Teamster western region and local 177 ins. Issues

[over10.5]

Anyone else in the new carve out plan being hit up with a 20% co-insurance while seeing in-network doctors? Also Urgent Care? (In -network) no longer covered at 100% like under our old ups plan? I can't find any info on the local 177 & western region healthcare website. Thanks!


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[jpf75]

no mine is still 100 percent covered im still in the company plan!!!!

 

[Anonymous 11]

no mine is still 100 percent covered im still in the company plan!!!!

The company plan is dead unless you are in the machinist.

 

[ManInBrown]

Anyone else in the new carve out plan being hit up with a 20% co-insurance while seeing in-network doctors? Also Urgent Care? (In -network) no longer covered at 100% like under our old ups plan? I can't find any info on the local 177 & western region healthcare website. Thanks!


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Obviously without being too specific to your medical issues, what did you have done where you were billed 20%? It's a $10.00 co-pay for pcp and specialists

 

[LagunaBrown]

Anyone else in the new carve out plan being hit up with a 20% co-insurance while seeing in-network doctors? Also Urgent Care? (In -network) no longer covered at 100% like under our old ups plan? I can't find any info on the local 177 & western region healthcare website. Thanks!


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Take the issue to your Business Agent. Members should send everything through the BA to work out any glitches and inform them of concerns. He will have an answer or find one for you. It's about fixing your issue and streamlining the process for the next guy. Remember we are only 2 months in to this plan, it will have some growing pains.


"In this world, if you read the papers, darling, You know everybody's fighting with each other. You got no one you can count on, dear, Not even your own brother". Janis Joplin - (Get it while you can)

 

[over10.5]

Obviously without being too specific to your medical issues, what did you have done where you were billed 20%? It's a $10.00 co-pay for pcp and specialists

Nothing special, kids doctors visits with our regular doctor. Also urgent care(not emergency room)


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[ManInBrown]

So you were charged for 20% of the total allowable bill, instead of the $10.00 Co-pay?

That really better be a mistake. Utterly ridiculous if accurate. That's not even insurance. So we went from Cadillac insurance, to basically no insurance? Being responsible for 20% might as well be called no insurance.

It has to be a mistake. I could see 20% for out of network, which isn't great but is definitely reasonable. In network is ludicrous

 

[UpstateNYUPSer(Ret)]

Nothing special, kids doctors visits with our regular doctor. Also urgent care(not emergency room)


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$10 co-pay.


Resident know-it-all.

 

[Returntosender]

177 teamcare has chriopractor option.

 

[LagunaBrown]

Some copays may be zero if Preventive care under Obama Care. Again talk to your Business agent or a Plan Representatives can be contacted at 855-215-2039 (M-friend 8:30 am - 5 pm MST)


"In this world, if you read the papers, darling, You know everybody's fighting with each other. You got no one you can count on, dear, Not even your own brother". Janis Joplin - (Get it while you can)

 

[LagunaBrown]

So you were charged for 20% of the total allowable bill, instead of the $10.00 Co-pay?

That really better be a mistake. Utterly ridiculous if accurate. That's not even insurance. So we went from Cadillac insurance, to basically no insurance? Being responsible for 20% might as well be called no insurance.

It has to be a mistake. I could see 20% for out of network, which isn't great but is definitely reasonable. In network is ludicrous

Don't panic... The OP just needs to talk to the right people and not look to blogs for answers. You know a lot of doctors offices have been making mistakes too in this transition.



"In this world, if you read the papers, darling, You know everybody's fighting with each other. You got no one you can count on, dear, Not even your own brother". Janis Joplin - (Get it while you can)

 

[over10.5]

20% on top of our $10 copay. My local is looking into it. They said they are working out some bumps. Just wondering if anyone else is having issues.


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[UpstateNYUPSer(Ret)]

20% on top of our $10 copay. My local is looking into it. They said they are working out some bumps. Just wondering if anyone else is having issues.


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Nope, although to be fair we didn't change plans.

 

[ManInBrown]

I'll report back in the next few weeks. Having a minor procedure next week and I am expecting to be responsible for a $10 co-pay. If it turns out I'm responsible for the co-pay + 20% I will be

 

[UpstateNYUPSer(Ret)]

The $10 co-pay is only for the office visit.

 

[ManInBrown]

The $10 co-pay is only for the office visit.

Yes. I understand that. But I had a procedure done right before we switched plans (In-network) that ended up totaling around $3000.00 allowable billed, and I think I was responsible for less then $75.00 when all the different providers were paid. Anesthesiologist, surgical center, and Dr who did procedure. Now it's also a yearly procedure I need to have done. So that same procedure is now going to cost me $600.00 out of pocket?

That's not insurance. And that's also totally unacceptable. Best not be the case.

 

[UpstateNYUPSer(Ret)]

I have no idea-----I would either read the material that they sent or call the 1-800# Monday morning to find out for sure.

 

[LagunaBrown]

Yes. I understand that. But I had a procedure done right before we switched plans (In-network) that ended up totaling around $3000.00 allowable billed, and I think I was responsible for less then $75.00 when all the different providers were paid. Anesthesiologist, surgical center, and Dr who did procedure. Now it's also a yearly procedure I need to have done. So that same procedure is now going to cost me $600.00 out of pocket?

That's not insurance. And that's also totally unacceptable. Best not be the case.

Seriously you need to stop jumping to conclusions.


"In this world, if you read the papers, darling, You know everybody's fighting with each other. You got no one you can count on, dear, Not even your own brother". Janis Joplin - (Get it while you can)

 

[ManInBrown]

Seriously you need to stop jumping to conclusions.


"In this world, if you read the papers, darling, You know everybody's fighting with each other. You got no one you can count on, dear, Not even your own brother". Janis Joplin - (Get it while you can)

You're probably right. The OP has me slightly worried

 

[LagunaBrown]

Understandable. Most stuff I have seen is someone in the process hitting a wrong code. From the doctor, company or plan. Easy fix if you talk to your Business Agent.



"In this world, if you read the papers, darling, You know everybody's fighting with each other. You got no one you can count on, dear, Not even your own brother". Janis Joplin - (Get it while you can)