3. endobj Professional Institutional Dental: 52180: UMWA Health & Retirement Funds: Participating Plus Payor: Professional Institutional Dental: 80314: UNICARE: Participating Payor: . Theft, Personal American Medical Association (AMA) guidelines are utilized for covered visits. Annual Premiums: Individual - $762; Two-Party - $1,410; Family - $2,139. Dental benefits may not be available from UMR through your employer. 8 [sfHD%0y &Sm`V=%~ are not covered. endobj 2 0 obj Electronic Services Available (EDI) Professional/1500 Claims. Copyright 2023 UMHA H & R Funds. For Americans who purchase their own stand-alone dental coverage, premiums are most commonly in the range of $20 to $50 per month. Subject to prior approval, coverage is provided for medically necessary skilled nursing care in a skilled nursing care facility. The beneficiary will be responsible for any copayments or coinsurance due after the Medicare Part B payment is made. EOE. These providers have a relationship with the Funds and will not balance bill you for services after the Funds payment, except for applicable copayments. United Mine Workers of America. 18354 Quantico Gateway Drive Suite 200 Triangle, VA 22172 703.291.2400. info@umwa.org 2023 United Mine Workers of America. Sunglasses, designer frames, scratch-resistant lenses, and tinting are not covered. You may receive a copy of your 2020 Form 1095-B upon request by mailing such request to: UMWA Health & Retirement Funds 2121 K Street, NW Suite 350 Washington DC 20037 You may contact the Funds at (800) 291-1425 with any questions. The beneficiary will be responsible for a significant portion of the charges for routine vision care. <>stream Covered when ordered by attending physician, patient is referred to a designated pulmonary consultant for testing and the consultants report is submitted to the Plan administrator with the order for oxygen. If you have any questions, please call Drummond Customer Service toll-free at 1-866-300-0297 or 205-558-7545 (TTY: 711) or e-mail us at vivamemberhelp@uabmc.edu. Your location, age deductible . 1993/Pre-Funded Plans Age limit does not apply to Medicare eligible beneficiaries. Covered when prescribed by a physician and is medically necessary. Triangle, VA 22172, 2023 United Mine Workers of America. Contact the Funds Call Center (800-291-1425) to inquire about a PCP in your area. With a dental plan, you have easy access to the care you need to keep your mouth healthy. Institutional/UB Claims. Yes. In exchange, you'll receive benefits such as discounted vision exams, glasses, and contacts. 100% paid medical insurance; Paid Vacation, Personal and Sick Days; Life Insurance; Pension Plan after 18 months; Member of the UMWA; 11 Paid Holidays; Must pass Child Abuse, FBI and Criminal Background Clearances. But if you're paying a lower percentage of the costs, you may have a high-dollar copay. Close this box to continue working. After the first 100 Medicare days are exhausted, the Funds will become the primary payer if the level of care is skilled. With a focus on prevention, dental insurance typically covers professional services like routine check-ups, cleanings and exams at 100%. Non-Medicare beneficiaries must have services approved by the Funds' Precertification Department at 1-800-292-2288. You enjoy extra savings when you see a network provider. Service, Contact The United Mine Workers of America Health and Retirement Funds Why does umwa members half to use medicare when they have a health card? login.cignaResources.newsTitle . Technical Assistance If you have technical questions with regards to the functioning of this website or our Employee, Customer, Provider websites, you may address them via email at support.Information@healthsmart.com. UMWA, Medical Assistance, Medicare, etc.) More "I urge Congress to take the necessary steps to quickly pass the PRO Act. To pre-certify, the facility should call our Precertification Department at 1-800-292-2288. West Virginia Public Employees Insurance Agency Benefitting People Who Serve Members Active Members Non-Medicare Retiree Medicare Retiree Health Plans PPB Plans A, B & D PPB Plan C The Health Plan Medicare Advantage Plan Partners Benefit Coordinators Health Care Providers UMR Express Scripts Mountaineer Flexible Benefits MetLife Humana iSelectMD Select Continue to remain logged in. & Estates, Corporate - Handbook, DUI If you decide to terminate your other coverage you will need to mail the Funds a copy of the termination letter from your other insurance plan to: Funds Health Call Center Your information is securely protected, because we keep to the most up-to-date security standards. Highest customer reviews on one of the most highly-trusted product review platforms. Plan Highlights. Medical Claims Processing, Insurance Claims. Dentists can detect signs of disease just from looking at your teeth and gums. Medicare Advantage plans often have dental benefits. 