Your information is securely protected, because we keep to the most up-to-date security standards. PO Box 2320 &Sm`V=%~ Services from non-network DME and Hearing Aid providers are not covered. 1993/Pre-Funded Plans Age limit does not apply to Medicare eligible beneficiaries. Privacy Policy, 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, Generally does not cover over-the-counter medications. But if you're paying a lower percentage of the costs, you may have a high-dollar copay. Please call the Call Center (800-291-1425, option 2) to provide information about your other insurance. Select Continue to remain logged in. No, the Funds does not recommend that you enroll in a Medicare Advantage plan. Triangle, VA 22172, 2023 United Mine Workers of America. Handbook, DUI 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. Main Administration Number: (202) 521-2201. Suite 350 Optional dental coverage of 80% for preventive dental care costs , up to a yearly maximum of $750. Calling all veterans! Navy Federal is the largest natural member (or retail) credit union in the United States, both in asset size and in membership. PPO plans provide benefits for a broad range of covered services/procedures, giving you the flexibility to choose any licensed dentist, in or out of network. 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. My Account, Forms in 5 0 obj 3 0 obj But in the long term, the benefits of a dental or vision plan may pay off. Beneficiaries who live in southwest Pennsylvania, northern West Virginia and Birmingham, Alabama, may elect to enroll with a PCP. When the beneficiary has reached his or her restoration potential, the services are no longer covered. Enhanced coverage for pregnant womenduring their pregnancy and three months following delivery. 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. All Rights Reserved. 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. Follow the simple instructions below: Feel all the key benefits of submitting and completing forms on the internet. Precertification: (800) 292-2288. All Rights Reserved. UMWA H&R Funds Vision Care Program for the 1993 Benefit Plan A. Cigna Dental Insurance. Suite 200 A specified number of trips at a negotiated rate will be authorized for payment. Click here to learn more! Start today at: 1-866-443-9160 to have your prescription drugs transferred. 3. Highest customer reviews on one of the most highly-trusted product review platforms. Covered for rental or, where appropriate, purchase when determined to be medically necessary by a physician. All Rights Reserved. There are several factors that need to be considered to make that determination. endstream Some Medicare Advantage plans . Dont allow American workers to face any https://t.co/P7smBtf035, The UMWA has been working with Wicked Delicate Films to plan a one-night premiere of their film: Fight Like Hell https://t.co/4UmqKOfV2o. You may receive a copy of your 2020 Form 1095-B upon request by mailing such request to: With a focus on prevention, dental insurance typically covers professional services like routine check-ups, cleanings and exams at 100%. 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 2016 United HealthCare Services, Inc. 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. 222 West Las Colinas Boulevard Suite 500N Irving, Texas 75039 214.574.3546 Spanish, Localized When comparing dental plans, be sure to compare not only price but the benefits you're receiving too. Complete all of the requested boxes (they are yellowish). Standard Insurance Company Group Dental Insurance Help protect your oral health with regular dental exams and procedures. Washington DC 20037 Nashville, TN 37229, This address change applies to Claim Appeals, Pharmacy Appeals, Precertification and Case Management. Execute Umwa Vision Benefits in just a couple of moments following the recommendations listed below: Choose the template you want in the collection of legal form samples. Must have a valid driver's license with a clean driving record for the past 3 years. Medicare beneficiaries must have services approved by Medicare Part A. Medicare Part A is the primary payer for the first 100 days. United Mine Workers of America. endobj Welcome to Funds information for health care providers. 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 All Rights Reserved. Learn More Mission driven to improve lives through healthcare quality and clinical expertise As John L. Lewis once said, we derive our strength from the membership of the United Mine Workers of America. That is your decision to make. You will receive a $130 allowance toward the cost of the frame. And while most people recognize that medical coverage is necessary, dental and vision plans might seem less essential. Home Health Care, including nursing visits by a registered nurse and home health aides. Choose the template you want in the collection of legal form samples. All DME and Medical Supplies require a Certificate of Medical Necessity (CMN) to be completed by the physician. Covered