Can't tell you the last time I went to the doctor. Well, I'll enjoy it while I'm young.
Can't tell you the last time I went to the doctor. Well, I'll enjoy it while I'm young.
A lot of fallacies here. There's very little difference between TeamCARE and the former UPS-administered plans. Most of the complaints, including the OP's, aren't because "TeamCARE stinks" but rather the fault of your health care provider improperly keying the billing. Some are use to the old UPS-administered plans, but for them to go back and re-key it is a very minor inconvenience and doesn't cost you a thing.
Some of your other points were discussed in another recent thread. There's absolutely no change in implant coverage -- UPS/IBT only covers them when deemed medically necessary, with a high threshold (e.g. you lost all of your teeth and are being fitted for dentures) required for both. Almost no insurance nationwide covers implants -- health care providers charge $4000 to insurances but typically accept $1000 cash for them.
And I get flu shots every single year; my UPS-administered plan always billed me by $10 co-pay. No change here.
This would've changed even if UPS continued to administer our plans. ER visits are much more costly than those to the doctor or urgent care -- often billed at $600 at the ER compared to $60 at your doctor. Many PTers utilized ERs extensively to save the $10 co-pay, ultimately costly UPS a ton of cash. UPS was not pleased with this.
You also go to the ER because you need to and can't wait to see your GP.We have a $100 ER co-pay which is intended to have us seek non-emergent health care elsewhere.
You also go to the ER because you need to and can't wait to see your GP.
That's a realistic issue you left out.
How do you know what UPS would've done with specific coverages? We never got that option.
It is what it is.
im happy with my insurance, had a coworker tell me that a family friend was paying $200 a month for her "insurance" well her son
gets his nose broken during a game and "insurance" wont cover it and want her to pay a $10,000 deductible before they do anything.
if ur wondering hes been walking around with a broken nose for a week now.
Unless you signed a waiver.You didn't specify but I assume that her son's injury occurred during a school sanctioned sporting event---if this is the case, her son's injury should have been covered in part by the school's policy.
Going to the ER with a nonemergency injury is wasteful unless you're out of town with no urgent care clinic available and the treatment can't wait until you can get back to your GP....which is why I added the "non-emergent" part...we had guys going to the ER with health issues that clearly could have waited until the following day...ever since our local added the co-pay our ER costs have gone down dramatically...
In my area, healthcare choices are limited, especially after 8 pm, to the ER and Fast Track, which is the clinic portion of our ER. The co-pay is $100 for either option while it is only $10 for a doctor's office visit.
Going to the ER with a nonemergency injury is wasteful unless you're out of town with no urgent care clinic available and the treatment can't wait until you can get back to your GP.
You also go to the ER because you need to and can't wait to see your GP.
That's a realistic issue you left out.
How do you know what UPS would've done with specific coverages? We never got that option.
It is what it is.
And I get flu shots every single year; my UPS-administered plan always billed me by $10 co-pay. No change here.
Bagels
Most people I know avoid the ER.
Why would your co workers go for a cold and pay a $25 copay (under the UPS plan) when they could see their PCP for $10?
Flu shots for adults are not covered by Teamcare.
They brought flu shots to our building. Cost was $15.00.Like I said, no one knew where UPS healthcare would settle in benefits.The former UPS-Administered plan for PTers:
"Paid at 100% within 72 hours of accident or hospitalization; otherwise $25 copay."
I know of plenty of PTers who used the ER as their PCP/GP because they did not have to pay the $10 co-pay required of the latter. Hospitals are still a business, and if you bring your sick child showing mild symptoms of a cold in many will be more than happy to key it as an emergency rendering full payment. I've never been to a ER -- thankfully I've never had a true emergency and my family is so acquainted with my doctor that he prioritizes my (rare) visits -- but I have no reason to doubt the countless stories I've heard of no co-pays at the ER. Especially given how many of these people are now p'd off at TeamCare.
It looks like you're right -- I assumed it'd be covered under the wellness program, but it appears it's excluded. I get mine free from school (which seeks reimbursement from my insurance ... UPS would always reject the claim though) so I don't really know. Most community health departments offer flu shots for less than $10, and Costco is only $15, so not really that big of a deal.
And if costs increase to members in the future we're gonna have to deal with it. Griping about it now is seemingly a waste of time.
Yep. "Generally" is the key word.Company contributions generally increase every year and a properly administered plan should be able to absorb rather than pass along increased costs.
Yep. "Generally" is the key word.