Vendors for Health and Welfare Benefits

Vendors for Health and Welfare Benefits

· Regence Life and Health, (after 1,1,2000) Medical Plan for the CHCB program and Managed Medical Care

· 1-800-977-2583

· Summary of Benefits

· United HealthCare, Medical Plan for the CHCB program and many of the Managed Medical Care sites.

· 1-800-842-9905 for the Managed Medical Care program

· 1-800-842-5252 for the CHCB

· Aetna US Healthcare, Medical Plan for many Managed Medical sites and the Dental Plan.

· 1-800-842-4044 for the Managed Medical Care Program

· 1-877-277-3368 for the Dental Plan

· Value Options, the Mental Health and Substance Abuse Care benefit

· 1-800-934-7245

· Merck-Medco, The Managed Pharmacy Services Benefit

· 1-800-842-0070

· Metropolitan Life Insurance Company, Life insurance benefits

· 1-800-310-7770

· Vision Services Plan, Vision Care benefit

· 1-888-877-4782

US Railroad Retirement Board
RRB Help line: 1-800-808-0772

Managed Medical Care Program

Regence Life and Health	1-800-977-2583
United HealthCare	1-800-842-9905
Aetna US Healthcare	1-800-842-4044

· Primary Care Physician (PCP) is required

· Care is directed by your PCP

· Copayments in network services are $15.00, balance paid at 100% of the network rates

· Out of network benefits are 75% payment of covered charges after a $100 deductible. Patient Advocate provisions must be followed or the benefits will be significantly reduced.

Complete Summary of Benefits

Comprehensive Health

Regence Life and Health	1-800-977-2583
United HealthCare	1-800-842-5252

Care Benefit

· Choose any covered physician, hospital,etc..

· Benefit payment is 85% of the covered charge after the $100 deductible, Medical Management must be contacted when required

· All payments under the plan reduce the life time maximum of

$1,000,000

· Employee may be responsible for charges in excess of reasonable, or services that are not medically necessary

Mental Health and Substance Abuse Benefit

1-800-934-7245

· Administered by Value Options

· In and out of network benefits available

· In network copay is $15.00

· Out of network authorized services are paid at 75% of covered charges after a $100 deductible

Managed Pharmacy Services

1-800-842-0070

· Administered by Merck-Medco,

· Maximum 21 day supply for the retail program

· In network copay is $2 for a generic, $6 for a name brand

· Out of network benefit is 75%

· Mail order is available, $5 for a 90 day supply

Life Insurance Benefits

1-800-310-7770

· Administered by The Metropolitan Life Insurance Company

· Active Life Insurance is $10,000

· Retired Life Insurance is $2,000

· Accidental Death and Dismemberment benefit for active employees is $8,000

· Please update your beneficiary cards when you have a life change, such as a divorce

National Vision Plan

1-888-877-4782

· Administered by Vision Service Plan

· In network and out of network benefits

· Coverage begins after one year of employment

National Dental Plan

1-877-277-3368

· Administered by Aetna US Healthcare

· Coverage begins after one year of employment

· PPOPlan,withbenefits changes effective 1/1/99

Early Retirement Major Medical Plan

1-800-842-5252

· Eligible with 360 months of service at age 61 when certain requirements are met

· $100 deductible, 80% coverage

· Managed Pharmacy Plan applies

· Coverage continues until the employee becomes eligible for Medicare at age 65. The Plan can not cover any person eligible for Medicare

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Last Updated: 11/8/99 00.41