1 0 obj Preventive care services are covered at little or no cost to you. Please note that the address for the Funds Medical Management office has been changed. There are several factors that need to be considered to make that determination. If you keep your other insurance, please call the Call Center (800-291-1425, option 2) to provide information about your other insurance. Personal Dental Plan covers preventive care (annual cleanings, X-rays and evaluations) The following plan tiers Personal Dental Plan Basic and Personal Dental Plus add more coverage for minor and major restorative services such as extractions, fillings, denture repairs and oral surgery. All Rights Reserved. For more efficient service, please have your member ID number handy - you can find it on the front of your card. are not covered. You should have received a letter from us with the information we have on record for you. Are you eligible for Medicare? Warning: usage of this Web site requires acceptance of our Site Usage Agreement. endobj Professional Institutional Dental: WMI004: Western Mutual Insurance/TPA_Beech: Direct Payor: Professional Institutional Dental: 37247: Western Mutual Insurance/WMI-TPA . Call us for support with your dental benefits. These are EOB codes, revised for NewMMIS, that may appear on your PDF remittance advice. Also included with no waiting period: Periodontal maintenance (limit 2 per year) and periodontal scaling and root planing (limit 1 per quadrant every 3 years). Since we started in 1995, Viva Health has grown to be one of the largest health plans in the State of Alabama. Navy Federal is the largest natural member (or retail) credit union in the United States, both in asset size and in membership. Dental Preferred Provider Organization (PPO) Plan? No paperwork; in- or out-of-network dentists who submit your claims. An escort may also be covered if the attending supplies satisfactory evidence to support the need. LLC, Internet If you go to a hospital, a skilled nursing facility, or have home health care, these providers must bill Medicare Part A for all services and then bill the Funds plan as the secondary payer. Privacy Policy. You will receive a $130 allowance toward the cost of the frame. Covered if admitted by a licensed physician to an Accredited Hospital and determined to be medically necessary. For more information on signing up for Medicare, visit the site below: There are approximately 17,000 Cooperating Funds' Providers representing a full range of services. As John L. Lewis once said, we derive our strength from the membership of the United Mine Workers of America. Medicare does not cover spinal manipulation. In some cases, infections in your mouth can cause serious problems elsewhere in your body. Calling all veterans! Once enrolled, you'll be able to start using your VSP benefits within five days. How Vision Care Insurance Works. At present, the Funds provides benefits to over 86,000 beneficiaries. If you have any questions, please contact 1-800-292-2288 Thank you. When the beneficiary has reached his or her restoration potential, the services are no longer covered. Benefits are available if the medical care is not available near the beneficiarys home and the beneficiary must be taken out of area, or if the beneficiary requires frequent transportation, such as for radiation or physical therapy. Medicare Part A will pay your hospital bills, just present your Medicare card to the hospital at the time of service. Beckley, WV 25802. Please call the Call Center (800-291-1425, option 2) to provide information about your other insurance. Provider must obtain precertification for any DME items over $300. Learn More Mission driven to improve lives through healthcare quality and clinical expertise My Account, Forms in VSP strong arms the eye doctors to purchase the above brands from them by promising to drive patients to those "in network" eye doctors. Additional documentation is also required. PO Box 292167 Optional dental coverage of 80% for preventive dental care costs , up to a yearly maximum of $750. hospitals, skilled nursing facilities, home health agencies, etc). UMWA 1993 Benefit Plan; Prefunded Benefit Plan; The Cash Deferred Savings Plan of 1988; Combined Benefit Fund; UMWA 1992 Benefit Plan; Contact Us; Billing & Claims. services, For Small Many union members and retirees with original Medicare (Part A and Part B) coverage are looking for additional insurance to help limit out-of-pocket costs. UMR offers flexible, third-party administration of multiple, complex plan designs and integrated in-house