There are two types of 医疗保险 coverage in which you required to enroll when you become eligible for 医疗保险: Part A (Hospital Insurance) and Part B (Medical Insurance). 医疗保险 is the primary payer for Part A and your benefits will continue to be processed through the 医疗保险 intermediaries. Under a special arrangement with 医疗保险, the Funds processes and pays 医疗保险 Part B benefits for Fund’s beneficiaries who are eligible for 医疗保险.
If you are eligible for but not enrolled in 医疗保险 Part B at the time you are determined to be eligible for benefits from the Funds, the effective date for your health benefit coverage from the Funds will be delayed. (的资金 does not require you to enroll in a 医疗保险 Advantage plan and you are strongly discouraged from enrolling in a 医疗保险 Part D prescription drug plan.) Once enrolled in 医疗保险, if you decide to cancel your 医疗保险 Part A or 医疗保险 Part B coverage, your Funds coverage will be suspended until such time as your 医疗保险 benefits are reinstated. Contact your local Social Security Administration office for information about enrolling in 医疗保险.
你r doctors may call the Funds’ Provider Customer Service Unit at 1-888-865-5290, if they have any billing questions.
Most services that are covered by 医疗保险 are also covered by the Funds. This list shows where 医疗保险 and the Funds’ coverage may differ:
The following services are covered by the Funds but not covered by 医疗保险:
The following services are covered by 医疗保险 but not covered by the Funds:
Chiropractic services for manual manipulation of a subluxated spine
Important: If you have 医疗保险, you will have to pay 20% for covered chiropractic services. If you do not have 医疗保险, you will have to pay 100%.
The following services are not covered by either 医疗保险 or the Funds:
“医疗保险 and 你” is the official U.S. government 医疗保险 handbook. It is the best and official source of answers to your 医疗保险 questions. 你 can use the link below or call: 1 - 800 -医疗保险 (1-800-633-4227) to get specific answers to your questions.