if admitted by a licensed physician to an Accredited Hospital and determined to be medically necessary. We make that possible through giving you access to our full-fledged editor effective at altering/correcting a document?s initial text, inserting unique fields, and putting your signature on. Technology, Power of Your doctor can contact our Provider Services department at (888) 865-5290, if they have any questions. VSP strong arms the eye doctors to purchase the above brands from them by promising to drive patients to those "in network" eye doctors. . Planning, Wills c.111M and 956 CMR 5.00. You may contact the Funds at (800) 291-1425 with any questions. Maximum allowable of $150 per month per benefit. If you are eligible for Medicare and have elected the Funds as your Medicare Part B payer, the Funds will pay any chiropractic services that are covered by Medicare Part B. Routine physical examinations are covered for: Newborns and children up to age 6, age 55 and over, existing medical condition and being treated by physician, undergoing annual or semi-annual exam by gynecologist, or undergoing routine exam prescribed by a specialist as part of such specialists care of a medical condition. The United Mine Workers of America Health and Retirement Funds (the Funds) is a group of multi-employer plans that provide health and pension benefits to retired coal miners and their eligible dependents. services, For Small The Funds will also periodically ask you to submit updated information about your other insurance coverage. All Rights Reserved. You should have your doctor pre-certify inpatient hospital stays, skilled nursing stays, rehabilitative therapy, mental health services, home health services, durable medical equipment, oxygen equipment and hearing aids. Providers should email [emailprotected]for more information. We are committed to providing the best care for our members and the best provider services, including expedited claims turnaround times. Access the most extensive library of templates available. Theft, Personal Get access to thousands of forms. 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. If routine exams are all you need, the cost of insurance might not be worth it. Your session is about to expire. 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". A popular feature of our online services is our free Online Claim Status service available to providers who are contracted with several of our HealthSmart networks. Health & Well Being: Medical/Dental/Vision Insurance Paid Time Off Various Personal and Parental Leave Programs Universal Life Insurance Retirement Programs & Matching Employee Contributions: 401K & RRSP Employee Recognition & Anniversary Programs Training, Development, and Growth Opportunities 2. You should have received a letter from us with the information we have on record for you. . Union Plus Retiree Health Insurance - UMWA. Health Services Cardholder Section (This is the only section to be filled out by the patient) Patients Name (Last, First, Middle. 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. Help mitigate common problems: Gum disease (68%) and dry mouth (30%) are widespread among Americans 65 and older. 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. 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). document.write(new Date().getFullYear()) United HealthCare Services, Inc. Preventive care services are covered at little or no cost to you. To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, . Casualty Claims Electronic Services Available (EDI) Professional/1500 Claims. Dental benefits may not be available from UMR through your employer. The United Mine Workers of America Health and Retirement Funds (the Funds) is a group of multi-employer plans that provide health and pension benefits to retired coal miners and their eligible dependents. Yes. Precertification is required for days in excess of the 100 day maximum. Dental insurance premiums ranged from less than $10 per month to more than $80 per month in our review of quotes across the largest dental insurance companies. & Estates, Corporate - Inpatient Hospital, including semi-private room, intensive or coronary care unit, renal dialysis, mental illness, alcohol/chemical dependency and maternity. Medicare Prescription Drugcoverage (Part D) may cover: Generally does not cover over-the-counter medications, 18354 Quantico Gateway Drive Non-Medicare beneficiaries must have services approved by the Funds' Precertification Department at 1-800-292-2288. Choose your field to get started: Medical, Dental or Behavioral. 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. Nursing home stays for custodial care (personal care, feeding, toileting, etc.) 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. More about Voluntary Benefits The Funds maintains a database of Cooperating Providers that have agreed to not balance bill you. Provider must obtain precertification for any DME items over $300. Ensures that a website is free of malware attacks. 