UpstateNYUPSer(Ret)
Well-Known Member
You will have some adjustments to make. Sorry.
Call TeamCare 800-323-5000
- Thread starter UPS Joe
- Start date
You will have some adjustments to make. Sorry.
Catatonic
Nine Lives
For controlled Rx like this, you fill locally with no problems on my part (so far).
balland chain
Well-Known Member
My union health care with Central states sucks... We do not get mailings stating bennies are getting better.. We get the bills in the mail from CS because they do their best to NOT pay claims... Another issue, we poor suckers who are already in CS, WILL NOT GET the enhanced bennies that all the UPSers who will be coming into CS.. That is cow crap !!!! We have been screwed for so long with CS and now other UPSers will get better bennies than us ???
balland chain
Well-Known Member
you have to go to CVS to fill or you will pay I think 40%, at cvs it is 20% at least for us in the CS plan now
RealPerson
Well-Known Member
They just opened a CVS 2 weeks ago in my town, guess I am Lucky???
GameCockFan
Well-Known Member
You just continue to pull things out of your ass don't you. So your premise is we will all be in the same plan with UPS paying the premiums and were going to get different coverage? You have not made one positive post ever. Worst of all you always seem to be wrong.
GameCockFan
Well-Known Member
Again not true. You can fill non maintenance meds at any pharmacy you want, except for Wal-Mart. For maintenance meds you must use CVS Caremark and receive through the mail with a 20% co-pay with a maximum out of pocket expense of $200. You can also get it filled at CVS through auto refill service for same 20% co-pay. You must also get a 90 supply. If you don't then your 1st 2 fills will be at 20% but after that it goes up to a higher co-pay(30% I believe). I can get a 90 supply through caremark for the same price as a 30 day supply if you can follow instructions.
Catatonic
Nine Lives
Agreed.
I have been using Publix since Jan 1 with CVS Caremark as the approver.
No problems with co-pays being different from MEDCO.
Only changes I have noticed is that UPS changed the approved list and added a new level of Non-Preferred Brand with a higher co-pay. This is all UPS and not Caremark.
I had to change 3 prescriptions that were no longer on the approved list.
THIS IS RIDICULOUS compared to OUR current plan that charges us $5.00 or NOTHING for prescriptions. YOU may feel lucky enough to pay 20% or even 30%, but "WE" feel differently. WE DEMAND TO CONTINUE PAYING what we are currently paying.
WE are voting NO!
Peace
TOS
EASY MONEY 101
Member
vote no ! You dont have to accept a waterdown version of what you previously had!
Send this back to be re-negotiated!
Send this back to be re-negotiated!
upswife75
Well-Known Member
I can't speak to all of it since I don't know what the benefits are through the company plan, but this is incorrect. X-rays, MRI, CT Scans and labs are all paid at 100%, as long as you use US Imaging for radiology and Quest Diagnostic for labs. Not sure about Quest, but I know with the radiology part, you just call the number on your insurance card and they set up everything for you.
upswife75
Well-Known Member
Not anymore. Central States now has no maximum. They just paid every last bit of my son's root canal and subsequent crown, which was more than $1500.
upswife75
Well-Known Member
Caremark does require a 90 day for recurring scripts, UNLESS it is for a controlled substance that can only be filled 1 month at a time.
Catatonic
Nine Lives
Correct or a one-time Rx for a non-recurrent medical condition (ie. - you get sick).
My wife got the flu and Caremark paid for Rx at Publix at normal co-pay rates.
saintrick
Well-Known Member
There is no need to call. The current SPD is on the CS website.
This is the current plan if you believe enhancements will be made take that into account.
https://mycentralstatespension.org/
Also the new teamcare website is online. I can get it to load sometimes others it is not available.
https://www.myteamcare.org/
This is the current plan if you believe enhancements will be made take that into account.
https://mycentralstatespension.org/
Also the new teamcare website is online. I can get it to load sometimes others it is not available.
https://www.myteamcare.org/
What the heck is this provision suppose to mean ??
4.13 EXCLUSION OF PAYMENT FOR ROUTINE PHYSICAL EXAMINATIONS
Except as otherwise provided in this Plan, a Covered Individual shall not be entitled to payment for any charge incurred in connection with routine physical examinations, including diagnostic procedures.
4.13 EXCLUSION OF PAYMENT FOR ROUTINE PHYSICAL EXAMINATIONS
Except as otherwise provided in this Plan, a Covered Individual shall not be entitled to payment for any charge incurred in connection with routine physical examinations, including diagnostic procedures.
What the heck is this about?
8.05 PAYMENTS TO PERSONS WHO HAVE FAILED TO INFORM THE TRUSTEES OF A
CHANGE OF ADDRESS
If any person who is entitled to receive payment of benefits, in accordance with this Plan, fails to inform
the Trustees in writing and by registered mail of a change of address, and if the Trustees are unable to
communicate with such person at the address last recorded by the Fund, and if a letter sent by registered
- 41 -
TM:512840 / 05094020 / 01/01/2013
mail from the Fund to such person is returned because it is not deliverable, all payments due such person shall be held without interest until a claim has been received and approved by the Trustees.
8.05 PAYMENTS TO PERSONS WHO HAVE FAILED TO INFORM THE TRUSTEES OF A
CHANGE OF ADDRESS
If any person who is entitled to receive payment of benefits, in accordance with this Plan, fails to inform
the Trustees in writing and by registered mail of a change of address, and if the Trustees are unable to
communicate with such person at the address last recorded by the Fund, and if a letter sent by registered
- 41 -
TM:512840 / 05094020 / 01/01/2013
mail from the Fund to such person is returned because it is not deliverable, all payments due such person shall be held without interest until a claim has been received and approved by the Trustees.
Oh oh.... some of you may want to see this EXCLUSION!
NON COVERED prescription drugs.... section
(9) Any drug or medication for enhancing sexual function, including but not limited to Viagra;
NON COVERED prescription drugs.... section
(9) Any drug or medication for enhancing sexual function, including but not limited to Viagra;
From the NON COVERED list under TEAMCARE....
(5) Recreational, vocational, financial, educational, family or marital counseling;
(5) Recreational, vocational, financial, educational, family or marital counseling;