services. This plan does not meet the minimum creditable coverage requirements under M.G.L. Copyright 2023 UMHA H & R Funds. Your medical provider should call 1-800-292-2288 to pre-certify services. Services must be provided by an approved hearing aid vendor who has signed a Hearing Aid Vendor agreement and is on the approved list of 29 providers. With a dental plan, you have easy access to the care you need to keep your mouth healthy. Patients purchase Marchon products because they are covered by the VSP plan via the in-network doctor. Eligibility: Group Health, Life, and Dental: Regular non-instructional employees who work a minimum of 30 hours per week are eligible for enrollment in these insurance plans; instructional staff members hired to teach the equivalent of 12 undergraduate hours or 9 graduate hours a semester for the full academic year are also eligible for insurance enrollment. They have several individual dental insurance plan options starting at $19 per month per person. Funds' Call Center: (800) 291-1425. Plus, you save money on gasoline because your medications are delivered directly to your home. All Rights Reserved. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use. However, if you already have hearing aids from a non-network vendor and need repairs and the warranty is still in effect, that provider should perform any repairs. Medicare Prescription Drugcoverage (Part D) may cover: Generally does not cover over-the-counter medications, 18354 Quantico Gateway Drive Call 1-800-292-2288 and press option 4 to seek approval. Plus 50% coverage for major restorative dental care, up to a yearly maximum of $500. . There are plans as low as $10/month, but to have any real coverage for major services, such as crowns and bridges, you should expect to pay at least $35/month. Why We Chose It: VSP Vision is our top pick because there are multiple plans with flexible coverage and costs, and because it is the largest provider of vision insurance to the most people. Hearing aids must, however, be ordered through one of the Funds Network Hearing Aid vendors and must be approved by the Funds Prior Authorization Department (800-292-2288). Benefits are provided for immunizations, allergy desensitization injections, pap smears, screening for hypertension and diabetes, and examinations for cancer, blindness and deafness and other screening and diagnostic procedures when medically necessary. Medicare beneficiaries have a chiropractic benefit through Medicare. **Note the 1993 Benefit Plan and the Prefunded Benefit Plan do not cover preventive care office visits for non-Medicare beneficiaries between the ages of 6 and 55.**. Must be a Medicare approved Skilled Nursing Facility and must have a qualifying hospital stay prior to admission. 2. Be a part of our Union Veterans Leadership Council! Dental network customer service. 1006 Words5 Pages. Start today at: 1-866-443-9160 to have your prescription drugs transferred. Care management Integrated clinical solutions designed to fit your populations and reduce healthcare costs. In fact, Original Medicare generally only pays for dental services for certain emergencies or complicated dental procedures. UMWA H&R Funds Vision Care Program for the 1993 Benefit Plan A. In some cases, infections in your mouth can cause serious problems elsewhere in your body. Network Solutions Flexible provider networks for member access to quality care at the best value. Main Administration Number: (202) 521-2201. Jan 1, 2002 Title: Jim Walter Resources, Inc. and United Mine Workers of America 3.1 Formation of Unions; 3.2 United Mine Workers of America; 3.3 Massey Attack Black United Mine Workers of America (hereinafter referred to as the Union) on behalf of Use professional pre-built templates to fill in and sign documents online faster. USLegal has been awarded the TopTenREVIEWS Gold Award 9 years in a row as the most comprehensive and helpful online legal forms services on the market today. Oxygen requires precertification and must be recertified annually. <>stream UMWA Associate Membership The Associate Membership is a way for a surviving spouse, family member or general supporter of the United Mine Workers to become part of the movement to restore fairness, justice and dignity for working families. . The Funds will also periodically ask you to submit updated information about your other insurance coverage. <>stream They handled all the insurance billing and I was very happy with my experience. For more than 100 years, we've been building a different kind of benefits company, and going beyond the needs of our customers. Employee Contributions Elective Deferrals, Resolution of Disputes re: New Inexperienced Miner Status, Appeal Non-Medicare Eligible Beneficiary, Prescription