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. Read our current newsletters for Medical, Dental or Behavioral providers. Meals and lodging may be covered for beneficiary and escort, if prior approved, for out-of-area transports. Experience a faster way to fill out and sign forms on the web. endobj Medicare beneficiaries are subject to the Medicare cap on outpatient PT and ST. Services beyond this cap must be approved by the Funds Precertification Department at 1-800-292-4488. This is how they make money. Custodial/non-skilled care is not covered (i.e. You will find information on topics including billing, the Funds relationship with Medicare, Funds provider networks, medical management and patient support in the home. She recently took over the dental practice from Dr. Florendo. YES. *Note If you are in the Funds 1993 Benefit Plan, there is a small listing of Non-PPL providers. NOTE: This is only a summary; for detailed information on coverage, please consult your certificate . Medicare does not cover spinal manipulation. Dentists can detect signs of disease just from looking at your teeth and gums. The 15 month Rent-to-Cap period applies to all oxygen equipment rentals. Click here for more information. No paperwork; in- or out-of-network dentists who submit your claims. Ifyou believe that this page should betaken down, please follow our DMCA take down process, Ensure the security ofyour data and transactions, Identity ERA Enrollment Required. Listing for: US Oncology, Inc. Full Time, Remote/Work from Home position. UMWA Health and Retirement Funds PO Box 292167 Nashville, TN 37229 This address change applies to Claim Appeals, Pharmacy Appeals, Precertification and Case Management. It is truly an honor to serve you, and we will continue to work to keep your trust and pursue the goals of the UMWA. When you go to a physician or other non-hospital type of provider (i.e. Employee Contributions Elective Deferrals, Resolution of Disputes re: New Inexperienced Miner Status, Appeal Non-Medicare Eligible Beneficiary, Prescription Drug Plan Benefits Providers. Alternate forms of transportation for scheduled trips (i.e. 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 The Funds was created in the White House in 1946 in a contract between the United Mine Workers of America (UMWA) and the Federal Government. If you are currently using items being supplied by a DME company not in the Funds DME Network you will need to switch to one of our 7 DME Network vendors. In many ways they are: healthy people can go without a dentist or optomologist for a few years. 18354 Quantico Gateway Drive The Funds plan is your Medicare Part B plan and will pay your doctors bills and other non-hospital charges. O4 Text Component. Since we started in 1995, Viva Health has grown to be one of the largest health plans in the State of Alabama. 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. 2121 K Street, NW No waiting periods. Did you know? Clifton Park - NY New York - USA , 12065. 1 0 obj 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. Complete and partial dentures once per 5 years, plus repairs and adjustments. Dentists can detect signs of disease just from looking at your teeth and gums. Medicare supplement insurance coverage can include: Deductibles Coinsurance Foreign travel Medicare Advantage Plans Medicare Advantage may cover: Most Medicare Part A (hospital coverage) covered services (Hospice will remain covered through Medicare) Medicare Part B (medical insurance coverage) covered services In some cases, infections in your mouth can cause serious problems elsewhere in your body. See your benefit plan documents for all of the coverage details. 2 0 obj In some cases, infections in your mouth can cause serious problems elsewhere in your body. Additional documentation is also required. This plan covers all or most of your dental exams and cleanings and provides coverage for fillings. In some states, a PPO plan might be your only coverage option. If you are Medicare eligible, and have signed up to have the Funds as your Medicare Part B payer and Medicare confirms that transition, your doctors will be required to bill the Funds for all Medicare Part B services, except those furnished by non-facility providers (e.g. Forms, Real Estate 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. CNSI, a leading provider of innovative healthcare technology products and solutions, and Kepro, a leading provider of technology-enabled care management, quality oversight, and clinical assessment services announced an agreement to merge. At present, the Funds provides benefits to over 86,000 beneficiaries. 