1. What
doctors are covered by the medical plans?
A. The
Nelson Trust has selected Premera Blue Cross as your medical plan service
provider. Premera offers you access to a large provider network. The plan provides higher benefits when you
see a provider in the PPO network. To locate a PPO provider please refer to
Premera’s website for the most current list of PPO providers.
2. What
dentists are covered by the dental plans?
A. The Plan
makes Moda Health available to you for receiving dental benefits. To locate a
participating dentist in the Moda Health network, please refer to the Moda
website for the most current listing .
3. Are my
dependents covered under my plan?
A. Qualified
Dependents covered under the Plan include:
Your spouse; the person you legally marry under state law,
your (a) dependent children under 26 years of age, and (b) your unmarried dependent
children up to any age provided they are mentally or physically incapacitated
and incapable of self-support continuously since their 19th birthday. The term
"children" includes your natural children, step-children, adopted
children, children placed for adoption, other children dependent upon you for
support, or children who are alternate recipients under a Qualified Medical
Child Support Order.
4. How do I
file a claim?
A. When you
receive care, your doctor's office usually takes care of filing your claim.
However, to ensure your claim is sent to the proper address you must show your
doctor's receptionist or billing department your ID card.
It is important that you ask that they update their computer
records with the claim address information shown on the back of the ID card.
If your provider bills you directly, you'll need to submit
that bill to the carrier for processing.
5. How do I
get a replacement ID card?
A. You may request a replacement ID card by contacting the carrier:
Medical ID card contact Premera
Prescription ID card contact Premera
Dental ID Card contact Moda Health
You do not need an ID card for VSP
You can also contact the Trust Administrator via the Contact Us tab at the top of this page or by calling (800) 811-8853.
6. If I lose
active employee coverage due to reduction of hours, lay-off, leave of absence,
disability, termination or retirement, can I continue health coverage for
myself and family?
A. Yes, you
will be provided the option to continue health coverage for yourself and/or
your dependents under the Active Employee Plan or the Retiree Plan if you pay
the applicable cost of the coverage.
7. How and
when should I apply for retire HealthCare?
A. You
should contact the Trust Administrator 60-90 days prior to your planned
retirement date to see if you qualify for Retiree coverage under the Trust.