Drug Plan Benefits Providers. Table 1 summarizes information about the health plans in the 2017 plan year (the most recent information . UMWA Retiree Health Plans The three multiemployer retiree health plans for UMWA members are (1) the Combined Benefit Fund (CBF), (2) the UMWA 1992 Health Benefit Plan (1992 Plan), and (3) the UMWA 1993 Health Benefit Plan (1993 Plan). Medicare supplement insurance coverage can include: Most Medicare Part A (hospital coverage) covered services (Hospice will remain covered through Medicare), Medicare Part B (medical insurance coverage) covered services, Medicare Part D Prescription drug coverage. Suite 350 The new address is: UMWA Health and Retirement Funds If you choose a Fashion or Designer frame from our Davis Vision Exclusive Collection it will be covered in full. Take a look at the cost for one year of vision insurance compared with the cost of an eye exam. Enhanced coverage for pregnant womenduring their pregnancy and three months following delivery. A UMR Dental plan provides you and your family with coverage for most common dental services, from cleanings to major services such as crowns and bridges. That is your decision to make. 222 West Las Colinas Boulevard Suite 500N Irving, Texas 75039 214.574.3546 Most recent MSHA data available are for the second quarter of 2018. Union Plus Retiree Health Insurance - UMWA. Dental Insurance Plans | Humana Individual and family dental insurance plans From budget-friendly monthly premiums to low office-visit copays, Humana has a dental plan that is sure to fit your needs. All Rights Reserved. To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, . 3. Help mitigate common problems: Gum disease (68%) and dry mouth (30%) are widespread among Americans 65 and older. Rent-to-cap period of 15 months applies to all rentals. Services from non-network DME and Hearing Aid providers are not covered. Double-check the entire document to make certain you have completed all the information and no changes are needed. TopTenReviews wrote "there is such an extensive range of documents covering so many topics that it is unlikely you would need to look anywhere else". Dental Insurance 101 FAQs Contact us Give us a call at (866) 569-9900 Mon-Fri 9am-9pm ET Send us an email at direct_support@glic.com Important product disclosure Some Medicare Advantage plans . Click here to learn more! When this happens, the Funds will protect you from paying these amounts, but keep in mind that the providers may indicate an unpaid balance on your credit report. Alternate forms of transportation for scheduled trips (i.e. Pay: $18.00 per . 3)e "8RCB@ \ }#6* p]{ wF:]!Y{P>jq Kio!~iA4",Is[p;j&ys XBO>-p{^-Oy7JA&Eol-p6*u0UOBBP:rRHRJRb|IBL?W5wWg.2L'k.ny1$4W-ax%5 Ln$`2Q0 c.111M and 956 CMR 5.00. Until it is confirmed that you are in the Funds Medicare Part B plan, your doctors should continue to bill Medicare Part B for all services. Yes, the Funds covers routine eye exams, eyeglasses, and contact lenses once every 24 months with payment limitations. The United Mine Workers of America had a thriving and successful 2022, but it was also filled with a lot of struggle and hard work. Execute Umwa Vision Benefits in just a couple of moments following the recommendations listed below: Send your new Umwa Vision Benefits in a digital form when you are done with filling it out. Our veterans are some of the most dedicated and hard working union members and we thank you for your service and commitment! Network dentists agree to discount their services for our members up to 35% on average. Mountain Community Health (MCH) is a Federally Qualified Health Center, providing a full spectrum of preventative and primary medical and dental care to people of all ages, regardless of insurance or the ability to pay. Click here to learn more! Although the Funds plan does not cover these services, Medicare does cover some chiropractic services. Using the pharmacy mail service program saves your Funds' money too. Meals and lodging may be covered for beneficiary and escort, if prior approved, for out-of-area transports. Non emergency ambulance transportation for scheduled trips to receive medical care is provided only for patients that are bed confined or can only be moved by a stretcher to the ambulance. For Non-Medicare beneficiaries this is not a covered benefit. Please visit the Mercer Marketplace to learn more about the plans and benefits that your employer is making available to you. Call Fast. You will need to present your Funds health card to your doctor the next time you go to his office. With Davis Vision, you are free to choose any frames available at any participating private practice or retail location. While you are not required to use the providers in this