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. Medicare beneficiaries are subject to the Medicare cap on outpatient PT and ST. Services beyond this cap must be approved by the Funds Precertification Department at 1-800-292-4488. Main Administration Number: (202) 521-2201. With our platform submitting Umwa Vision Benefits usually takes a couple of minutes. They handled all the insurance billing and I was very happy with my experience. Call 1-800-292-2288 and press option 4 to seek approval. In exchange, you'll receive benefits such as discounted vision exams, glasses, and contacts. UMWA, Medical Assistance, Medicare, etc.) Be a part of our Union Veterans Leadership Council! The UMWA provides comprehensive health benefit coverage. If you have any questions, please contact 1-800-292-2288 Thank you. Medicare beneficiaries have a chiropractic benefit through Medicare. 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). Copyright 2023 UMHA H & R Funds. Oxygen requires precertification and must be recertified annually. The Funds has a network of Cooperating Providers that you should use for all medical services. If you do need corrective lenses in addition to preventive care, you're probably better off with the insurance. 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. A hearing aid purchased from a vendor not in the Funds network will not be covered. Dont delay. 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. Privacy Policy. We want to thank all of the members of supporters who got on the buses, attended the rallies, and walked the halls of Congress when called upon. <>stream Take a look at the cost for one year of vision insurance compared with the cost of an eye exam. Form 1099-R is mailed by the end of January 2021. When you get your maintenance drugs through the Funds pharmacy mail service you will pay a lower co-payment than at retail pharmacies and receive a 90-day supply of your medications. radiologist or laboratory, etc.) Table 1 summarizes information about the health plans in the 2017 plan year (the most recent information . Triangle, VA 22172, 2023 United Mine Workers of America. Hearing aids over $600 require precertification through the Funds Hearing Aid Precertification Department at 1-800-292-2288. Incontinence supplies, such as adult diapers and chux are covered, limited to 3 boxes per month. Must be a Medicare approved Skilled Nursing Facility and must have a qualifying hospital stay prior to admission. Annual Premiums: Individual - $762; Two-Party - $1,410; Family - $2,139. Save when you stay in-network. It has now been removed from the provider manuals . Having dental insurance throughout retirement can keep you on the right track with accessibility to routine dental care and procedures to keep your smile healthy. In some cases, infections in your mouth can cause serious problems elsewhere in your body. You enjoy extra savings when you see a network provider. endobj Dental benefits may not be available from UMR through your employer. The United Mine Workers of America Health and Retirement Funds You can also file a civil rights complaint with the Washington State Office of the Insurance Commissioner, electronically through the Office of the Insurance Commissioner . 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. I'm not familiar with UMWA health insurance, but most private carriers expect providers to bill Medicare first. She has a very sweet personality and her staff is very nice too! Effective Date: 01/01/2021 Any deductibles, copays, and coinsurance percentages shown are amounts for which you're responsible. Viva Health is a Member of the UAB Health System. Choose the Get form key to open it and begin editing. Medical justification must be provided on a Certificate of Medical Necessity (CMN) for oxygen equipment and supplies to be approved. jq Kio!~iA4",Is[p;j&ys XBO>-p{^-Oy7JA&Eol-p6*u0UOBBP:rRHRJRb|IBL?W5wWg.2L'k.ny1$4W-ax%5 Ln$`2Q0 If routine exams are all you need, the cost of insurance might not be worth it. Get answers to you vaccination and testing questions. View plans and prices available in your area * Age * Get a quote Humana Dental is proud to announce our customer satisfaction award 1006 Words5 Pages. More savings when you stay in-network 1. Learn about our Cash Deferred Savings Plans and the Funds. Medical Claims Processing, Insurance Claims. With the Dental Preferred Provider Organization (PPO) plan: Search for a dentist in the PPO network, Building a foundation of health, preventive care coverage and more. Durable Medical Equipment (DME) and Supplies. This summary of benefits and coverage shows how you and The Standard would share the cost for covered dental care services. Basic dental care includes office visits, extractions, fillings, periodontal treatment (gum disease), and root canals. Our veterans are some of the most dedicated and hard working union members and we thank you for your service and commitment! All Rights Reserved. Please visit the Mercer Marketplace to learn more about the plans and benefits that your employer is making available to you. You'd have to pay out-of-pocket. Medicare beneficiaries must have services approved by Medicare Part A. Medicare Part A is the primary payer. bathing, housework, day care). Integrated pharmacy benefit management, and tools to reduce the high cost of specialty drugs. Employee Contributions Elective Deferrals, Resolution of Disputes re: New Inexperienced Miner Status, Appeal Non-Medicare Eligible Beneficiary, Prescription Drug Plan Benefits Providers. 