Tuesday, October 20, 2020

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  • Your Benefits Resourse

    Participant Website Enhancement  

    Self-Registration 

    The Participant Website has been enhanced to allow all participating members to register and create an account directly on the website!

     

     CORONA VIRUS MICROSITE

    The Employee Assistance Program (EAP) is offering beneficial new resources in assistance to members coping with the COVID-19 Pandemic via the Corona Virus Microsite.

      1. “Stress Management” webinar – understanding different types of stress and their effects, plus practical tools and information regarding healthy habits and coping skills.

      2. “Caregiver Stress” webinar – discover steps every caregiver can take to preserve their health and wellbeing. 

      3.  “Challenging Negative Thoughts” webinar – learn the impact of negative thinking and ways to identify, challenge and change these thoughts
       
      4.  Understanding Self-Quarantine tip sheet
       
      5. Receiving Home Deliveries During COVID-19 tip sheet
       
      Additions to the Microsite will continue throughout the pandemic so you'll receive regular updates to keep you informed. Resources can be accessed by clicking the following link:      
       
       

             COVID-19 TESTING AND SCREENING

      There was some additional legislation passed (the CARES Act) that changed the cost-sharing requirements for COVID-19 Testing. See below:

      Claims for COVID-19 testing both in and out of network are provided to participants at zero cost-sharing for claims on or after January 27, 2020 (previously this was only effective starting on April 2, 2020).

        The list of permissible COVID-19 testing that is to be provided without cost-sharing includes not only FDA-approved tests, but tests that are pending FDA approval, tests that have been approved for use by the state, and tests that the Department of Health and Human Services has deemed appropriate. For Medicare prescription drug claims only, all Part-D covered drugs are available for up to a 90-day supply.

        Effective April 2, 2020 any screening and/or testing for COVID-19 completed in-network and out of network will be paid at 100% with no pre-approval or other medical management techniques necessary. This includes but is not limited to, the visit, associated lab testing and radiology services in an in-network and out of network hospital, emergency or urgent care setting, or medical office.  If a member receives a COVID-19 screen and/or test, all medical services that lead to the medical provider to administer the COVID-19 screen and/or test, will be paid at 100% both in-network and out-of-network. An example of such medical services that may lead a medical provider to administer a COVID-19 screen and/or test, may be a flu test with a negative reading that then leads the medical provider to administer a COVID-19 screen and/or test due to the similarity of the symptoms between the flu and COVID-19. 

        NOTICE OF RIGHT TO REQUEST TAX NOTIFICATION FORM 1095-B 

        In accordance with IRS Notice 2019-63, this notice is intended to provide you with information related to obtaining a copy of your IRS Form 1095-B from the Northwestern Ohio Plumbers and Pipefitters Healthcare Plan (the "Plan"). Form 1095-B provides you with information about your healthcare coverage, including who was covered, and when the coverage was in effect.

        You may request a copy of your Form 1095-B from the Plan via email, phone, or written request.  The Plan will mail you the form within 30 days of receiving your request. Please include your name and address in your request. The contact information to submit a request for Form 1095-B is:

         Northwestern Ohio Plumbers and Pipefitters Healthcare Plan, 7570 Caple Boulevard, Suite B, Northwood, Ohio 43619

        419.662.1388

        Email Address: welfare@ualocal50.com 

        DID YOU KNOW YOUR PLAN HAS EXCLUSIVE PRICING FOR JOINT REPLACEMENT?

        FrontPath, in partnership with the Joint Replacement Surgeons (‘JIS’) and White Fence Ambulatory Surgery Center (‘White Fence’) in New Albany, Ohio, provides FrontPath Members exclusive pricing arrangements and preferential scheduling for their surgical services.
         
        In order to access this exclusive savings opportunity, FrontPath Members’ Plan Participants must contact FrontPath Health Coalition (before seeking care) directly at 419-891-5206, option 5 to allow the Preferred Scheduling process to start. The folks at FrontPath and JIS will take it from there.  Keep in mind, that without simply making this quick & easy call, the additional savings and preferential scheduling opportunities could be lost.

         http://files.constantcontact.com/7e5b76ae001/8ff4608c-da66-489c-9caa-98d5291e8f20.jpg
        FRONTPATH HEALTH COALITION | 12875 ECKEL JUNCTION RD | PERRYSBURG | OHIO | 43551

        NEED SUPPORT FOR EVERY DAY ISSUES IN YOUR WORKLIFE OR HOME?  

        SupportLinc - www.supportlinc.com
        Username:  nwopp50
        Password:  linc123  
        Hot Line 1 888 881 5462 
         24 hours a day - 7 days a week 
           
        Your healthcare Plan has an Employee Assistance Program, otherwise known as a behavioral health program.  This is administered by CuraLinc Healthcare.  This valuable benefit offers confidential, professional assistance for problems of concern to you and your immediate family members.  Your benefits through the SupportLinc include (but are not limited to) the following: 
         
        Short Term Counseling
        Legal Services
        Financial Services
        Dependent Care Referral Services

        In addition to in-person and telephonic services, a wide array of resources are available to you on the SupportLinc website.  Through this site, you and your family will have access to thousands of articles, tip sheets and videos covering a wide array of behavioral health and work-life topics. The site also contains child and elder care search engines, reference libraries, legal and financial resources, self-improvement programs and educational training modules. All requests for information or assistance through the program are a part of your benefits package, and held in strict confidence.  

        EMAIL ADDRESS FOR BENNY CARD AND SCRA CLAIMS

        Effective immediately you can submit your Benny Card substantiation documents and claims for your Supplemental Credit Reimbursement Account (SCRA) via e-mail to welfare@ualocal50.com

         


      • How do I add a new child or spouse as a dependent?
        If you acquire a new dependent from marriage, birth, adoption or placement for adoption, the dependent may become enrolled in the Plan as an eligible dependent if the Benefit Office is notified in writing within 30 days from the date of the marriage, birth, adoption or placement for adoption.
         
        If you do not notify the Benefit Office in writing during the 30-day Special Enrollment Period, coverage for your dependent will begin when you notify the Benefit Office in writing that you have acquired a dependent from marriage, birth, adoption or placement for adoption.  However, the coverage under the Plan will only be effective from the date the Benefit Office receives your written notification, NOT from the date of marriage, birth, adoption, or placement for adoption.    
         
        When do I become eligible for health benefits?
        You will be initially eligible for benefits beginning the month following the work month in which you completed the 160th hour worked in Covered Employment during two consecutive months.  
         
        What is a Plan Year?
        A Plan Year is a consecutive 12-month period running from January 1st to December 31st. The Fund uses Plan Years to determine many matters relating to the Plan.  
         
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