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Common Questions and Answers |
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I am a spouse who is eligible to receive Trust benefits, but will be using only the prescription drug benefit. Do I still have to pay the new $35 monthly premium? Yes, the monthly premium is for both medical and prescription coverage. To participate in any part of the coverage, a spouse who is eligible to receive Trust benefits will now be required to pay a monthly premium of $35.00. (This monthly premium is waived for spouses who pay the monthly premium of $45.00 under the Trust's PPO option.)
I cannot afford to pay $105 for the quarterly premium. Am I allowed to pay $35.00 per month? To keep administrative costs as low as possible, Trust participants are billed $105.00 quarterly, however you may chose to enroll in the Direct Payment Plan, which is an automatic $35.00 monthly withdrawal from your bank. If you are interested in this option, you may print out the documents needed to enroll by going to the Forms tab on this site.
I have a question regarding my pension, who should I contact? You will need to contact your former employer or the GMP International Union. A link to the GMP International union is located under the Important Links section of this site.
What's the best way to find out if my doctors are in the health plan network? For the most reliable information, you may do one of three things: • Call the health plan's customer service number found on your member I.D. card • Go to your health plan's website, found under Helpful Links. • Check with your doctor's office to see if they participate in the health plan network.
To learn about the Trust's Indemnity program - what it offers and how it works - go to the Health Benefits by Employer area of gmptrust.com.
What is a Preferred Provider Organization (PPO)? A PPO is a form of managed care, or a way of receiving health care. In a PPO, networks of hospitals, doctors and other health care providers agree to provide quality, cost-effective care to eligible participants at reduced rates. The managed care companies use a strict screening process to see that doctors have appropriate licensing and certification before they are admitted to the network. You receive a higher level of benefits by choosing providers in the PPO network (you may still see providers who are not in the network, but you pay a higher percentage of the associated costs).
Who is eligible for the PPO option? To be eligible for the PPO option, you must be a Trust participant and not yet eligible for Medicare. What does the PPO option cost? The PPO option requires a $45 per month contribution from each Trust participant. This contribution enables the PPO to offer a lower annual deductible, lower coinsurance (percentage you pay), and a lower out-of-pocket maximum.
What happens to my Trust Indemnity program coverage if I join the PPO? The PPO replaces your medical coverage under the Trust Iindemnity program. If you are a retiree, you keep your $2,000 life insurance benefit under the Trust Indemnity program no matter which medical option you choose.
Can I change coverage? Whichever option you choose will stay in effect until you decide to make a change. If you elect the PPO and later want to opt out, you can do so at any time. You must notify the Trust office in writing of your intent to terminate your PPO coverage. If you want to drop the PPO option and return to the Trust indemnity program, you can do so at any time. If you want to re-enroll in the PPO option at a later date, however, you must wait two years from the January 1 following the date you drop out of the PPO option before you can re-enroll. For instance, if you decide to drop the PPO option effective February 1, 2010, the first time you would be able to re-enroll in the PPO option would be January 1, 2013. (You would be covered by the Trust indemnity program for the remainder of 2010, and all of 2011 and 2012.)
What happens when I am enrolled in the PPO and then become eligible for Medicare? When you become eligible for Medicare (either by reaching age 65 or becoming medically eligible), you will no longer be eligible for the PPO option. You will automatically be covered under the current Trust indemnity program. For information about Medicare, go to Medicare's official website. To learn about your Trust coverage, go to the Health Benefits by Employer page on this site.
Important: You must notify the Trust office immediately when you and/or your spouse become eligible for Medicare for any reason other than attaining age 65. Write or call the Trust at: G.M.P. - Employers Retiree Trust 5245 Big Pine Way, S.E. Fort Myers, FL 33907-5998 Phone: (239) 936-6242
What if I spend a significant part of the year in a different city? If so, you may be wondering if managed care is suited to your situation. After all, to get the highest level of benefits from the PPO option, you need to use its network of providers. The fastest way to get a personal answer to your question is to call PPO Member Services. Simply call the number on your member I.D. card, ask the representative your question, and find out where the PPO has providers. You may be pleasantly surprised. PPO networks often cover a large part of the United States.
How do I enroll in life insurance benefits? You are automatically enrolled in life insurance coverage when you retire. Retirees only - not spouses - are covered by the Trust life insurance benefits for $2,000.
As a spouse of a retiree, will I lose my coverage if they die? As a surviving spouse of a retiree your coverage will continue unless you re-marry.
As a spouse of a retiree, will I lose my coverage if we divorce? Yes, however you will be eligible for COBRA Coverage. Click here for the COBRA Continuation of Coverage notice.
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G.M.P. – Employers Retiree Trust • 5245 Big Pine Way, S.E. • Fort Myers, FL 33907-5998 • Phone: (239) 936-6242 |
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© 2010 • G.M.P. - Employers Retiree Trust • Site designed and maintained by Get Groovy! |
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