CHURCHWIDE HEALTHCARE - Pension Fund

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Medicare Part D Notice When will you pay a higher premium (penalty) to join a Medicare Drug Plan? You should also know that if you drop or lose your current coverage with CCHCBT and don’t join a Medicare drug plan within 63 continuous days after your current coverage ends, you may pay a higher premium (a penalty) to join a Medicare drug plan later. If you go 63 continuous days or longer without creditable prescription drug coverage, your monthly premium may go up by at least 1% of the Medicare base beneficiary premium per month for every month that you did not have that coverage. For example, if you go nineteen months without creditable coverage, your premium may consistently be at least 19% higher than the Medicare base beneficiary premium. You may have to pay this higher premium (a penalty) as long as you have Medicare prescription drug coverage. In addition, you may have to wait until the following November to join. For more information about this notice or your current prescription drug coverage ... Contact Michael Porter, Director of Health Services, at 866-495-7322. NOTE: You’ll get this notice each year. You will also get it before the next period you can join a Medicare drug plan, and if this coverage through CCHCBT changes. You also may request a copy of this notice at any time. For more information about your options under medicare prescription drug coverage ... More detailed information about Medicare plans that offer prescription drug coverage is in the “Medicare & You” handbook. You will get a copy of the handbook in the mail every year from Medicare. You may also be contacted directly by Medicare drug plans. For more information about Medicare prescription drug coverage: Visit www.medicare.gov Call your State Health Insurance Assistance Program (see the inside back cover of your copy of the “Medicare & You” handbook for their telephone number) for personalized help; Call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048. If you have limited income and resources, extra help paying for Medicare prescription drug coverage is available. For information about this extra help, visit Social Security on the web at www.socialsecurity.gov, or call them at 1-800-772-1213 (TTY 1-800-325-0778). Name of Entity/Sender Christian Church Health Care Benefit Trust Contact Michael Porter; Director of Health Services Address 130 East Washington Street, Indianapolis, IN 46204 Phone Number 866-495-7322 Remember: Keep this Creditable Coverage notice. If you decide to join one of the Medicare drug plans, you may be required to provide a copy of this notice when you join to show whether or not you have maintained creditable coverage and, therefore, whether or not you are required to pay a higher premium (a penalty). PAGE 18
Terms You Should Know Coinsurance The percentage of eligible expenses you and the plan share. The exact coinsurance depends on the plan your employer offers. Co-payment The fixed, up-front dollar amount you pay for certain covered expenses. Co-payment amounts do not apply toward your deductible or coinsurance, and they do not accumulate toward the out-of-pocket maximum. Deductible Intial amount you must pay each benefit year for covered services before the plan begins to provide benefits. Flexible Savings Account (FSA) An account allowed under Section 125 of the tax code to allow employees to set aside funds on a pre-tax basis to reimburse the member for IRS approved medical, dental and vision expenses not covered by Churchwide Healthcare. The catch is the “use it or lose it” clause, which means if you do not exhaust your account in the calendar year, then remaining funds remit to Churchwide Healthcare. High Deductible Health Plan (HDHP) A High Deductible Health Plan is defined as a health plan that does not have deductible less than $1200 for individual/$2400 for family (not to exceed $6050 individual/$12,100 for family). May be used with either a Health Reimbursement Account or Health Savings Account for approved non-covered medical expenses. Health Insurance Portability and Accessibility Act (HIPAA) This law has two affects on Churchwide Healthcare. On the one hand, it mandates the issuance of Certificates of Credible Coverage to help offset pre-existing condition time periods. More recently, it has been updated to protect personal health information (PHI) from being distributed to disinterested parties and to insure the privacy of our members. Health Reimbursement Account (HRA) Health Reimbursement Accounts are set up by employers to reimburse employees for IRS approved medical, dental and vision expenses not covered by Churchwide Healthcare, usually paired with the High Deductible Health Plan. Health Savings Account (HSA) Health Savings Accounts are money market like accounts that can be set up with contributions from either the employer, employee or both. <strong>Fund</strong>s go into these accounts tax-free and as long as the funds are used for IRS approved medical, dental and vision expenses not covered by Churchwide Healthcare High Deductible Health Plans, are withdrawn tax free. <strong>Fund</strong>s are owned by the employee, regardless of the contributor, and can be carried over year to year. In-Network Care Care you receive from in-network physicians, specialists, hospitals. rehabilitation centers, labs and other healthcare providers that have signed an agreement with their local Blue Cross and Blue Shield plan. Innetwork providers accept the allowable charge as payment in full. They also file claims for you. In-network care is paid at the higher level of benefits. Out-of-Network Care Care you receive from healthcare providers who are not in the network. This care is covered at the lower,. outof-network level when it is determined to be medically necessary and appropriate. Out-of-Pocket Maximum The amount you pay out of your pocket for eligbile healthcare expenses before the plan begins to pay 100% for additional eligible expenses. The out-of-pocket limit does not include co-payments, deductibles, mental health/substance abuse expenses, prescription drug expenses or amounts over the allowable plan charge. Preferred Provider Organization Program (PPO) A program that does not require the selection of a primary care physician, but is based on a provider network made up of physicians, specialists, hospitals and other healthcare facilities. Using this provider network helps assure members receive coverage for eligible services. Patient Protection and Afforadable Care Act of 2010 (PPACA) Commonly known as the Health Care Reform Law, this law is the guiding force of health coverage starting 2011 going forward. Some of the changes already in place include covering dependents to age 26, no preexisting condition clauses for children under age 19, and codifying preventive care services to be covered at 100%. PAGE 19
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Page 6 and 7: Highmark BCBS Medical Program About
Page 8 and 9: Prescription Drug Program Overview
Page 10 and 11: Flexible Spending Accounts Overview
Page 12 and 13: Voluntary Dental Program Dental PPO
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CHURCHWIDE HEALTHCARE - Pension Fund

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