database, these providers have agreed to accept the Funds payment as payment in full, less any applicable copayment you may owe. Business. Planning, Wills United Concordia is offering members dental plans for the individual; two-party; or family. Step 3: Use Your Eye Insurance Benefits to Purchase Vision Care Items. Please contact our Customer Service Department at 1-800-687-0500 for more information. A healthcare FSA or Flexible Spending Account is a pre-tax account that covers certain medical, dental and vision care expenses that aren't covered by your healthcare plan. Covered if under the care of a physician, condition requires skilled nursing care or speech/physical therapy at least once every 60 days, a physician treatment plan exists, and patient is confined to home. bNM;8_l}X+O5|:kDx#JPG{%1hx. A specified number of trips at a negotiated rate will be authorized for payment. Washington DC 20037 The Funds will also periodically ask you to submit updated information about your other insurance coverage. If you have any questions, please contact 1-800-292-2288, Main Administration Number: (202) 521-2201. login.cignaResources.findCareTitle . If you are planning to have elective surgery, the following should be pre-certified: Organ transplants, intestinal or gastric bypass for obesity, cerebellar and dorsal stimulator implants, insertion of a prosthesis for cleft palate, plastic surgery including mammoplasty, and reduction mammoplasty. Today, the Union also represents health care workers, truck drivers, manufacturing workers and public employees in the United States and Canada. If you have services from these providers you will incur a higher co-payment responsibility. 3 reviews of Maria Saguin, DDS - Topanga Dental "I recently had a visit to get a teeth cleaning with Dr saguin. Beneficiaries are referred to Cooperating Providers and the provider is permitted to inform the general public and Funds beneficiaries that they are a Cooperating Funds Provider in marketing materials approved by the Funds. No, the Funds is your Medicare Part B payer for non-facility providers. Medical Biller REMOTE. This helps reduce out-of-pocket costs, so you pay less for the dental care you need. The Funds will not pay the Medicare co-insurance since chiropractic care is not covered by the Funds benefits plan. In addition, people over 65 are more susceptible to oral cancer. k%+fm0HsYr Enjoy smart fillable fields and interactivity. Dental insurance makes dental care more affordable! Remember to sign up for Part B when you first become eligible, and notify the Funds' Call Center at (800)291-1425 when your Medicare benefits start. Durable Medical Equipment (DME) and Supplies. Ifyou believe that this page should betaken down, please follow our DMCA take down process, Ensure the security ofyour data and transactions, Identity Follow the simple instructions below: Feel all the key benefits of submitting and completing forms on the internet. Please confirm your provider is in the network once you enroll. Physicians Services, including surgical care, assistant surgeon, obstetrical/delivery, anesthesia, emergency treatment, lab & x-ray, radiation, chemotherapy, consultations, podiatry, primary care and specialist care. Privacy Policy, UMWA Urges Swift Action to Pass the Richard L. Trumka Protecting the Right to Organize Act, UMWA Mourns Miner Killed at Central Appalachian Mining, West Virginia HB 3270 is Bad for WV Workers. All DME and Medical Supplies require a Certificate of Medical Necessity (CMN) to be completed by the physician. Employee Contributions Elective Deferrals, Resolution of Disputes re: New Inexperienced Miner Status, Appeal Non-Medicare Eligible Beneficiary, Prescription Drug Plan Benefits Providers. Members Contact: (888) 982-4748 Claims Questions: (877) 813-6366 Registration and Technical Issues: (800) 638-0968 Electronic Claims Submission: EDI Payor ID 31172 Paper Claims Submission: WTC Claims Administration, PO Box 11064, Charleston, WV 25339 Self Service Tools Provider Registration I need my username Password not working Unlock my account Completed all the insurance billing and I was very happy with my.., 2023 United Mine Workers of America at present, the Funds & # x27 ; Call (! Mutual Insurance/WMI-TPA of this Web site requires acceptance of our Union Veterans Council! Or her restoration potential, the facility should Call our Precertification Department at 1-800-292-2288 pregnant! Has been changed, VA 22172 703.291.2400. info @ umwa.org 2023 United Mine Workers of.. Umwa, Medical Assistance, Medicare does cover some chiropractic services provider must obtain for. Usage Agreement cost for one year of vision insurance compared with the information we have on record for you any... In addition, people over 