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
COVID-19 Home Test Kit Coverage through the Welfare Plan
Effective January 15, 2022 Active and Early Retirees ONLY
In response to the Biden Administration directive requiring group health care plans to provide coverage for over the counter (OTC), in-home COVID-19 diagnostic tests, the Northwestern Ohio Plumbers & Pipefitters Welfare Plans have taken the following steps:
Beginning January 15, 2022, participants can obtain their FDA approved OTC at home tests under the Optum Rx pharmacy benefit with ZERO out of pocket cost. Currently, ONLY Rite Aid, Walmart and Sam’s Club pharmacies are equipped to handle these point of service claims. Optum Rx is expecting to expand this preferred pharmacy network in the coming weeks, details will be provided as soon as they are made available.
As an alternative, you may purchase FDA approved OTC at Home COVID-19 tests at any pharmacy and request direct member reimbursement from Optum Rx. Forms are available at www.optumrx.com and the Benefit Office. Tests purchased at other pharmacies will be reimbursed up to $12 per test. If you order your test kits on-line, shipping costs will not be reimbursed.
To summarize:
· Use your Optum Rx Card at any Rite Aid, Walmart or Sam’s Club pharmacy to purchase your OTC COVID-19 test kit with $0 member out of pocket.
· Submit receipts for OTC COVID-19 test kits purchased at other pharmacies to Optum Rx for direct member reimbursement.
· Regardless of the method, a limit of 8 tests per covered individual, per month will be allowed.
FREE COVID-19 Home Tests through the Government Effective January 19, 2022
Every
home in the U.S. will have the ability to order four at home COVID-19 tests at www.COVIDtests.gov, beginning January 19, 2022. These tests are FREE with no shipping costs
and no credit card number required.
Tests are expected to ship within 12 days of being ordered
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.
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.
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 CounselingLegal ServicesFinancial ServicesDependent 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.