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UPS Union Issues
UPS part time plan vs Teamcare
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<blockquote data-quote="saintrick" data-source="post: 1139525" data-attributes="member: 29276"><p>I do not believe there will be a new SPD. The TA establishes the base benefits as the C6 plan and it is available now.</p><p></p><p>The following is copied and pasted from Teamcare and CS (including bold text)</p><p></p><p><a href="https://www.myteamcare.org/faqs/general.aspx#collapse1752" target="_blank"><span style="color: #800000"><em>How is an emergency room visit paid under my plan?</em></span></a><span style="color: #800000"></span></p><p><span style="color: #800000"></span><em><span style="color: #800000">Emergency room visits are covered once deductible had been met under the Major Medical Benefit. However, some plans may have an Outpatient Accidental Injury Benefit. See your Benefit Profile (</span><a href="https://www.myteamcare.org/forms_and_documents.aspx" target="_blank"><span style="color: #800000">Forms and Documents </span></a><span style="color: #800000">or </span><a href="https://www.myteamcare.org/participants.aspx" target="_blank"><span style="color: #800000">Your Participant Dashboard</span></a><span style="color: #800000">) for specific plan details.</span></em><span style="color: #800000"></span></p><p><span style="color: #800000"></span></p><p><span style="color: #800000"><em></em></span></p><p><span style="color: #800000"><strong>OUTPATIENT ACCIDENTAL BODILY INJURY EXPENSE BENEFIT</strong></span></p><p><span style="color: #800000"></span> <table style='width: 100%'><tr><td><table style='width: 100%'><tr><td><span style="color: #800000"><strong>What does this benefit cover ?</strong><br /> The Outpatient Accidental Bodily Injury Expense Benefit covers treatment you receive in an emergency room or a doctor's office due to an <strong>accidental injury</strong></span><br /> </td></tr></table><br /> </td></tr></table><p><span style="color: #800000"><strong>What is not covered by this benefit?</strong></span></p><p><span style="color: #800000">Charges for the emergency treatment of an illness, such as a sore throat, a high fever or the flu. </span></p><p><span style="color: #800000"></span></p><p><span style="color: #800000"></span></p><p><span style="color: #800000"></span> <table style='width: 100%'><tr><td><span style="color: #800000">Q</span><br /> </td><td><span style="color: #800000">Are emergency room visits covered at 100%?</span><br /> </td></tr><tr><td><span style="color: #800000">A</span><br /> </td><td><span style="color: #800000">Emergency room visits under Plans C6 or C4, are payable at 100% on the 1st day treatment for an accident or injury after the Plan deductible has been met. If you go to the emergency room for an illness (e.g. fever, chest pains, etc.), the visit is covered under the Major Medical Benefit and payable at 80% once the Plan deductible has been met.<br /> <br /> </span><br /> The UPS plan pays 100% / 25 copay.<br /> <br /> The Current C6 plan does not have a dental annual max for children. If adult charges exceed 1500 I would expect those charges to be submitted to UPS for reimbursement.<br /> <br /> Adoption assistance is part of the UPS health plan for part time employees. Whether it is insurance or not, it is part of a plan that will no longer exist come Jan 1st.<br /> <br /> <br /> <br /> I hope you are correct and a new book arrives that includes improvements to the C6.<br /> </td></tr></table></blockquote><p></p>
[QUOTE="saintrick, post: 1139525, member: 29276"] I do not believe there will be a new SPD. The TA establishes the base benefits as the C6 plan and it is available now. The following is copied and pasted from Teamcare and CS (including bold text) [URL="https://www.myteamcare.org/faqs/general.aspx#collapse1752"][COLOR=#800000][I]How is an emergency room visit paid under my plan?[/I][/COLOR][/URL][COLOR=#800000] [/COLOR][I][COLOR=#800000]Emergency room visits are covered once deductible had been met under the Major Medical Benefit. However, some plans may have an Outpatient Accidental Injury Benefit. See your Benefit Profile ([/COLOR][URL="https://www.myteamcare.org/forms_and_documents.aspx"][COLOR=#800000]Forms and Documents [/COLOR][/URL][COLOR=#800000]or [/COLOR][URL="https://www.myteamcare.org/participants.aspx"][COLOR=#800000]Your Participant Dashboard[/COLOR][/URL][COLOR=#800000]) for specific plan details.[/COLOR][/I][COLOR=#800000] [I][/I] [B]OUTPATIENT ACCIDENTAL BODILY INJURY EXPENSE BENEFIT[/B] [/COLOR][TABLE="width: 100%"] [TR] [TD][TABLE="width: 90%"] [TR] [TD][COLOR=#800000][B]What does this benefit cover ?[/B] The Outpatient Accidental Bodily Injury Expense Benefit covers treatment you receive in an emergency room or a doctor's office due to an [B]accidental injury[/B][/COLOR] [/TD] [/TR] [/TABLE] [/TD] [/TR] [/TABLE] [COLOR=#800000][B]What is not covered by this benefit?[/B] Charges for the emergency treatment of an illness, such as a sore throat, a high fever or the flu. [/COLOR][TABLE="width: 90%"] [TR] [TD][COLOR=#800000]Q[/COLOR] [/TD] [TD][COLOR=#800000]Are emergency room visits covered at 100%?[/COLOR] [/TD] [/TR] [TR] [TD][COLOR=#800000]A[/COLOR] [/TD] [TD][COLOR=#800000]Emergency room visits under Plans C6 or C4, are payable at 100% on the 1st day treatment for an accident or injury after the Plan deductible has been met. If you go to the emergency room for an illness (e.g. fever, chest pains, etc.), the visit is covered under the Major Medical Benefit and payable at 80% once the Plan deductible has been met. [/COLOR] The UPS plan pays 100% / 25 copay. The Current C6 plan does not have a dental annual max for children. If adult charges exceed 1500 I would expect those charges to be submitted to UPS for reimbursement. Adoption assistance is part of the UPS health plan for part time employees. Whether it is insurance or not, it is part of a plan that will no longer exist come Jan 1st. I hope you are correct and a new book arrives that includes improvements to the C6. [/TD] [/TR] [/TABLE] [/QUOTE]
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