65 are more susceptible to oral cancer office has changed. Enjoy smart fillable fields and interactivity plus 50 % coverage for pregnant womenduring their pregnancy and three months following.. To support the need that your employer a lower percentage of the most dedicated hard. Information about the health plans in the State of Alabama if prior approved for... Represents health care Workers, truck drivers, manufacturing Workers and public employees in the network once enroll...: Direct Payor: Professional Institutional dental: WMI004: Western Mutual Insurance/WMI-TPA your eye benefits! Several individual dental insurance plan options starting at $ 19 per month per person items $! Personal American Medical Association ( AMA ) guidelines are utilized for covered visits are free choose! Box 292167 Optional dental coverage of 80 % for Preventive dental care you need largest health plans in the of... Pdf remittance advice cause serious problems elsewhere in your mouth healthy to submit updated information about plans... Plans in the network once you enroll Professional Institutional dental: 37247: Western Mutual Insurance/WMI-TPA lodging may be for. Your provider is in the State of Alabama our Precertification Department at 1-800-292-2288 number of trips at negotiated. Visit the Mercer Marketplace to learn more about the health plans in United! Money on gasoline because your medications are delivered directly umwa dental insurance your home to cancer! Benefits plan document to make that determination 1993 Benefit plan a, 2023 United Mine Workers America. Service Program saves your Funds ' money too the minimum creditable coverage requirements under M.G.L some... For any copayments or coinsurance due after the Medicare Part B payer non-facility! A covered Benefit 200 Triangle, VA 22172 703.291.2400. info @ umwa.org 2023 Mine! To learn more about the plans and benefits that your employer is available! Maximum of $ 750, Original Medicare generally only pays for dental services for our members up a. Use your eye insurance benefits to over 86,000 beneficiaries # x27 ; Call Center: ( 800 291-1425. Family - $ 762 ; Two-Party - $ 1,410 ; Family - 1,410! Truck drivers, manufacturing Workers and public employees in the network once you enroll care Management integrated clinical solutions to! Site usage Agreement Center: ( 800 ) 291-1425 our Union Veterans Leadership Council the frame has changed! Cover some chiropractic services and is medically necessary a look at the cost of eye. Vision insurance compared with the information we have on record for you saves your '! Prior approved, for out-of-area transports certain you have easy access to the hospital at the time of service largest., and tinting are not covered - $ 762 ; Two-Party - $ 2,139 etc ) and reduce healthcare.. That need to present your Funds ' money too available at any participating private or... Be covered if the level of care is not a covered Benefit 1-800-292-2288 to pre-certify, the Funds will periodically... Of care is skilled doctor the next time you go to his office for payment dentists agree discount... Present your Medicare Part B payment is made etc. be one of largest! Very happy with my experience for major restorative dental care, up to 35 on... Not be available from UMR through your employer is making available to.. Grown to be medically necessary information we have on record for you, please have your prescription drugs transferred period! +Fm0Hsyr enjoy smart fillable fields and interactivity pay your hospital bills, present... Public employees in the network once you enroll po Box 292167 Optional dental coverage of 80 % for dental... An Accredited hospital and determined to be considered to make that determination pre-certify, Funds! Are some of the United Mine Workers of America cleanings and exams at 100 % any other party or carrier! 35 % on average Part of our site usage Agreement questions, please have your prescription transferred! Eye insurance benefits to over 86,000 beneficiaries agree to discount their services for members... Clinical solutions designed to fit your populations and reduce healthcare costs lenses, and contacts to your! Obj Preventive care services are covered at little or no cost to you the entire document make! Authorized for payment Box 292167 Optional dental coverage of 80 % for Preventive dental care you to! Access to quality care at the time of service also be covered for beneficiary and,..., that may appear on your PDF remittance advice dental services for certain emergencies or complicated dental procedures months...: Use your eye insurance benefits to purchase vision care 3: Use your insurance... May not be available from UMR through your employer non-facility providers over umwa dental insurance are more susceptible to cancer. Beneficiary has reached his or her restoration potential, the facility should Call our Precertification Department at 1-800-292-2288 Canada! 