saintrick
Well-Known Member
The benefits listed in the Teamcare column are MY understanding of the current C6 plan document with the enhanced benefits given by the union and included in the memorandum of understanding in the TA page 43.
As per the memorandum, the enhanced benefits will only apply to those covered by the CS for the first time on 01/01/2014.
UPS will cover the differential between the CS and what the employee had as a benefit prior to 01/01/2014
for dental, short term disability and life insurance.
If you notice any incorrect info in the chart let me know.
As per the memorandum, the enhanced benefits will only apply to those covered by the CS for the first time on 01/01/2014.
UPS will cover the differential between the CS and what the employee had as a benefit prior to 01/01/2014
for dental, short term disability and life insurance.
If you notice any incorrect info in the chart let me know.
UPS Part-Time | Teamcare C6 | |
Medical Benefits | ||
Medical Basic Provisions | ||
Annual deductible | none | $200 person/$400 family |
Annual out-of-pocket (OOP) | $1000 per person | $1000 person / $2000 max(applies only to Major Medical) |
Physician Charges | ||
Office visit | 100% $10 copay | 100% $10 copay |
Inpatient surgery | 100% | 80% after deductible |
Outpatient surgery | 100% | 80% after deductible |
Physician in-hospital services | 100% | 80% after deductible |
Allergy testing and treatment services | 90% | 80% after deductible |
Hospital Facility Charges | ||
Hospital admission fee | none | none |
Inpatient services | 100% | 100% |
Outpatient services | 100% | 100% |
Emergency room care | 100% within 72 hours ofaccident or hospitalization;otherwise $25 copay | 100% day of accident onlyotherwise80% after deductible (200/400) |
Ambulance related to an emergency | 100% | 100% |
Ambulance related to an non-emergency (if medically necessary) | 100% | 100% |
Maternity Benefits | ||
Physician charges | 100% after $10 copayinitial visit | 80% after deductible |
Facility charges | 100% (no admission fee) | 100% after deductible |
Preventive Care Benefits | ||
Routine physical (standard guidelines) | 100% after $10 copay | 100% after $10 copay |
OB-GYN exams | 100% after $10 copay | 100% after deductible |
Well-child care(standard guidelines) | 100% after $10 copay | 100% after $10 copay(Teamcare physician) |
Routine mammograms(standard guidelines) | 100% after $10 copay | 100% after deductible |
Other Covered Expenses | ||
Chiropractic care | 90% ($40 visit; max$1000 per year) | 80% (after deductible)$1000 max |
Diagnostic x-ray and laboratory | 90% | 80% (100% only if US Imaging/Quest) |
Hospice care inpatient | 100% | unknown |
Hospice care outpatient | 100% | unknown |
Skilled nursing facility | 100% | unknown |
Outpatient private duty nursing | 100% | unknown |
Home health care | 100% | unknown |
Rehabilitation and speech therapy | 90% | unknown |
Durable medical equipment | 90% | unknown |
Behavioral Health Benefits | ||
Substance abuse treatment | 100% | 80% no OOP max |
Mental health - inpatient | 100% | 80% no OOP max |
Mental health - outpatient | 100% after $10 copay | 80% no OOP max |
Dental Benefits | ||
Preventive | 100% | 100% |
Basic | 100% | 100% |
Major | 100% | 80% |
Orthodontia | 50% | 100% |
Maximum benefits | ||
Annual maximum per person | none | none |
Orthodontia and TMJ | $1500 each child | $1,500 |
Additional Basic Benefits | ||
Short term Disability | 60% of average weekly basepay, max $500 for 26 weeks | $300 first 10 weeks$350 weeks 11-16 |
Employee life | 1040 times base bay$10,000 min$100,000 max | $40,000 |
Spouse life | $5,000 | $4,000 |
Children's life | $2,500 | $2,000 |
Employee AD&D | 1040 times base bay$10,000 min$100,000 max | $40,000 |
Extras | ||
Adoption assistance | UPS pay $3500 or $5,000 | None |