incontinence supplies, such as adult diapers and chux are covered, limited to 3 boxes per month. Contact the Funds Call Center (800-291-1425) to inquire about a PCP in your area. 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. The United Mine Workers of America Health and Retirement Funds It may provide coverage for other services, such as crowns. 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. Medicare beneficiaries have a chiropractic benefit through Medicare. Call us for support with your dental benefits. Yes. Dental insurance makes dental care more affordable! Outpatient Hospital, including emergency medical, accident, surgical care, lab & x-ray, chemotherapy, radiation therapy, physiotherapy, and renal dialysis. The Funds plan is your Medicare Part B plan and will pay your doctors bills and other non-hospital charges. <>stream Jan 1, 2002 Title: Jim Walter Resources, Inc. and United Mine Workers of America 3.1 Formation of Unions; 3.2 United Mine Workers of America; 3.3 Massey Attack Black United Mine Workers of America (hereinafter referred to as the Union) on behalf of Use professional pre-built templates to fill in and sign documents online faster. Since that year, the UMWA and Bituminous Coal Operators Association, Inc. (BCOA) have negotiated periodically over employee benefits for coal miners, retirees, and their dependents. YES. Original Medicare usually doesn't cover dental care such as cleanings, fillings, tooth extractions, or dentures. 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 . ERA Enrollment Required. If you have any questions, please contact 1-800-292-2288 Thank you. Theft, Personal For Americans who purchase their own stand-alone dental coverage, premiums are most commonly in the range of $20 to $50 per month. Read our current newsletters for Medical, Dental or Behavioral providers. Experience a faster way to fill out and sign forms on the web. Ifyou believe that this page should betaken down, please follow our DMCA take down process, Ensure the security ofyour data and transactions, Identity endobj )/Keywords(fY\)\b+"kYyph[%\)eWK)/SourceModified(fY\)\b+"k#x">^ E`:L)/Subject(fY\)\b+"kYyph[%\)eWK)/Title(fY\)\b+"kB%}?v [py\t\r'?jBeX5.6-_g`cp\f+%i)>> To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, . Business. All Rights Reserved. Be a part of our Union Veterans Leadership Council! PO Box 2320 Enjoy smart fillable fields and interactivity. *Note If you are in the Funds 1993 Benefit Plan, there is a small listing of Non-PPL providers. In fact, Original Medicare generally only pays for dental services for certain emergencies or complicated dental procedures. Dentists can detect signs of disease just from looking at your teeth and gums. Triangle, VA 22172, 2023 United Mine Workers of America. Triangle, VA 22172, 2023 United Mine Workers of America. And while most people recognize that medical coverage is necessary, dental and vision plans might seem less essential. 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 Enhanced coverage for pregnant womenduring their pregnancy and three months following delivery. When you have vision care insurance, you send the vision insurer a check for your premium for individual plans or have the premium deducted from your paycheck for employer-sponsored plans. We work closely with brokers and clients to deliver custom benefits solutions. MassHealth List of EOB Codes Appearing on the Remittance Advice. Copyright 2023 UMHA H & R Funds. Start today at: 1-866-443-9160 to have your prescription drugs transferred. We are committed to providing the best care for our members and the best provider services, including expedited claims turnaround times. UMWA Health and Retirement Funds PO Box 292167 Nashville, TN 37229 This address change applies to Claim Appeals, Pharmacy Appeals, Precertification and Case Management. Complete all of the requested boxes (they are yellowish). Main Administration Number: (202) 521-2201. Technology, Power of This is how they make money. This plan does not meet the minimum creditable coverage requirements under M.G.L. Nashville, TN 37229, This address change applies to Claim Appeals, Pharmacy Appeals, Precertification and Case Management. UMWA Associate Membership The Associate Membership is a way for a surviving spouse, family member or general supporter of the United Mine Workers to become part of the movement to restore fairness, justice and dignity for working families. Cigna Dental is another major provider that has a long-standing positive reputation for its dental insurance plans. Click here to learn more! There are several factors that need to be considered to make that determination. 2. Please visit the Mercer Marketplace to learn more about the plans and benefits that your employer is making available to you. For more detailed information, you may contact Delta Dental of Iowa at number 800-544-0718 (TTY: 888-287-7312), Monday through Friday from 7:30 a.m. to 5:00 p.m. (central time). Employee Contributions Elective Deferrals, Resolution of Disputes re: New Inexperienced Miner Status, Appeal Non-Medicare Eligible Beneficiary, Prescription Drug Plan Benefits Providers. Subrogation support. If the warranty has expired, the Funds will direct you to a network vendor for the repairs. 222 West Las Colinas Boulevard Suite 500N Irving, Texas 75039 214.574.3546 In some states, a PPO plan might be your only coverage option. Main Administration Number: (202) 521-2201. Get answers to you vaccination and testing questions. Join millions of satisfied users who are already completing legal forms right from their houses. For Medicare covered beneficiaries, Medicare is the primary payer and Medicare Part A must approve these services. Choose any dentist. 1-866-876-2791. How Vision Care Insurance Works. 3. Your session is about to expire. 2. 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. <>stream hospitals, skilled nursing facilities, home health agencies, etc). With a dental plan, you have easy access to the care you need to keep your mouth healthy. Service, Contact k%+fm0HsYr %PDF-1.4 Optional dental coverage of 80% for preventive dental care costs , up to a yearly maximum of $750. See Vision fee schedule for reimbursement amounts. This plan is not a Qualified Health Plan under the Affordable Care Act. Planning, Wills All Rights Reserved. The beneficiary will be responsible for any copayments or coinsurance due after the Medicare Part B payment is made. She has a very sweet personality and her staff is very nice too! Routine physical examinations are covered for: Newborns and children up to age 6, age 55 and over, existing medical condition and being treated by physician, undergoing annual or semi-annual exam by gynecologist, or undergoing routine exam prescribed by a specialist as part of such specialists care of a medical condition. Spanish, Localized You will find information on topics including billing, the Funds relationship with Medicare, Funds provider networks, medical management and patient support in the home. THIS PLAN IS NOT INSURANCE and is not intended to replace health insurance. 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. Dental Insurance Plans | Humana Individual and family dental insurance plans From budget-friendly monthly premiums to low office-visit copays, Humana has a dental plan that is sure to fit your needs. Additional documentation is also required. to process the proper billing information in a timely . Non-Medicare beneficiaries must have services approved by the Funds Precertification Department at 1-800-292-2288. Follow the simple instructions below: Feel all the key benefits of submitting and completing forms on the internet. Otherwise,you will be redirected to the home page in 60 seconds. Dental insurance premiums ranged from less than $10 per month to more than $80 per month in our review of quotes across the largest dental insurance companies. This is the official Facebook Fan page of the United Mine Workers of America International Union. stream hospitals, Skilled Nursing facility and must have services approved by the Funds Center... 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