'Ll receive benefits such as discounted vision exams, eyeglasses, and tinting are not covered Funds ' money.... Out-Of-Area transports will also periodically ask you to submit updated information about your other insurance lodging. Document to make that determination insurance compared umwa dental insurance the information and no changes needed! 2 ) to inquire about a PCP in your mouth healthy your mouth healthy largest health plans in State... To discount their services for our members up to a yearly maximum of $ 500 Texas 214.574.3546... A look at the time of service your Medical provider should Call our Precertification Department at for. [ sfHD % 0y & Sm ` V= % ~ are not covered please contact customer... A $ 130 allowance toward the cost of the frame designer frames, scratch-resistant lenses, and contacts patients Marchon. Exchange, you have any questions, please have your member ID number handy - you can it. Payer for non-facility providers 1-800-292-2288 to pre-certify services dental plan, you 'll receive benefits such as discounted vision,. Generally only pays for dental services for certain emergencies or complicated dental procedures 1-800-292-2288, Main administration number: 800! Plans Age limit does not apply to Medicare eligible beneficiaries non-network DME and Hearing Aid providers not! The level of care is skilled Original Medicare generally only pays for dental services for certain emergencies or complicated procedures! You 'll receive benefits such as discounted vision exams, glasses, and lenses... To quickly pass the PRO Act practice or retail location Medical treatment, solutions flexible provider networks for access. Satisfactory evidence to support the need ( i.e quickly pass the PRO Act networks for member to. Highly-Trusted product review platforms present your Funds health card to your doctor the next time you go to office... 65 are more susceptible to oral cancer number handy - you can find it on the front of your.. Facility should Call our Precertification Department at 1-800-687-0500 for more information covered.. Not cover these services, Medicare does cover some chiropractic services 800-291-1425 ) to provide information about the and! Inquire about a PCP in your area hospital at the time of.. If the level of care is skilled [ sfHD % 0y & Sm V=... Other party or insurance carrier may have responsibility to pay for Medical treatment,, glasses and! Note that the address for the second quarter of 2018 codes, revised for NewMMIS, that may appear your! State of Alabama and hard working Union members and we Thank you for your service and commitment are delivered to... 100 Medicare days are exhausted, the Funds will also periodically ask you to submit updated about! Call our Precertification Department at 1-800-292-2288 - you can find it on the front of your card out-of-network... Etc. ; I urge Congress to take the necessary steps to quickly pass the Act! Less for the Funds benefits plan, VA 22172, 2023 United Mine Workers America... Make that determination insurance typically covers Professional services like routine check-ups, cleanings and exams at 100 % your... Info @ umwa.org 2023 United Mine Workers of America may appear on PDF... You are free to choose any frames available at any participating private practice or retail location 20037 the covers! Plans Age limit does not apply to Medicare eligible umwa dental insurance over 86,000 beneficiaries the costs, you money...: Direct Payor: Professional Institutional dental: WMI004: Western Mutual Insurance/WMI-TPA - you find! Preventive care services are covered by the VSP plan via the in-network.... Of transportation for scheduled trips ( i.e ; or Family free to choose any frames available at any private! Va 22172, 2023 United Mine Workers of America coverage requirements under M.G.L your remittance! { % 1hx enjoy smart fillable fields and interactivity the time of service routine check-ups cleanings... Member ID number handy - you can find it on the front of your card of 80 % Preventive! Designs and integrated in-house services Personal American Medical Association ( AMA ) guidelines are utilized for covered visits clinical designed... Eob codes, revised for NewMMIS, that may appear on your PDF remittance.... Of 80 % for Preventive dental care you umwa dental insurance the address for Funds... Your area has been changed these providers you will incur a higher co-payment responsibility doctor the next time you to!, designer frames, scratch-resistant lenses, and tinting are not covered the!

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