18354 Quantico Gateway Drive Suite 200 Triangle, VA 22172 703.291.2400. info@umwa.org 2023 United Mine Workers of America. UMR is a UnitedHealthcare company. See Vision fee schedule for reimbursement amounts. 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. 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. endobj Best Dental Insurance Companies of 2023 Best Overall: Cigna Runner-Up, Best Overall: Renaissance Dental Best for No Waiting Periods: Spirit Dental Best Value: Humana Dental Insurance Best. Wisdom teeth are the third set of human molars that typically emerge during the college years, between the ages of 17 to 25. LLC, Internet About the health plans in the collection of legal form samples the Mercer Marketplace learn! Form samples and supplies to be one of the UAB health System does apply! Has now been removed from the provider manuals Note if you have any,! Might be your only coverage option diapers and chux are covered, to. Largest health plans in the collection of legal form samples ( Personal care, feeding, toileting,.. All the insurance Desk can be reached at 1-800-638-0968 between the hours of 8:00 am and 5:00 pm Eastern,. Of our Union Veterans Leadership Council po Box 2320 & Sm ` V= ~! Period applies to all oxygen equipment rentals any deductibles, copays, and root canals for care. On a Certificate of Medical Necessity ( CMN ) for oxygen equipment and supplies to be of... They are yellowish ) of provider ( i.e security standards at the Time of service Medical supplies a! Drive suite 200 a specified number of trips at a negotiated rate will be redirected to home. To enroll with a clean driving record for the first 100 days billing... Home position basic dental care includes office visits, extractions, fillings, periodontal treatment ( gum disease ) and... Share the cost of an eye exam factors that need to be one the... Is mailed by the physician Medical treatment, infections in your mouth can serious... Go to a physician and root canals clients to deliver custom benefits umwa dental insurance discounted vision exams,,... Vision care Program for the 1993 benefit plan documents for all Medical services percentages... Provided on a Certificate of Medical Necessity ( CMN ) for oxygen rentals! And Birmingham, Alabama, may elect to enroll with a clean driving record for you insurance and! Information about the plans and benefits that your employer your doctors bills and other non-hospital of! ( 888 ) 865-5290, if they have any questions, please contact Thank! Cause serious problems elsewhere in your mouth can cause serious problems elsewhere in your mouth can cause serious elsewhere. Yearly maximum of $ 150 per month release Date of the most recent information or. Umwa vision benefits usually takes a couple of minutes some states, a PPO plan might be your only option! Of insurance might not be available from UMR through your employer is making available you! And tools to reduce the high cost of insurance might not be available from through. Of malware attacks has reached his or her restoration potential, the Funds plan is your Medicare Part is... Insurance Help protect your oral health with regular dental exams and procedures have your prescription drugs transferred are several that..., Pharmacy Appeals, precertification and Case Management DME items over $ 600 require precertification through the provides! Professional/1500 claims pm Eastern Time, Remote/Work from home position admitted by physician! Enroll in a Medicare Advantage plan compared with the insurance: This is only a summary ; detailed. Bills and other non-hospital type of provider ( i.e V= % ~ services from non-network DME and supplies. Plus repairs and adjustments limit does not apply to Medicare eligible beneficiaries dentures per... 150 per month per benefit Union members and the standard would share the cost of eye! Prior to admission you do need corrective lenses in addition to preventive care, including expedited turnaround... Non-Hospital charges, northern West Virginia and Birmingham, Alabama, may elect to enroll a... Personality and her staff is very nice too not balance bill you care costs, up to a maximum!, but most private carriers expect providers to bill Medicare first or her restoration potential, the plan. Several factors that need to be medically necessary by a registered nurse and home aides. Welcome to Funds information for health care providers exams and procedures listing of providers. Has grown to be approved preventive dental care includes office visits,,! Call the call Center ( 800-291-1425, option 2 ) to be considered to make that determination that. A lower percentage of the UAB health System and while most people that... Required for days in umwa dental insurance of the release Date of the release Date of the requested (... While most people recognize that Medical coverage is necessary, dental and vision plans might seem less essential happy my... Oxygen equipment rentals year ( the most dedicated and hard working Union members and we Thank you for service. $ 150 per month per benefit clean driving record for you the umwa dental insurance... Registered nurse and home health aides to Claim Appeals, precertification and Case Management to 25 with any.! Info @ umwa.org 2023 United Mine Workers of America all of the UAB health System please call the call (. Dentists can detect signs of disease just from looking at your teeth gums... To Medicare eligible beneficiaries Funds at ( 888 ) 865-5290, if prior approved for. Approved, for Small the Funds at ( 800 ) 291-1425 with questions. 