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September 22, 2017

Ask for

LAB CORP

When having blood drawn at the doctors office

or

To Locate a Provider

Click Here

It’s your responsibility to inform your doctor!!!

It’s not just for employees!

All participants of the PBC FF’s Employee Benefits Fund are eligible to use the EAP network of over 20 local providers.  Wide variety of counseling services are available, and the best part…………

It’s absolutely

100% confidential

Call Ellen Flaum, Administrator of the EAP @ 561-968-1505 to get started today.

EAP PROVIDER LIST

EAP Webite

Newborn

Cord Blood (Stem Cell)

Benefit

Adult Stem Cell

2017 Medical/Dental Plan Changes
Posted On: Jul 31, 2017

New Medical and Dental

ID Cards are in the

Mail to all Members

  

Every member in the medical and/or dental plans will be getting new ID cards. One card each for Medical and Dental.

Your Medical card should list the member and each dependent and show coverage as Med/Vis. Your new Dental card will only show the Member name. The Dental provider will confirm dependent participation when the card is presented.

Changes made to the new medical cards include a new color for 2017. Please make sure that after December 31 you use your new tan colored medical, vision and pharmacy card and throw out the old Medical card that had dental on them.

  

A new separate dental card will be issued from United Health Care. The new UHC dental plan will start January 1, 2017. We will no longer be affiliated with Dentemax. 

  

Should you need more than the two cards that are mailed to you, please log into your account and request a new card. They are issued in sets of two (2).

 

www.umr.com for Medical Cards
www.myuhc.com for Dental Cards
  
  
(new medical card example)
  

 

New Dental Plan information below PLEASE READ CAREFULLY 

 

Medical & Dental Plan Changes for 2017

Medical Plan

  • No Premium Changes for 2017

  • Specialist Office Visit Co-Payment Reduced to $40

  • Prescription Drug Co-Pay’s reduced as follows:

    • Generics reduced to $15 30 day retail, $30 for 90 day supply mail order

    • Formulary Drugs 10% cost share, $50 minimum-$100 maximum (30 day retail)

    • Non-Formulary Drugs 10% cost share $100 minimum-$200 Maximum (30 day retail)

  • Coordination of Benefits for individuals that have more than one medical insurance policy, changes from 100% coverage to same as normal Plan design. Medicare excluded.

  • Out-of-Network Deductible increased to $6,000 individual $14,000 family.

Dental Plan

    

The Board of Trustees has decided to change the current Dental Plan to a United Health Care Dual Option PPO/HMO Dental Plan in order to give the members choices for their dental insurance coverage.

 

Everyone will still have the opportunity to continue with the same dental coverage (similar but different network) as we currently offer, but you will also have the choice to elect a less expensive dental insurance plan option if that works better for you and your family.

 

Both options will be offered by United Health Care and the Benefits Fund will no longer offer the self-insured plan through Dentemax. It is advised to review the list of participating dentist to confirm that you current providers are in the new network.

  

Members living outside the state of Florida will only have the PPO option.

Prices for both plans are as follows and rates are guaranteed thru the end of 2018:

                                                 PPO Plan

                                         Retiree           Pay Period

Employee                          $45.61              $21.05

Employee & Spouse         $96.05               $44.33

Employee & Child(ren)     $120.39              $55.56

Employee & Family          $161.08              $74.34

  

                                                 HMO Plan  

                                        Retiree           Pay Period

Employee                         $12.20               $5.63

Employee & Spouse        $21.34                $9.85

Employee & Child(ren)     $26.42             $12.19

Employee & Family          $33.54             $15.48

   

New Participating Dentist Lists along with specifics on each plans benefits below.

  

UHC customer service for dental: 877-816-3596 Plan ID #1095410 for both plans.

 

HMO Welcome Guide

HMO Plan

HMO FL Network

HMO Search by Zip Code Click on product "Dental" then plan "S700B-SHP. Add the specialty looking for, zip code and how many miles.

 

PPO Welcome Guide

PPO Plan

PPO So FL Network

PPO All FL Network

PPO Search by State Click on Find a Dentist and Use plan "National Options Plan 30"

  

2017 Employee Status Change Form

 

2017 Retiree Status Change Form


Provider Search
Visit www.umr.com/oss/cms/UMR/Choice_Plus_Excl.html!

Visit www2.dentemax.com/Members/FindADentist.aspx!

Click Find a dentist:

For PPO Click "National Options Plan 30"

For HMO Click Solstice Plan "S700B"

Account Login

AFLAC Claims

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