 Category
|
Questions |
| Dental |
How
do I find a dentist covered under my plan? |
|
NNEBT does not
have a participating provider network for dental benefits.
You may see any licensed dentist in your area. Please
consult the Dental Fee Schedule for the maximum
fees NNEBT will pay.
|
Disability |
I
was injured at work, can I collect Short Term Disability
through NNEBT? |
| |
No, you have
to contact your employer to file a workers compensation
claim.
|
Eligibility |
My
dependent child is over the age of 19 and still a full-time
student. What do I need to do to maintain his/her coverage? |
| |
If your dependent
child is between the ages of 19-23 and a full-time student,
he/she may remain on your plan. The only way this can
be done is by providing a letter of student verification
from the institution they are attending. All members
with dependent children between 19-23 will receive a
letter from Northern New England Benefit Trust outlining
the rules and what process must be followed. See the
Eligibility Section of your Summary Plan Description. |
| |
How
do I add or remove dependents from my insurance? |
| |
You can add
or remove qualified dependents from your plan any time
there is a “qualifying event” (birth, death,
marriage, divorce, loss of other coverage) or during
your employer’s open enrollment period. You should
contact NNEBT’s enrollment department and we will
send you the appropriate forms to add or remove your
dependent. You should also notify your employer of the
change.
|
Medical |
I
received an Explanation of Benefits that I believe is
incorrect. What should I do? |
| |
You may contact
your healthcare insurance company by calling the Member
Services Number on the back of your medical card. A
customer representative will review the EOB (Explanation
of Benefits) and advise you as to how and why the charges
were processed. In some cases, the medical provider
(doctor’s office) may have to be contacted to
review the claim that was submitted to the insurance
company.
|
Pay-In Notices |
When
will I become eligible again if I do not pay my Pay-In? |
| |
If you choose
not to pay in, your coverage will terminate on the date
indicated on your pay-in notice. The only way you can
be reinstated once your coverage terminates (and the
final due date for the pay-in option has passed) is
by satisfying the minimum required hours in a future
Employment Period (see below for the schedule). If you
fall short of the minimum hours in the next period,
you will remain ineligible until such time as you meet
the required minimum hours according to the schedule
below. Please note: there is no pay-in option for reinstating
your coverage once you allow your coverage to terminate
so it is possible that you could remain ineligible for
an indefinite period of time if you continually work
fewer than the minimum required hours (see your Plan’s
eligibility rules for minimum hours).
Employment Period:
August / September / October
Covered Period: January / February
/ March
Employment Period:
November / December / January
Covered Period: April / May / June
Employment Period:
February / March / April
Covered Period: July / August / September
Employment Period:
May / June / July
Covered Period: October / November
/ December
|
Prescription |
Which
card do I use for prescriptions? |
| |
You should present
your AdvancePCS or Caremark card to the pharmacy to
fill a prescription. |
| |
Why
can I only receive a 30 day supply of a medication at
my local pharmacy? |
| |
You may receive
a 90 day supply through TeamstersCare Pharmacy(TCP)
mail order program. Please refer to your SPD for details.
|
Vision |
How
do I find out if enough time has passed for me to get
new glasses or contacts? |
| |
Contact Davis
Vision directly to find out when you will be eligible
to receive your vision benefit again. You can either
call Davis
Vision at (800) 999-5431 or log on to their website
at
http://idoc.davisvision.com/davis/public/default_home.htm
|
General |
Who
do I notify of an address change? |
| |
You should call
NNEBT to report an address change. NNEBT will then update
the various other vendors (Cigna, Blue Cross, Davis
Vision, etc.). |
| |
I
wish to change my primary care physician? What do I
need to do? |
| |
You
may change your primary care physician by calling the
number on the back of your medical card or going on-line
with either:
Cigna Healthcare
(http://www.cigna.com/)
or
Blue
Cross Blue Shield of Massachusetts
(http://www.bcbsma.com/common/en_US/index.jsp). |
Frequently Asked Questions