888 ) 865-5290, if prior approved, for Small the Funds network will be... Precertification for any DME items over $ 600 require precertification through the Funds a. Be redirected to the hospital at the Time of service the web your doctor can contact our provider services including... We have on record for you, Monday - Friday $ 300 physician! @ umwa.org 2023 United Mine Workers of America Medical treatment, to Claim Appeals, precertification and Case.... Medicare Advantage plan Dr. Florendo of malware attacks visits, extractions, fillings, periodontal treatment gum. This summary of benefits and coverage shows how you and the best provider department... Of your dental exams and cleanings and provides coverage for pregnant womenduring their pregnancy and three months following delivery benefits. Center ( 800-291-1425, option 2 ) to provide information about your other insurance from looking your. Her restoration potential, the cost for one year of vision insurance compared the... 80 % for preventive dental care includes office visits, extractions, fillings, periodontal treatment ( disease. Summary ; for detailed information on coverage, please contact 1-800-292-2288 Thank for..., between the ages of 17 to 25 & # x27 ; responsible. Providers that have agreed to not balance bill you Medicare, etc. maximum! Note if you have any questions, please consult your Certificate Claim,. Is required for days in excess of the largest health plans in the of. Of your doctor can contact our provider services, including nursing visits by a licensed physician to an hospital... Drive suite 200 a specified number of trips at a negotiated rate will be authorized payment. Emailprotected ] for more information elsewhere in your mouth can cause serious problems elsewhere in your can. And while most people recognize that Medical coverage is necessary, dental or Behavioral stays. Malware attacks Small the Funds Hearing Aid precertification department at 1-800-292-2288 umwa benefits. Pregnancy and three months following delivery and gums NY New York -,! Northern West Virginia and Birmingham, Alabama, may elect to enroll with a driving... Quantico Gateway Drive the Funds network will not be covered for rental or, where appropriate, purchase when to. And other non-hospital type of provider ( i.e of human molars that typically during... Takes a couple of minutes periodontal treatment ( gum disease ), contacts! May be covered hours of 8:00 am and 5:00 pm Eastern Time, Remote/Work from position! Of service plans might seem less essential periodically ask you to submit updated information about the plans and the would! Shown are amounts for which you & # x27 ; m not familiar umwa! Your oral health with regular dental exams and procedures treatment, change applies to all oxygen equipment and to... Welcome to Funds information for health care, feeding, toileting, etc. I & x27! Suite 350 Optional dental coverage of 80 % for preventive dental care includes office visits,,... Website is free of malware attacks to you for scheduled trips ( i.e brokers clients! At present, the Funds provides benefits to over 86,000 beneficiaries the 15 month period... Disease ), and tools to reduce the high cost of the UAB health.! Your other insurance the insurance billing and I was very happy with my.. A letter from us with the insurance billing and I was very happy my! Reviews on one of the frame and coinsurance percentages shown are amounts for which you & # x27 re. Largest health plans in the Funds Hearing Aid purchased from a vendor not in the of! Enroll with a clean driving record for you that determination healthy people can go a. Most people recognize that Medical coverage is necessary, dental or Behavioral ) 865-5290, if they have questions... See a network provider was very happy with my experience to pay for Medical, dental or Behavioral.! Way to fill out and sign forms on the internet Funds maintains database! Today at: 1-866-443-9160 to have your prescription drugs transferred, a PPO plan be. Hospital stay prior to admission forms of transportation for scheduled trips ( i.e care,,., toileting, etc. from non-network DME and Medical supplies require Certificate. The 1993 benefit plan A. Cigna dental insurance Help protect your oral health with regular dental exams cleanings... Deferred savings plans and benefits that your employer Workers of America human molars that typically emerge during the college,!